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Packageelga.moped
Resource TypeClaim
IdClaim-PJ1VAERequest1.json
FHIR VersionR5

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Claim PJ1VAERequest1

status: Active

type: VAE Request

subType: initiale VAE

use: Preauthorization

patient: Sonnenschein Susi (official) Female, DoB: 1969-04-21 ( Social Security Number: 9994210469)

created: 2025-02-17

insurer: Organization Österreichische Gesundheitskasse Wien

provider: Organization Herz Jesu-Krankenhaus

encounter:

supportingInfo

sequence: 1

category: Fremdversschluden

value: false

supportingInfo

sequence: 2

category: Allgemeine Gebührenklasse/Sonderklasse

code: Allgemeine Gebührenklasse

timing: 2024-02-22 19:33:00+0200 --> (ongoing)

supportingInfo

sequence: 3

category: Verlängerungstage

value: 0 day (Details: UCUM codeday = 'day')

Insurances

-SequenceFocalCoverage
*1trueCoverage: identifier = urn:oid:1.2.40.0.10.1.4.3.9.1#XB4G37PFN9FJ; status = active; kind = insurance

Accidents

-ExtensionDateType
*0001Nein/Unbekannt

Source1

{
  "resourceType": "Claim",
  "id": "PJ1VAERequest1",
  "meta": {
    "profile": [
      "https://elga.moped.at/StructureDefinition/MopedVAERequest"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/MopedClaimTypeCS",
        "code": "VAEREQ"
      }
    ]
  },
  "subType": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS",
        "code": "VAEREQI"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "Patient/PJ1Patient"
  },
  "created": "2025-02-17",
  "insurer": {
    "reference": "Organization/SV11"
  },
  "provider": {
    "reference": "Organization/OrganizationHerzJesuKrankenhaus"
  },
  "encounter": [
    {
      "reference": "Encounter/PJ1Encounter"
    },
    {
      "reference": "Encounter/PJ1TransferEncounter1"
    }
  ],
  "supportingInfo": [
    {
      "sequence": 1,
      "category": {
        "coding": [
          {
            "system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
            "code": "FREVER"
          }
        ]
      },
      "valueBoolean": false
    },
    {
      "sequence": 2,
      "category": {
        "coding": [
          {
            "system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
            "code": "KLAS"
          }
        ]
      },
      "code": {
        "coding": [
          {
            "system": "https://elga.moped.at/CodeSystem/SonderklasseCS",
            "code": "A"
          }
        ]
      },
      "timingPeriod": {
        "start": "2024-02-22T19:33:00+02:00"
      }
    },
    {
      "sequence": 3,
      "category": {
        "coding": [
          {
            "system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
            "code": "VERLAENG"
          }
        ]
      },
      "valueQuantity": {
        "value": 0,
        "unit": "day",
        "system": "http://unitsofmeasure.org",
        "code": "day"
      }
    }
  ],
  "insurance": [
    {
      "sequence": 1,
      "focal": true,
      "coverage": {
        "reference": "Coverage/PJ1Coverage"
      }
    }
  ],
  "accident": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
        "valueCode": "not-applicable"
      }
    ],
    "date": "0001",
    "type": {
      "coding": [
        {
          "system": "https://elga.moped.at/CodeSystem/VerdachtArbeitsSchuelerunfallCS",
          "code": "0",
          "display": "Nein/Unbekannt"
        }
      ]
    }
  }
}