# ELGA.MOPED\AT MOPED Claim LKFRequest generisches Profil - FHIR® v5.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **AT MOPED Claim LKFRequest generisches Profil**

## Resource Profile: AT MOPED Claim LKFRequest generisches Profil 

| | | |
| :--- | :--- | :--- |
| *Official URL*:https://elga.moped.at/StructureDefinition/at-moped-claim-lkfrequest-generisch | *Version*:0.1.0 | |
| Draft as of 2026-05-22 | *Responsible:*[ELGA GmbH](https://elga.gv.at) | *Computable Name*:AtMopedClaimLKFRequestGenerisch |

 
MOPED generisches Profil der Claim Ressource die Leistungsabrechnungsanfrage. 

**Usages:**

* Derived from this Profile: [AT MOPED Claim LKFRequest Basis Profil](StructureDefinition-at-moped-claim-lkfrequest-basis.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/elga.moped|current/StructureDefinition/at-moped-claim-lkfrequest-generisch)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-at-moped-claim-lkfrequest-generisch.csv), [Excel](StructureDefinition-at-moped-claim-lkfrequest-generisch.xlsx), [Schematron](StructureDefinition-at-moped-claim-lkfrequest-generisch.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "at-moped-claim-lkfrequest-generisch",
  "url" : "https://elga.moped.at/StructureDefinition/at-moped-claim-lkfrequest-generisch",
  "version" : "0.1.0",
  "name" : "AtMopedClaimLKFRequestGenerisch",
  "title" : "AT MOPED Claim LKFRequest generisches Profil",
  "status" : "draft",
  "date" : "2026-05-22T14:50:58+00:00",
  "publisher" : "ELGA GmbH",
  "contact" : [{
    "name" : "ELGA GmbH",
    "telecom" : [{
      "system" : "url",
      "value" : "https://elga.gv.at"
    }]
  }],
  "description" : "MOPED generisches Profil der Claim Ressource die Leistungsabrechnungsanfrage.",
  "fhirVersion" : "5.0.0",
  "mapping" : [{
    "identity" : "LKF",
    "uri" : "https://elga.moped.at/mapping/LKF",
    "name" : "LKF"
  },
  {
    "identity" : "KaOrg",
    "uri" : "https://elga.moped.at/mapping/KaOrg",
    "name" : "KaOrg"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Claim",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Claim",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Claim.extension",
      "path" : "Claim.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 2
    },
    {
      "id" : "Claim.extension:DiagnoseKnoten",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.extension",
      "sliceName" : "DiagnoseKnoten",
      "short" : "LKF: Fondsrelevanz",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten"]
      }],
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Abrechnung – Knoten"
      }]
    },
    {
      "id" : "Claim.extension:FehlerWarnung",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.extension",
      "sliceName" : "FehlerWarnung",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://elga.moped.at/StructureDefinition/moped-ext-fehlerWarnung"]
      }]
    },
    {
      "id" : "Claim.extension:Fondsrelevanz",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.extension",
      "sliceName" : "Fondsrelevanz",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://elga.moped.at/StructureDefinition/moped-ext-fondsrelevanz"]
      }],
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Fondsrelevanz"
      }]
    },
    {
      "id" : "Claim.status",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.status"
    },
    {
      "id" : "Claim.type",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.type",
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimTypeVS"
      }
    },
    {
      "id" : "Claim.type.coding",
      "path" : "Claim.type.coding",
      "fixedCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimTypeCS",
        "code" : "LKFREQ"
      }
    },
    {
      "id" : "Claim.subType",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.subType",
      "min" : 1,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedLKFRequestSubTypeVS"
      }
    },
    {
      "id" : "Claim.use",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.use",
      "patternCode" : "claim"
    },
    {
      "id" : "Claim.patient",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.patient",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-patient-vbPK-basis",
        "https://elga.moped.at/StructureDefinition/at-moped-patient-klarname-basis"]
      }]
    },
    {
      "id" : "Claim.created",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.created"
    },
    {
      "id" : "Claim.insurer",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.insurer",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-organization-SV"]
      }]
    },
    {
      "id" : "Claim.provider",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.provider",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-organization-KA"]
      }]
    },
    {
      "id" : "Claim.related",
      "path" : "Claim.related",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "claim.resolve().type"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Claim.related:zugehoerigeVAE",
      "path" : "Claim.related",
      "sliceName" : "zugehoerigeVAE",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Claim.related:zugehoerigeVAE.claim",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.related.claim",
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
          "valueBoolean" : false
        }],
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-claim-vaerequest-generisch"]
      }]
    },
    {
      "id" : "Claim.related:zugehoerigeVAE.relationship",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.related.relationship",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship",
          "code" : "associated"
        }]
      }
    },
    {
      "id" : "Claim.related:vorherigerLKFRequest",
      "path" : "Claim.related",
      "sliceName" : "vorherigerLKFRequest",
      "min" : 0,
      "max" : "*"
    },
    {
      "id" : "Claim.related:vorherigerLKFRequest.claim",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.related.claim",
      "type" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
          "valueBoolean" : false
        }],
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-claim-lkfrequest-basis"]
      }]
    },
    {
