Belgian MyCareNet eTariff Profiles
1.0.0 - STU
Belgian MyCareNet eTariff Profiles
1.0.0 - STU
Belgian MyCareNet eTariff 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/etariff/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex01"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/be-etariff-request"/>
</meta>
<type value="message"/>
<timestamp value="2015-07-14T11:15:33+02:00"/>
<entry>
<fullUrl value="urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b"/>
<resource>
<MessageHeader>
<id value="267b18ce-3d37-4581-9baa-6fada338038b"/>
<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_267b18ce-3d37-4581-9baa-6fada338038b"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader 267b18ce-3d37-4581-9baa-6fada338038b</b></p><a name="267b18ce-3d37-4581-9baa-6fada338038b"> </a><a name="hc267b18ce-3d37-4581-9baa-6fada338038b"> </a><a name="267b18ce-3d37-4581-9baa-6fada338038b-en-US"> </a><p><b>event</b>: <a href="https://build.fhir.org/ig/hl7-be/mycarenet/CodeSystem-message-events.html#message-events-etariff-consult">CodeSystem message events</a> etariff-consult: etariff-consult</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>urn:be:fgov:kbo-bce:organization:cbe-number:0820563481</td></tr></table><p><b>sender</b>: <a href="Bundle-ex01.html#urn-uuid-62c7bfad-0cb3-4a39-9abb-3a62e06de834">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</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>urn:be:fgov:person:ssin:ehealth:1.0:doctor:nihii11:19234011004</td></tr></table><p><b>focus</b>: <a href="Bundle-ex01.html#urn-uuid-e85173bc-6f0d-480b-a2cd-2b70d9ffff7a">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p></div>
</text>
<eventCoding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events"/>
<code value="etariff-consult"/>
</eventCoding>
<destination>
<name value="MyCareNet"/>
<endpoint
value="urn:be:fgov:kbo-bce:organization:cbe-number:0820563481"/>
</destination>
<sender>
<!-- sender party for etariff -->
<reference value="urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
</sender>
<source>
<endpoint
value="urn:be:fgov:person:ssin:ehealth:1.0:doctor:nihii11:19234011004"/>
</source>
<focus>
<reference value="urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
<resource>
<PractitionerRole>
<id value="62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
<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_62c7bfad-0cb3-4a39-9abb-3a62e06de834"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 62c7bfad-0cb3-4a39-9abb-3a62e06de834</b></p><a name="62c7bfad-0cb3-4a39-9abb-3a62e06de834"> </a><a name="hc62c7bfad-0cb3-4a39-9abb-3a62e06de834"> </a><a name="62c7bfad-0cb3-4a39-9abb-3a62e06de834-en-US"> </a><p><b>practitioner</b>: <a href="Bundle-ex01.html#urn-uuid-03972cc4-d781-4285-8d79-0f05810e1931">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</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 class="res-header-id"><b>Generated Narrative: Practitioner 03972cc4-d781-4285-8d79-0f05810e1931</b></p><a name="03972cc4-d781-4285-8d79-0f05810e1931"> </a><a name="hc03972cc4-d781-4285-8d79-0f05810e1931"> </a><a name="03972cc4-d781-4285-8d79-0f05810e1931-en-US"> </a><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>: John Smith </p></div>
</text>
<identifier>
<!-- sender party for etariff -->
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="19234011004"/>
</identifier>
<name>
<family value="Smith"/>
<given value="John"/>
</name>
</Practitioner>
</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 class="res-header-id"><b>Generated Narrative: Patient a52efcb6-1f81-4333-a115-d45bd3183686</b></p><a name="a52efcb6-1f81-4333-a115-d45bd3183686"> </a><a name="hca52efcb6-1f81-4333-a115-d45bd3183686"> </a><a name="a52efcb6-1f81-4333-a115-d45bd3183686-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jean Dupont Male, DoB Unknown ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#73031805784)</p><hr/></div>
</text>
<identifier>
<!-- patient -->
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
<value value="73031805784"/>
</identifier>
<name>
<family value="Dupont"/>
<given value="Jean"/>
</name>
<gender value="male"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"/>
<resource>
<Claim>
<id value="e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"/>
<meta>
<!-- new profile to create for the request -->
<profile
