Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
0.1.0 - ci-build

Table of Contents

.. 0 Table of Contents
... 1 Home
... 2 Umfang und Inhalt
... 3 Hintergrund
... 4 Herausforderungen
... 5 Grundlegende Konzepte und Design-Entscheidungen
... 6 Akteure
... 7 Workflowmanagement
... 8 Obligations
... 9 Moped Plattform - Überblick
... 10 Moped Fall - Überblick
... 11 Moped Fall - Aufnahme
... 12 Moped Fall - Administration
... 13 Moped Fall - Patientversorgung
... 14 Moped Fall - Entlassung
... 15 Moped Fall - Versichertenanspruchserklärung
... 16 Moped Fall - Abrechnung
... 17 Moped Fall - Genehmigung/Ablehnung
... 18 Moped Fall - Kostenmeldung
... 19 Moped Fall - Jahres-/Quartalsmeldung
... 20 Moped Fall - Kommunikation
... 21 Moped Fall - Prozessübergreifend
... 22 LKF Jahresstatistikmeldung
... 23 Medizinische Register
... 24 EMS
... 25 Mappings
.... 25.1 Ka-Org Mapping
.... 25.2 MBDS Mapping
.... 25.3 LKF Jahresmeldung
.... 25.4 Stammdaten
... 26 Impressum
... 27 Mitwirkende
... 28 Downloads
... 29 Dependencies
... 30 Copyright
... 31 Known Issues
... 32 Artifacts Summary
.... 32.1 Moped Bund Actor
.... 32.2 Moped Device Actor
.... 32.3 Moped KH Actor
.... 32.4 Moped LGF Actor
.... 32.5 Moped SV Actor
.... 32.6 MOPED auf VAERequest oder ARKRequest $antworten
.... 32.7 MOPED ClaimResponse $entscheiden
.... 32.8 MOPED Daten $update
.... 32.9 MOPED Encounter $abrechnen
.... 32.10 MOPED Kosteninformation $melden
.... 32.11 MOPED Patient $aufnehmen
.... 32.12 MOPED Patient $entlassen
.... 32.13 MOPED QuestionnaireResponse $einmelden
.... 32.14 MOPED Versichertenanspruchserklärung $anfragen
.... 32.15 Bund Organization
.... 32.16 Dachverband Organization
.... 32.17 KH Organization
.... 32.18 LGF Organization
.... 32.19 MOPED Abrechnen Bundle KH
.... 32.20 MOPED Anfragen Bundle KH
.... 32.21 MOPED Anfragen Composition
.... 32.22 MOPED Antworten Bundle SV
.... 32.23 MOPED ARK Status Update - PaymentReconciliation
.... 32.24 MOPED ARKRequest
.... 32.25 MOPED ARKResponse
.... 32.26 MOPED Aufnahme Composition
.... 32.27 MOPED Aufnehmen Bundle KH
.... 32.28 MOPED Beantworten Composition
.... 32.29 MOPED Composition
.... 32.30 MOPED Condition
.... 32.31 MOPED Coverage
.... 32.32 MOPED Coverage für Selbstzahler
.... 32.33 Moped Device
.... 32.34 Moped Device XDok
.... 32.35 MOPED Encounter
.... 32.36 MOPED Encounter Ambulant
.... 32.37 MOPED Encounter Aufnahme Stationär
.... 32.38 MOPED Encounter Bund
.... 32.39 MOPED Encounter Entlassung Stationär
.... 32.40 MOPED Encounter LGF
.... 32.41 MOPED Encounter Stationär
.... 32.42 MOPED Encounter SV
.... 32.43 MOPED Entlassen Bundle KH
.... 32.44 MOPED Entlassung Aviso Composition
.... 32.45 MOPED Entlassung vollständig Composition
.... 32.46 MOPED Entscheiden Bundle LGF
.... 32.47 MOPED Hauptversicherter
.... 32.48 MOPED Input Bundle KH
.... 32.49 MOPED KH Organisationseinheiten
.... 32.50 MOPED LKFRequest
.... 32.51 MOPED LKFResponse
.... 32.52 MOPED Master Composition
.... 32.53 MOPED Melden Bundle LGF
.... 32.54 MOPED Patient
.... 32.55 MOPED Patient Bund
.... 32.56 MOPED Patient LGF
