Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED)
0.1.0 - ci-build

Moderne Patient:innenabrechnung und Datenkommunikation on FHIR (MOPED), published by ELGA GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Austria/ELGA-MOPED-R5/ and changes regularly. See the Directory of published versions

Resource Profile: AT MOPED Claim LKFRequest Basis Profil

Official URL: https://elga.moped.at/StructureDefinition/at-moped-claim-lkfrequest-basis Version: 0.1.0
Draft as of 2026-05-27 Responsible: ELGA GmbH Computable Name: AtMopedClaimLKFRequestBasis

MOPED Basis Profil der Claim Ressource für die Leistungsabrechnungsanfrage.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* AtMopedClaimLKFRequestGenerisch Claim, Pre-determination or Pre-authorization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten O 1..1 Coding LKF: Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:FehlerWarnung O 0..* (Complex) Error/Warning
URL: https://elga.moped.at/StructureDefinition/moped-ext-fehlerWarnung
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:Fondsrelevanz O 1..1 Coding Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz
Binding: Fondsrelevanz (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... status ?!OΣ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... type OΣ 1..1 CodeableConcept Category or discipline
Binding: Claim Type ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: As shown (LKF Request)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LKFREQ
..... display 0..0 string Representation defined by the system
..... userSelected 0..0 boolean If this coding was chosen directly by the user
... subType O 1..1 CodeableConcept More granular claim type
Binding: LKF ClaimResponse Subtype ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... use OΣ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... patient OΣ 1..1 Reference(AT MOPED Patient vbPK Basis Profil | AT MOPED Patient Klarname Basis Profil) The recipient of the products and services
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... created OΣ 1..1 dateTime Resource creation date
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... insurer OΣ 1..1 Reference(AT MOPED Organization SV Profil) Target
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... provider OΣ 1..1 Reference(AT MOPED Organization KA Profil) Party responsible for the claim
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... Slices for related 0..* BackboneElement Prior or corollary claims
Slice: Unordered, Open by value:claim.resolve().type
.... related:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... related:zugehoerigeVAE 0..* BackboneElement Prior or corollary claims
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... related:vorherigerLKFRequest 0..* BackboneElement Prior or corollary claims
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: prior
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... Slices for encounter 2..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by value:resolve().type
.... encounter:MopedEncounter O 1..1 Reference(AT MOPED Encounter Aufenthalt/Besuch generisches Profil) Generelle Informationen zu Aufnahme und Entlassung des Patienten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
.... encounter:BewegungsEncounter O 1..* Reference(AT MOPED Encounter Bewegung generisches Profil) Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... diagnosisRelatedGroup O 1..1 CodeableConcept LKF: Abrechnung – Gruppe
Binding: LKF Abrechnungsgruppe (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... Slices for supportingInfo 3..* BackboneElement Supporting information
Slice: Unordered, Open by value:category
.... supportingInfo:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
.... supportingInfo:Plausibilitaetskennzeichen O 1..1 BackboneElement LKF: Plausibilitätskennzeichen; Dieses Datenfeld enthält eine Kennzeichnung als Ergebnis der vom Gesundheitsministerium vorgegebenen Plausibilitätsprüfung.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAUS
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... supportingInfo:FinaleAbrechnung O 1..1 BackboneElement Feld, welches angibt, ob es sich um die vorläufige oder finale Abrechnung handelt.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ENDG
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... supportingInfo:XDokDevice O 1..1 BackboneElement Feld, welches die XDok Version angibt die zum Scoring verwendet wurde.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DEVX
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Leistungskomponente/Leistungspunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Tageskomponente/Kontaktpunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Leistungskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Tageskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Belagsdauerausreißer nach oben
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Intensiv
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Mehrfachleistungen
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte spezieller Bereiche (tageweise)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte total
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base required Claim Type ValueSet 📦0.1.0 This IG
Claim.subType Base required LKF ClaimResponse Subtype ValueSet 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.related:zugehoerigeVAE.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.related:vorherigerLKFRequest.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AtMopedClaimLKFRequestGenerisch

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* AtMopedClaimLKFRequestGenerisch Claim, Pre-determination or Pre-authorization

