{
  "resourceType" : "Claim",
  "id" : "PJ2VAERequest1",
  "meta" : {
    "profile" : ["https://elga.moped.at/StructureDefinition/MopedVAERequest"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Claim PJ2VAERequest1</b></p><a name=\"PJ2VAERequest1\"> </a><a name=\"hcPJ2VAERequest1\"> </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-MopedVAERequest.html\">MOPED VAERequest</a></p></div><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</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>: 2025-02-17</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-PJ2TransferEncounter1.html\">Encounter: status = completed; type = Moped Transfer Encounter; subjectStatus = physisch anwesend; actualPeriod = 2024-08-08 08:21:00+0200 --&gt; 2024-08-08 11:22:00+0200</a></li></ul><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 FREVER}\">Fremdversschluden</span></p><p><b>value</b>: false</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 KLAS}\">Allgemeine Gebührenklasse/Sonderklasse</span></p><p><b>code</b>: <span title=\"Codes:{https://elga.moped.at/CodeSystem/SonderklasseCS A}\">Allgemeine Gebührenklasse</span></p><p><b>timing</b>: 2024-08-08 08:21:00+0200 --&gt; (ongoing)</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 VERLAENG}\">Verlängerungstage</span></p><p><b>value</b>: 0 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeday = 'day')</span></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><h3>Accidents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Date</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>0001</td><td><span title=\"Codes:{https://elga.moped.at/CodeSystem/VerdachtArbeitsSchuelerunfallCS 0}\">Nein/Unbekannt</span></td></tr></table></div>"
  },
  "status" : "active",
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
      "code" : "institutional"
    }]
  },
  "use" : "preauthorization",
  "patient" : {
    "reference" : "Patient/PJ2Patient"
  },
  "created" : "2025-02-17",
  "insurer" : {
    "reference" : "Organization/SV14"
  },
  "provider" : {
    "reference" : "Organization/OrganizationKrankenhausRied"
  },
  "encounter" : [{
    "reference" : "Encounter/PJ2Encounter"
  },
  {
    "reference" : "Encounter/PJ2TransferEncounter1"
  }],
  "supportingInfo" : [{
    "sequence" : 1,
    "category" : {
      "coding" : [{
        "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
        "code" : "FREVER"
      }]
    },
    "valueBoolean" : false
  },
  {
    "sequence" : 2,
    "category" : {
      "coding" : [{
        "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
        "code" : "KLAS"
      }]
    },
    "code" : {
      "coding" : [{
        "system" : "https://elga.moped.at/CodeSystem/SonderklasseCS",
        "code" : "A"
      }]
    },
    "timingPeriod" : {
      "start" : "2024-08-08T08:21:00+02:00"
    }
  },
  {
    "sequence" : 3,
    "category" : {
      "coding" : [{
        "system" : "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
        "code" : "VERLAENG"
      }]
    },
    "valueQuantity" : {
      "value" : 0,
      "unit" : "day",
      "system" : "http://unitsofmeasure.org",
      "code" : "day"
    }
  }],
  "insurance" : [{
    "sequence" : 1,
    "focal" : true,
    "coverage" : {
      "reference" : "Coverage/PJ2Coverage"
    }
  }],
  "accident" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
      "valueCode" : "not-applicable"
    }],
    "date" : "0001",
    "type" : {
      "coding" : [{
        "system" : "https://elga.moped.at/CodeSystem/VerdachtArbeitsSchuelerunfallCS",
        "code" : "0",
        "display" : "Nein/Unbekannt"
      }]
    }
  }
}