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Packageelga.moped
Resource TypeClaimResponse
IdClaimResponse-PJ2LKFResponse1.json
FHIR VersionR5

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Narrative

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

Generated Narrative: ClaimResponse PJ2LKFResponse1

Abrechnung - Knoten: LKF Abrechnungsknoten: C (C)

status: Active

type: LKF Response

use: Claim

patient: Santiago Schnabeltier Test (official) Male, DoB: 1985-03-19 ( Social Security Number: 2873111374)

created: 2025-02-24

requestor: Organization Herz Jesu-Krankenhaus

request: Claim: extension = C (LKF Abrechnungsknoten#C),Ja (Abrechnung des stationären Aufenthalts/ambulanten Besuchs erfolgt über den Landesgesundheitsfonds/PRIKRAF) (Fondsrelevanz#J); status = active; type = LKF Request; subType = LKF Vorläufige Meldung; use = claim; created = 2025-02-24; diagnosisRelatedGroup = Frakturen der unteren Extremität/Becken, außer Vorfuß

outcome: Processing Complete

decision: Approved

diagnosisRelatedGroup: Frakturen der unteren Extremität/Becken, außer Vorfuß

Source1

{
  "resourceType": "ClaimResponse",
  "id": "PJ2LKFResponse1",
  "meta": {
    "profile": [
      "https://elga.moped.at/StructureDefinition/MopedLKFResponse"
    ]
  },
  "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"
      }
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/MopedClaimTypeCS",
        "code": "LKFRESP"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/PJ2Patient"
  },
  "created": "2025-02-24",
  "requestor": {
    "reference": "Organization/OrganizationHerzJesuKrankenhaus"
  },
  "request": {
    "reference": "Claim/PJ2LKFRequest1"
  },
  "outcome": "complete",
  "decision": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/claim-decision",
        "code": "approved"
      }
    ]
  },
  "diagnosisRelatedGroup": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS",
        "code": "HDG15.03"
      }
    ]
  }
}