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
... 33 Artifacts Summary
.... 33.1 MOPED Encounter Bund
.... 33.2 MOPED Encounter LGF
.... 33.3 MOPED Encounter SV
.... 33.4 I12 Questionnaire für TISS-A-Daten
.... 33.5 SAPS3 Questionnaire
.... 33.6 register-questionnaire
.... 33.7 Stroke Unit Registermeldung – Patientendaten
.... 33.8 LKF A01 Questionnaire
.... 33.9 LKF B01 Questionnaire
.... 33.10 LKF B02 Questionnaire
.... 33.11 LKF B03 Questionnaire
.... 33.12 LKF B04 Questionnaire
.... 33.13 LKF B05 Questionnaire
.... 33.14 LKF B06 Questionnaire
.... 33.15 LKF G01 Questionnaire
.... 33.16 LKF G02 Questionnaire
.... 33.17 LKF K01 Questionnaire
.... 33.18 LKF K02 Questionnaire
.... 33.19 LKF K03 Questionnaire
.... 33.20 LKF K04 Questionnaire
.... 33.21 LKF K05 Questionnaire
.... 33.22 LKF K06 Questionnaire
.... 33.23 LKF K07 Questionnaire
.... 33.24 LKF K08 Questionnaire
.... 33.25 LKF K09 Questionnaire
.... 33.26 LKF K10 Questionnaire
.... 33.27 LKF K11 Questionnaire
.... 33.28 LKF K12 Questionnaire
.... 33.29 LKF K13 Questionnaire
.... 33.30 LKF K14 Questionnaire
.... 33.31 LKF K15 Questionnaire
.... 33.32 LKF K16 Questionnaire
.... 33.33 LKF L01 Questionnaire
.... 33.34 LKF L02 Questionnaire
.... 33.35 LKF L03 Questionnaire
.... 33.36 LKF L04 Questionnaire
.... 33.37 Moped Bund Actor
.... 33.38 Moped Device Actor
.... 33.39 Moped KA Actor
.... 33.40 Moped LGF Actor
.... 33.41 Moped SV Actor
.... 33.42 MOPED auf VAERequest oder ARKRequest $antworten
.... 33.43 MOPED ClaimResponse $entscheiden
.... 33.44 MOPED Daten $update
.... 33.45 MOPED Encounter $abrechnen
.... 33.46 MOPED Kosteninformation $melden
.... 33.47 MOPED Patient $aufnehmen
.... 33.48 MOPED Patient $entlassen
.... 33.49 MOPED QuestionnaireResponse $einmelden
.... 33.50 MOPED Versichertenanspruchserklärung $anfragen
.... 33.51 Bund Organization
.... 33.52 Dachverband Organization
.... 33.53 KA Organization
.... 33.54 LGF Organization
.... 33.55 MOPED Abrechnen Bundle KA
.... 33.56 MOPED Anfragen Bundle KA
.... 33.57 MOPED Anfragen Composition
.... 33.58 MOPED Antworten Bundle SV
.... 33.59 MOPED ARK Status Update - PaymentReconciliation
.... 33.60 MOPED ARKRequest
.... 33.61 MOPED ARKResponse
.... 33.62 MOPED Aufnahme Composition
.... 33.63 MOPED Aufnehmen Bundle KA
.... 33.64 MOPED Beantworten Composition
.... 33.65 MOPED Composition
.... 33.66 MOPED Condition
.... 33.67 MOPED Coverage
.... 33.68 MOPED Coverage für Selbstzahler
.... 33.69 Moped Device
.... 33.70 Moped Device XDok
.... 33.71 MOPED Encounter
.... 33.72 MOPED Encounter Ambulant
.... 33.73 MOPED Encounter Aufnahme Stationär
.... 33.74 MOPED Encounter Entlassung Stationär
.... 33.75 MOPED Encounter Stationär
.... 33.76 MOPED Entlassen Bundle KA
.... 33.77 MOPED Entlassung Aviso Composition
.... 33.78 MOPED Entlassung vollständig Composition
