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

## : PJ2LKFRequest1 - XML Representation

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    <Claim xmlns="http://hl7.org/fhir">
      <id value="PJ2LKFRequest1"/>
      <meta>
        <profile
                 value="https://elga.moped.at/StructureDefinition/at-moped-claim-lkfrequest-basis"/>
        <profile
                 value="https://elga.moped.at/StructureDefinition/AtMopedClaimLKFRequestBasis"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Claim PJ2LKFRequest1</b></p><a name="PJ2LKFRequest1"> </a><a name="hcPJ2LKFRequest1"> </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">Profiles: <a href="StructureDefinition-at-moped-claim-lkfrequest-basis.html">AT MOPED Claim LKFRequest Basis Profil</a>, <code>https://elga.moped.at/StructureDefinition/AtMopedClaimLKFRequestBasis</code></p></div><p><b>Abrechnung - Knoten</b>: <a href="CodeSystem-LKFAbrechnungsKnotenCS.html#LKFAbrechnungsKnotenCS-C">LKF Abrechnungsknoten: C</a> (C)</p><p><b>Fondsrelevanz</b>: <a href="CodeSystem-FondsrelevanzCS.html#FondsrelevanzCS-J">Fondsrelevanz: J</a> (Ja (Abrechnung des stationären Aufenthalts/ambulanten Besuchs erfolgt über den Landesgesundheitsfonds/PRIKRAF))</p><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimTypeCS LKFREQ}">LKF Request</span></p><p><b>subType</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS LKFREQVORL}">LKF Vorläufige Meldung</span></p><p><b>use</b>: Claim</p><p><b>patient</b>: <a href="Patient-PJ2Patient.html">Santiago Schnabeltier Test  Male, DoB: 1985-03-19</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>provider</b>: <a href="Organization-OrganizationKrankenhausRied.html">Organization Krankenhaus der Barmherzigen Schwestern vom Hl. Vinzenz von Paul Ried</a></p><p><b>encounter</b>: </p><ul><li><a href="Encounter-PJ2Encounter.html">Encounter: identifier = Visit number,Anonymous identifier; status = discharged; class = Stationär,akute stationäre Aufnahme/akuter ambulanter Besuch (ohne vorhergehende Terminvereinbarung); type = Moped Encounter; actualPeriod = 2024-08-08 08:21:00+0200 --&gt; 2024-08-12 19:22:00+0200</a></li><li><a href="Encounter-PJ2BewegungsEncounter5.html">Encounter: status = completed; type = Moped Bewegungsencounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-10 17:00:00+0200 --&gt; 2024-08-12 19:22:00+0200</a></li></ul><p><b>diagnosisRelatedGroup</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS HDG15.03}">Frakturen der unteren Extremität/Becken, außer Vorfuß</span></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS PLAUS}">Plausibilitätskennzeichen</span></p><p><b>value</b>: 1234</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS ENDG}">Endgültige Meldung</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS DEVX}">XDok Device</span></p><p><b>value</b>: <a href="Device-XDokExampleDevice.html">Device: status = active; category = Software; type = XDok</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 1</p><p><b>diagnosis</b>: <a href="Condition-PJ2Condition1.html">Condition Fraktur der Patella</a></p><p><b>onAdmission</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission unknown}">Unknown</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>sequence</b>: 2</p><p><b>diagnosis</b>: <a href="Condition-PJ2Condition2.html">Condition Sonstige Ursachen exogener Noxen, nicht näher bezeichnet</a></p><p><b>onAdmission</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission unknown}">Unknown</span></p></blockquote><blockquote><p><b>procedure</b></p><p><b>Medizinische Leistung - Abrechnungsrelevanz</b>: <a href="CodeSystem-AbrechnungsRelevanzCS.html#AbrechnungsRelevanzCS-J">Abrechnungsrelevanz der medizinischen Leistung: J</a> (Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.))</p><p><b>sequence</b>: 1</p><p><b>procedure</b>: <a href="Procedure-PJ2Procedure1.html">Procedure Physiotherapie im Rahmen eines stationären Aufenthaltes (LE=je Aufenthalt)</a></p></blockquote><blockquote><p><b>procedure</b></p><p><b>Medizinische Leistung - Abrechnungsrelevanz</b>: <a href="CodeSystem-AbrechnungsRelevanzCS.html#AbrechnungsRelevanzCS-J">Abrechnungsrelevanz der medizinischen Leistung: J</a> (Ja (Die Leistung ist bei der Bepunktung zu berücksichtigen.))</p><p><b>sequence</b>: 2</p><p><b>procedure</b>: <a href="Procedure-PJ2Procedure2.html">Procedure Polysomnographie im Schlaflabor (LE=je Behandlungstag)</a></p></blockquote><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td><a href="Coverage-PJ2Coverage.html">Coverage: identifier = urn:oid:1.2.40.0.10.1.4.3.9.1#FJK5MCDPMRCY; status = active; kind = insurance</a></td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCULK}">Punkte Belagsdauerausreißer nach unten – Leistungskomponente</span></p><p><b>quantity</b>: 0</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCUTK}">Punkte Belagsdauerausreißer nach unten – Tageskomponente</span></p><p><b>quantity</b>: 0</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS BDZU}">Zusatzpunkte Belagsdauerausreißer nach oben</span></p><p><b>quantity</b>: 0</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 4</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS INTZU}">Zusatzpunkte Intensiv</span></p><p><b>quantity</b>: 0</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 5</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS MELZU}">Zusatzpunkte Mehrfachleistungen</span></p><p><b>quantity</b>: 0</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 6</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCSPEZ}">Punkte spezieller Bereiche (tageweise)</span></p><p><b>quantity</b>: 0</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 7</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS SCGES}">Punkte total</span></p><p><b>quantity</b>: 1384</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 8</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS LDFPLK}">Leistungskomponente/Leistungspunkte</span></p><p><b>quantity</b>: 62</p></blockquote><blockquote><p><b>item</b></p><p><b>sequence</b>: 9</p><p><b>category</b>: <span title="Codes:{https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS LDFPTK}">Tageskomponente/Kontaktpunktet</span></p><p><b>quantity</b>: 1322</p></blockquote></div>
      </text>
      <extension
                 url="https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten">
