@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "PJ2LKFRequest1"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://elga.moped.at/StructureDefinition/MopedLKFRequest"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: Claim PJ2LKFRequest1

Abrechnung - Knoten: LKF Abrechnungsknoten: C (C)

Fondsrelevanz: Fondsrelevanz: J (Ja (Abrechnung des stationären Aufenthalts/ambulanten Besuchs erfolgt über den Landesgesundheitsfonds/PRIKRAF))

status: Active

type: LKF Request

subType: LKF Vorläufige Meldung

use: Claim

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

created: 2025-02-24

insurer: Organization Österreichische Gesundheitskasse Oberösterreich

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

encounter:

diagnosisRelatedGroup: Frakturen der unteren Extremität/Becken, außer Vorfuß

supportingInfo

sequence: 1

category: Plausibilitätskennzeichen

value: 1234

supportingInfo

sequence: 2

category: Endgültige Meldung

value: false

supportingInfo

sequence: 3

category: XDok Device

value: Device: status = active; category = Software; type = XDok

diagnosis

sequence: 1

diagnosis: Condition Fraktur der Patella

onAdmission: Unknown

diagnosis

sequence: 2

diagnosis: Condition Sonstige Ursachen exogener Noxen, nicht näher bezeichnet

onAdmission: Unknown

procedure

Medizinische Leistung - Abrechnungsrelevanz: Abrechnungsrelevanz der medizinischen Leistung: J (Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.))

sequence: 1

procedure: Procedure Physiotherapie im Rahmen eines stationären Aufenthaltes (LE=je Aufenthalt)

procedure

Medizinische Leistung - Abrechnungsrelevanz: Abrechnungsrelevanz der medizinischen Leistung: J (Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.))

sequence: 2

procedure: Procedure Polysomnographie im Schlaflabor (LE=je Behandlungstag)

Insurances

-SequenceFocalCoverage
*1trueCoverage: identifier = urn:oid:1.2.40.0.10.1.4.3.9.1#FJK5MCDPMRCY; status = active; kind = insurance

item

sequence: 1

category: Punkte Belagsdauerausreißer nach unten – Leistungskomponente

quantity: 0

item

sequence: 2

category: Punkte Belagsdauerausreißer nach unten – Tageskomponente

quantity: 0

item

sequence: 3

category: Zusatzpunkte Belagsdauerausreißer nach oben

quantity: 0

item

sequence: 4

category: Zusatzpunkte Intensiv

quantity: 0

item

sequence: 5

category: Zusatzpunkte Mehrfachleistungen

quantity: 0

item

sequence: 6

category: Punkte spezieller Bereiche (tageweise)

quantity: 0

item

sequence: 7

category: Punkte total

quantity: 1384

item

sequence: 8

category: Leistungskomponente/Leistungspunkte

quantity: 62

item

sequence: 9

category: Tageskomponente/Kontaktpunktet

quantity: 1322

"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "C" ] ] ] [ fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/FondsrelevanzCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "J" ] ] ] ) ; # fhir:status [ fhir:v "active"] ; # fhir:type [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimTypeCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LKFREQ" ] ] ) ] ; # fhir:subType [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LKFREQVORL" ] ] ) ] ; # fhir:use [ fhir:v "claim"] ; # fhir:patient [ fhir:l ; fhir:reference [ fhir:v "Patient/PJ2Patient" ] ] ; # fhir:created [ fhir:v "2025-02-24"^^xsd:date] ; # fhir:insurer [ fhir:l ; fhir:reference [ fhir:v "Organization/SV14" ] ] ; # fhir:provider [ fhir:l ; fhir:reference [ fhir:v "Organization/OrganizationKrankenhausRied" ] ] ; # fhir:encounter ( [ fhir:l ; fhir:reference [ fhir:v "Encounter/PJ2Encounter" ] ] [ fhir:l ; fhir:reference [ fhir:v "Encounter/PJ2TransferEncounter5" ] ] ) ; # fhir:diagnosisRelatedGroup [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "HDG15.03" ] ] ) ] ; # fhir:supportingInfo ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "PLAUS" ] ] ) ] ; fhir:value [ a fhir:String ; fhir:v "1234" ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "ENDG" ] ] ) ] ; fhir:value [ a fhir:Boolean ; fhir:v false ] ] [ fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "DEVX" ] ] ) ] ; fhir:value [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Device/XDokExampleDevice" ] ] ] ) ; # fhir:diagnosis ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Condition/PJ2Condition1" ] ] ; fhir:onAdmission [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "unknown" ] ] ) ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:diagnosis [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Condition/PJ2Condition2" ] ] ; fhir:onAdmission [ fhir:coding ( [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "unknown" ] ] ) ] ] ) ; # fhir:procedure ( [ fhir:extension ( [ fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "J" ] ] ] ) ; fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:procedure [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Procedure/PJ2Procedure1" ] ] ] [ fhir:extension ( [ fhir:url [ fhir:v "https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "J" ] ] ] ) ; fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:procedure [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Procedure/PJ2Procedure2" ] ] ] ) ; # fhir:insurance ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:focal [ fhir:v true ] ; fhir:coverage [ fhir:l ; fhir:reference [ fhir:v "Coverage/PJ2Coverage" ] ] ] ) ; # fhir:item ( [ fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "SCULK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "0"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "SCUTK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "0"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "BDZU" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "0"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "INTZU" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "0"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "5"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "MELZU" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "0"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "6"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "SCSPEZ" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "0"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "7"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "SCGES" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1384"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "8"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LDFPLK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "62"^^xsd:decimal ] ] ] [ fhir:sequence [ fhir:v "9"^^xsd:positiveInteger ] ; fhir:category [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LDFPTK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v "1322"^^xsd:decimal ] ] ] ) . # # -------------------------------------------------------------------------------------