.... 33.79 MOPED Entscheiden Bundle LGF
.... 33.80 MOPED Hauptversicherter
.... 33.81 MOPED Input Bundle KA
.... 33.82 MOPED KA Organisationseinheiten
.... 33.83 MOPED LKFRequest
.... 33.84 MOPED LKFResponse
.... 33.85 MOPED Master Composition
.... 33.86 MOPED Melden Bundle LGF
.... 33.87 MOPED Patient
.... 33.88 MOPED Patient Bund
.... 33.89 MOPED Patient LGF
.... 33.90 MOPED Patient SV
.... 33.91 MOPED Procedure
.... 33.92 MOPED QuestionnaireResponse einmelden Bundle
.... 33.93 Moped QuestionnaireResponse fallbezogen
.... 33.94 Moped QuestionnaireResponse nicht fallbezogen
.... 33.95 MOPED TransferEncounter
.... 33.96 MOPED TransferEncounter Ambulant
.... 33.97 MOPED TransferEncounter Intensiv
.... 33.98 MOPED TransferEncounter Stationär
.... 33.99 MOPED Update Bundle KA
.... 33.100 MOPED Update Composition
.... 33.101 MOPED VAERequest
.... 33.102 MOPED VAERequest für die initiale Anfrage der VAE
.... 33.103 MOPED VAERequest für die Verlängerung der VAE
.... 33.104 MOPED VAEResponse
.... 33.105 SV Organization
.... 33.106 Abrechnung - Knoten
.... 33.107 Abrechnungsart Ausländerverrechnung
.... 33.108 AddItemCategory
.... 33.109 Altersgruppe
.... 33.110 AnzahlBeurlaubungen
.... 33.111 AnzahlVerlegungen
.... 33.112 Aufnahmeart
.... 33.113 Beihilfenaequivalent
.... 33.114 Betreuungsschein bei Ausländerverrechnung
.... 33.115 Diagnosetyp
.... 33.116 Error/Warning
.... 33.117 Fondsrelevanz
.... 33.118 Grund warum keine Zahlung erfolgte
.... 33.119 Kostenstelle
.... 33.120 Leistung - Anzahl
.... 33.121 Medizinische Leistung - Abrechnungsrelevanz
.... 33.122 Prozentsatz der Zahlung
.... 33.123 Rechnungsnummer der Krankenanstalt bzw. des Landesgesundheitsfonds
.... 33.124 Supporting Info Extension for ClaimResponse
.... 33.125 Supporting Info Extension for ClaimResponse - FREMDRE Slice
.... 33.126 Supporting Info Extension for ClaimResponse - OEGKELBNR Slice
.... 33.127 Supporting Info Extension for ClaimResponse - Vortageanzahl auf Kostenbeitrag
.... 33.128 Tage ohne Einhebung des Kostenbeitrags
.... 33.129 VDAS-ID - VersichertenDatenAbfrageService
.... 33.130 VerpflegskostenBeitragsbefreiung
.... 33.131 Zahlungskennzeichen
.... 33.132 Abgangsart des Patienten
.... 33.133 Abrechnungsart Ausländerverrechnung ValueSet
.... 33.134 Abrechnungsrelevanz der medizinischen Leistung
.... 33.135 Akzeptierte Errors/Warnings - Codes 2025
.... 33.136 Altersgruppe des Patienten
.... 33.137 Anwesenheitsart
.... 33.138 Arten von Moped Encounter
.... 33.139 Arten von Moped Payment Types VS
.... 33.140 Aufnahmeart des Patienten
.... 33.141 Aufnahmeart2 des Patienten
.... 33.142 Befreiung für den Verpflegskostenbeitrag
.... 33.143 Behandlungsart
.... 33.144 Claim Type ValueSet
.... 33.145 Encounter Status bei der Aufnahme
.... 33.146 Encounter Status bei Entlassung
.... 33.147 Encounter Status in Moped
