ex01 - TTL Representation - Belgian MyCareNet eAttestation Profiles v1.0.0

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
: ex01 - TTL Representation

Raw ttl | Download
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ex01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-request"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-request>     ] )
  ] ; # 
  fhir:type [ fhir:v "message"] ; # 
  fhir:timestamp [ fhir:v "2015-07-14T11:15:33+02:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c8"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c8> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a> )
  ] ) . # 

<urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b> a fhir:MessageHeader ;
  fhir:id [ fhir:v "267b18ce-3d37-4581-9baa-6fada338038b"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_267b18ce-3d37-4581-9baa-6fada338038b\"> </a><p><b>Generated Narrative: MessageHeader</b><a name=\"267b18ce-3d37-4581-9baa-6fada338038b\"> </a><a name=\"hc267b18ce-3d37-4581-9baa-6fada338038b\"> </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;267b18ce-3d37-4581-9baa-6fada338038b&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>: eattest-create (Details: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events code eattest-create = 'eattest-create', stated as 'null')</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MyCareNet</td><td><code>urn:be:fgov:kbo-bce:organization:cbe-number:0820563481</code></td></tr></table><p><b>sender</b>: <a href=\"#PractitionerRole_62c7bfad-0cb3-4a39-9abb-3a62e06de834\">See above (urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834)</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:person:ssin:ehealth:1.0:physiotherapist:nihii11:54263481527</code></td></tr></table><p><b>focus</b>: <a href=\"#Claim_e85173bc-6f0d-480b-a2cd-2b70d9ffff7a\">See above (urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a)</a></p></div>"
  ] ; # 
  fhir:event [
a fhir:Coding ;
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eattest-create" ]
  ] ; # 
  fhir:destination ( [
fhir:name [ fhir:v "MyCareNet" ] ;
fhir:endpoint [ fhir:v "urn:be:fgov:kbo-bce:organization:cbe-number:0820563481"^^xsd:anyURI ]
  ] ) ; # 
  fhir:sender [
fhir:reference [ fhir:v "urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834" ] #  serviceProvider 
  ] ; # 
  fhir:source [
fhir:endpoint [ fhir:v "urn:be:fgov:person:ssin:ehealth:1.0:physiotherapist:nihii11:54263481527"^^xsd:anyURI ]
  ] ; # 
  fhir:focus ( [
fhir:reference [ fhir:v "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a" ]
  ] ) . # 

<urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834> a fhir:PractitionerRole ;
  fhir:id [ fhir:v "62c7bfad-0cb3-4a39-9abb-3a62e06de834"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_62c7bfad-0cb3-4a39-9abb-3a62e06de834\"> </a><p><b>Generated Narrative: PractitionerRole</b><a name=\"62c7bfad-0cb3-4a39-9abb-3a62e06de834\"> </a><a name=\"hc62c7bfad-0cb3-4a39-9abb-3a62e06de834\"> </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;62c7bfad-0cb3-4a39-9abb-3a62e06de834&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>organization</b>: <span><a href=\"https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-cbe.html\" title=\"BCE/KBO\">BeCBENamingSystem</a>/0425.222.333</span></p><p><b>code</b>: physiotherapist <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>#persphysiotherapist)</span></p></div>"
  ] ; # 
  fhir:practitioner [
fhir:reference [ fhir:v "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931" ]
  ] ; # 
  fhir:organization [
fhir:identifier [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/cbe"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0425.222.333" ]     ] #  collector (paymentreceivingparty) for attest 
  ] ; # 
  fhir:code ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persphysiotherapist" ]     ] )
  ] ) . # 

<urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931> a fhir:Practitioner ;
  fhir:id [ fhir:v "03972cc4-d781-4285-8d79-0f05810e1931"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>/54263481527</p><p><b>name</b>: John Smith </p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ; #  serviceProvider for attest (and in this case also the provider for item)
fhir:value [ fhir:v "54263481527" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Smith" ] ;
    ( fhir:given [ fhir:v "John" ] )
  ] ) . # 

<urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686> a fhir:Patient ;
  fhir:id [ fhir:v "a52efcb6-1f81-4333-a115-d45bd3183686"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"^^xsd:anyURI ] ; #  patient 
fhir:value [ fhir:v "73031805784" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Dupont" ] ;
    ( fhir:given [ fhir:v "Jean" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "male"] . # 

<urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321> a fhir:PractitionerRole ;
  fhir:id [ fhir:v "035e3de4-011f-48a4-92c9-15b2bbcec321"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_035e3de4-011f-48a4-92c9-15b2bbcec321\"> </a><p><b>Generated Narrative: PractitionerRole</b><a name=\"035e3de4-011f-48a4-92c9-15b2bbcec321\"> </a><a name=\"hc035e3de4-011f-48a4-92c9-15b2bbcec321\"> </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;035e3de4-011f-48a4-92c9-15b2bbcec321&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_8fc72085-d349-4bd7-ba84-91a935a4e3c6\">See above (urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6)</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>"
  ] ; # 
  fhir:practitioner [
fhir:reference [ fhir:v "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6" ]
  ] ; # 
  fhir:code ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persphysician" ]     ] )
  ] ) . # 

<urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6> a fhir:Practitioner ;
  fhir:id [ fhir:v "8fc72085-d349-4bd7-ba84-91a935a4e3c6"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_8fc72085-d349-4bd7-ba84-91a935a4e3c6\"> </a><p><b>Generated Narrative: Practitioner</b><a name=\"8fc72085-d349-4bd7-ba84-91a935a4e3c6\"> </a><a name=\"hc8fc72085-d349-4bd7-ba84-91a935a4e3c6\"> </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;8fc72085-d349-4bd7-ba84-91a935a4e3c6&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>/19234011004</p><p><b>name</b>: Prénom du prescripteur Nom du prescripteur </p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ; #  prescription - requestor - identifier 
fhir:value [ fhir:v "19234011004" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Nom du prescripteur" ] ;
    ( fhir:given [ fhir:v "Prénom du prescripteur" ] )
  ] ) . # 

<urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "b3586cda-f1e5-4c58-a389-94249957d87a"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestationservicerequest"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestationservicerequest>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_b3586cda-f1e5-4c58-a389-94249957d87a\"> </a><p><b>Generated Narrative: ServiceRequest</b><a name=\"b3586cda-f1e5-4c58-a389-94249957d87a\"> </a><a name=\"hcb3586cda-f1e5-4c58-a389-94249957d87a\"> </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 ServiceRequest &quot;b3586cda-f1e5-4c58-a389-94249957d87a&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-be-eattestationservicerequest.html\">MyCareNet eAttestation ServiceRequest BE profile</a></p></div><p><b>BeExtPrescriptionRequesterStandard</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-requester-norm.html\">Prescriber Standard</a>#1)</span></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Physical therapy procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#91251008)</span></p><p><b>code</b>: Physical therapy procedure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#91251008)</span></p><p><b>subject</b>: <a href=\"#Patient_a52efcb6-1f81-4333-a115-d45bd3183686\">See above (urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686)</a></p><p><b>authoredOn</b>: 2015-07-14</p><p><b>requester</b>: <a href=\"#PractitionerRole_035e3de4-011f-48a4-92c9-15b2bbcec321\">See above (urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321)</a></p></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-ext-prescription-requester-standard"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-requester-norm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]       ] )     ] #  prescription requester standard for item 
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:category ( [
    ( fhir:coding [
a sct:91251008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "91251008" ] ;
fhir:display [ fhir:v "Physical therapy procedure" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a sct:91251008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "91251008" ] ;
fhir:display [ fhir:v "Physical therapy procedure" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2015-07-14"^^xsd:date] ; #  prescription - authoredOn 
  fhir:requester [
fhir:reference [ fhir:v "urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321" ]
  ] . # 

<urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7> a fhir:Location ;
  fhir:id [ fhir:v "8fc72085-d349-4bd7-ba84-91a935a4e3c7"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_8fc72085-d349-4bd7-ba84-91a935a4e3c7\"> </a><p><b>Generated Narrative: Location</b><a name=\"8fc72085-d349-4bd7-ba84-91a935a4e3c7\"> </a><a name=\"hc8fc72085-d349-4bd7-ba84-91a935a4e3c7\"> </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 Location &quot;8fc72085-d349-4bd7-ba84-91a935a4e3c7&quot; </p></div><p><b>managingOrganization</b>: <span><a href=\"https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-nihdi.html\" title=\"RIZIV/INAMI\">BeNIHDINamingSystem</a>/19234011004</span></p></div>"
  ] ; # 
  fhir:managingOrganization [
fhir:identifier [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ; #  location - identifier 
fhir:value [ fhir:v "19234011004" ]     ]
  ] . # 

<urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c8> a fhir:Location ;
  fhir:id [ fhir:v "8fc72085-d349-4bd7-ba84-91a935a4e3c8"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Location_8fc72085-d349-4bd7-ba84-91a935a4e3c8\"> </a><p><b>Generated Narrative: Location</b><a name=\"8fc72085-d349-4bd7-ba84-91a935a4e3c8\"> </a><a name=\"hc8fc72085-d349-4bd7-ba84-91a935a4e3c8\"> </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 Location &quot;8fc72085-d349-4bd7-ba84-91a935a4e3c8&quot; </p></div><p><b>type</b>: 130 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-hospital-service-cd.html\">Hospital Service Code</a>#130)</span></p><p><b>partOf</b>: <a href=\"#Location_8fc72085-d349-4bd7-ba84-91a935a4e3c7\">See above (urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7)</a></p></div>"
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-hospital-service-cd"^^xsd:anyURI ] ; #  location department 
fhir:code [ fhir:v "130" ]     ] )
  ] ) ; # 
  fhir:partOf [
fhir:reference [ fhir:v "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7" ]
  ] . # 

<urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a> a fhir:Claim ;
  fhir:id [ fhir:v "e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-claim"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-eattestation-claim>     ] ) #  new profile to create for the request 
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_e85173bc-6f0d-480b-a2cd-2b70d9ffff7a\"> </a><p><b>Generated Narrative: Claim</b><a name=\"e85173bc-6f0d-480b-a2cd-2b70d9ffff7a\"> </a><a name=\"hce85173bc-6f0d-480b-a2cd-2b70d9ffff7a\"> </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 Claim &quot;e85173bc-6f0d-480b-a2cd-2b70d9ffff7a&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-be-eattestation-claim.html\">MyCareNet eAttestation Claim BE profile</a></p></div><p><b>BeExtEAttestationSupplement</b>: <span title=\"Euro\">€60.00</span> (EUR)</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>: physiotherapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-be-cs-eattestation-types.html\">Attestation types</a>#physiotherapy)</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>enterer</b>: <a href=\"#PractitionerRole_62c7bfad-0cb3-4a39-9abb-3a62e06de834\">See above (urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834)</a></p><p><b>provider</b>: <a href=\"#PractitionerRole_62c7bfad-0cb3-4a39-9abb-3a62e06de834\">See above (urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834)</a></p><p><b>priority</b>: Immediate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-processpriority.html\">Process Priority Codes</a>#stat)</span></p><h3>Payees</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Subscriber <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-payeetype.html\">Payee Type Codes</a>#subscriber)</span></td><td><a href=\"#Patient_a52efcb6-1f81-4333-a115-d45bd3183686\">See above (urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686)</a></td></tr></table><blockquote><p><b>careTeam</b></p><p><b>sequence</b>: 1</p><p><b>provider</b>: <span><a href=\"https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-nihdi.html\" title=\"RIZIV/INAMI\">BeNIHDINamingSystem</a>/numéro inami du prestataire</span></p><p><b>role</b>: Other <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claimcareteamrole.html\">Claim Care Team Role Codes</a>#other)</span></p><p><b>qualification</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></blockquote><blockquote><p><b>careTeam</b></p><p><b>sequence</b>: 2</p><p><b>provider</b>: <span><a href=\"https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-nihdi.html\" title=\"RIZIV/INAMI\">BeNIHDINamingSystem</a>/numéro inami du prestataire</span></p><p><b>role</b>: Assisting Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claimcareteamrole.html\">Claim Care Team Role Codes</a>#assist)</span></p><p><b>qualification</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></blockquote><blockquote><p><b>careTeam</b></p><p><b>sequence</b>: 3</p><p><b>provider</b>: <span><a href=\"https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-nihdi.html\" title=\"RIZIV/INAMI\">BeNIHDINamingSystem</a>/numéro inami du prestataire</span></p><p><b>role</b>: Assisting Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claimcareteamrole.html\">Claim Care Team Role Codes</a>#assist)</span></p><p><b>qualification</b>: oral dental hygienist <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>#persoraldentalhygienist)</span></p></blockquote><blockquote><p><b>careTeam</b></p><p><b>sequence</b>: 4</p><p><b>provider</b>: <span><a href=\"https://build.fhir.org/ig/hl7-be/core//NamingSystem-be-nihdi.html\" title=\"RIZIV/INAMI\">BeNIHDINamingSystem</a>/numéro inami du prestataire</span></p><p><b>role</b>: Primary provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claimcareteamrole.html\">Claim Care Team Role Codes</a>#primary)</span></p><p><b>qualification</b>: physiotherapist <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>#persphysiotherapist)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: Information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claiminformationcategory.html\">Claim Information Category Codes</a>#info)</span></p><p><b>code</b>: 0050 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-treatment-reason.html\">Treatment Reason</a>#0050)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: Information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claiminformationcategory.html\">Claim Information Category Codes</a>#info)</span></p><p><b>code</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-claim-norm-code.html\">Claim Norm Code</a>#1)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: Information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claiminformationcategory.html\">Claim Information Category Codes</a>#info)</span></p><p><b>code</b>: 000000 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (be-ns-claim-related-claim#000000)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 4</p><p><b>category</b>: Information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claiminformationcategory.html\">Claim Information Category Codes</a>#info)</span></p><p><b>code</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-claim-transplantation-code.html\">Claim Transplantation Code</a>#1)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 5</p><p><b>category</b>: Information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claiminformationcategory.html\">Claim Information Category Codes</a>#info)</span></p><p><b>code</b>: 01 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-claim-exemption-code.html\">Claim Exemption Code</a>#01)</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 6</p><p><b>category</b>: Information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-claiminformationcategory.html\">Claim Information Category Codes</a>#info)</span></p><p><b>value</b>: <a href=\"#ServiceRequest_b3586cda-f1e5-4c58-a389-94249957d87a\">See above (urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a)</a></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><span>: use of mandatory insurance coverage, no further details provided here.