FHIR IG analytics| Package | elga.moped |
| Resource Type | Claim |
| Id | Claim-PJ2LKFRequest1.json |
| FHIR Version | R5 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Claim PJ2LKFRequest1
Profile: MOPED LKFRequest
Abrechnung - Knoten: LKF Abrechnungsknoten: C (C)
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: Santiago Schnabeltier Test (official) Male, DoB: 1985-03-19 ( Social Security Number: 2873111374)
created: 2025-02-24
insurer: Organization Österreichische Gesundheitskasse Oberösterreich
provider: Organization Krankenhaus der Barmherzigen Schwestern vom Hl. Vinzenz von Paul Ried
encounter:
diagnosisRelatedGroup: Frakturen der unteren Extremität/Becken, außer Vorfuß
supportingInfo
sequence: 1
category: Plausibilitätskennzeichen
value: 1234
supportingInfo
sequence: 2
category: Endgültige Meldung
value: false
supportingInfo
sequence: 3
category: XDok Device
value: Device: status = active; category = Software; type = XDok
diagnosis
sequence: 1
diagnosis: Condition Fraktur der Patella
onAdmission: Unknown
diagnosis
sequence: 2
diagnosis: Condition Sonstige Ursachen exogener Noxen, nicht näher bezeichnet
onAdmission: Unknown
procedure
Medizinische Leistung - Abrechnungsrelevanz: Abrechnungsrelevanz der medizinischen Leistung: J (Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.))
sequence: 1
procedure: Procedure Physiotherapie im Rahmen eines stationären Aufenthaltes (LE=je Aufenthalt)
procedure
Medizinische Leistung - Abrechnungsrelevanz: Abrechnungsrelevanz der medizinischen Leistung: J (Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.))
sequence: 2
procedure: Procedure Polysomnographie im Schlaflabor (LE=je Behandlungstag)
| Sequence | Focal | Coverage |
| 1 | true | Coverage: identifier = urn:oid:1.2.40.0.10.1.4.3.9.1#FJK5MCDPMRCY; status = active; kind = insurance |
item
sequence: 1
category: Punkte Belagsdauerausreißer nach unten – Leistungskomponente
quantity: 0
item
sequence: 2
category: Punkte Belagsdauerausreißer nach unten – Tageskomponente
quantity: 0
item
sequence: 3
category: Zusatzpunkte Belagsdauerausreißer nach oben
quantity: 0
item
sequence: 4
category: Zusatzpunkte Intensiv
quantity: 0
item
sequence: 5
category: Zusatzpunkte Mehrfachleistungen
quantity: 0
item
sequence: 6
category: Punkte spezieller Bereiche (tageweise)
quantity: 0
item
sequence: 7
category: Punkte total
quantity: 1384
item
sequence: 8
category: Leistungskomponente/Leistungspunkte
quantity: 62
item
sequence: 9
category: Tageskomponente/Kontaktpunktet
quantity: 1322
FHIR
FHIRsmith{
"resourceType": "Claim",
"id": "PJ2LKFRequest1",
"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": "C"
}
},
{
"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/PJ2Patient"
},
"created": "2025-02-24",
"insurer": {
"reference": "Organization/SV14"
},
"provider": {
"reference": "Organization/OrganizationKrankenhausRied"
},
"encounter": [
{
"reference": "Encounter/PJ2Encounter"
},
{
"reference": "Encounter/PJ2TransferEncounter5"
}
],
"diagnosisRelatedGroup": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS",
"code": "HDG15.03"
}
]
},
"supportingInfo": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
"code": "PLAUS"
}
]
},
"valueString": "1234"
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
"code": "ENDG"
}
]
},
"valueBoolean": false
},
{
"sequence": 3,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
"code": "DEVX"
}
]
},
"valueReference": {
"reference": "Device/XDokExampleDevice"
}
}
],
"diagnosis": [
{
"sequence": 1,
"diagnosisReference": {
"reference": "Condition/PJ2Condition1"
},
"onAdmission": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission",
"code": "unknown"
}
]
}
},
{
"sequence": 2,
"diagnosisReference": {
"reference": "Condition/PJ2Condition2"
},
"onAdmission": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission",
"code": "unknown"
}
]
}
}
],
"procedure": [
{
"extension": [
{
"url": "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz",
"valueCoding": {
"system": "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS",
"code": "J"
}
}
],
"sequence": 1,
"procedureReference": {
"reference": "Procedure/PJ2Procedure1"
}
},
{
"extension": [
{
"url": "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz",
"valueCoding": {
"system": "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS",
"code": "J"
}
}
],
"sequence": 2,
"procedureReference": {
"reference": "Procedure/PJ2Procedure2"
}
}
],
"insurance": [
{
"sequence": 1,
"focal": true,
"coverage": {
"reference": "Coverage/PJ2Coverage"
}
}
],
"item": [
{
"sequence": 1,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCULK"
}
]
},
"quantity": {
"value": 0
}
},
{
"sequence": 2,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCUTK"
}
]
},
"quantity": {
"value": 0
}
},
{
"sequence": 3,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "BDZU"
}
]
},
"quantity": {
"value": 0
}
},
{
"sequence": 4,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "INTZU"
}
]
},
"quantity": {
"value": 0
}
},
{
"sequence": 5,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "MELZU"
}
]
},
"quantity": {
"value": 0
}
},
{
"sequence": 6,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCSPEZ"
}
]
},
"quantity": {
"value": 0
}
},
{
"sequence": 7,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "SCGES"
}
]
},
"quantity": {
"value": 1384
}
},
{
"sequence": 8,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "LDFPLK"
}
]
},
"quantity": {
"value": 62
}
},
{
"sequence": 9,
"category": {
"coding": [
{
"system": "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
"code": "LDFPTK"
}
]
},
"quantity": {
"value": 1322
}
}
]
}