Belgian MyCareNet eAttestation Profiles
1.0.0 - STU
Belgian MyCareNet eAttestation Profiles, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/eattestation/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex12"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-response"/>
</meta>
<type value="message"/>
<timestamp value="2015-07-14T11:15:37+02:00"/>
<entry>
<fullUrl value="urn:uuid:667b18ce-3d37-4581-9baa-6fada338038c"/>
<resource>
<MessageHeader>
<id value="667b18ce-3d37-4581-9baa-6fada338038c"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_667b18ce-3d37-4581-9baa-6fada338038c"> </a><p><b>Generated Narrative: MessageHeader</b><a name="667b18ce-3d37-4581-9baa-6fada338038c"> </a><a name="hc667b18ce-3d37-4581-9baa-6fada338038c"> </a></p><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">Resource MessageHeader "667b18ce-3d37-4581-9baa-6fada338038c" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/mycarenet//StructureDefinition-be-messageheader.html">MyCareNet MessageHeader BE profile</a></p></div><p><b>event</b>: eattestresponse-create (Details: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events code eattestresponse-create = 'eattestresponse-create', stated as 'null')</p><h3>Destinations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style="display: none">*</td><td><code>urn:be:fgov:person:ssin:ehealth:1.0:doctor:nihii11:11530231003</code></td><td><a href="#PractitionerRole_1dc5d974-5447-4afe-a4ab-57081ca518c3">See above (urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3)</a></td></tr></table><p><b>sender</b>: <a href="#Organization_cfabb40d-a53f-4c56-bc19-725ea669b358">See above (urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358)</a></p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td><code>urn:be:fgov:kbo-bce:organization:cbe-number:0411724220</code></td></tr></table><h3>Responses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td>267b18ce-3d37-4581-9baa-6fada338038b</td><td>ok</td></tr></table><p><b>focus</b>: <a href="#ClaimResponse_0a0d60df-0340-45a6-a493-a5d67f74d693">See above (urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693)</a></p></div>
</text>
<eventCoding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events"/>
<code value="eattestresponse-create"/>
</eventCoding>
<destination>
<endpoint
value="urn:be:fgov:person:ssin:ehealth:1.0:doctor:nihii11:11530231003"/>
<receiver>
<reference value="urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
</receiver>
</destination>
<sender>
<reference value="urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358"/>
</sender>
<source>
<endpoint
value="urn:be:fgov:kbo-bce:organization:cbe-number:0411724220"/>
</source>
<response>
<identifier value="267b18ce-3d37-4581-9baa-6fada338038b"/>
<code value="ok"/>
</response>
<focus>
<reference value="urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
<resource>
<PractitionerRole>
<id value="1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_1dc5d974-5447-4afe-a4ab-57081ca518c3"> </a><p><b>Generated Narrative: PractitionerRole</b><a name="1dc5d974-5447-4afe-a4ab-57081ca518c3"> </a><a name="hc1dc5d974-5447-4afe-a4ab-57081ca518c3"> </a></p><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">Resource PractitionerRole "1dc5d974-5447-4afe-a4ab-57081ca518c3" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core//StructureDefinition-be-practitionerrole.html">BePractitionerRole</a></p></div><p><b>practitioner</b>: <a href="#Practitioner_03972cc4-d781-4285-8d79-0f05810e1931">See above (urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931)</a></p><p><b>code</b>: physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7-be/core//CodeSystem-cd-hcparty.html">BeCdHcParty</a>#persphysician)</span></p></div>
</text>
<practitioner>
<reference value="urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"/>
</practitioner>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysician"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"/>
<resource>
<Practitioner>
