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

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Resource Profile: MOPED VAERequest für die Verlängerung der VAE

MOPED Profil für die Verlängerung der Versichertenanspruchserklärung (VAE)

Usages:

• Use this Profile: MOPED Anfragen Bundle KH
• Refer to this Profile: MOPED Composition, MOPED VAERequest für die Verlängerung der VAE and MOPED VAEResponse

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim		0..*	MopedVAERequest	Claim, Pre-determination or Pre-authorization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!OΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest SHALL:populate Moped KH Actor from MOPED VAERequest
type	OΣ	1..1	CodeableConcept	Category or discipline Binding: Claim Type ValueSet (required) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (VAE Request)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
subType	O	1..1	CodeableConcept	More granular claim type Binding: VAE Claim Subtype ValueSet (required) Required Pattern: At least the following Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
use	OΣ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
patient	OΣ	1..1	Reference(MOPED Patient)	The recipient of the products and services Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
created	Σ	1..1	dateTime	Resource creation date
insurer	OΣ	1..1	Reference(SV Organization)	Target Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
provider	OΣ	1..1	Reference(KH Organization)	Party responsible for the claim Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
Slices for related		1..*	BackboneElement	Prior or corollary claims Slice: Unordered, Open by value:claim.resolve().subType
related:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
related:InitialeVAE	O	1..1	BackboneElement	Initiale Anfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die initiale Anfrage der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
related:VerlaengerteVAE	O	0..*	BackboneElement	Vorherige Verlängerungsanfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die Verlängerung der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for encounter		1..*	Reference(Encounter)	Encounters associated with the listed treatments Slice: Unordered, Open by value:resolve().type
encounter:MopedEncounter	O	1..1	Reference(MOPED Encounter)	Generelle Informationen zu Aufnahme und Entlassung des Patienten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
encounter:TransferEncounter	O	0..*	Reference(MOPED TransferEncounter)	Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
Slices for supportingInfo		1..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
supportingInfo:Sonderklasse	O	0..*	BackboneElement	KaOrg: Allgemeine Gebührenklasse/Sonderklasse Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KLAS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		1..1	CodeableConcept	KaOrg: Verlegung Klasse Binding: Sonderklasse ValueSet (required)
Slices for timing[x]		1..1	Period	When it occurred Slice: Unordered, Closed by type:$this
timing[x]:timingPeriod		1..1	Period	KaOrg: Aufnahme-, Verlegungsdatum
supportingInfo:VerdachtFremdverschulden	O	1..1	BackboneElement	KaOrg: Fremdversschluden Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FREVER
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]		1..1	boolean	Data to be provided
supportingInfo:Verlaengerungstage	O	0..1	BackboneElement	KaOrg: Anzahl der Verlängerungstage Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VERLAENG
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]		0..1		Data to be provided Slice: Unordered, Open by type:$this
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
value[x]:valueQuantity		0..1	Quantity	Data to be provided
value	Σ	1..1	decimal	Verlängerungstage
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: day
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	ΣC	0..1	code	Coded form of the unit Required Pattern: day
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.status	Base	required	Financial Resource Status Codes	📍5.0.0	FHIR Std.
Claim.type	Base	required	Claim Type ValueSet	📦0.1.0	This IG
Claim.subType	Base	required	VAE Claim Subtype ValueSet	📦0.1.0	This IG
Claim.use	Base	required	Use	📍5.0.0	FHIR Std.