</span></td></tr></table><blockquote><p><b>item</b></p><p><b>BeExtEAttestationItemSupplement</b>: <span title=\"Euro\">€60.00</span> (EUR)</p><p><b>BeExtEAttestationItemPreAuthRef</b>: preauthref number</p><blockquote><p><b>BeExtPatientIdentityDocument</b></p><blockquote><p><b>url</b></p><code>readingDate</code></blockquote><p><b>value</b>: 2015-07-14</p><blockquote><p><b>url</b></p><code>readingTime</code></blockquote><p><b>value</b>: 11:14:30</p><blockquote><p><b>url</b></p><code>entryType</code></blockquote><p><b>value</b>: 4 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-id-doc-input-type.html\">Id Doc Input Type</a>#4)</span></p><blockquote><p><b>url</b></p><code>reasonManual</code></blockquote><p><b>value</b>: 2 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-id-doc-manual-input-justification.html\">Id Doc Manual Input Justification</a>#2)</span></p><blockquote><p><b>url</b></p><code>medium</code></blockquote><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-id-doc-media-type.html\">Id Doc Media Type</a>#1)</span></p><blockquote><p><b>url</b></p><code>stickerReason</code></blockquote><p><b>value</b>: 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://build.fhir.org/ig/hl7-be/nihdi-terminology//CodeSystem-be-cs-id-doc-vignette-use-justification.html\">Id Doc Vignette Use Justification</a>#1)</span></p><blockquote><p><b>url</b></p><code>serialNumber</code></blockquote><p><b>value</b>: actual cardnumber as string</p></blockquote><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1, 2, 3, 4</p><p><b>informationSequence</b>: 2, 3, 4, 5, 6</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>: 2020-01-14</p><p><b>location</b>: <a href=\"#Location_8fc72085-d349-4bd7-ba84-91a935a4e3c7\">See above (urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7)</a></p><p><b>quantity</b>: 10</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>50</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>500</td><td>EUR</td></tr></table><p><b>bodySite</b>: Mandibular left first premolar tooth <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#2400006)</span></p></blockquote><h3>Totals</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>500</td><td>EUR</td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-ext-eattestation-supplement"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "60"^^xsd:decimal ] ;
fhir:currency [ fhir:v "EUR" ]     ] #  supplement for eattest 
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "professional" ]     ] )
  ] ; # 
  fhir:subType [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/CodeSystem/be-cs-eattestation-types"^^xsd:anyURI ] ;
fhir:code [ fhir:v "physiotherapy" ]     ] ) #  attestationType 
  ] ; # 
  fhir:use [ fhir:v "claim"] ; # 
  fhir:patient [
fhir:reference [ fhir:v "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686" ]
  ] ; # 
  fhir:created [ fhir:v "2015-07-14T11:15:30+02:00"^^xsd:dateTime] ; # 
  fhir:enterer [
fhir:reference [ fhir:v "urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834" ]
  ] ; # 
  fhir:provider [
fhir:reference [ fhir:v "urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834" ] #  provider for item 
  ] ; # 
  fhir:priority [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ;
fhir:code [ fhir:v "stat" ]     ] )
  ] ; # 
  fhir:payee [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/payeetype"^^xsd:anyURI ] ;
fhir:code [ fhir:v "subscriber" ]       ] )     ] ;
fhir:party [
fhir:reference [ fhir:v "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686" ]     ]
  ] ; # 
  fhir:careTeam ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; #  auxiliaryProvider: gmf manager 
fhir:provider [
fhir:identifier [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numéro inami du prestataire" ]       ]     ] ;
fhir:role [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claimcareteamrole"^^xsd:anyURI ] ;
fhir:code [ fhir:v "other" ]       ] )     ] ;
fhir:qualification [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persphysician" ]       ] )     ]
  ] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; #  AuxiliaryProvider: trainee 
fhir:provider [
fhir:identifier [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numéro inami du prestataire" ]       ]     ] ;
fhir:role [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claimcareteamrole"^^xsd:anyURI ] ;
fhir:code [ fhir:v "assist" ]       ] )     ] ;
fhir:qualification [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persphysician" ]       ] ) #  hcparty ?      ]
  ] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ; #  AuxiliaryProvider: oralHygienist 
fhir:provider [
fhir:identifier [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numéro inami du prestataire" ]       ]     ] ;
fhir:role [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claimcareteamrole"^^xsd:anyURI ] ;
fhir:code [ fhir:v "assist" ]       ] )     ] ;
fhir:qualification [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persoraldentalhygienist" ]       ] )     ]
  ] [
fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ; #  service - Provider 
fhir:provider [
fhir:identifier [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numéro inami du prestataire" ]       ]     ] ;
fhir:role [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claimcareteamrole"^^xsd:anyURI ] ;
fhir:code [ fhir:v "primary" ]       ] )     ] ;
fhir:qualification [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persphysiotherapist" ]       ] )     ]
  ] ) ; # 
  fhir:supportingInfo ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ; #  treatmentCauses for attest
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-treatment-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "0050" ]       ] )     ]
  ] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ; #  standard (claim norm) for item 
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-claim-norm-code"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]       ] )     ]
  ] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ; #  related (claim) for item 
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/NamingSystem/be-ns-claim-related-claim"^^xsd:anyURI ] ;
fhir:code [ fhir:v "000000" ]       ] )     ]
  ] [
fhir:sequence [ fhir:v "4"^^xsd:positiveInteger ] ; #  transplantation for item 
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-claim-transplantation-code"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]       ] )     ]
  ] [
fhir:sequence [ fhir:v "5"^^xsd:positiveInteger ] ; #  identical (exemption) for item 
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-claim-exemption-code"^^xsd:anyURI ] ;
fhir:code [ fhir:v "01" ]       ] )     ]
  ] [
fhir:sequence [ fhir:v "6"^^xsd:positiveInteger ] ; #  prescription for item 
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a" ]     ]
  ] ) ; # 
  fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
fhir:coverage [
fhir:display [ fhir:v "use of mandatory insurance coverage, no further details provided here." ]     ]
  ] ) ; # 
  fhir:item ( [
    ( fhir:extension [
fhir:url [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-ext-eattestation-item-supplement"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "60"^^xsd:decimal ] ;
fhir:currency [ fhir:v "EUR" ]       ] #  supplement for item      ] [
fhir:url [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-ext-eattestation-item-preauthref"^^xsd:anyURI ] ;
fhir:value [ fhir:v "preauthref number" ] #  medicalAdvisorDecisionNr for item      ] [
fhir:url [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/StructureDefinition/be-ext-patientidentitydocument"^^xsd:anyURI ] ;
      ( fhir:extension [
fhir:url [ fhir:v "readingDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2015-07-14"^^xsd:date ]       ] [
fhir:url [ fhir:v "readingTime"^^xsd:anyURI ] ;
fhir:value [ fhir:v "11:14:30"^^xsd:time ]       ] [
fhir:url [ fhir:v "entryType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-id-doc-input-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "4" ]           ] )         ]       ] [
fhir:url [ fhir:v "reasonManual"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-id-doc-manual-input-justification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2" ]           ] )         ]       ] [
fhir:url [ fhir:v "medium"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-id-doc-media-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]           ] )         ]       ] [
fhir:url [ fhir:v "stickerReason"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-id-doc-vignette-use-justification"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ]           ] )         ]       ] [
fhir:url [ fhir:v "serialNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "actual cardnumber as string" ]       ] ) #  patientIdentityDocument for item      ] ) ;
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
    ( fhir:careTeamSequence [ fhir:v "1"^^xsd:positiveInteger ] [ fhir:v "2"^^xsd:positiveInteger ] [ fhir:v "3"^^xsd:positiveInteger ] [ fhir:v "4"^^xsd:positiveInteger ] ) ;
    ( fhir:informationSequence [ fhir:v "2"^^xsd:positiveInteger ] [ fhir:v "3"^^xsd:positiveInteger ] [ fhir:v "4"^^xsd:positiveInteger ] [ fhir:v "5"^^xsd:positiveInteger ] [ fhir:v "6"^^xsd:positiveInteger ] ) ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature"^^xsd:anyURI ] ;
fhir:code [ fhir:v "101032" ]       ] ) #  identifier for item      ] ;
fhir:serviced [ fhir:v "2020-01-14"^^xsd:date ] ; #  date for item 
fhir:location [
a fhir:Reference ;
fhir:reference [ fhir:v "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7" ] #  location for item      ] ;
fhir:quantity [
fhir:value [ fhir:v "10"^^xsd:decimal ]     ] ; #  count for item 
fhir:unitPrice [
fhir:value [ fhir:v "50"^^xsd:decimal ] ;
fhir:currency [ fhir:v "EUR" ]     ] ;
fhir:net [
fhir:value [ fhir:v "500"^^xsd:decimal ] ; #  fee for item 
fhir:currency [ fhir:v "EUR" ]     ] ;
fhir:bodySite [
      ( fhir:coding [
a sct:2400006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2400006" ]       ] ) #  toothNumber for item ,  Mandibular left first premolar tooth      ]
  ] ) ; #  laterality for item
#          <bodySite>
#			<extension url="https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality">
#              <valueCoding>
#                <system value="http://snomed.info/sct"/>
#                <code value="419161000"/>
#              </valueCoding>
#            </extension>
#          </bodySite>
#		  
  fhir:total [
fhir:value [ fhir:v "500"^^xsd:decimal ] ; #  totalFee for the whole attest 
fhir:currency [ fhir:v "EUR" ]
  ] . #