      "id" : "Claim.related:vorherigerLKFRequest.relationship",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.related.relationship",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/ex-relatedclaimrelationship",
          "code" : "prior"
        }]
      }
    },
    {
      "id" : "Claim.encounter",
      "path" : "Claim.encounter",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "resolve().type"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 2
    },
    {
      "id" : "Claim.encounter:MopedEncounter",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.encounter",
      "sliceName" : "MopedEncounter",
      "short" : "Generelle Informationen zu Aufnahme und Entlassung des Patienten",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-encounter-aufenthaltbesuch-generisch"]
      }]
    },
    {
      "id" : "Claim.encounter:BewegungsEncounter",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.encounter",
      "sliceName" : "BewegungsEncounter",
      "short" : "Informationen zu Verlegungen innerhalb oder zwischen Krankenanstalten",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-encounter-bewegung-generisch"]
      }]
    },
    {
      "id" : "Claim.diagnosisRelatedGroup",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.diagnosisRelatedGroup",
      "short" : "LKF: Abrechnung – Gruppe",
      "min" : 1,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/LKFAbrechnungsGruppeVS"
      },
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Abrechnung – Gruppe"
      }]
    },
    {
      "id" : "Claim.supportingInfo",
      "path" : "Claim.supportingInfo",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "category"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 3
    },
    {
      "id" : "Claim.supportingInfo:Plausibilitaetskennzeichen",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.supportingInfo",
      "sliceName" : "Plausibilitaetskennzeichen",
      "short" : "LKF: Plausibilitätskennzeichen; Dieses Datenfeld enthält eine Kennzeichnung als Ergebnis der vom Gesundheitsministerium vorgegebenen Plausibilitätsprüfung.",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Claim.supportingInfo:Plausibilitaetskennzeichen.category",
      "path" : "Claim.supportingInfo.category",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
          "code" : "PLAUS"
        }]
      }
    },
    {
      "id" : "Claim.supportingInfo:Plausibilitaetskennzeichen.value[x]",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.supportingInfo.value[x]",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Plausibilitätskennzeichen"
      }]
    },
    {
      "id" : "Claim.supportingInfo:FinaleAbrechnung",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.supportingInfo",
      "sliceName" : "FinaleAbrechnung",
      "short" : "Feld, welches angibt, ob es sich um die vorläufige oder finale Abrechnung handelt.",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Claim.supportingInfo:FinaleAbrechnung.category",
      "path" : "Claim.supportingInfo.category",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
          "code" : "ENDG"
        }]
      }
    },
    {
      "id" : "Claim.supportingInfo:FinaleAbrechnung.value[x]",
      "path" : "Claim.supportingInfo.value[x]",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "Claim.supportingInfo:XDokDevice",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.supportingInfo",
      "sliceName" : "XDokDevice",
      "short" : "Feld, welches die XDok Version angibt die zum Scoring verwendet wurde.",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Claim.supportingInfo:XDokDevice.category",
      "path" : "Claim.supportingInfo.category",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
          "code" : "DEVX"
        }]
      }
    },
    {
      "id" : "Claim.supportingInfo:XDokDevice.value[x]",
      "path" : "Claim.supportingInfo.value[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-device-XDok"]
      }]
    },
    {
      "id" : "Claim.diagnosis.diagnosis[x]",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.diagnosis.diagnosis[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-condition-basis"]
      }]
    },
    {
      "id" : "Claim.diagnosis.onAdmission",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.diagnosis.onAdmission",
      "short" : "LKF: Diagnose – im stationären Aufenthalt erworben; Gibt an ob die Diagnose bereits bei Aufnahme in den stationären Aufenthalt vorhanden war",
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Diagnose – im stationären Aufenthalt erworben"
      }]
    },
    {
      "id" : "Claim.procedure.extension",
      "path" : "Claim.procedure.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Claim.procedure.extension:AbrechnungsRelevanz",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.procedure.extension",
      "sliceName" : "AbrechnungsRelevanz",
      "short" : "LKF: Medizinische Leistung – Abrechnungsrelevanz",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://elga.moped.at/StructureDefinition/moped-ext-AbrechnungsRelevanz"]
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      "mapping" : [{
        "identity" : "LKF",
        "map" : "Medizinische Leistung – Abrechnungsrelevanz"
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    {
      "id" : "Claim.procedure.procedure[x]",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.procedure.procedure[x]",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-procedure-basis"]
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    },
    {
      "id" : "Claim.insurance.coverage",
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        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:handle"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedDeviceActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.insurance.coverage",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://elga.moped.at/StructureDefinition/at-moped-coverage-versicherter-basis"]
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    },
    {
      "id" : "Claim.item",
      "path" : "Claim.item",
      "slicing" : {
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        "ordered" : false,
        "rules" : "open"
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      "min" : 3
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    {
      "id" : "Claim.item:Leistungskomponente",
