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

## : LKFRequest42 - XML Representation

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    <Claim xmlns="http://hl7.org/fhir">
      <id value="LKFRequest42"/>
      <meta>
        <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 LKFRequest42</b></p><a name="LKFRequest42"> </a><a name="hcLKFRequest42"> </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: <code>https://elga.moped.at/StructureDefinition/AtMopedClaimLKFRequestBasis</code></p></div><p><b>Abrechnung - Knoten</b>: <a href="CodeSystem-LKFAbrechnungsKnotenCS.html#LKFAbrechnungsKnotenCS-D">LKF Abrechnungsknoten: D</a> (D)</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-Patient42.html">Patient42 Patient42FamilienName  Male, DoB: 1937-12-31 ( Social Security Number: 123456)</a></p><p><b>created</b>: 2025-08-30</p><p><b>insurer</b>: <a href="Organization-SV11.html">Organization Österreichische Gesundheitskasse Wien</a></p><p><b>provider</b>: <a href="Organization-KAK999.html">Organization Testkrankenhaus</a></p><p><b>encounter</b>: </p><ul><li><a href="Encounter-Encounter42.html">Encounter: extension = ; identifier = Visit number,Anonymous identifier; status = completed; class = Stationär,geplante stationäre Aufnahme/geplanter ambulanter Besuch (mit vorhergehender Terminvereinbarung, Richtwert: mindestens 24 Stunden); type = Moped Encounter; actualPeriod = 2025-01-01 12:00:00+0200 --&gt; 2025-01-04 12:00:00+0200</a></li><li><a href="Encounter-BewegungsEncounter42.1.html">Encounter: status = completed; type = Moped Bewegungsencounter; actualPeriod = 2025-01-01 --&gt; (ongoing)</a></li><li><a href="Encounter-BewegungsEncounter42.2.html">Encounter: status = completed; type = Moped Bewegungsencounter; actualPeriod = 2025-01-02 00:00:00+0200 --&gt; 2025-01-04 00:00:00+0200</a></li></ul><p><b>diagnosisRelatedGroup</b>: <span title="Codes:{https://elga.moped.at/ValueSet/LKFAbrechnungsGruppeVS HDG01.12}">HDG01.12</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>: 2</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>: true</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><h3>Diagnoses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Diagnosis[x]</b></td><td><b>OnAdmission</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><a href="Condition-Condition42.1.html">Condition G40.0</a></td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission unknown}">Unknown</span></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 LDFPLK}">Leistungskomponente/Leistungspunkte</span></p><p><b>quantity</b>: 366.0 LKF Punkte</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 LDFPTK}">Tageskomponente/Kontaktpunktet</span></p><p><b>quantity</b>: 2730.0 LKF Punkte</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 SCULK}">Punkte Belagsdauerausreißer nach unten – Leistungskomponente</span></p><p><b>quantity</b>: 0.0 LKF Punkte</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 SCUTK}">Punkte Belagsdauerausreißer nach unten – Tageskomponente</span></p><p><b>quantity</b>: 0.0 LKF Punkte</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 BDZU}">Zusatzpunkte Belagsdauerausreißer nach oben</span></p><p><b>quantity</b>: 0.0 LKF Punkte</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 INTZU}">Zusatzpunkte Intensiv</span></p><p><b>quantity</b>: 2436.0 LKF Punkte</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 MELZU}">Zusatzpunkte Mehrfachleistungen</span></p><p><b>quantity</b>: 0.0 LKF Punkte</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 SCSPEZ}">Punkte spezieller Bereiche (tageweise)</span></p><p><b>quantity</b>: 0.0 LKF Punkte</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 SCGES}">Punkte total</span></p><p><b>quantity</b>: 5532.0 LKF Punkte</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="D"/>
        </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/Patient42"/>
      </patient>
      <created value="2025-08-30"/>
      <insurer>🔗
        <reference value="Organization/SV11"/>
      </insurer>
      <provider>🔗
        <reference value="Organization/KAK999"/>
      </provider>
      <encounter>🔗
        <reference value="Encounter/Encounter42"/>
      </encounter>
      <encounter>🔗
        <reference value="Encounter/BewegungsEncounter42.1"/>
      </encounter>
      <encounter>🔗
        <reference value="Encounter/BewegungsEncounter42.2"/>
      </encounter>
      <diagnosisRelatedGroup>
        <coding>
          <system value="https://elga.moped.at/ValueSet/LKFAbrechnungsGruppeVS"/>
          <code value="HDG01.12"/>
        </coding>
      </diagnosisRelatedGroup>
      <supportingInfo>
        <sequence value="1"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"/>
            <code value="PLAUS"/>
          </coding>
        </category>
        <valueString value="2"/>
      </supportingInfo>
      <supportingInfo>
        <sequence value="2"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS"/>
            <code value="ENDG"/>
          </coding>
        </category>
        <valueBoolean value="true"/>
      </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/Condition42.1"/>
        </diagnosisReference>
        <onAdmission>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/ex-diagnosis-on-admission"/>
            <code value="unknown"/>
          </coding>
        </onAdmission>
      </diagnosis>
      <item>
        <sequence value="1"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="LDFPLK"/>
          </coding>
        </category>
        <quantity>
          <value value="366.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="2"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="LDFPTK"/>
          </coding>
        </category>
        <quantity>
          <value value="2730.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="3"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCULK"/>
          </coding>
        </category>
        <quantity>
          <value value="0.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="4"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCUTK"/>
          </coding>
        </category>
        <quantity>
          <value value="0.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="5"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="BDZU"/>
          </coding>
        </category>
        <quantity>
          <value value="0.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="6"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="INTZU"/>
          </coding>
        </category>
        <quantity>
          <value value="2436.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="7"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="MELZU"/>
          </coding>
        </category>
        <quantity>
          <value value="0.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="8"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCSPEZ"/>
          </coding>
        </category>
        <quantity>
          <value value="0.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
      <item>
        <sequence value="9"/>
        <category>
          <coding>
            <system
                    value="https://elga.moped.at/CodeSystem/MopedClaimItemCategoryCS"/>
            <code value="SCGES"/>
          </coding>
        </category>
        <quantity>
          <value value="5532.0"/>
          <unit value="LKF Punkte"/>
        </quantity>
      </item>
    </Claim>