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

## : PJ2VAEResponse1 - JSON Representation

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    {
      "resourceType" : "ClaimResponse",
      "id" : "PJ2VAEResponse1",
      "meta" : {
        "profile" : [
          🔗 "https://elga.moped.at/StructureDefinition/MopedVAEResponse"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClaimResponse PJ2VAEResponse1</b></p><a name=\"PJ2VAEResponse1\"> </a><a name=\"hcPJ2VAEResponse1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MopedVAEResponse.html\">MOPED VAEResponse</a></p></div><blockquote><p><b>VerpflegskostenBeitragsbefreiung</b></p><ul><li>Befreiung: <a href=\"CodeSystem-VerpflegskostenBeitragsbefreiungCS.html#VerpflegskostenBeitragsbefreiungCS-N\">Befreiung für den Verpflegskostenbeitrag: N</a> (Es liegt keine Befreiung vom Verpflegskostenbeitrag vor.)</li><li>Zeitraum: 2024-08-26 --&gt; (ongoing)</li></ul></blockquote><blockquote><p><b>Supporting Info Extension for ClaimResponse - Sonderklasse Slice</b></p><ul><li>category: <span title=\"Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS KLAS}\">Allgemeine Gebührenklasse/Sonderklasse</span></li><li>code: <span title=\"Codes:{https://elga.moped.at/CodeSystem/SonderklasseCS A}\">Allgemeine Gebührenklasse</span></li><li>sequence: 2</li><li>timing: 2024-08-08 08:21:00+0200 --&gt; (ongoing)</li></ul></blockquote><blockquote><p><b>Supporting Info Extension for ClaimResponse - Vortageanzahl auf Kostenbeitrag</b></p><ul><li>category: <span title=\"Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS VTAGE}\">Vortageanzahl auf Kostenbeitrag</span></li><li>value: 0</li><li>sequence: 4</li></ul></blockquote><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{https://elga.moped.at/CodeSystem/MopedClaimTypeCS VAERESP}\">VAE Response</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Patient-PJ2Patient.html\">Santiago Schnabeltier Test (official) Male, DoB: 1985-03-19 ( Social Security Number: 2873111374)</a></p><p><b>created</b>: 2025-02-24</p><p><b>insurer</b>: <a href=\"Organization-SV14.html\">Organization Österreichische Gesundheitskasse Oberösterreich</a></p><p><b>requestor</b>: <a href=\"Organization-OrganizationKrankenhausRied.html\">Organization Krankenhaus der Barmherzigen Schwestern vom Hl. Vinzenz von Paul Ried</a></p><p><b>request</b>: <a href=\"Claim-PJ2VAERequest1.html\">Claim: status = active; type = VAE Request; subType = initiale VAE; use = preauthorization; created = 2025-02-17</a></p><p><b>outcome</b>: Processing Complete</p><p><b>decision</b>: <span title=\"Codes:{https://elga.moped.at/CodeSystem/VAEStatusCS 00}\">bewilligt (nur für stationären Bereich)</span></p><p><b>preAuthPeriod</b>: 2024-08-08 --&gt; 2024-08-26</p></div>"
      },
      "extension" : [
        {
          "extension" : [
            {
              "url" : "Befreiung",
              "valueCoding" : {
                "system" : "https://elga.moped.at/CodeSystem/VerpflegskostenBeitragsbefreiungCS",
                "code" : "N"
              }
            },
            {
              "url" : "Zeitraum",
              "valuePeriod" : {
                "start" : "2024-08-26"
              }
            }
          ],
          "url" : "https://elga.moped.at/StructureDefinition/moped-ext-verpflegskostenBeitragsbefreiung"
        },
        {
          "extension" : [
            {
              "url" : "category",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                    "code" : "KLAS"
                  }
                ]
              }
            },
            {
              "url" : "code",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "https://elga.moped.at/CodeSystem/SonderklasseCS",
                    "code" : "A"
                  }
                ]
              }
            },
            {
              "url" : "sequence",
              "valuePositiveInt" : 2
            },
            {
              "url" : "timing",
              "valuePeriod" : {
                "start" : "2024-08-08T08:21:00+02:00"
              }
            }
          ],
          "url" : "https://elga.moped.at/StructureDefinition/MopedSupportingInfoSonderklasse"
        },
        {
          "extension" : [
            {
              "url" : "category",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                    "code" : "VTAGE"
                  }
                ]
              }
            },
            {
              "url" : "value",
              "valueQuantity" : {
                "value" : 0
              }
            },
            {
              "url" : "sequence",
              "valuePositiveInt" : 4
            }
          ],
          "url" : "https://elga.moped.at/StructureDefinition/MopedSupportingInfoVortageanzahlAufKostenbeitrag"
        }
      ],
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "https://elga.moped.at/CodeSystem/MopedClaimTypeCS",
            "code" : "VAERESP"
          }
        ]
      },
      "use" : "preauthorization",
      "patient" : {
        🔗 "reference" : "Patient/PJ2Patient"
      },
      "created" : "2025-02-24",
      "insurer" : {
        🔗 "reference" : "Organization/SV14"
      },
      "requestor" : {
        🔗 "reference" : "Organization/OrganizationKrankenhausRied"
      },
      "request" : {
        🔗 "reference" : "Claim/PJ2VAERequest1"
      },
      "outcome" : "complete",
      "decision" : {
        "coding" : [
          {
            "system" : "https://elga.moped.at/CodeSystem/VAEStatusCS",
            "code" : "00"
          }
        ]
      },
      "preAuthPeriod" : {
        "start" : "2024-08-08",
        "end" : "2024-08-26"
      }
    }