Claim.related:InitialeVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.related:VerlaengerteVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​code	Base	required	Sonderklasse ValueSet	📦0.1.0	This IG
Claim.supportingInfo:VerdachtFremdverschulden.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MopedVAERequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim			MopedVAERequest
subType	O	1..1	CodeableConcept	More granular claim type Required Pattern: At least the following Obligations Actor SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQV
billablePeriod
start	O	1..1	dateTime	KaOrg: Ereignis-/Unfalldatum JJJJMMTT (Verlängerungsdatum) Obligations Actor SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
end	O	1..1	dateTime	KaOrg: Anzahl der Verlängerungstage Obligations Actor SHALL:populate Moped KH Actor
Slices for related		1..*	BackboneElement	Prior or corollary claims Slice: Unordered, Open by value:claim.resolve().subType
related:InitialeVAE	O	1..1	BackboneElement	Initiale Anfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
claim		0..1	Reference(MOPED VAERequest für die initiale Anfrage der VAE)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
related:VerlaengerteVAE	O	0..*	BackboneElement	Vorherige Verlängerungsanfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
claim		0..1	Reference(MOPED VAERequest für die Verlängerung der VAE)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim		0..*	MopedVAERequest	Claim, Pre-determination or Pre-authorization
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier for claim
traceNumber		0..*	Identifier	Number for tracking
status	?!OΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest SHALL:populate Moped KH Actor from MOPED VAERequest
type	OΣ	1..1	CodeableConcept	Category or discipline Binding: Claim Type ValueSet (required) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (VAE Request)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subType	O	1..1	CodeableConcept	More granular claim type Binding: VAE Claim Subtype ValueSet (required) Required Pattern: At least the following Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
use	OΣ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
patient	OΣ	1..1	Reference(MOPED Patient)	The recipient of the products and services Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	OΣC	1..1	dateTime	KaOrg: Ereignis-/Unfalldatum JJJJMMTT (Verlängerungsdatum) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
end	OΣC	1..1	dateTime	KaOrg: Anzahl der Verlängerungstage Obligations Actor SHALL:populate Moped KH Actor
created	Σ	1..1	dateTime	Resource creation date
enterer		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Author of the claim
insurer	OΣ	1..1	Reference(SV Organization)	Target Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
provider	OΣ	1..1	Reference(KH Organization)	Party responsible for the claim Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
priority	Σ	0..1	CodeableConcept	Desired processing urgency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: FundsReservationCodes (example): For whom funds are to be reserved: (Patient, Provider, None).
Slices for related		1..*	BackboneElement	Prior or corollary claims Slice: Unordered, Open by value:claim.resolve().subType
related:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
related:InitialeVAE	O	1..1	BackboneElement	Initiale Anfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die initiale Anfrage der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference		0..1	Identifier	File or case reference
related:VerlaengerteVAE	O	0..*	BackboneElement	Vorherige Verlängerungsanfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die Verlängerung der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: ClaimPayeeTypeCodes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
Slices for encounter		1..*	Reference(Encounter)	Encounters associated with the listed treatments Slice: Unordered, Open by value:resolve().type
encounter:MopedEncounter	O	1..1	Reference(MOPED Encounter)	Generelle Informationen zu Aufnahme und Entlassung des Patienten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
encounter:TransferEncounter	O	0..*	Reference(MOPED TransferEncounter)	Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
facility		0..1	Reference(Location | Organization)	Servicing facility
diagnosisRelatedGroup		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example)
event		0..*	BackboneElement	Event information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Specific event Binding: DatesTypeCodes (example)
when[x]		1..1		Occurance date or period
whenDateTime			dateTime
whenPeriod			Period
careTeam		0..*	BackboneElement	Members of the care team
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Order of care team
provider		1..1	Reference(Practitioner | PractitionerRole | Organization)	Practitioner or organization
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
specialty		0..1	CodeableConcept	Practitioner or provider specialization Binding: ExampleProviderQualificationCodes (example)
Slices for supportingInfo		1..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:Sonderklasse	O	0..*	BackboneElement	KaOrg: Allgemeine Gebührenklasse/Sonderklasse Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KLAS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		1..1	CodeableConcept	KaOrg: Verlegung Klasse Binding: Sonderklasse ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for timing[x]		1..1	Period	When it occurred Slice: Unordered, Closed by type:$this
timing[x]:timingPeriod		1..1	Period	KaOrg: Aufnahme-, Verlegungsdatum
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:VerdachtFremdverschulden	O	1..1	BackboneElement	KaOrg: Fremdversschluden Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FREVER
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:Verlaengerungstage	O	0..1	BackboneElement	KaOrg: Anzahl der Verlängerungstage Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VERLAENG
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