.... 32.57 MOPED Patient SV
.... 32.58 MOPED Procedure
.... 32.59 MOPED QuestionnaireResponse einmelden Bundle
.... 32.60 Moped QuestionnaireResponse fallbezogen
.... 32.61 Moped QuestionnaireResponse nicht fallbezogen
.... 32.62 MOPED TransferEncounter
.... 32.63 MOPED TransferEncounter Ambulant
.... 32.64 MOPED TransferEncounter Intensiv
.... 32.65 MOPED TransferEncounter Stationär
.... 32.66 MOPED Update Bundle KH
.... 32.67 MOPED Update Composition
.... 32.68 MOPED VAERequest
.... 32.69 MOPED VAERequest für die initiale Anfrage der VAE
.... 32.70 MOPED VAERequest für die Verlängerung der VAE
.... 32.71 MOPED VAEResponse
.... 32.72 SV Organization
.... 32.73 Abrechnung - Knoten
.... 32.74 Abrechnungsart Ausländerverrechnung
.... 32.75 AddItemCategory
.... 32.76 Altersgruppe
.... 32.77 AnzahlBeurlaubungen
.... 32.78 AnzahlVerlegungen
.... 32.79 Aufnahmeart
.... 32.80 Beihilfenaequivalent
.... 32.81 Betreuungsschein bei Ausländerverrechnung
.... 32.82 Diagnosetyp
.... 32.83 Error/Warning
.... 32.84 Fondsrelevanz
.... 32.85 Grund warum keine Zahlung erfolgte
.... 32.86 Kostenstelle
.... 32.87 Leistung - Anzahl
.... 32.88 Medizinische Leistung - Abrechnungsrelevanz
.... 32.89 Prozentsatz der Zahlung
.... 32.90 Rechnungsnummer der Krankenanstalt bzw. des Landesgesundheitsfonds
.... 32.91 Supporting Info Extension for ClaimResponse
.... 32.92 Supporting Info Extension for ClaimResponse - FREMDRE Slice
.... 32.93 Supporting Info Extension for ClaimResponse - OEGKELBNR Slice
.... 32.94 Supporting Info Extension for ClaimResponse - Vortageanzahl auf Kostenbeitrag
.... 32.95 Tage ohne Einhebung des Kostenbeitrags
.... 32.96 VDAS-ID - VersichertenDatenAbfrageService
.... 32.97 VerpflegskostenBeitragsbefreiung
.... 32.98 Zahlungskennzeichen
.... 32.99 Abgangsart des Patienten
.... 32.100 Abrechnungsart Ausländerverrechnung ValueSet
.... 32.101 Abrechnungsrelevanz der medizinischen Leistung
.... 32.102 Akzeptierte Errors/Warnings - Codes 2025
.... 32.103 Altersgruppe des Patienten
.... 32.104 Anwesenheitsart
.... 32.105 Arten von Moped Encounter
.... 32.106 Arten von Moped Payment Types VS
.... 32.107 Aufnahmeart des Patienten
.... 32.108 Aufnahmeart2 des Patienten
.... 32.109 Befreiung für den Verpflegskostenbeitrag
.... 32.110 Behandlungsart
.... 32.111 Claim Type ValueSet
.... 32.112 Encounter Status bei der Aufnahme
.... 32.113 Encounter Status bei Entlassung
.... 32.114 Encounter Status in Moped
.... 32.115 Entlassungsart des Patienten ambulant
.... 32.116 Entlassungsart des Patienten ambulant + stationär
.... 32.117 Entlassungsart des Patienten stationär
.... 32.118 Fondsrelevanz
.... 32.119 HTTP Verb Insert Only
.... 32.120 HTTP Verb Insert Update Delete
.... 32.121 HTTP Verb Update Only
.... 32.122 HTTP Verb Update Only
.... 32.123 ICD-10 AT
.... 32.124 Kostenmeldung für (A/R/K)
.... 32.125 LKF Abrechnungsgruppe
.... 32.126 LKF Abrechnungsknoten
.... 32.127 LKF Ambulante MEL-Gruppen
.... 32.128 LKF Ambulante Pauschal-Gruppen
.... 32.129 LKF ClaimResponse Subtype ValueSet
.... 32.130 LKF Diagnosetyp ValueSet
.... 32.131 LKF Hauptdiagnosegruppen