.... 33.148 Entlassungsart des Patienten ambulant
.... 33.149 Entlassungsart des Patienten ambulant + stationär
.... 33.150 Entlassungsart des Patienten stationär
.... 33.151 Fondsrelevanz
.... 33.152 HTTP Verb Insert Only
.... 33.153 HTTP Verb Insert Update Delete
.... 33.154 HTTP Verb Update Only
.... 33.155 HTTP Verb Update Only
.... 33.156 ICD-10 AT
.... 33.157 Kostenmeldung für (A/R/K)
.... 33.158 LKF Abrechnungsgruppe
.... 33.159 LKF Abrechnungsknoten
.... 33.160 LKF Ambulante MEL-Gruppen
.... 33.161 LKF Ambulante Pauschal-Gruppen
.... 33.162 LKF ClaimResponse Subtype ValueSet
.... 33.163 LKF Diagnosetyp ValueSet
.... 33.164 LKF Hauptdiagnosegruppen
.... 33.165 LKF Leistungskatalog BMSGPK
.... 33.166 LKF medizinische Einzelleistungen (MEL)
.... 33.167 LKF Seitenlokalisation ValueSet
.... 33.168 Moped Claim Item Category ValueSet
.... 33.169 Moped Composition Sections ValueSet
.... 33.170 Moped Device Types ValueSet
.... 33.171 Moped Encounter Participant Type ValueSet
.... 33.172 MOPED LKFSupportingInformationCategory
.... 33.173 MOPED VAESupportingInformationCategory
.... 33.174 MOPED VAESupportingInformationCategory
.... 33.175 Sonderklasse ValueSet
.... 33.176 Spezielle Organisationsform
.... 33.177 Status der Versichertenanspruchserklärung
.... 33.178 Transportart
.... 33.179 Ursache für Behandlung
.... 33.180 VAE Claim Subtype ValueSet
.... 33.181 ValueSet Zahlungskennzeichen ARK
.... 33.182 Verdacht auf Arbeits- oder Schuelerunfall ValueSet
.... 33.183 Workflow Status eines Falls
.... 33.184 Abrechnungsart Ausländerverrechnung CodeSystem
.... 33.185 Abrechnungsrelevanz der medizinischen Leistung
.... 33.186 Akzeptierte Errors/Warnings - Codes 2025
.... 33.187 Altersgruppe des Patienten
.... 33.188 Anwesenheitsart
.... 33.189 Arten von Moped Encounter
.... 33.190 Arten von Moped Payment Types CS
.... 33.191 Aufnahmeart2 des Patienten
.... 33.192 Befreiung für den Verpflegskostenbeitrag
.... 33.193 Behandlungsart
.... 33.194 Claim Subtype CodeSystem
.... 33.195 Claim Type CodeSystem
.... 33.196 CodeSystem Zahlungskennzeichen Auslaenderverrechnung
.... 33.197 CodeSystem Zahlungskennzeichen Regress
.... 33.198 Entlassungsart des Patienten
.... 33.199 Fondsrelevanz
.... 33.200 LKF Abrechnungsgruppe Andere
.... 33.201 LKF Abrechnungsknoten
.... 33.202 LKF Ambulante MEL-Gruppen
.... 33.203 LKF Ambulante Pauschal-Gruppen
.... 33.204 LKF Hauptdiagnosegruppen
.... 33.205 LKF medizinische Einzelleistungen (MEL)
.... 33.206 Moped Aufnahmeart des Patienten
.... 33.207 Moped Aufnahmeart des Patienten
.... 33.208 Moped Claim Item Category CodeSystem
.... 33.209 Moped Composition Sections
.... 33.210 Moped Device Types CodeSystem
.... 33.211 Moped Encounter Participant Type CodeSystem
.... 33.212 MOPED VAESupportingInformationCategory
.... 33.213 Sonderklasse CodeSystem
.... 33.214 Spezielle Betriebsform