Slices for value[x]		0..1		Data to be provided Slice: Unordered, Open by type:$this
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
value[x]:valueQuantity		0..1	Quantity	Data to be provided
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Verlängerungstage
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: day
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	ΣC	0..1	code	Coded form of the unit Required Pattern: day
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis		0..*	BackboneElement	Pertinent diagnosis information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Diagnosis instance identifier
diagnosis[x]	O	1..1	Reference(MOPED Condition)	Nature of illness or problem Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
type		0..*	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date		0..1	dateTime	When the procedure was performed
procedure[x]		1..1		Specific clinical procedure Binding: ICD10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept			CodeableConcept
procedureReference			Reference(Procedure)
udi		0..*	Reference(Device)	Unique device identifier
insurance	Σ	0..*	BackboneElement	Patient insurance information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	OΣ	1..1	Reference(MOPED Coverage)	Insurance information Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date	O	1..1	date	KaOrg: Ereignis-/Unfalldatum (echtes Unfalldatum) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
type	O	1..1	CodeableConcept	KaOrg: Verdacht auf Arbeits-/Schülerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
patientPaid		0..1	Money	Paid by the patient
item		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
traceNumber		0..*	Identifier	Number for tracking
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
productOrServiceEnd		0..1	CodeableConcept	End of a range of codes Binding: USCLSCodes (example)
request		0..*	Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription)	Request or Referral for Service
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x]		0..1		Date or dates of service or product delivery
servicedDate			date
servicedPeriod			Period
location[x]		0..1		Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept			CodeableConcept
locationAddress			Address
locationReference			Reference(Location)
patientPaid		0..1	Money	Paid by the patient
quantity		0..1	SimpleQuantity(5.0.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
tax		0..1	Money	Total tax
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..*	BackboneElement	Anatomical location
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
site		1..*	CodeableReference(BodyStructure)	Location Binding: OralSiteCodes (example)
subSite		0..*	CodeableConcept	Sub-location Binding: SurfaceCodes (example)
encounter		0..*	Reference(Encounter)	Encounters associated with the listed treatments
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
traceNumber		0..*	Identifier	Number for tracking
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
productOrServiceEnd		0..1	CodeableConcept	End of a range of codes Binding: USCLSCodes (example)
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
patientPaid		0..1	Money	Paid by the patient
quantity		0..1	SimpleQuantity(5.0.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
tax		0..1	Money	Total tax
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
traceNumber		0..*	Identifier	Number for tracking
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
productOrServiceEnd		0..1	CodeableConcept	End of a range of codes Binding: USCLSCodes (example)
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
patientPaid		0..1	Money	Paid by the patient
quantity		0..1	SimpleQuantity(5.0.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
tax		0..1	Money	Total tax
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total		0..1	Money	Total claim cost
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Claim.status	Base	required	Financial Resource Status Codes	📍5.0.0	FHIR Std.
Claim.type	Base	required	Claim Type ValueSet	📦0.1.0	This IG
Claim.subType	Base	required	VAE Claim Subtype ValueSet	📦0.1.0	This IG
Claim.use	Base	required	Use	📍5.0.0	FHIR Std.
Claim.priority	Base	example	Process Priority Codes	📍5.0.0	FHIR Std.
Claim.fundsReserve	Base	example	Funds Reservation Codes	📍5.0.0	FHIR Std.
Claim.related.relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.related:InitialeVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.related:VerlaengerteVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.payee.type	Base	example	Claim Payee Type Codes	📍5.0.0	FHIR Std.
Claim.diagnosisRelatedGroup	Base	example	Example Diagnosis Related Group Codes	📍5.0.0	FHIR Std.
Claim.event.type	Base	example	Dates Type Codes	📍5.0.0	FHIR Std.
Claim.careTeam.role	Base	example	Claim Care Team Role Codes	📍5.0.0	FHIR Std.
Claim.careTeam.specialty	Base	example	Example Provider Qualification Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​code	Base	example	Exception Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​code	Base	required	Sonderklasse ValueSet	📦0.1.0	This IG
Claim.supportingInfo:Sonderklasse.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo:Sonderklasse.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:VerdachtFremdverschulden.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:VerdachtFremdverschulden.​code	Base	example	Exception Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:VerdachtFremdverschulden.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo:VerdachtFremdverschulden.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​code	Base	example	Exception Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo:Verlaengerungstage.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.diagnosis.type	Base	example	Example Diagnosis Type Codes	📍5.0.0	FHIR Std.
Claim.diagnosis.onAdmission	Base	example	Example Diagnosis on Admission Codes	📍5.0.0	FHIR Std.
Claim.procedure.type	Base	example	Example Procedure Type Codes	📍5.0.0	FHIR Std.
Claim.procedure.procedure[x]	Base	example	ICD-10 Procedure Codes	📍5.0.0	FHIR Std.