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* AtMopedClaimLKFRequestGenerisch Claim, Pre-determination or Pre-authorization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten O 1..1 Coding LKF: Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:FehlerWarnung O 0..* (Complex) Error/Warning
URL: https://elga.moped.at/StructureDefinition/moped-ext-fehlerWarnung
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:Fondsrelevanz O 1..1 Coding Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz
Binding: Fondsrelevanz (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier for claim
... traceNumber 0..* Identifier Number for tracking
... status ?!OΣ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... type OΣ 1..1 CodeableConcept Category or discipline
Binding: Claim Type ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: As shown (LKF Request)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LKFREQ
..... display 0..0 string Representation defined by the system
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subType O 1..1 CodeableConcept More granular claim type
Binding: LKF ClaimResponse Subtype ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... use OΣ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... patient OΣ 1..1 Reference(AT MOPED Patient vbPK Basis Profil | AT MOPED Patient Klarname Basis Profil) The recipient of the products and services
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... billablePeriod Σ 0..1 Period Relevant time frame for the claim
... created OΣ 1..1 dateTime Resource creation date
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... enterer 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Author of the claim
... insurer OΣ 1..1 Reference(AT MOPED Organization SV Profil) Target
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... provider OΣ 1..1 Reference(AT MOPED Organization KA Profil) Party responsible for the claim
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... priority Σ 0..1 CodeableConcept Desired processing urgency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
... fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: FundsReservationCodes (example): For whom funds are to be reserved: (Patient, Provider, None).
... Slices for related 0..* BackboneElement Prior or corollary claims
Slice: Unordered, Open by value:claim.resolve().type
.... related:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... claim 0..1 Reference(Claim) Reference to the related claim
..... relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
..... reference 0..1 Identifier File or case reference
.... related:zugehoerigeVAE 0..* BackboneElement Prior or corollary claims
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... claim O 0..1 Reference(AT MOPED Claim VAERequest generisches Profil) Reference to the related claim
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... reference 0..1 Identifier File or case reference
.... related:vorherigerLKFRequest 0..* BackboneElement Prior or corollary claims
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... claim O 0..1 Reference(AT MOPED Claim LKFRequest Basis Profil) Reference to the related claim
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: prior
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... reference 0..1 Identifier File or case reference
... prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
... originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
... payee 0..1 BackboneElement Recipient of benefits payable
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Category of recipient
Binding: ClaimPayeeTypeCodes (example): A code for the party to be reimbursed.
.... party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
... referral 0..1 Reference(ServiceRequest) Treatment referral
... Slices for encounter 2..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by value:resolve().type
.... encounter:MopedEncounter O 1..1 Reference(AT MOPED Encounter Aufenthalt/Besuch generisches Profil) Generelle Informationen zu Aufnahme und Entlassung des Patienten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
.... encounter:BewegungsEncounter O 1..* Reference(AT MOPED Encounter Bewegung generisches Profil) Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... facility 0..1 Reference(Location | Organization) Servicing facility
... diagnosisRelatedGroup O 1..1 CodeableConcept LKF: Abrechnung – Gruppe
Binding: LKF Abrechnungsgruppe (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... event 0..* BackboneElement Event information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Specific event
Binding: DatesTypeCodes (example)
.... when[x] 1..1 Occurance date or period
..... whenDateTime dateTime
..... whenPeriod Period
... careTeam 0..* BackboneElement Members of the care team
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Order of care team
.... provider 1..1 Reference(Practitioner | PractitionerRole | Organization) Practitioner or organization
.... responsible 0..1 boolean Indicator of the lead practitioner
.... role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