.... 33.215 Spezielle Organisationsformen
.... 33.216 Status der Versichertenanspruchserklärung
.... 33.217 Transportart
.... 33.218 Ursache für Behandlung
.... 33.219 Verdacht auf Arbeits- oder Schuelerunfall CodeSystem
.... 33.220 Workflow Status eines Falls
.... 33.221 AbteilungHerzJesu1
.... 33.222 AbteilungKARied1
.... 33.223 AbteilungKARied2
.... 33.224 AbteilungKARied3
.... 33.225 AbteilungKARied4
.... 33.226 Condition42.1
.... 33.227 Encounter42
.... 33.228 I12 QuestionnaireResponse für TISS-A-Daten
.... 33.229 KAK999
.... 33.230 KAK999ABT11111100
.... 33.231 KAK999ABT12111100
.... 33.232 KAK999ABT12118102
.... 33.233 KAK999ABT16075000
.... 33.234 KAK999ABT16111111
.... 33.235 KAK999ABT16111112
.... 33.236 KAK999ABT16211100
.... 33.237 KAK999ABT16518011
.... 33.238 LKF Testdaten Fall
.... 33.239 LKFRequest42
.... 33.240 LocationKAHerzJesu
.... 33.241 LocationKAK999
.... 33.242 LocationKARied
.... 33.243 MOPED PJ1 Composition nach $aufnehmen
.... 33.244 OrganizationAffiliationWgfHerzJesu
.... 33.245 OrganizationHerzJesuKrankenhaus
.... 33.246 OrganizationKrankenhausRied
.... 33.247 OrganizationLGF
.... 33.248 OrganizationUeberweisendeOrganization1
.... 33.249 OrganizationUeberweisendeOrganization2
.... 33.250 Patient42
.... 33.251 PJ1Condition1
.... 33.252 PJ1Coverage
.... 33.253 PJ1Encounter
.... 33.254 PJ1EncounterAufnahme
.... 33.255 PJ1EncounterBasis
.... 33.256 PJ1EncounterBund
.... 33.257 PJ1EncounterLGF
.... 33.258 PJ1EncounterSV
.... 33.259 PJ1LKFRequest1
.... 33.260 PJ1LKFResponse1
.... 33.261 PJ1Patient
.... 33.262 PJ1Procedure1
.... 33.263 PJ1TransferEncounter1
.... 33.264 PJ1TransferEncounter1Aufnahme
.... 33.265 PJ1VAERequest1
.... 33.266 PJ1VAEResponse1
.... 33.267 PJ2Condition1
.... 33.268 PJ2Condition2
.... 33.269 PJ2Coverage
.... 33.270 PJ2Encounter
.... 33.271 PJ2LKFRequest1
.... 33.272 PJ2LKFResponse1
.... 33.273 PJ2Patient
.... 33.274 PJ2Procedure1
.... 33.275 PJ2Procedure2
.... 33.276 PJ2TransferEncounter1
.... 33.277 PJ2TransferEncounter2
.... 33.278 PJ2TransferEncounter3
.... 33.279 PJ2TransferEncounter4
.... 33.280 PJ2TransferEncounter5
.... 33.281 PJ2VAERequest1
.... 33.282 PJ2VAEResponse1
.... 33.283 SAPS42.1
.... 33.284 Stroke Unit Registermeldung – Patientendaten
.... 33.285 strokeunit-questionnaire-response-1
.... 33.286 Subscription Topic neue VAE
.... 33.287 Subscription Topic VAE abgelehnt
.... 33.288 SV11
.... 33.289 SV12
.... 33.290 SV13
.... 33.291 SV14
.... 33.292 SV15
.... 33.293 SV16
.... 33.294 SV17
.... 33.295 SV18
.... 33.296 SV19
.... 33.297 Test1PatientBund
.... 33.298 Test1PatientLGF
.... 33.299 Test1PatientOhneMaskierung
.... 33.300 Test1PatientSV
.... 33.301 Test2SAPS3QuestionnaireResponse1
.... 33.302 TISS42.1
.... 33.303 TISS42.2
.... 33.304 TISS42.3
.... 33.305 TransferEncounter42.1
.... 33.306 TransferEncounter42.2
.... 33.307 XDokExampleDevice