Claim.accident.type	Base	required	Verdacht auf Arbeits- oder Schuelerunfall ValueSet	📦0.1.0	This IG
Claim.item.revenue	Base	example	Example Revenue Center Codes	📍5.0.0	FHIR Std.
Claim.item.category	Base	example	Benefit Category Codes	📍5.0.0	FHIR Std.
Claim.item.productOrService	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.productOrServiceEnd	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.modifier	Base	example	Modifier type Codes	📍5.0.0	FHIR Std.
Claim.item.programCode	Base	example	Example Program Reason Codes	📍5.0.0	FHIR Std.
Claim.item.location[x]	Base	example	Example Service Place Codes	📍5.0.0	FHIR Std.
Claim.item.bodySite.​site	Base	example	Oral Site Codes	📍5.0.0	FHIR Std.
Claim.item.bodySite.​subSite	Base	example	Surface Codes	📍5.0.0	FHIR Std.
Claim.item.detail.revenue	Base	example	Example Revenue Center Codes	📍5.0.0	FHIR Std.
Claim.item.detail.category	Base	example	Benefit Category Codes	📍5.0.0	FHIR Std.
Claim.item.detail.productOrService	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.productOrServiceEnd	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.modifier	Base	example	Modifier type Codes	📍5.0.0	FHIR Std.
Claim.item.detail.programCode	Base	example	Example Program Reason Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​revenue	Base	example	Example Revenue Center Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​category	Base	example	Benefit Category Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​productOrService	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​productOrServiceEnd	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​modifier	Base	example	Modifier type Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​programCode	Base	example	Example Program Reason Codes	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MopedVAERequest

Summary

Mandatory: 2 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• MOPED VAERequest für die initiale Anfrage der VAE (https://elga.moped.at/StructureDefinition/MopedVAERequestInitial)
• MOPED VAERequest für die Verlängerung der VAE (https://elga.moped.at/StructureDefinition/MopedVAERequestVerlaengerung)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Claim.related

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim		0..*	MopedVAERequest	Claim, Pre-determination or Pre-authorization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!OΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest SHALL:populate Moped KH Actor from MOPED VAERequest
type	OΣ	1..1	CodeableConcept	Category or discipline Binding: Claim Type ValueSet (required) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (VAE Request)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
subType	O	1..1	CodeableConcept	More granular claim type Binding: VAE Claim Subtype ValueSet (required) Required Pattern: At least the following Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
use	OΣ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
patient	OΣ	1..1	Reference(MOPED Patient)	The recipient of the products and services Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
created	Σ	1..1	dateTime	Resource creation date
insurer	OΣ	1..1	Reference(SV Organization)	Target Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
provider	OΣ	1..1	Reference(KH Organization)	Party responsible for the claim Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
Slices for related		1..*	BackboneElement	Prior or corollary claims Slice: Unordered, Open by value:claim.resolve().subType
related:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
related:InitialeVAE	O	1..1	BackboneElement	Initiale Anfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die initiale Anfrage der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
related:VerlaengerteVAE	O	0..*	BackboneElement	Vorherige Verlängerungsanfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die Verlängerung der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for encounter		1..*	Reference(Encounter)	Encounters associated with the listed treatments Slice: Unordered, Open by value:resolve().type
encounter:MopedEncounter	O	1..1	Reference(MOPED Encounter)	Generelle Informationen zu Aufnahme und Entlassung des Patienten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
encounter:TransferEncounter	O	0..*	Reference(MOPED TransferEncounter)	Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
Slices for supportingInfo		1..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
supportingInfo:Sonderklasse	O	0..*	BackboneElement	KaOrg: Allgemeine Gebührenklasse/Sonderklasse Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KLAS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		1..1	CodeableConcept	KaOrg: Verlegung Klasse Binding: Sonderklasse ValueSet (required)
Slices for timing[x]		1..1	Period	When it occurred Slice: Unordered, Closed by type:$this
timing[x]:timingPeriod		1..1	Period	KaOrg: Aufnahme-, Verlegungsdatum
supportingInfo:VerdachtFremdverschulden	O	1..1	BackboneElement	KaOrg: Fremdversschluden Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FREVER
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]		1..1	boolean	Data to be provided
supportingInfo:Verlaengerungstage	O	0..1	BackboneElement	KaOrg: Anzahl der Verlängerungstage Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VERLAENG
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]		0..1		Data to be provided Slice: Unordered, Open by type:$this
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
value[x]:valueQuantity		0..1	Quantity	Data to be provided
value	Σ	1..1	decimal	Verlängerungstage
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: day
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	ΣC	0..1	code	Coded form of the unit Required Pattern: day
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.status	Base	required	Financial Resource Status Codes	📍5.0.0	FHIR Std.