.... specialty 0..1 CodeableConcept Practitioner or provider specialization
Binding: ExampleProviderQualificationCodes (example)
... Slices for supportingInfo 3..* BackboneElement Supporting information
Slice: Unordered, Open by value:category
.... supportingInfo:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] 0..1 Data to be provided
...... valueBoolean boolean
...... valueString string
...... valueQuantity Quantity
...... valueAttachment Attachment
...... valueReference Reference(Resource)
...... valueIdentifier Identifier
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
.... supportingInfo:Plausibilitaetskennzeichen O 1..1 BackboneElement LKF: Plausibilitätskennzeichen; Dieses Datenfeld enthält eine Kennzeichnung als Ergebnis der vom Gesundheitsministerium vorgegebenen Plausibilitätsprüfung.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAUS
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] O 0..1 string Data to be provided
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
.... supportingInfo:FinaleAbrechnung O 1..1 BackboneElement Feld, welches angibt, ob es sich um die vorläufige oder finale Abrechnung handelt.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ENDG
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] 0..1 boolean Data to be provided
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
.... supportingInfo:XDokDevice O 1..1 BackboneElement Feld, welches die XDok Version angibt die zum Scoring verwendet wurde.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DEVX
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] 0..1 Reference(AT MOPED Device XDok Profil) Data to be provided
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
... diagnosis 0..* BackboneElement Pertinent diagnosis information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Diagnosis instance identifier
.... diagnosis[x] O 1..1 Reference(AT MOPED Condition Basis Profil) Nature of illness or problem
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
.... onAdmission O 0..1 CodeableConcept LKF: Diagnose – im stationären Aufenthalt erworben; Gibt an ob die Diagnose bereits bei Aufnahme in den stationären Aufenthalt vorhanden war
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... procedure 0..* BackboneElement Clinical procedures performed
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:AbrechnungsRelevanz O 0..1 Coding LKF: Medizinische Leistung – Abrechnungsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz
Binding: Abrechnungsrelevanz der medizinischen Leistung (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Procedure instance identifier
.... type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
.... date 0..1 dateTime When the procedure was performed
.... procedure[x] O 1..1 Reference(AT MOPED Procedure Basis Profil) Specific clinical procedure
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... udi 0..* Reference(Device) Unique device identifier
... insurance Σ 0..* BackboneElement Patient insurance information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 1..1 positiveInt Insurance instance identifier
.... focal Σ 1..1 boolean Coverage to be used for adjudication
.... identifier 0..1 Identifier Pre-assigned Claim number
.... coverage OΣ 1..1 Reference(AT MOPED Coverage Versicherter Basis Profil) Insurance information
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
.... businessArrangement 0..1 string Additional provider contract number
.... preAuthRef 0..* string Prior authorization reference number
.... claimResponse 0..1 Reference(ClaimResponse) Adjudication results
... accident 0..1 BackboneElement Details of the event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 1..1 date When the incident occurred
.... type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
.... location[x] 0..1 Where the event occurred
..... locationAddress Address
..... locationReference Reference(Location)
... patientPaid 0..1 Money Paid by the patient
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Leistungskomponente/Leistungspunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Tageskomponente/Kontaktpunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCULK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Leistungskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCUTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Tageskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: BDZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Belagsdauerausreißer nach oben
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: INTZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Intensiv
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MELZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Mehrfachleistungen
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCSPEZ
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte spezieller Bereiche (tageweise)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCGES
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte total
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
... total 0..1 Money Total claim cost