<id value="03972cc4-d781-4285-8d79-0f05810e1931"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_03972cc4-d781-4285-8d79-0f05810e1931"> </a><p><b>Generated Narrative: Practitioner</b><a name="03972cc4-d781-4285-8d79-0f05810e1931"> </a><a name="hc03972cc4-d781-4285-8d79-0f05810e1931"> </a></p><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">Resource Practitioner "03972cc4-d781-4285-8d79-0f05810e1931" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core//StructureDefinition-be-practitioner.html">BePractitioner</a></p></div><p><b>identifier</b>: <a href="https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-nihdi.html" title="RIZIV/INAMI">BeNIHDINamingSystem</a>/11530231003</p><p><b>name</b>: John Smith </p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="11530231003"/>
</identifier>
<name>
<family value="Smith"/>
<given value="John"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358"/>
<resource>
<Organization>
<id value="cfabb40d-a53f-4c56-bc19-725ea669b358"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_cfabb40d-a53f-4c56-bc19-725ea669b358"> </a><p><b>Generated Narrative: Organization</b><a name="cfabb40d-a53f-4c56-bc19-725ea669b358"> </a><a name="hccfabb40d-a53f-4c56-bc19-725ea669b358"> </a></p><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">Resource Organization "cfabb40d-a53f-4c56-bc19-725ea669b358" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core//StructureDefinition-be-organization.html">BeOrganization</a></p></div><p><b>identifier</b>: <a href="https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-insurancenumber.html" title="insurance number">BeInsuranceNumberNamingSystem</a>/300</p><p><b>name</b>: Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten</p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber"/>
<value value="300"/>
</identifier>
<name
value="Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
<resource>
<Patient>
<id value="a52efcb6-1f81-4333-a115-d45bd3183686"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_a52efcb6-1f81-4333-a115-d45bd3183686"> </a><p><b>Generated Narrative: Patient</b><a name="a52efcb6-1f81-4333-a115-d45bd3183686"> </a><a name="hca52efcb6-1f81-4333-a115-d45bd3183686"> </a></p><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">Resource Patient "a52efcb6-1f81-4333-a115-d45bd3183686" </p><p style="margin-bottom: 0px">Profile: <a href="https://build.fhir.org/ig/hl7-be/core//StructureDefinition-be-patient.html">BePatient</a></p></div><p><b>identifier</b>: <a href="https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-ssin.html" title="NISS/INSZ">BeSSINNamingSystem</a>/61032004773</p><p><b>name</b>: Julien Leclerc </p><p><b>gender</b>: male</p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
<value value="61032004773"/>
</identifier>
<name>
<family value="Leclerc"/>
<given value="Julien"/>
</name>
<gender value="male"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693"/>
<resource>
<ClaimResponse>
<id value="0a0d60df-0340-45a6-a493-a5d67f74d693"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-claimresponse"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ClaimResponse_0a0d60df-0340-45a6-a493-a5d67f74d693"> </a><p><b>Generated Narrative: ClaimResponse</b><a name="0a0d60df-0340-45a6-a493-a5d67f74d693"> </a><a name="hc0a0d60df-0340-45a6-a493-a5d67f74d693"> </a></p><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">Resource ClaimResponse "0a0d60df-0340-45a6-a493-a5d67f74d693" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-eattestation-claimresponse.html">MyCareNet eAttestation Claim Response BE profile</a></p></div><p><b>identifier</b>: <code>https://www.mycarenet.be/eattest</code>/300-1-170127-0000005-32</p><p><b>status</b>: active</p><p><b>type</b>: Professional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-claim-type.html">Claim Type Codes</a>#professional)</span></p><p><b>subType</b>: generalpractice <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-be-cs-eattestation-types.html">Attestation types</a>#generalpractice)</span></p><p><b>use</b>: claim</p><p><b>patient</b>: <a href="#Patient_a52efcb6-1f81-4333-a115-d45bd3183686">See above (urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686)</a></p><p><b>created</b>: 2015-07-14 11:15:30+0200</p><p><b>insurer</b>: <a href="#Organization_cfabb40d-a53f-4c56-bc19-725ea669b358">See above (urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358)</a></p><p><b>requestor</b>: <a href="#PractitionerRole_1dc5d974-5447-4afe-a4ab-57081ca518c3">See above (urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3)</a></p><p><b>outcome</b>: partial</p><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 