@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Claim ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "LKFRequest42"] ; # 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 LKFRequest42

Abrechnung - Knoten: LKF Abrechnungsknoten: D (D)

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

status: Active

type: Institutional

use: Claim

patient: Patient42 Patient42FamilienName Male, DoB: 1937-12-31 ( Social Security Number: 123456)

created: 2025-08-30

insurer: Organization Österreichische Gesundheitskasse Wien

provider: Organization Testkrankenhaus

encounter:

diagnosisRelatedGroup: HDG01.12

supportingInfo

sequence: 1

category: Plausibilitätskennzeichen

value: 2

supportingInfo

sequence: 2

category: Endgültige Meldung

value: true

supportingInfo

sequence: 3

category: XDok Device

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

Diagnoses

-SequenceDiagnosis[x]OnAdmission
*1Condition G40.0Unknown

item

sequence: 1

category: Leistungskomponente/Leistungspunkte

quantity: 366.0 LKF Punkte

item

sequence: 2

category: Tageskomponente/Kontaktpunktet

quantity: 2730.0 LKF Punkte

item

sequence: 3

category: Punkte Belagsdauerausreißer nach unten – Leistungskomponente

quantity: 0.0 LKF Punkte

item

sequence: 4

category: Punkte Belagsdauerausreißer nach unten – Tageskomponente

quantity: 0.0 LKF Punkte

item

sequence: 5

category: Zusatzpunkte Belagsdauerausreißer nach oben

quantity: 0.0 LKF Punkte

item

sequence: 6

category: Zusatzpunkte Intensiv

quantity: 2436.0 LKF Punkte

item

sequence: 7

category: Zusatzpunkte Mehrfachleistungen

quantity: 0.0 LKF Punkte

item

sequence: 8

category: Punkte spezieller Bereiche (tageweise)

quantity: 0.0 LKF Punkte

item

sequence: 9

category: Punkte total

quantity: 5532.0 LKF Punkte

"^^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 "D" ] ] ] [ 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 "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "institutional" ] ; fhir:display [ fhir:v "Institutional" ] ] ) ] ; # fhir:use [ fhir:v "claim"] ; # fhir:patient [ fhir:l ; fhir:reference [ fhir:v "Patient/Patient42" ] ] ; # fhir:created [ fhir:v "2025-08-30"^^xsd:date] ; # fhir:insurer [ fhir:l ; fhir:reference [ fhir:v "Organization/SV11" ] ] ; # fhir:provider [ fhir:l ; fhir:reference [ fhir:v "Organization/KHK999" ] ] ; # fhir:encounter ( [ fhir:l ; fhir:reference [ fhir:v "Encounter/Encounter42" ] ] [ fhir:l ; fhir:reference [ fhir:v "Encounter/TransferEncounter42.1" ] ] [ fhir:l ; fhir:reference [ fhir:v "Encounter/TransferEncounter42.2" ] ] ) ; # fhir:diagnosisRelatedGroup [ fhir:coding ( [ fhir:system [ fhir:v "https://elga.moped.at/ValueSet/LKFAbrechnungsGruppeVS"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "HDG01.12" ] ] ) ] ; # 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 "2" ] ] [ 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 true ] ] [ 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/Condition42.1" ] ] ; 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: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 "LDFPLK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 366.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "LDFPTK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 2730.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "SCULK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 0.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "SCUTK" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 0.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "BDZU" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 0.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "INTZU" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 2436.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "MELZU" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 0.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "SCSPEZ" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 0.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] [ 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 "SCGES" ] ] ) ] ; fhir:quantity [ fhir:value [ fhir:v 5532.0 ] ; fhir:unit [ fhir:v "LKF Punkte" ] ] ] ) . # # -------------------------------------------------------------------------------------