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.language Base required All Languages 📍5.0.0 FHIR Std.
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base required Claim Type ValueSet 📦0.1.0 This IG
Claim.subType Base required LKF ClaimResponse Subtype ValueSet 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.priority Base example Process Priority Codes 📍5.0.0 FHIR Std.
Claim.fundsReserve Base example Funds Reservation Codes 📍5.0.0 FHIR Std.
Claim.related.relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.related:zugehoerigeVAE.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.related:vorherigerLKFRequest.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.payee.type Base example Claim Payee Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.event.type Base example Dates Type Codes 📍5.0.0 FHIR Std.
Claim.careTeam.role Base example Claim Care Team Role Codes 📍5.0.0 FHIR Std.
Claim.careTeam.specialty Base example Example Provider Qualification Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.type Base example Example Diagnosis Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.onAdmission Base example Example Diagnosis on Admission Codes 📍5.0.0 FHIR Std.
Claim.procedure.type Base example Example Procedure Type Codes 📍5.0.0 FHIR Std.
Claim.accident.type Base extensible ActIncidentCode 📦3.0.0 THO v7.1
Claim.item.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item.detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Leistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Tageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteIntensiv.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Gesamtpunkte.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AtMopedClaimLKFRequestGenerisch

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* AtMopedClaimLKFRequestGenerisch Claim, Pre-determination or Pre-authorization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten O 1..1 Coding LKF: Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:FehlerWarnung O 0..* (Complex) Error/Warning
URL: https://elga.moped.at/StructureDefinition/moped-ext-fehlerWarnung
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:Fondsrelevanz O 1..1 Coding Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz
Binding: Fondsrelevanz (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... status ?!OΣ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... type OΣ 1..1 CodeableConcept Category or discipline
Binding: Claim Type ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: As shown (LKF Request)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LKFREQ
..... display 0..0 string Representation defined by the system
..... userSelected 0..0 boolean If this coding was chosen directly by the user
... subType O 1..1 CodeableConcept More granular claim type
Binding: LKF ClaimResponse Subtype ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... use OΣ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... patient OΣ 1..1 Reference(AT MOPED Patient vbPK Basis Profil | AT MOPED Patient Klarname Basis Profil) The recipient of the products and services
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... created OΣ 1..1 dateTime Resource creation date
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... insurer OΣ 1..1 Reference(AT MOPED Organization SV Profil) Target
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... provider OΣ 1..1 Reference(AT MOPED Organization KA Profil) Party responsible for the claim
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... Slices for related 0..* BackboneElement Prior or corollary claims
Slice: Unordered, Open by value:claim.resolve().type
.... related:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... related:zugehoerigeVAE 0..* BackboneElement Prior or corollary claims
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... related:vorherigerLKFRequest 0..* BackboneElement Prior or corollary claims
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: prior
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... Slices for encounter 2..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by value:resolve().type
.... encounter:MopedEncounter O 1..1 Reference(AT MOPED Encounter Aufenthalt/Besuch generisches Profil) Generelle Informationen zu Aufnahme und Entlassung des Patienten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
.... encounter:BewegungsEncounter O 1..* Reference(AT MOPED Encounter Bewegung generisches Profil) Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... diagnosisRelatedGroup O 1..1 CodeableConcept LKF: Abrechnung – Gruppe
Binding: LKF Abrechnungsgruppe (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... Slices for supportingInfo 3..* BackboneElement Supporting information
Slice: Unordered, Open by value:category
.... supportingInfo:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
.... supportingInfo:Plausibilitaetskennzeichen O 1..1 BackboneElement LKF: Plausibilitätskennzeichen; Dieses Datenfeld enthält eine Kennzeichnung als Ergebnis der vom Gesundheitsministerium vorgegebenen Plausibilitätsprüfung.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAUS
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... supportingInfo:FinaleAbrechnung O 1..1 BackboneElement Feld, welches angibt, ob es sich um die vorläufige oder finale Abrechnung handelt.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ENDG
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
.... supportingInfo:XDokDevice O 1..1 BackboneElement Feld, welches die XDok Version angibt die zum Scoring verwendet wurde.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DEVX
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Leistungskomponente/Leistungspunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Tageskomponente/Kontaktpunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Leistungskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Tageskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Belagsdauerausreißer nach oben
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Intensiv
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Mehrfachleistungen
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte spezieller Bereiche (tageweise)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... value OΣ 1..1 decimal LKF: Punkte total
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base required Claim Type ValueSet 📦0.1.0 This IG
Claim.subType Base required LKF ClaimResponse Subtype ValueSet 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.related:zugehoerigeVAE.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.related:vorherigerLKFRequest.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from AtMopedClaimLKFRequestGenerisch

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* AtMopedClaimLKFRequestGenerisch Claim, Pre-determination or Pre-authorization

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Claim 0..* AtMopedClaimLKFRequestGenerisch Claim, Pre-determination or Pre-authorization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:DiagnoseKnoten O 1..1 Coding LKF: Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten
Binding: LKF Abrechnungsknoten (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:FehlerWarnung O 0..* (Complex) Error/Warning
URL: https://elga.moped.at/StructureDefinition/moped-ext-fehlerWarnung
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... extension:Fondsrelevanz O 1..1 Coding Fondsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz
Binding: Fondsrelevanz (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier for claim
... traceNumber 0..* Identifier Number for tracking
... status ?!OΣ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... type OΣ 1..1 CodeableConcept Category or discipline
Binding: Claim Type ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system

