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Packageelga.moped
Resource TypeClaimResponse
IdClaimResponse-PJ2VAEResponse1.json
FHIR VersionR5

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Narrative

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

Generated Narrative: ClaimResponse PJ2VAEResponse1

VerpflegskostenBeitragsbefreiung

Supporting Info Extension for ClaimResponse - Sonderklasse Slice

  • category: Allgemeine Gebührenklasse/Sonderklasse
  • code: Allgemeine Gebührenklasse
  • sequence: 2
  • timing: 2024-08-08 08:21:00+0200 --> (ongoing)

Supporting Info Extension for ClaimResponse - Vortageanzahl auf Kostenbeitrag

  • category: Vortageanzahl auf Kostenbeitrag
  • value: 0
  • sequence: 4

status: Active

type: VAE Response

use: Preauthorization

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

created: 2025-02-24

insurer: Organization Österreichische Gesundheitskasse Oberösterreich

requestor: Organization Krankenhaus der Barmherzigen Schwestern vom Hl. Vinzenz von Paul Ried

request: Claim: status = active; type = VAE Request; subType = initiale VAE; use = preauthorization; created = 2025-02-17

outcome: Processing Complete

decision: bewilligt (nur für stationären Bereich)

preAuthPeriod: 2024-08-08 --> 2024-08-26

Source1

{
  "resourceType": "ClaimResponse",
  "id": "PJ2VAEResponse1",
  "meta": {
    "profile": [
      "https://elga.moped.at/StructureDefinition/MopedVAEResponse"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "Befreiung",
          "valueCoding": {
            "system": "https://elga.moped.at/CodeSystem/VerpflegskostenBeitragsbefreiungCS",
            "code": "N"
          }
        },
        {
          "url": "Zeitraum",
          "valuePeriod": {
            "start": "2024-08-26"
          }
        }
      ],
      "url": "https://elga.moped.at/StructureDefinition/moped-ext-verpflegskostenBeitragsbefreiung"
    },
    {
      "extension": [
        {
          "url": "category",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                "code": "KLAS"
              }
            ]
          }
        },
        {
          "url": "code",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://elga.moped.at/CodeSystem/SonderklasseCS",
                "code": "A"
              }
            ]
          }
        },
        {
          "url": "sequence",
          "valuePositiveInt": 2
        },
        {
          "url": "timing",
          "valuePeriod": {
            "start": "2024-08-08T08:21:00+02:00"
          }
        }
      ],
      "url": "https://elga.moped.at/StructureDefinition/MopedSupportingInfoSonderklasse"
    },
    {
      "extension": [
        {
          "url": "category",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                "code": "VTAGE"
              }
            ]
          }
        },
        {
          "url": "value",
          "valueQuantity": {
            "value": 0
          }
        },
        {
          "url": "sequence",
          "valuePositiveInt": 4
        }
      ],
      "url": "https://elga.moped.at/StructureDefinition/MopedSupportingInfoVortageanzahlAufKostenbeitrag"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/MopedClaimTypeCS",
        "code": "VAERESP"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "Patient/PJ2Patient"
  },
  "created": "2025-02-24",
  "insurer": {
    "reference": "Organization/SV14"
  },
  "requestor": {
    "reference": "Organization/OrganizationKrankenhausRied"
  },
  "request": {
    "reference": "Claim/PJ2VAERequest1"
  },
  "outcome": "complete",
  "decision": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/VAEStatusCS",
        "code": "00"
      }
    ]
  },
  "preAuthPeriod": {
    "start": "2024-08-08",
    "end": "2024-08-26"
  }
}