value="https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/be-etariff-claim"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"> </a><p class="res-header-id"><b>Generated Narrative: Claim e85173bc-6f0d-480b-a2cd-2b70d9ffff7a</b></p><a name="e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"> </a><a name="hce85173bc-6f0d-480b-a2cd-2b70d9ffff7a"> </a><a name="e85173bc-6f0d-480b-a2cd-2b70d9ffff7a-en-US"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>subType</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-etariff-types generalpractice}">generalpractice</span></p><p><b>use</b>: Predetermination</p><p><b>patient</b>: <a href="Bundle-ex01.html#urn-uuid-a52efcb6-1f81-4333-a115-d45bd3183686">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>created</b>: 2015-07-14 11:15:30+0200</p><p><b>enterer</b>: <a href="Bundle-ex01.html#urn-uuid-62c7bfad-0cb3-4a39-9abb-3a62e06de834">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>provider</b>: <a href="Bundle-ex01.html#urn-uuid-62c7bfad-0cb3-4a39-9abb-3a62e06de834">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority stat}">Immediate</span></p><blockquote><p><b>careTeam</b></p><p><b>sequence</b>: 1</p><p><b>provider</b>: Identifier: <a href="https://build.fhir.org/ig/hl7-be/core/NamingSystem-be-nihdi.html" title="RIZIV/INAMI">BeNIHDINamingSystem</a>/numéro inami du prestataire</p><p><b>role</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claimcareteamrole other}">Other</span></p><p><b>qualification</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</span></p></blockquote><blockquote><p><b>careTeam</b></p><p><b>sequence</b>: 2</p><p><b>provider</b>: Identifier: <a href="https://build.fhir.org/ig/hl7-be/core/NamingSystem-be-nihdi.html" title="RIZIV/INAMI">BeNIHDINamingSystem</a>/numéro inami du prestataire</p><p><b>role</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claimcareteamrole primary}">Primary provider</span></p><p><b>qualification</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}">Information</span></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/mycarenet/NamingSystem/be-ns-claim-related-claim 000000}">000000</span></p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}">Information</span></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-claim-exemption-code 01}">01</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>use of mandatory insurance coverage, no further details provided here.</td></tr></table><blockquote><p><b>item</b></p><p><b>sequence</b>: 1</p><p><b>careTeamSequence</b>: 1, 2</p><p><b>informationSequence</b>: 1, 2</p><p><b>productOrService</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature 101032}">101032</span></p><p><b>serviced</b>: 2020-01-14</p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 2400006}">Mandibular left first premolar tooth</span></p></blockquote></div>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="professional"/>
</coding>
</type>
<subType>
<!-- tariffType -->
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-etariff-types"/>
<code value="generalpractice"/>
</coding>
</subType>
<use value="predetermination"/>
<patient>
<reference value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
</patient>
<created value="2015-07-14T11:15:30+02:00"/>
<enterer>
<reference value="urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
</enterer>
<provider>
<!-- provider for item -->
<reference value="urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="stat"/>
</coding>
</priority>
<careTeam>
<!-- auxiliaryProvider: gmf manager -->
<sequence value="1"/>
<provider>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="numéro inami du prestataire"/>
</identifier>
</provider>
<role>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claimcareteamrole"/>
<code value="other"/>
</coding>
</role>
<qualification>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysician"/>
</coding>
</qualification>
</careTeam>
<careTeam>
<!-- service - Provider -->
<sequence value="2"/>
<provider>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="numéro inami du prestataire"/>
</identifier>
</provider>
<role>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claimcareteamrole"/>
<code value="primary"/>
</coding>
</role>
<qualification>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysician"/>
</coding>
</qualification>
</careTeam>
<supportingInfo>
<!-- related (claim) for item -->
<sequence value="1"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="info"/>
</coding>
</category>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/NamingSystem/be-ns-claim-related-claim"/>
<code value="000000"/>
</coding>
</code>
</supportingInfo>
<supportingInfo>
<!-- identical (exemption) for item -->
<sequence value="2"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="info"/>
</coding>
</category>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-claim-exemption-code"/>
<code value="01"/>
</coding>
</code>
</supportingInfo>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<display
value="use of mandatory insurance coverage, no further details provided here."/>
</coverage>
</insurance>
<item>
<sequence value="1"/>
<careTeamSequence value="1"/>
<careTeamSequence value="2"/>
<informationSequence value="1"/>
<informationSequence value="2"/>
<productOrService>
<!-- 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="2020-01-14"/>
<bodySite>
<!-- toothNumber for item -->
<!-- Mandibular left first premolar tooth -->
<coding>
<system value="http://snomed.info/sct"/>
<code value="2400006"/>
</coding>
</bodySite>
</item>
</Claim>
</resource>
</entry>
</Bundle>
IG © 2022+ eHealth Platform. Package hl7.fhir.be.etariff#1.0.0 based on FHIR 4.0.1. Generated 2024-10-02
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