Fixed Value: As shown (LKF Request)
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimTypeCS
..... version 0..0 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LKFREQ
..... display 0..0 string Representation defined by the system
..... userSelected 0..0 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subType O 1..1 CodeableConcept More granular claim type
Binding: LKF ClaimResponse Subtype ValueSet (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... use OΣ 1..1 code claim | preauthorization | predetermination
Binding: Use (required): The purpose of the Claim: predetermination, preauthorization, claim.
Required Pattern: claim
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... patient OΣ 1..1 Reference(AT MOPED Patient vbPK Basis Profil | AT MOPED Patient Klarname Basis Profil) The recipient of the products and services
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... billablePeriod Σ 0..1 Period Relevant time frame for the claim
... created OΣ 1..1 dateTime Resource creation date
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... enterer 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Author of the claim
... insurer OΣ 1..1 Reference(AT MOPED Organization SV Profil) Target
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... provider OΣ 1..1 Reference(AT MOPED Organization KA Profil) Party responsible for the claim
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... priority Σ 0..1 CodeableConcept Desired processing urgency
Binding: ProcessPriorityCodes (example): The timeliness with which processing is required: stat, normal, deferred.
... fundsReserve 0..1 CodeableConcept For whom to reserve funds
Binding: FundsReservationCodes (example): For whom funds are to be reserved: (Patient, Provider, None).
... Slices for related 0..* BackboneElement Prior or corollary claims
Slice: Unordered, Open by value:claim.resolve().type
.... related:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... claim 0..1 Reference(Claim) Reference to the related claim
..... relationship 0..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
..... reference 0..1 Identifier File or case reference
.... related:zugehoerigeVAE 0..* BackboneElement Prior or corollary claims
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... claim O 0..1 Reference(AT MOPED Claim VAERequest generisches Profil) Reference to the related claim
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: associated
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... reference 0..1 Identifier File or case reference
.... related:vorherigerLKFRequest 0..* BackboneElement Prior or corollary claims
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... claim O 0..1 Reference(AT MOPED Claim LKFRequest Basis Profil) Reference to the related claim
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... relationship O 1..1 CodeableConcept How the reference claim is related
Binding: ExampleRelatedClaimRelationshipCodes (example): Relationship of this claim to a related Claim.
Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: prior
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... reference 0..1 Identifier File or case reference
... prescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Prescription authorizing services and products
... originalPrescription 0..1 Reference(DeviceRequest | MedicationRequest | VisionPrescription) Original prescription if superseded by fulfiller
... payee 0..1 BackboneElement Recipient of benefits payable
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Category of recipient
Binding: ClaimPayeeTypeCodes (example): A code for the party to be reimbursed.
.... party 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson) Recipient reference
... referral 0..1 Reference(ServiceRequest) Treatment referral
... Slices for encounter 2..* Reference(Encounter) Encounters associated with the listed treatments
Slice: Unordered, Open by value:resolve().type
.... encounter:MopedEncounter O 1..1 Reference(AT MOPED Encounter Aufenthalt/Besuch generisches Profil) Generelle Informationen zu Aufnahme und Entlassung des Patienten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
.... encounter:BewegungsEncounter O 1..* Reference(AT MOPED Encounter Bewegung generisches Profil) Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
... facility 0..1 Reference(Location | Organization) Servicing facility
... diagnosisRelatedGroup O 1..1 CodeableConcept LKF: Abrechnung – Gruppe
Binding: LKF Abrechnungsgruppe (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... event 0..* BackboneElement Event information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Specific event
Binding: DatesTypeCodes (example)
.... when[x] 1..1 Occurance date or period
..... whenDateTime dateTime
..... whenPeriod Period
... careTeam 0..* BackboneElement Members of the care team
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Order of care team
.... provider 1..1 Reference(Practitioner | PractitionerRole | Organization) Practitioner or organization
.... responsible 0..1 boolean Indicator of the lead practitioner
.... role 0..1 CodeableConcept Function within the team
Binding: ClaimCareTeamRoleCodes (example): The role codes for the care team members.
.... specialty 0..1 CodeableConcept Practitioner or provider specialization
Binding: ExampleProviderQualificationCodes (example)
... Slices for supportingInfo 3..* BackboneElement Supporting information
Slice: Unordered, Open by value:category
.... supportingInfo:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] 0..1 Data to be provided
...... valueBoolean boolean
...... valueString string
...... valueQuantity Quantity
...... valueAttachment Attachment
...... valueReference Reference(Resource)
...... valueIdentifier Identifier
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
.... supportingInfo:Plausibilitaetskennzeichen O 1..1 BackboneElement LKF: Plausibilitätskennzeichen; Dieses Datenfeld enthält eine Kennzeichnung als Ergebnis der vom Gesundheitsministerium vorgegebenen Plausibilitätsprüfung.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PLAUS
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] O 0..1 string Data to be provided
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
.... supportingInfo:FinaleAbrechnung O 1..1 BackboneElement Feld, welches angibt, ob es sich um die vorläufige oder finale Abrechnung handelt.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ENDG
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] 0..1 boolean Data to be provided