Claim.type	Base	required	Claim Type ValueSet	📦0.1.0	This IG
Claim.subType	Base	required	VAE Claim Subtype ValueSet	📦0.1.0	This IG
Claim.use	Base	required	Use	📍5.0.0	FHIR Std.
Claim.related:InitialeVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.related:VerlaengerteVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​code	Base	required	Sonderklasse ValueSet	📦0.1.0	This IG
Claim.supportingInfo:VerdachtFremdverschulden.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from MopedVAERequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim			MopedVAERequest
subType	O	1..1	CodeableConcept	More granular claim type Required Pattern: At least the following Obligations Actor SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQV
billablePeriod
start	O	1..1	dateTime	KaOrg: Ereignis-/Unfalldatum JJJJMMTT (Verlängerungsdatum) Obligations Actor SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
end	O	1..1	dateTime	KaOrg: Anzahl der Verlängerungstage Obligations Actor SHALL:populate Moped KH Actor
Slices for related		1..*	BackboneElement	Prior or corollary claims Slice: Unordered, Open by value:claim.resolve().subType
related:InitialeVAE	O	1..1	BackboneElement	Initiale Anfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
claim		0..1	Reference(MOPED VAERequest für die initiale Anfrage der VAE)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
related:VerlaengerteVAE	O	0..*	BackboneElement	Vorherige Verlängerungsanfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
claim		0..1	Reference(MOPED VAERequest für die Verlängerung der VAE)	Reference to the related claim
relationship		0..1	CodeableConcept	How the reference claim is related Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Claim		0..*	MopedVAERequest	Claim, Pre-determination or Pre-authorization
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier for claim
traceNumber		0..*	Identifier	Number for tracking
status	?!OΣ	1..1	code	active | cancelled | draft | entered-in-error Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance. Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest SHALL:populate Moped KH Actor from MOPED VAERequest
type	OΣ	1..1	CodeableConcept	Category or discipline Binding: Claim Type ValueSet (required) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (VAE Request)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQ
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subType	O	1..1	CodeableConcept	More granular claim type Binding: VAE Claim Subtype ValueSet (required) Required Pattern: At least the following Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VAEREQV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
use	OΣ	1..1	code	claim | preauthorization | predetermination Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim. Required Pattern: preauthorization Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
patient	OΣ	1..1	Reference(MOPED Patient)	The recipient of the products and services Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
billablePeriod	Σ	0..1	Period	Relevant time frame for the claim
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	OΣC	1..1	dateTime	KaOrg: Ereignis-/Unfalldatum JJJJMMTT (Verlängerungsdatum) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest SHALL:populate & SHALL:populate Moped KH ActorMoped KH Actor
end	OΣC	1..1	dateTime	KaOrg: Anzahl der Verlängerungstage Obligations Actor SHALL:populate Moped KH Actor
created	Σ	1..1	dateTime	Resource creation date
enterer		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Author of the claim
insurer	OΣ	1..1	Reference(SV Organization)	Target Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
provider	OΣ	1..1	Reference(KH Organization)	Party responsible for the claim Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
priority	Σ	0..1	CodeableConcept	Desired processing urgency Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
fundsReserve		0..1	CodeableConcept	For whom to reserve funds Binding: FundsReservationCodes (example): For whom funds are to be reserved: (Patient, Provider, None).
Slices for related		1..*	BackboneElement	Prior or corollary claims Slice: Unordered, Open by value:claim.resolve().subType
related:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
reference		0..1	Identifier	File or case reference
related:InitialeVAE	O	1..1	BackboneElement	Initiale Anfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die initiale Anfrage der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference		0..1	Identifier	File or case reference
related:VerlaengerteVAE	O	0..*	BackboneElement	Vorherige Verlängerungsanfrage der VAE Obligations Actor SHALL:populate Moped KH Actor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
claim	O	0..1	Reference(MOPED VAERequest für die Verlängerung der VAE)	Reference to the related claim Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
relationship		0..1	CodeableConcept	How the reference claim is related Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: prior
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference		0..1	Identifier	File or case reference
prescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Prescription authorizing services and products
originalPrescription		0..1	Reference(DeviceRequest | MedicationRequest | VisionPrescription)	Original prescription if superseded by fulfiller
payee		0..1	BackboneElement	Recipient of benefits payable
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Category of recipient Binding: ClaimPayeeTypeCodes (example): A code for the party to be reimbursed.