1</p><p><b>provider</b>: <a href="#PractitionerRole_1dc5d974-5447-4afe-a4ab-57081ca518c3">See above (urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3)</a></p><p><b>productOrService</b>: 101032 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (be-ns-nihdi-nomenclature#101032)</span></p><p><b>serviced</b>: 2017-01-27</p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>21.09</td><td>EUR</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>21.09</td><td>EUR</td></tr></table><h3>Adjudications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Category</b></td></tr><tr><td style="display: none">*</td><td>intreatment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7-be/mycarenet//CodeSystem-decision-values.html">CodeSystem decision values</a>#intreatment)</span></td></tr></table></blockquote><blockquote><p><b>addItem</b></p><p><b>itemSequence</b>: 2</p><p><b>provider</b>: <a href="#PractitionerRole_1dc5d974-5447-4afe-a4ab-57081ca518c3">See above (urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3)</a></p><p><b>productOrService</b>: 475075 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (be-ns-nihdi-nomenclature#475075)</span></p><p><b>serviced</b>: 2017-01-27</p><p><b>quantity</b>: 1</p><h3>UnitPrices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>17.77</td><td>EUR</td></tr></table><h3>Nets</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Value</b></td><td><b>Currency</b></td></tr><tr><td style="display: none">*</td><td>17.77</td><td>EUR</td></tr></table><h3>Adjudications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Category</b></td></tr><tr><td style="display: none">*</td><td>intreatment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://build.fhir.org/ig/hl7-be/mycarenet//CodeSystem-decision-values.html">CodeSystem decision values</a>#intreatment)</span></td></tr></table></blockquote></div>
</text>
<identifier>
<!-- attestationID -->
<system value="https://www.mycarenet.be/eattest"/>
<value value="300-1-170127-0000005-32"/>
</identifier>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="professional"/>
</coding>
</type>
<subType>
<!-- attestationType -->
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/eattestation/CodeSystem/be-cs-eattestation-types"/>
<code value="generalpractice"/>
</coding>
</subType>
<use value="claim"/>
<patient>
<reference value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
</patient>
<created value="2015-07-14T11:15:30+02:00"/>
<insurer>
<reference value="urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358"/>
</insurer>
<requestor>
<!-- serviceProvider -->
<reference value="urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
</requestor>
<outcome value="partial"/>
<addItem>
<itemSequence value="1"/>
<provider>
<!-- healthcare provider -->
<reference value="urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
</provider>
<productOrService>
<!-- service identifier for item -->
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature"/>
<code value="101032"/>
</coding>
</productOrService>
<!-- date for item -->
<servicedDate value="2017-01-27"/>
<!-- count for item -->
<quantity>
<value value="1"/>
</quantity>
<unitPrice>
<value value="21.09"/>
<currency value="EUR"/>
</unitPrice>
<net>
<!-- fee for item -->
<value value="21.09"/>
<currency value="EUR"/>
</net>
<adjudication>
<category>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/decision-values"/>
<code value="intreatment"/>
</coding>
</category>
</adjudication>
</addItem>
<addItem>
<itemSequence value="2"/>
<provider>
<!-- healthcare provider -->
<reference value="urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
</provider>
<productOrService>
<!-- service identifier for item -->
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature"/>
<code value="475075"/>
</coding>
</productOrService>
<!-- date for item -->
<servicedDate value="2017-01-27"/>
<!-- count for item -->
<quantity>
<value value="1"/>
</quantity>
<unitPrice>
<value value="17.77"/>
<currency value="EUR"/>
</unitPrice>
<net>
<!-- fee for item -->
<value value="17.77"/>
<currency value="EUR"/>
</net>
<adjudication>
<category>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/decision-values"/>
<code value="intreatment"/>
</coding>
</category>
</adjudication>
</addItem>
</ClaimResponse>
</resource>
</entry>
</Bundle>