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
.... supportingInfo:XDokDevice O 1..1 BackboneElement Feld, welches die XDok Version angibt die zum Scoring verwendet wurde.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Information instance identifier
..... category 1..1 CodeableConcept Classification of the supplied information
Binding: ClaimInformationCategoryCodes (example): The valuset used for additional information category codes.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DEVX
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... code 0..1 CodeableConcept Type of information
Binding: ExceptionCodes (example): The valuset used for additional information codes.
..... timing[x] 0..1 When it occurred
...... timingDate date
...... timingPeriod Period
..... value[x] 0..1 Reference(AT MOPED Device XDok Profil) Data to be provided
..... reason 0..1 CodeableConcept Explanation for the information
Binding: MissingToothReasonCodes (example): Reason codes for the missing teeth.
... diagnosis 0..* BackboneElement Pertinent diagnosis information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Diagnosis instance identifier
.... diagnosis[x] O 1..1 Reference(AT MOPED Condition Basis Profil) Nature of illness or problem
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... type 0..* CodeableConcept Timing or nature of the diagnosis
Binding: ExampleDiagnosisTypeCodes (example): The type of the diagnosis: admitting, principal, discharge.
.... onAdmission O 0..1 CodeableConcept LKF: Diagnose – im stationären Aufenthalt erworben; Gibt an ob die Diagnose bereits bei Aufnahme in den stationären Aufenthalt vorhanden war
Binding: ExampleDiagnosisOnAdmissionCodes (example): Present on admission.
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
... procedure 0..* BackboneElement Clinical procedures performed
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:AbrechnungsRelevanz O 0..1 Coding LKF: Medizinische Leistung – Abrechnungsrelevanz
URL: https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz
Binding: Abrechnungsrelevanz der medizinischen Leistung (required)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence 1..1 positiveInt Procedure instance identifier
.... type 0..* CodeableConcept Category of Procedure
Binding: ExampleProcedureTypeCodes (example): Example procedure type codes.
.... date 0..1 dateTime When the procedure was performed
.... procedure[x] O 1..1 Reference(AT MOPED Procedure Basis Profil) Specific clinical procedure
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
.... udi 0..* Reference(Device) Unique device identifier
... insurance Σ 0..* BackboneElement Patient insurance information
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 1..1 positiveInt Insurance instance identifier
.... focal Σ 1..1 boolean Coverage to be used for adjudication
.... identifier 0..1 Identifier Pre-assigned Claim number
.... coverage OΣ 1..1 Reference(AT MOPED Coverage Versicherter Basis Profil) Insurance information
ObligationsActorSource
SHALL:handle Moped Device Actor from AT MOPED Claim LKFRequest generisches Profil
.... businessArrangement 0..1 string Additional provider contract number
.... preAuthRef 0..* string Prior authorization reference number
.... claimResponse 0..1 Reference(ClaimResponse) Adjudication results
... accident 0..1 BackboneElement Details of the event
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... date 1..1 date When the incident occurred
.... type 0..1 CodeableConcept The nature of the accident
Binding: ActIncidentCode (extensible): Type of accident: work place, auto, etc.
.... location[x] 0..1 Where the event occurred
..... locationAddress Address
..... locationReference Reference(Location)
... patientPaid 0..1 Money Paid by the patient
... Slices for item 3..* BackboneElement Product or service provided
Slice: Unordered, Open by value:category.coding
.... item:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Leistungskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: Moped Claim Item Category ValueSet (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPLK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Leistungskomponente/Leistungspunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Tageskomponente 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LDFPTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Tageskomponente/Kontaktpunkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenLeistungskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCULK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Leistungskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteBelagsdauerausreisserUntenTageskomponente 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCUTK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte Belagsdauerausreißer nach unten – Tageskomponente
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteBelagsdauerausreisserNachOben 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: BDZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Belagsdauerausreißer nach oben
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteIntensiv 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: INTZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Intensiv
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:ZusatzpunkteMehrfachleistungen 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MELZU
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Zusatzpunkte Mehrfachleistungen
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:PunkteSpeziellerBereicheTageweise 0..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCSPEZ
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte spezieller Bereiche (tageweise)
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
.... item:Gesamtpunkte 1..1 BackboneElement Product or service provided
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... sequence 1..1 positiveInt Item instance identifier
..... traceNumber 0..* Identifier Number for tracking
..... careTeamSequence 0..* positiveInt Applicable careTeam members
..... diagnosisSequence 0..* positiveInt Applicable diagnoses
..... procedureSequence 0..* positiveInt Applicable procedures
..... informationSequence 0..* positiveInt Applicable exception and supporting information
..... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
..... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding OΣ 1..* Coding Code defined by a terminology system
Binding: Moped Claim Item Category ValueSet (required)