      "path" : "Claim.item",
      "sliceName" : "Leistungskomponente",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Claim.item:Leistungskomponente.category",
      "path" : "Claim.item.category",
      "binding" : {
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        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
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    },
    {
      "id" : "Claim.item:Leistungskomponente.category.coding",
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          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.category.coding",
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      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "LDFPLK"
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    {
      "id" : "Claim.item:Leistungskomponente.quantity",
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    {
      "id" : "Claim.item:Leistungskomponente.quantity.value",
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        {
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Leistungskomponente/Leistungspunkte",
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      "mapping" : [{
        "identity" : "LKF",
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      "id" : "Claim.item:Leistungskomponente.quantity.unit",
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        "valueBoolean" : true
      },
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        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.unit",
      "patternString" : "LKF Punkte"
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      "id" : "Claim.item:Tageskomponente",
      "path" : "Claim.item",
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      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Claim.item:Tageskomponente.category.coding",
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        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.category.coding",
      "min" : 1,
      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "LDFPTK"
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      "binding" : {
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        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
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    },
    {
      "id" : "Claim.item:Tageskomponente.quantity",
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    {
      "id" : "Claim.item:Tageskomponente.quantity.value",
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.value",
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      "mapping" : [{
        "identity" : "LKF",
        "map" : "Tageskomponente/Kontaktpunkte"
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    {
      "id" : "Claim.item:Tageskomponente.quantity.unit",
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        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.unit",
      "patternString" : "LKF Punkte"
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      "id" : "Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente",
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      "sliceName" : "PunkteBelagsdauerausreisserUntenLeistungskomponente",
      "min" : 0,
      "max" : "1"
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          "url" : "code",
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.category.coding",
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      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "SCULK"
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      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
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    },
    {
      "id" : "Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.quantity",
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      "min" : 1
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    {
      "id" : "Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.quantity.value",
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          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Punkte Belagsdauerausreißer nach unten – Leistungskomponente",
      "min" : 1,
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Punkte Belagsdauerausreißer nach unten – Leistungskomponente"
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    {
      "id" : "Claim.item:PunkteBelagsdauerausreisserUntenLeistungskomponente.quantity.unit",
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        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
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        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.unit",
      "patternString" : "LKF Punkte"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "SCUTK"
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      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
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    },
    {
      "id" : "Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.quantity",
      "path" : "Claim.item.quantity",
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    {
      "id" : "Claim.item:PunkteBelagsdauerausreisserUntenTageskomponente.quantity.value",
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Punkte Belagsdauerausreißer nach unten – Tageskomponente",
      "min" : 1,
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Punkte Belagsdauerausreißer nach unten – Tageskomponente"
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        "valueBoolean" : true
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.unit",
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        {
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "patternCoding" : {
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        "code" : "BDZU"
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      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
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    {
      "id" : "Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.quantity",
      "path" : "Claim.item.quantity",
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    },
    {
      "id" : "Claim.item:ZusatzpunkteBelagsdauerausreisserNachOben.quantity.value",
