{ "resourceType" : "ClaimResponse", "id" : "PJ2LKFResponse1", "meta" : { "profile" : ["https://elga.moped.at/StructureDefinition/MopedLKFResponse"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: ClaimResponse PJ2LKFResponse1

Profile: MOPED LKFResponse

Abrechnung - Knoten: LKF Abrechnungsknoten: C (C)

status: Active

type: Institutional

use: Claim

patient: Santiago Schnabeltier Test (official) Male, DoB: 1985-03-19 ( Social Security Number: 2873111374)

created: 2025-02-24

requestor: Organization Herz Jesu-Krankenhaus

request: Claim: extension = C (LKF Abrechnungsknoten#C),Ja (Abrechnung des stationären Aufenthalts/ambulanten Besuchs erfolgt über den Landesgesundheitsfonds/PRIKRAF) (Fondsrelevanz#J); status = active; type = Institutional; use = claim; created = 2025-02-24; diagnosisRelatedGroup = Frakturen der unteren Extremität/Becken, außer Vorfuß

outcome: Processing Complete

decision: Approved

diagnosisRelatedGroup: Frakturen der unteren Extremität/Becken, außer Vorfuß

" }, "extension" : [{ "url" : "https://elga.moped.at/StructureDefinition/moped-ext-diagnoseKnoten", "valueCoding" : { "system" : "https://elga.moped.at/CodeSystem/LKFAbrechnungsKnotenCS", "code" : "C" } }], "status" : "active", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/claim-type", "code" : "institutional" }] }, "use" : "claim", "patient" : { "reference" : "Patient/PJ2Patient" }, "created" : "2025-02-24", "requestor" : { "reference" : "Organization/OrganizationHerzJesuKrankenhaus" }, "request" : { "reference" : "Claim/PJ2LKFRequest1" }, "outcome" : "complete", "decision" : { "coding" : [{ "system" : "http://hl7.org/fhir/claim-decision", "code" : "approved" }] }, "diagnosisRelatedGroup" : { "coding" : [{ "system" : "https://elga.moped.at/CodeSystem/LKFHauptdiagnosegruppenCS", "code" : "HDG15.03" }] } }