Required Pattern: At least the following
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: SCGES
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
..... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
..... request 0..* Reference(DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | SupplyRequest | VisionPrescription) Request or Referral for Service
..... modifier 0..* CodeableConcept Product or service billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
..... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
..... serviced[x] 0..1 Date or dates of service or product delivery
...... servicedDate date
...... servicedPeriod Period
..... location[x] 0..1 Place of service or where product was supplied
Binding: ExampleServicePlaceCodes (example): Place of service: pharmacy, school, prison, etc.
...... locationCodeableConcept CodeableConcept
...... locationAddress Address
...... locationReference Reference(Location)
..... patientPaid 0..1 Money Paid by the patient
..... quantity 1..1 SimpleQuantity(5.0.0) Count of products or services
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value OΣ 1..1 decimal LKF: Punkte total
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... unit OΣ 0..1 string Unit representation
Required Pattern: LKF Punkte
ObligationsActorSource
SHALL:populate Moped KA Actor from AT MOPED Claim LKFRequest generisches Profil
...... system ΣC 0..1 uri System that defines coded unit form
...... code ΣC 0..1 code Coded form of the unit
..... unitPrice 0..1 Money Fee, charge or cost per item
..... factor 0..1 decimal Price scaling factor
..... tax 0..1 Money Total tax
..... net 0..1 Money Total item cost
..... udi 0..* Reference(Device) Unique device identifier
..... bodySite 0..* BackboneElement Anatomical location
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... site 1..* CodeableReference(BodyStructure) Location
Binding: OralSiteCodes (example)
...... subSite 0..* CodeableConcept Sub-location
Binding: SurfaceCodes (example)
..... encounter 0..* Reference(Encounter) Encounters associated with the listed treatments
..... detail 0..* BackboneElement Product or service provided
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... sequence 1..1 positiveInt Item instance identifier
...... traceNumber 0..* Identifier Number for tracking
...... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
...... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
...... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
...... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
...... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
...... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
...... patientPaid 0..1 Money Paid by the patient
...... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
...... unitPrice 0..1 Money Fee, charge or cost per item
...... factor 0..1 decimal Price scaling factor
...... tax 0..1 Money Total tax
...... net 0..1 Money Total item cost
...... udi 0..* Reference(Device) Unique device identifier
...... subDetail 0..* BackboneElement Product or service provided
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... sequence 1..1 positiveInt Item instance identifier
....... traceNumber 0..* Identifier Number for tracking
....... revenue 0..1 CodeableConcept Revenue or cost center code
Binding: ExampleRevenueCenterCodes (example): Codes for the revenue or cost centers supplying the service and/or products.
....... category 0..1 CodeableConcept Benefit classification
Binding: BenefitCategoryCodes (example): Benefit categories such as: oral-basic, major, glasses.
....... productOrService 0..1 CodeableConcept Billing, service, product, or drug code
Binding: USCLSCodes (example): Allowable service and product codes.
....... productOrServiceEnd 0..1 CodeableConcept End of a range of codes
Binding: USCLSCodes (example)
....... modifier 0..* CodeableConcept Service/Product billing modifiers
Binding: ModifierTypeCodes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.
....... programCode 0..* CodeableConcept Program the product or service is provided under
Binding: ExampleProgramReasonCodes (example): Program specific reason codes.
....... patientPaid 0..1 Money Paid by the patient
....... quantity 0..1 SimpleQuantity(5.0.0) Count of products or services
....... unitPrice 0..1 Money Fee, charge or cost per item
....... factor 0..1 decimal Price scaling factor
....... tax 0..1 Money Total tax
....... net 0..1 Money Total item cost
....... udi 0..* Reference(Device) Unique device identifier
... total 0..1 Money Total claim cost