party		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)	Recipient reference
referral		0..1	Reference(ServiceRequest)	Treatment referral
Slices for encounter		1..*	Reference(Encounter)	Encounters associated with the listed treatments Slice: Unordered, Open by value:resolve().type
encounter:MopedEncounter	O	1..1	Reference(MOPED Encounter)	Generelle Informationen zu Aufnahme und Entlassung des Patienten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
encounter:TransferEncounter	O	0..*	Reference(MOPED TransferEncounter)	Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
facility		0..1	Reference(Location | Organization)	Servicing facility
diagnosisRelatedGroup		0..1	CodeableConcept	Package billing code Binding: ExampleDiagnosisRelatedGroupCodes (example)
event		0..*	BackboneElement	Event information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Specific event Binding: DatesTypeCodes (example)
when[x]		1..1		Occurance date or period
whenDateTime			dateTime
whenPeriod			Period
careTeam		0..*	BackboneElement	Members of the care team
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Order of care team
provider		1..1	Reference(Practitioner | PractitionerRole | Organization)	Practitioner or organization
responsible		0..1	boolean	Indicator of the lead practitioner
role		0..1	CodeableConcept	Function within the team Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
specialty		0..1	CodeableConcept	Practitioner or provider specialization Binding: ExampleProviderQualificationCodes (example)
Slices for supportingInfo		1..*	BackboneElement	Supporting information Slice: Unordered, Open by value:category
supportingInfo:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:Sonderklasse	O	0..*	BackboneElement	KaOrg: Allgemeine Gebührenklasse/Sonderklasse Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: KLAS
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		1..1	CodeableConcept	KaOrg: Verlegung Klasse Binding: Sonderklasse ValueSet (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
Slices for timing[x]		1..1	Period	When it occurred Slice: Unordered, Closed by type:$this
timing[x]:timingPeriod		1..1	Period	KaOrg: Aufnahme-, Verlegungsdatum
value[x]		0..1		Data to be provided
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:VerdachtFremdverschulden	O	1..1	BackboneElement	KaOrg: Fremdversschluden Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FREVER
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
value[x]		1..1	boolean	Data to be provided
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
supportingInfo:Verlaengerungstage	O	0..1	BackboneElement	KaOrg: Anzahl der Verlängerungstage Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Information instance identifier
category		1..1	CodeableConcept	Classification of the supplied information Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: VERLAENG
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code		0..1	CodeableConcept	Type of information Binding: ExceptionCodes (example): The valuset used for additional information codes.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: MOPED VAESupportingInformationCategory (required)
text	Σ	0..1	string	Plain text representation of the concept
timing[x]		0..1		When it occurred
timingDate			date
timingPeriod			Period
Slices for value[x]		0..1		Data to be provided Slice: Unordered, Open by type:$this
valueBoolean			boolean
valueString			string
valueQuantity			Quantity
valueAttachment			Attachment
valueReference			Reference(Resource)
valueIdentifier			Identifier
value[x]:valueQuantity		0..1	Quantity	Data to be provided
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Verlängerungstage
comparator	?!Σ	0..1	code	< | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: day
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	ΣC	0..1	code	Coded form of the unit Required Pattern: day
reason		0..1	CodeableConcept	Explanation for the information Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
diagnosis		0..*	BackboneElement	Pertinent diagnosis information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Diagnosis instance identifier
diagnosis[x]	O	1..1	Reference(MOPED Condition)	Nature of illness or problem Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
type		0..*	CodeableConcept	Timing or nature of the diagnosis Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
onAdmission		0..1	CodeableConcept	Present on admission Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
procedure		0..*	BackboneElement	Clinical procedures performed
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Procedure instance identifier
type		0..*	CodeableConcept	Category of Procedure Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
date		0..1	dateTime	When the procedure was performed
procedure[x]		1..1		Specific clinical procedure Binding: ICD10ProcedureCodes (example): Example ICD10 Procedure codes.