.... 32.132 LKF Leistungskatalog BMSGPK
.... 32.133 LKF medizinische Einzelleistungen (MEL)
.... 32.134 LKF Seitenlokalisation ValueSet
.... 32.135 Moped Claim Item Category ValueSet
.... 32.136 Moped Composition Sections ValueSet
.... 32.137 Moped Device Types ValueSet
.... 32.138 Moped Encounter Participant Type ValueSet
.... 32.139 MOPED LKFSupportingInformationCategory
.... 32.140 MOPED VAESupportingInformationCategory
.... 32.141 MOPED VAESupportingInformationCategory
.... 32.142 Sonderklasse ValueSet
.... 32.143 Spezielle Organisationsform
.... 32.144 Status der Versichertenanspruchserklärung
.... 32.145 Transportart
.... 32.146 Ursache für Behandlung
.... 32.147 VAE Claim Subtype ValueSet
.... 32.148 ValueSet Zahlungskennzeichen ARK
.... 32.149 Verdacht auf Arbeits- oder Schuelerunfall ValueSet
.... 32.150 Workflow Status eines Falls
.... 32.151 Abrechnungsart Ausländerverrechnung CodeSystem
.... 32.152 Abrechnungsrelevanz der medizinischen Leistung
.... 32.153 Akzeptierte Errors/Warnings - Codes 2025
.... 32.154 Altersgruppe des Patienten
.... 32.155 Anwesenheitsart
.... 32.156 Arten von Moped Encounter
.... 32.157 Arten von Moped Payment Types CS
.... 32.158 Aufnahmeart2 des Patienten
.... 32.159 Befreiung für den Verpflegskostenbeitrag
.... 32.160 Behandlungsart
.... 32.161 Claim Subtype CodeSystem
.... 32.162 Claim Type CodeSystem
.... 32.163 CodeSystem Zahlungskennzeichen Auslaenderverrechnung
.... 32.164 CodeSystem Zahlungskennzeichen Regress
.... 32.165 Entlassungsart des Patienten
.... 32.166 Fondsrelevanz
.... 32.167 LKF Abrechnungsgruppe Andere
.... 32.168 LKF Abrechnungsknoten
.... 32.169 LKF Ambulante MEL-Gruppen
.... 32.170 LKF Ambulante Pauschal-Gruppen
.... 32.171 LKF Hauptdiagnosegruppen
.... 32.172 LKF medizinische Einzelleistungen (MEL)
.... 32.173 Moped Aufnahmeart des Patienten
.... 32.174 Moped Aufnahmeart des Patienten
.... 32.175 Moped Claim Item Category CodeSystem
.... 32.176 Moped Composition Sections
.... 32.177 Moped Device Types CodeSystem
.... 32.178 Moped Encounter Participant Type CodeSystem
.... 32.179 MOPED VAESupportingInformationCategory
.... 32.180 Sonderklasse CodeSystem
.... 32.181 Spezielle Betriebsform
.... 32.182 Spezielle Organisationsformen
.... 32.183 Status der Versichertenanspruchserklärung
.... 32.184 Transportart
.... 32.185 Ursache für Behandlung
.... 32.186 Verdacht auf Arbeits- oder Schuelerunfall CodeSystem
.... 32.187 Workflow Status eines Falls
.... 32.188 AbteilungHerzJesu1
.... 32.189 AbteilungKHRied1
.... 32.190 AbteilungKHRied2
.... 32.191 AbteilungKHRied3
.... 32.192 AbteilungKHRied4
.... 32.193 Condition42.1
.... 32.194 Encounter42
.... 32.195 I12 Questionnaire für TISS-A-Daten
.... 32.196 I12 QuestionnaireResponse für TISS-A-Daten
.... 32.197 KHK999
.... 32.198 KHK999ABT11111100
.... 32.199 KHK999ABT12111100
.... 32.200 KHK999ABT12118102
.... 32.201 KHK999ABT16075000
.... 32.202 KHK999ABT16111111
.... 32.203 KHK999ABT16111112
.... 32.204 KHK999ABT16211100
.... 32.205 KHK999ABT16518011
.... 32.206 LKF A01 Questionnaire
.... 32.207 LKF B01 Questionnaire
.... 32.208 LKF B02 Questionnaire