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Zusatzpunkte Belagsdauerausreißer nach oben",
      "min" : 1,
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Zusatzpunkte Belagsdauerausreißer nach oben"
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    {
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        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "extension" : [{
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          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.unit",
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      "max" : "1"
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    {
      "id" : "Claim.item:ZusatzpunkteIntensiv.category.coding",
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        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.category.coding",
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      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "INTZU"
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      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
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    {
      "id" : "Claim.item:ZusatzpunkteIntensiv.quantity",
      "path" : "Claim.item.quantity",
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    {
      "id" : "Claim.item:ZusatzpunkteIntensiv.quantity.value",
      "extension" : [{
        "extension" : [{
          "url" : "code",
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Zusatzpunkte Intensiv",
      "min" : 1,
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Zusatzpunkte Intensiv"
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    },
    {
      "id" : "Claim.item:ZusatzpunkteIntensiv.quantity.unit",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.unit",
      "patternString" : "LKF Punkte"
    },
    {
      "id" : "Claim.item:ZusatzpunkteMehrfachleistungen",
      "path" : "Claim.item",
      "sliceName" : "ZusatzpunkteMehrfachleistungen",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Claim.item:ZusatzpunkteMehrfachleistungen.category.coding",
      "extension" : [{
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          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
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        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.category.coding",
      "min" : 1,
      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "MELZU"
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      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
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    },
    {
      "id" : "Claim.item:ZusatzpunkteMehrfachleistungen.quantity",
      "path" : "Claim.item.quantity",
      "min" : 1
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    {
      "id" : "Claim.item:ZusatzpunkteMehrfachleistungen.quantity.value",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
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      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Zusatzpunkte Mehrfachleistungen",
      "min" : 1,
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Zusatzpunkte Mehrfachleistungen"
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    {
      "id" : "Claim.item:ZusatzpunkteMehrfachleistungen.quantity.unit",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
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      {
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.item.quantity.unit",
      "patternString" : "LKF Punkte"
    },
    {
      "id" : "Claim.item:PunkteSpeziellerBereicheTageweise",
      "path" : "Claim.item",
      "sliceName" : "PunkteSpeziellerBereicheTageweise",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Claim.item:PunkteSpeziellerBereicheTageweise.category.coding",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
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        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.item.category.coding",
      "min" : 1,
      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "SCSPEZ"
      },
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
      }
    },
    {
      "id" : "Claim.item:PunkteSpeziellerBereicheTageweise.quantity",
      "path" : "Claim.item.quantity",
      "min" : 1
    },
    {
      "id" : "Claim.item:PunkteSpeziellerBereicheTageweise.quantity.value",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Punkte spezieller Bereiche (tageweise)",
      "min" : 1,
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Punkte spezieller Bereiche (tageweise)"
      }]
    },
    {
      "id" : "Claim.item:PunkteSpeziellerBereicheTageweise.quantity.unit",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.item.quantity.unit",
      "patternString" : "LKF Punkte"
    },
    {
      "id" : "Claim.item:Gesamtpunkte",
      "path" : "Claim.item",
      "sliceName" : "Gesamtpunkte",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "Claim.item:Gesamtpunkte.category.coding",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.item.category.coding",
      "min" : 1,
      "patternCoding" : {
        "system" : "https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS",
        "code" : "SCGES"
      },
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://elga.moped.at/ValueSet/MopedClaimItemCategoryVS"
      }
    },
    {
      "id" : "Claim.item:Gesamtpunkte.quantity",
      "path" : "Claim.item.quantity",
      "min" : 1
    },
    {
      "id" : "Claim.item:Gesamtpunkte.quantity.value",
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.item.quantity.value",
      "short" : "LKF: Punkte total",
      "min" : 1,
      "mapping" : [{
        "identity" : "LKF",
        "map" : "Punkte total"
      }]
    },
    {
      "id" : "Claim.item:Gesamtpunkte.quantity.unit",
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean" : true
      },
      {
        "extension" : [{
          "url" : "code",
          "valueCode" : "SHALL:populate"
        },
        {
          "url" : "actor",
          "valueCanonical" : "https://elga.moped.at/ActorDefinition/MopedKAActor"
        }],
        "url" : "http://hl7.org/fhir/StructureDefinition/obligation"
      }],
      "path" : "Claim.item.quantity.unit",
      "patternString" : "LKF Punkte"
    }]
  }
}

```