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Claim.language Base required All Languages 📍5.0.0 FHIR Std.
Claim.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Claim.type Base required Claim Type ValueSet 📦0.1.0 This IG
Claim.subType Base required LKF ClaimResponse Subtype ValueSet 📦0.1.0 This IG
Claim.use Base required Use 📍5.0.0 FHIR Std.
Claim.priority Base example Process Priority Codes 📍5.0.0 FHIR Std.
Claim.fundsReserve Base example Funds Reservation Codes 📍5.0.0 FHIR Std.
Claim.related.relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.related:zugehoerigeVAE.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.related:vorherigerLKFRequest.​relationship Base example Example Related Claim Relationship Codes 📍5.0.0 FHIR Std.
Claim.payee.type Base example Claim Payee Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosisRelatedGroup Base required LKF Abrechnungsgruppe 📦0.1.0 This IG
Claim.event.type Base example Dates Type Codes 📍5.0.0 FHIR Std.
Claim.careTeam.role Base example Claim Care Team Role Codes 📍5.0.0 FHIR Std.
Claim.careTeam.specialty Base example Example Provider Qualification Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:Plausibilitaetskennzeichen.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:FinaleAbrechnung.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​category Base example Claim Information Category Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​code Base example Exception Codes 📍5.0.0 FHIR Std.
Claim.supportingInfo:XDokDevice.​reason Base example Missing Tooth Reason Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.type Base example Example Diagnosis Type Codes 📍5.0.0 FHIR Std.
Claim.diagnosis.onAdmission Base example Example Diagnosis on Admission Codes 📍5.0.0 FHIR Std.
Claim.procedure.type Base example Example Procedure Type Codes 📍5.0.0 FHIR Std.
Claim.accident.type Base extensible ActIncidentCode 📦3.0.0 THO v7.1
Claim.item.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item.bodySite.​subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item.detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item.detail.subDetail.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​category Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Leistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Leistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Tageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Tageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteIntensiv.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteIntensiv.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:ZusatzpunkteMehrfachleistungen.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:PunkteSpeziellerBereicheTageweise.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​category.coding Base required Moped Claim Item Category ValueSet 📦0.1.0 This IG
Claim.item:Gesamtpunkte.​productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​location[x] Base example Example Service Place Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.site Base example Oral Site Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​bodySite.subSite Base example Surface Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.revenue Base example Example Revenue Center Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrService Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.productOrServiceEnd Base example USCLS Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.modifier Base example Modifier type Codes 📍5.0.0 FHIR Std.
Claim.item:Gesamtpunkte.​detail.subDetail.programCode Base example Example Program Reason Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Claim If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Claim If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Claim If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Claim If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Claim A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from AtMopedClaimLKFRequestGenerisch

Summary

 

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