.... 32.209 LKF B03 Questionnaire
.... 32.210 LKF B04 Questionnaire
.... 32.211 LKF B05 Questionnaire
.... 32.212 LKF B06 Questionnaire
.... 32.213 LKF G01 Questionnaire
.... 32.214 LKF G02 Questionnaire
.... 32.215 LKF K01 Questionnaire
.... 32.216 LKF K02 Questionnaire
.... 32.217 LKF K03 Questionnaire
.... 32.218 LKF K04 Questionnaire
.... 32.219 LKF K05 Questionnaire
.... 32.220 LKF K06 Questionnaire
.... 32.221 LKF K07 Questionnaire
.... 32.222 LKF K08 Questionnaire
.... 32.223 LKF K09 Questionnaire
.... 32.224 LKF K10 Questionnaire
.... 32.225 LKF K11 Questionnaire
.... 32.226 LKF K12 Questionnaire
.... 32.227 LKF K13 Questionnaire
.... 32.228 LKF K14 Questionnaire
.... 32.229 LKF K15 Questionnaire
.... 32.230 LKF K16 Questionnaire
.... 32.231 LKF L01 Questionnaire
.... 32.232 LKF L02 Questionnaire
.... 32.233 LKF L03 Questionnaire
.... 32.234 LKF L04 Questionnaire
.... 32.235 LKF Testdaten Fall
.... 32.236 LKFRequest42
.... 32.237 LocationKHHerzJesu
.... 32.238 LocationKHK999
.... 32.239 LocationKHRied
.... 32.240 MOPED PJ1 Composition nach $aufnehmen
.... 32.241 OrganizationAffiliationWgfHerzJesu
.... 32.242 OrganizationHerzJesuKrankenhaus
.... 32.243 OrganizationKrankenhausRied
.... 32.244 OrganizationLGF
.... 32.245 OrganizationUeberweisendeOrganization1
.... 32.246 OrganizationUeberweisendeOrganization2
.... 32.247 Patient42
.... 32.248 PJ1Condition1
.... 32.249 PJ1Coverage
.... 32.250 PJ1Encounter
.... 32.251 PJ1EncounterAufnahme
.... 32.252 PJ1EncounterBasis
.... 32.253 PJ1EncounterBund
.... 32.254 PJ1EncounterLGF
.... 32.255 PJ1EncounterSV
.... 32.256 PJ1LKFRequest1
.... 32.257 PJ1LKFResponse1
.... 32.258 PJ1Patient
.... 32.259 PJ1Procedure1
.... 32.260 PJ1TransferEncounter1
.... 32.261 PJ1TransferEncounter1Aufnahme
.... 32.262 PJ1VAERequest1
.... 32.263 PJ1VAEResponse1
.... 32.264 PJ2Condition1
.... 32.265 PJ2Condition2
.... 32.266 PJ2Coverage
.... 32.267 PJ2Encounter
.... 32.268 PJ2LKFRequest1
.... 32.269 PJ2LKFResponse1
.... 32.270 PJ2Patient
.... 32.271 PJ2Procedure1
.... 32.272 PJ2Procedure2
.... 32.273 PJ2TransferEncounter1
.... 32.274 PJ2TransferEncounter2
.... 32.275 PJ2TransferEncounter3
.... 32.276 PJ2TransferEncounter4
.... 32.277 PJ2TransferEncounter5
.... 32.278 PJ2VAERequest1
.... 32.279 PJ2VAEResponse1
.... 32.280 register-questionnaire
.... 32.281 SAPS3 Questionnaire
.... 32.282 SAPS42.1
.... 32.283 Stroke Unit Registermeldung – Patientendaten
.... 32.284 Stroke Unit Registermeldung – Patientendaten
.... 32.285 strokeunit-questionnaire-response-1
.... 32.286 Subscription Topic neue VAE
.... 32.287 Subscription Topic VAE abgelehnt
.... 32.288 SV11
.... 32.289 SV12
.... 32.290 SV13
.... 32.291 SV14
.... 32.292 SV15
.... 32.293 SV16
.... 32.294 SV17
.... 32.295 SV18
.... 32.296 SV19
.... 32.297 Test1PatientBund
.... 32.298 Test1PatientLGF
.... 32.299 Test1PatientOhneMaskierung
.... 32.300 Test1PatientSV
.... 32.301 Test2SAPS3QuestionnaireResponse1
.... 32.302 TISS42.1
.... 32.303 TISS42.2
.... 32.304 TISS42.3
.... 32.305 TransferEncounter42.1
.... 32.306 TransferEncounter42.2
.... 32.307 XDokExampleDevice