FHIR IG analytics| Package | elga.moped |
| Resource Type | Claim |
| Id | Claim-LKFRequest42.json |
| FHIR Version | R5 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Claim LKFRequest42
Profile: MOPED LKFRequest
Abrechnung - Knoten: LKF Abrechnungsknoten: D (D)
Fondsrelevanz: Fondsrelevanz: J (Ja (Abrechnung des stationären Aufenthalts/ambulanten Besuchs erfolgt über den Landesgesundheitsfonds/PRIKRAF))
status: Active
type: LKF Request
subType: LKF Vorläufige Meldung
use: Claim
patient: Patient42 Patient42FamilienName Male, DoB: 1937-12-31 ( Social Security Number: 123456)
created: 2025-08-30
insurer: Organization Österreichische Gesundheitskasse Wien
provider: Organization Testkrankenhaus
encounter:
diagnosisRelatedGroup: HDG01.12
supportingInfo
sequence: 1
category: Plausibilitätskennzeichen
value: 2
supportingInfo
sequence: 2
category: Endgültige Meldung
value: true
supportingInfo
sequence: 3
category: XDok Device
value: Device: status = active; category = Software; type = XDok
| Sequence | Diagnosis[x] | OnAdmission |
| 1 | Condition G40.0 | Unknown |
item
sequence: 1
category: Leistungskomponente/Leistungspunkte
quantity: 366.0 LKF Punkte
item
sequence: 2
category: Tageskomponente/Kontaktpunktet
quantity: 2730.0 LKF Punkte
item
sequence: 3
category: Punkte Belagsdauerausreißer nach unten – Leistungskomponente
quantity: 0.0 LKF Punkte
item
sequence: 4
category: Punkte Belagsdauerausreißer nach unten – Tageskomponente
quantity: 0.0 LKF Punkte
item
sequence: 5
category: Zusatzpunkte Belagsdauerausreißer nach oben
quantity: 0.0 LKF Punkte
item
sequence: 6
category: Zusatzpunkte Intensiv
quantity: 2436.0 LKF Punkte
item
sequence: 7
category: Zusatzpunkte Mehrfachleistungen
quantity: 0.0 LKF Punkte
item
sequence: 8
category: Punkte spezieller Bereiche (tageweise)
quantity: 0.0 LKF Punkte
item
sequence: 9
category: Punkte total
quantity: 5532.0 LKF Punkte
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "LKFRequest42",
"meta": {
"profile": [
"https://elga.moped.at/StructureDefinition/MopedLKFRequest"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten",
"valueCoding": {
"system": "https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS",
"code": "D"
}
},
{
"url": "https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz",
"valueCoding": {
"system": "https://elga.moped.at/CodeSystem/FondsrelevanzCS",
"code": "J"
}
}
],
"status": "active",
"type": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimTypeCS",
"code": "LKFREQ"
}
]
},
"subType": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS",
"code": "LKFREQVORL"
}
]
},
"use": "claim",
"patient": {
"reference": "Patient/Patient42"
},
"created": "2025-08-30",
"insurer": {
"reference": "Organization/SV11"
},
"provider": {
"reference": "Organization/KHK999"
},
"encounter": [
{
"reference": "Encounter/Encounter42"
},
{
"reference": "Encounter/TransferEncounter42.1"
},
{
"reference": "Encounter/TransferEncounter42.2"
}
],
"diagnosisRelatedGroup": {
"coding": [
{
"system": "https://elga.moped.at/ValueSet/LKFAbrechnungsGruppeVS",
"code": "HDG01.12"
}
]
},
"supportingInfo": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
"code": "PLAUS"
}
]
},
"valueString": "2"
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
"code": "ENDG"
}
]
},
"valueBoolean": true
},
{
"sequence": 3,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
"code": "DEVX"
}
]
},
"valueReference": {
"reference": "Device/XDokExampleDevice"
}
}
],
"diagnosis": [
{
"sequence": 1,
"diagnosisReference": {
"reference": "Condition/Condition42.1"
},
"onAdmission": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission",
"code": "unknown"
}
]
}
}
],
"item": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "LDFPLK"
}
]
},
"quantity": {
"value": 366,
"unit": "LKF Punkte"
}
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "LDFPTK"
}
]
},
"quantity": {
"value": 2730,
"unit": "LKF Punkte"
}
},
{
"sequence": 3,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCULK"
}
]
},
"quantity": {
"value": 0,
"unit": "LKF Punkte"
}
},
{
"sequence": 4,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCUTK"
}
]
},
"quantity": {
"value": 0,
"unit": "LKF Punkte"
}
},
{
"sequence": 5,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "BDZU"
}
]
},
"quantity": {
"value": 0,
"unit": "LKF Punkte"
}
},
{
"sequence": 6,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "INTZU"
}
]
},
"quantity": {
"value": 2436,
"unit": "LKF Punkte"
}
},
{
"sequence": 7,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "MELZU"
}
]
},
"quantity": {
"value": 0,
"unit": "LKF Punkte"
}
},
{
"sequence": 8,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCSPEZ"
}
]
},
"quantity": {
"value": 0,
"unit": "LKF Punkte"
}
},
{
"sequence": 9,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCGES"
}
]
},
"quantity": {
"value": 5532,
"unit": "LKF Punkte"
}
}
]
}