procedureCodeableConcept			CodeableConcept
procedureReference			Reference(Procedure)
udi		0..*	Reference(Device)	Unique device identifier
insurance	Σ	0..*	BackboneElement	Patient insurance information
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	1..1	positiveInt	Insurance instance identifier
focal	Σ	1..1	boolean	Coverage to be used for adjudication
identifier		0..1	Identifier	Pre-assigned Claim number
coverage	OΣ	1..1	Reference(MOPED Coverage)	Insurance information Obligations Actor Source SHALL:handle Moped Device Actor from MOPED VAERequest
businessArrangement		0..1	string	Additional provider contract number
preAuthRef		0..*	string	Prior authorization reference number
claimResponse		0..1	Reference(ClaimResponse)	Adjudication results
accident		0..1	BackboneElement	Details of the event
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
date	O	1..1	date	KaOrg: Ereignis-/Unfalldatum (echtes Unfalldatum) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
type	O	1..1	CodeableConcept	KaOrg: Verdacht auf Arbeits-/Schülerunfall Binding: Verdacht auf Arbeits- oder Schuelerunfall ValueSet (required) Obligations Actor Source SHALL:populate Moped KH Actor from MOPED VAERequest
location[x]		0..1		Where the event occurred
locationAddress			Address
locationReference			Reference(Location)
patientPaid		0..1	Money	Paid by the patient
item		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
traceNumber		0..*	Identifier	Number for tracking
careTeamSequence		0..*	positiveInt	Applicable careTeam members
diagnosisSequence		0..*	positiveInt	Applicable diagnoses
procedureSequence		0..*	positiveInt	Applicable procedures
informationSequence		0..*	positiveInt	Applicable exception and supporting information
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
productOrServiceEnd		0..1	CodeableConcept	End of a range of codes Binding: USCLSCodes (example)
request		0..*	Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription)	Request or Referral for Service
modifier		0..*	CodeableConcept	Product or service billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
serviced[x]		0..1		Date or dates of service or product delivery
servicedDate			date
servicedPeriod			Period
location[x]		0..1		Place of service or where product was supplied Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
locationCodeableConcept			CodeableConcept
locationAddress			Address
locationReference			Reference(Location)
patientPaid		0..1	Money	Paid by the patient
quantity		0..1	SimpleQuantity(5.0.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
tax		0..1	Money	Total tax
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
bodySite		0..*	BackboneElement	Anatomical location
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
site		1..*	CodeableReference(BodyStructure)	Location Binding: OralSiteCodes (example)
subSite		0..*	CodeableConcept	Sub-location Binding: SurfaceCodes (example)
encounter		0..*	Reference(Encounter)	Encounters associated with the listed treatments
detail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
traceNumber		0..*	Identifier	Number for tracking
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
productOrServiceEnd		0..1	CodeableConcept	End of a range of codes Binding: USCLSCodes (example)
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
patientPaid		0..1	Money	Paid by the patient
quantity		0..1	SimpleQuantity(5.0.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
tax		0..1	Money	Total tax
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
subDetail		0..*	BackboneElement	Product or service provided
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence		1..1	positiveInt	Item instance identifier
traceNumber		0..*	Identifier	Number for tracking
revenue		0..1	CodeableConcept	Revenue or cost center code Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
category		0..1	CodeableConcept	Benefit classification Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
productOrService		0..1	CodeableConcept	Billing, service, product, or drug code Binding: USCLSCodes (example): Allowable service and product codes.
productOrServiceEnd		0..1	CodeableConcept	End of a range of codes Binding: USCLSCodes (example)
modifier		0..*	CodeableConcept	Service/Product billing modifiers Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
programCode		0..*	CodeableConcept	Program the product or service is provided under Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
patientPaid		0..1	Money	Paid by the patient
quantity		0..1	SimpleQuantity(5.0.0)	Count of products or services
unitPrice		0..1	Money	Fee, charge or cost per item
factor		0..1	decimal	Price scaling factor
tax		0..1	Money	Total tax
net		0..1	Money	Total item cost
udi		0..*	Reference(Device)	Unique device identifier
total		0..1	Money	Total claim cost
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Claim.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Claim.status	Base	required	Financial Resource Status Codes	📍5.0.0	FHIR Std.
Claim.type	Base	required	Claim Type ValueSet	📦0.1.0	This IG
Claim.subType	Base	required	VAE Claim Subtype ValueSet	📦0.1.0	This IG
Claim.use	Base	required	Use	📍5.0.0	FHIR Std.
