Belgian MyCareNet eAttestation Profiles
1.0.0 - STU Belgium flag

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

: ex08 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "ex08",
  "meta" : {
    "profile" : [
      🔗 "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-response"
    ]
  },
  "type" : "message",
  "timestamp" : "2015-07-14T11:15:37+02:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:667b18ce-3d37-4581-9baa-6fada338038c",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "667b18ce-3d37-4581-9baa-6fada338038c",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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 &quot;667b18ce-3d37-4581-9baa-6fada338038c&quot; </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:ehealth:1.0:hospital:nihii-number:71040622000</code></td><td><a href=\"#Organization_e2c6f73a-74d8-40f2-af0b-a61ad20c53d5\">See above (urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d5)</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>"
        },
        "eventCoding" : {
          "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events",
          "code" : "eattestresponse-create"
        },
        "destination" : [
          {
            "endpoint" : "urn:be:fgov:ehealth:1.0:hospital:nihii-number:71040622000",
            "receiver" : {
              "reference" : "urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d5"
            }
          }
        ],
        "sender" : {
          "reference" : "urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358"
        },
        "source" : {
          "endpoint" : "urn:be:fgov:kbo-bce:organization:cbe-number:0411724220"
        },
        "response" : {
          "identifier" : "267b18ce-3d37-4581-9baa-6fada338038b",
          "code" : "ok"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d5",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "e2c6f73a-74d8-40f2-af0b-a61ad20c53d5",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_e2c6f73a-74d8-40f2-af0b-a61ad20c53d5\"> </a><p><b>Generated Narrative: Organization</b><a name=\"e2c6f73a-74d8-40f2-af0b-a61ad20c53d5\"> </a><a name=\"hce2c6f73a-74d8-40f2-af0b-a61ad20c53d5\"> </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 &quot;e2c6f73a-74d8-40f2-af0b-a61ad20c53d5&quot; </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-nihdi.html\" title=\"RIZIV/INAMI\">BeNIHDINamingSystem</a>/71040622000, <a href=\"https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-cbe.html\" title=\"BCE/KBO\">BeCBENamingSystem</a>/0941792893</p><p><b>type</b>: hospital <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>#orghospital)</span></p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "71040622000"
          },
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/cbe",
            "value" : "0941792893"
          }
        ],
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code" : "orghospital"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "1dc5d974-5447-4afe-a4ab-57081ca518c3",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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 &quot;1dc5d974-5447-4afe-a4ab-57081ca518c3&quot; </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>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code" : "persphysician"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "03972cc4-d781-4285-8d79-0f05810e1931",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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 &quot;03972cc4-d781-4285-8d79-0f05810e1931&quot; </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>/12471131580</p><p><b>name</b>: John Smith </p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "12471131580"
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "John"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "cfabb40d-a53f-4c56-bc19-725ea669b358",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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 &quot;cfabb40d-a53f-4c56-bc19-725ea669b358&quot; </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>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber",
            "value" : "300"
          }
        ],
        "name" : "Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten"
      }
    },
    {
      "fullUrl" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "a52efcb6-1f81-4333-a115-d45bd3183686",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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 &quot;a52efcb6-1f81-4333-a115-d45bd3183686&quot; </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>/73031805784</p><p><b>name</b>: Jean Dupont </p><p><b>gender</b>: male</p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
            "value" : "73031805784"
          }
        ],
        "name" : [
          {
            "family" : "Dupont",
            "given" : [
              "Jean"
            ]
          }
        ],
        "gender" : "male"
      }
    },
    {
      "fullUrl" : "urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693",
      "resource" : {
        "resourceType" : "ClaimResponse",
        "id" : "0a0d60df-0340-45a6-a493-a5d67f74d693",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-claimresponse"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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 &quot;0a0d60df-0340-45a6-a493-a5d67f74d693&quot; </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>: specializedmedicine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-be-cs-eattestation-types.html\">Attestation types</a>#specializedmedicine)</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>: 102034 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (be-ns-nihdi-nomenclature#102034)</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>37.15</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>37.15</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>"
        },
        "identifier" : [
          {
            "system" : "https://www.mycarenet.be/eattest",
            "value" : "300-1-170127-0000005-32"
          }
        ],
        "status" : "active",
        "type" : //  attestationID 
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
              "code" : "professional"
            }
          ]
        },
        "subType" : {
          "coding" : [
            //  attestationType 
            {
              "system" : "https://www.ehealth.fgov.be/standards/fhir/eattestation/CodeSystem/be-cs-eattestation-types",
              "code" : "specializedmedicine"
            }
          ]
        },
        "use" : "claim",
        "patient" : {
          "reference" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"
        },
        "created" : "2015-07-14T11:15:30+02:00",
        "insurer" : {
          "reference" : "urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358"
        },
        "requestor" : {
          "reference" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"
        },
        "outcome" : "partial",
        "addItem" : [
          //  serviceProvider 
          {
            "itemSequence" : [
              1
            ],
            "provider" : [
              {
                "reference" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"
              }
            ],
            "productOrService" : //  healthcare provider 
            {
              "coding" : [
                //  service identifier for item 
                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature",
                  "code" : "102034"
                }
              ]
            },
            "servicedDate" : "2017-01-27",
            "quantity" : //  date for item 
            //  count for item 
            {
              "value" : 1
            },
            "unitPrice" : {
              "value" : 37.15,
              "currency" : "EUR"
            },
            "net" : {
              "value" : 37.15,
              "currency" : "EUR"
            },
            "adjudication" : [
              //  fee for item 
              {
                "category" : {
                  "coding" : [
                    {
                      "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/decision-values",
                      "code" : "intreatment"
                    }
                  ]
                }
              }
            ]
          }
        ]
      }
    }
  ]
}