        <valueCoding>
          <system
                  value="https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS"/>
          <code value="C"/>
        </valueCoding>
      </extension>
      <extension
                 url="https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz">
        <valueCoding>
          <system value="https://elga.moped.at/CodeSystem/FondsrelevanzCS"/>
          <code value="J"/>
        </valueCoding>
      </extension>
      <status value="active"/>
      <type>
        <coding>
          <system value="https://elga.moped.at/CodeSystem/MopedClaimTypeCS"/>
          <code value="LKFREQ"/>
        </coding>
      </type>
      <subType>
        <coding>
          <system value="https://elga.moped.at/CodeSystem/MopedClaimSubTypeCS"/>
          <code value="LKFREQVORL"/>
        </coding>
      </subType>
      <use value="claim"/>
      <patient>🔗
        <reference value="Patient/PJ2Patient"/>
      </patient>
      <created value="2025-02-24"/>
      <insurer>🔗
        <reference value="Organization/SV14"/>
      </insurer>
      <provider>🔗
        <reference value="Organization/OrganizationKrankenhausRied"/>
      </provider>
      <encounter>🔗
        <reference value="Encounter/PJ2Encounter"/>
      </encounter>
      <encounter>🔗
        <reference value="Encounter/PJ2BewegungsEncounter5"/>
      </encounter>
      <diagnosisRelatedGroup>
        <coding>
          <system
                  value="https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS"/>
          <code value="HDG15.03"/>
        </coding>
      </diagnosisRelatedGroup>
      <supportingInfo>
        <sequence value="1"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"/>
            <code value="PLAUS"/>
          </coding>
        </category>
        <valueString value="1234"/>
      </supportingInfo>
      <supportingInfo>
        <sequence value="2"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"/>
            <code value="ENDG"/>
          </coding>
        </category>
        <valueBoolean value="false"/>
      </supportingInfo>
      <supportingInfo>
        <sequence value="3"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"/>
            <code value="DEVX"/>
          </coding>
        </category>
        <valueReference>🔗
          <reference value="Device/XDokExampleDevice"/>
        </valueReference>
      </supportingInfo>
      <diagnosis>
        <sequence value="1"/>
        <diagnosisReference>🔗
          <reference value="Condition/PJ2Condition1"/>
        </diagnosisReference>
        <onAdmission>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"/>
            <code value="unknown"/>
          </coding>
        </onAdmission>
      </diagnosis>
      <diagnosis>
        <sequence value="2"/>
        <diagnosisReference>🔗
          <reference value="Condition/PJ2Condition2"/>
        </diagnosisReference>
        <onAdmission>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"/>
            <code value="unknown"/>
          </coding>
        </onAdmission>
      </diagnosis>
      <procedure>
        <extension
                   url="https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz">
          <valueCoding>
            <system
                    value="https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"/>
            <code value="J"/>
          </valueCoding>
        </extension>
        <sequence value="1"/>
        <procedureReference>🔗
          <reference value="Procedure/PJ2Procedure1"/>
        </procedureReference>
      </procedure>
      <procedure>
        <extension
                   url="https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz">
          <valueCoding>
            <system
                    value="https://elga.moped.at/CodeSystem/AbrechnungsRelevanzCS"/>
            <code value="J"/>
          </valueCoding>
        </extension>
        <sequence value="2"/>
        <procedureReference>🔗
          <reference value="Procedure/PJ2Procedure2"/>
        </procedureReference>
      </procedure>
      <insurance>
        <sequence value="1"/>
        <focal value="true"/>
        <coverage>🔗
          <reference value="Coverage/PJ2Coverage"/>
        </coverage>
      </insurance>
      <item>
        <sequence value="1"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCULK"/>
          </coding>
        </category>
        <quantity>
          <value value="0"/>
        </quantity>
      </item>
      <item>
        <sequence value="2"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCUTK"/>
          </coding>
        </category>
        <quantity>
          <value value="0"/>
        </quantity>
      </item>
      <item>
        <sequence value="3"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="BDZU"/>
          </coding>
        </category>
        <quantity>
          <value value="0"/>
        </quantity>
      </item>
      <item>
        <sequence value="4"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="INTZU"/>
          </coding>
        </category>
        <quantity>
          <value value="0"/>
        </quantity>
      </item>
      <item>
        <sequence value="5"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="MELZU"/>
          </coding>
        </category>
        <quantity>
          <value value="0"/>
        </quantity>
      </item>
      <item>
        <sequence value="6"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCSPEZ"/>
          </coding>
        </category>
        <quantity>
          <value value="0"/>
        </quantity>
      </item>
      <item>
        <sequence value="7"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCGES"/>
          </coding>
        </category>
        <quantity>
          <value value="1384"/>
        </quantity>
      </item>
      <item>
        <sequence value="8"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="LDFPLK"/>
          </coding>
        </category>
        <quantity>
          <value value="62"/>
        </quantity>
      </item>
      <item>
        <sequence value="9"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="LDFPTK"/>
          </coding>
        </category>
        <quantity>
          <value value="1322"/>
        </quantity>
      </item>
    </Claim>