Claim.priority	Base	example	Process Priority Codes	📍5.0.0	FHIR Std.
Claim.fundsReserve	Base	example	Funds Reservation Codes	📍5.0.0	FHIR Std.
Claim.related.relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.related:InitialeVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.related:VerlaengerteVAE.​relationship	Base	example	Example Related Claim Relationship Codes	📍5.0.0	FHIR Std.
Claim.payee.type	Base	example	Claim Payee Type Codes	📍5.0.0	FHIR Std.
Claim.diagnosisRelatedGroup	Base	example	Example Diagnosis Related Group Codes	📍5.0.0	FHIR Std.
Claim.event.type	Base	example	Dates Type Codes	📍5.0.0	FHIR Std.
Claim.careTeam.role	Base	example	Claim Care Team Role Codes	📍5.0.0	FHIR Std.
Claim.careTeam.specialty	Base	example	Example Provider Qualification Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​code	Base	example	Exception Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Sonderklasse.​code	Base	required	Sonderklasse ValueSet	📦0.1.0	This IG
Claim.supportingInfo:Sonderklasse.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo:Sonderklasse.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:VerdachtFremdverschulden.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:VerdachtFremdverschulden.​code	Base	example	Exception Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:VerdachtFremdverschulden.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo:VerdachtFremdverschulden.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​category	Base	example	Claim Information Category Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​code	Base	example	Exception Codes	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​code.coding	Base	required	MOPED VAESupportingInformationCategory	📦0.1.0	This IG
Claim.supportingInfo:Verlaengerungstage.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍5.0.0	FHIR Std.
Claim.supportingInfo:Verlaengerungstage.​reason	Base	example	Missing Tooth Reason Codes	📍5.0.0	FHIR Std.
Claim.diagnosis.type	Base	example	Example Diagnosis Type Codes	📍5.0.0	FHIR Std.
Claim.diagnosis.onAdmission	Base	example	Example Diagnosis on Admission Codes	📍5.0.0	FHIR Std.
Claim.procedure.type	Base	example	Example Procedure Type Codes	📍5.0.0	FHIR Std.
Claim.procedure.procedure[x]	Base	example	ICD-10 Procedure Codes	📍5.0.0	FHIR Std.
Claim.accident.type	Base	required	Verdacht auf Arbeits- oder Schuelerunfall ValueSet	📦0.1.0	This IG
Claim.item.revenue	Base	example	Example Revenue Center Codes	📍5.0.0	FHIR Std.
Claim.item.category	Base	example	Benefit Category Codes	📍5.0.0	FHIR Std.
Claim.item.productOrService	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.productOrServiceEnd	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.modifier	Base	example	Modifier type Codes	📍5.0.0	FHIR Std.
Claim.item.programCode	Base	example	Example Program Reason Codes	📍5.0.0	FHIR Std.
Claim.item.location[x]	Base	example	Example Service Place Codes	📍5.0.0	FHIR Std.
Claim.item.bodySite.​site	Base	example	Oral Site Codes	📍5.0.0	FHIR Std.
Claim.item.bodySite.​subSite	Base	example	Surface Codes	📍5.0.0	FHIR Std.
Claim.item.detail.revenue	Base	example	Example Revenue Center Codes	📍5.0.0	FHIR Std.
Claim.item.detail.category	Base	example	Benefit Category Codes	📍5.0.0	FHIR Std.
Claim.item.detail.productOrService	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.productOrServiceEnd	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.modifier	Base	example	Modifier type Codes	📍5.0.0	FHIR Std.
Claim.item.detail.programCode	Base	example	Example Program Reason Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​revenue	Base	example	Example Revenue Center Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​category	Base	example	Benefit Category Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​productOrService	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​productOrServiceEnd	Base	example	USCLS Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​modifier	Base	example	Modifier type Codes	📍5.0.0	FHIR Std.
Claim.item.detail.subDetail.​programCode	Base	example	Example Program Reason Codes	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Claim	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Claim	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Claim	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Claim	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Claim	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from MopedVAERequest

Summary

Mandatory: 2 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• MOPED VAERequest für die initiale Anfrage der VAE (https://elga.moped.at/StructureDefinition/MopedVAERequestInitial)
• MOPED VAERequest für die Verlängerung der VAE (https://elga.moped.at/StructureDefinition/MopedVAERequestVerlaengerung)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Claim.related