Belgian MyCareNet eTariff Profiles
1.0.0 - STU Belgium flag

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

: ex09 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "ex09",
  "meta" : {
    "profile" : [
      🔗 "https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/be-etariff-request"
    ]
  },
  "type" : "message",
  "timestamp" : "2015-07-14T11:15:33+02:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "267b18ce-3d37-4581-9baa-6fada338038b",
        "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_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-ex09.html#urn-uuid-e2c6f73a-74d8-40f2-af0b-a61ad20c53d4\">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:ehealth:1.0:hospital:nihii-number:71065960000</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>"
        },
        "eventCoding" : {
          "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events",
          "code" : "etariff-consult"
        },
        "destination" : [
          {
            "name" : "MyCareNet",
            "endpoint" : "urn:be:fgov:kbo-bce:organization:cbe-number:0820563481"
          }
        ],
        "sender" : {
          "reference" : "urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d4"
        },
        "source" : //  sender party for etariff 
        {
          "endpoint" : "urn:be:fgov:ehealth:1.0:hospital:nihii-number:71065960000"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d4",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "e2c6f73a-74d8-40f2-af0b-a61ad20c53d4",
        "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-a61ad20c53d4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization e2c6f73a-74d8-40f2-af0b-a61ad20c53d4</b></p><a name=\"e2c6f73a-74d8-40f2-af0b-a61ad20c53d4\"> </a><a name=\"hce2c6f73a-74d8-40f2-af0b-a61ad20c53d4\"> </a><a name=\"e2c6f73a-74d8-40f2-af0b-a61ad20c53d4-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>/71065960000</p><p><b>type</b>: <span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty orghospital}\">hospital</span></p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "71065960000"
          }
        ],
        "type" : [
          {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code" : "orghospital"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "62c7bfad-0cb3-4a39-9abb-3a62e06de834",
        "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_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 persdentist}\">dentist</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" : "persdentist"
              }
            ]
          }
        ]
      }
    },
    {
      "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 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>/30202929001</p><p><b>name</b>: Pierre Durand </p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "30202929001"
          }
        ],
        "name" : [
          //  sender party for etariff 
          {
            "family" : "Durand",
            "given" : [
              "Pierre"
            ]
          }
        ]
      }
    },
    {
      "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 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#70319666960)</p><hr/></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
            "value" : "70319666960"
          }
        ],
        "name" : [
          //  patient 
          {
            "family" : "Dupont",
            "given" : [
              "Jean"
            ]
          }
        ],
        "gender" : "male"
      }
    },
    {
      "fullUrl" : "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a",
      "resource" : {
        "resourceType" : "Claim",
        "id" : "e85173bc-6f0d-480b-a2cd-2b70d9ffff7a",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/be-etariff-claim"
          ]
        },
        "text" : //  new profile to create for the request 
        {
          "status" : "generated",
          "div" : "<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 dentistry}\">dentistry</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><h3>CareTeams</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Provider</b></td><td><b>Role</b></td><td><b>Qualification</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>Identifier: <a href=\"https://build.fhir.org/ig/hl7-be/core/NamingSystem-be-nihdi.html\" title=\"RIZIV/INAMI\">BeNIHDINamingSystem</a>/30202929001</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claimcareteamrole primary}\">Primary provider</span></td><td><span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persdentist}\">dentist</span></td></tr></table><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}\">Information</span></td><td><span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/mycarenet/NamingSystem/be-ns-claim-related-claim 373833}\">373833</span></td></tr></table><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><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>CareTeamSequence</b></td><td><b>InformationSequence</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td><td><b>BodySite</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>1</td><td>1</td><td><span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature 373590}\">373590</span></td><td>2013-01-12</td><td><span title=\"Codes:{http://snomed.info/sct 424877001}\">Structure of permanent maxillary right lateral incisor tooth (body structure)</span></td></tr></table></div>"
        },
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
              "code" : "professional"
            }
          ]
        },
        "subType" : {
          "coding" : [
            //  tariffType 
            {
              "system" : "https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-etariff-types",
              "code" : "dentistry"
            }
          ]
        },
        "use" : "predetermination",
        "patient" : {
          "reference" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"
        },
        "created" : "2015-07-14T11:15:30+02:00",
        "enterer" : {
          "reference" : "urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"
        },
        "provider" : {
          "reference" : "urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"
        },
        "priority" : //  provider for item 
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
              "code" : "stat"
            }
          ]
        },
        "careTeam" : [
          {
            "sequence" : 1,
            "provider" : //  service - Provider 
            {
              "identifier" : {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
                "value" : "30202929001"
              }
            },
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
                  "code" : "primary"
                }
              ]
            },
            "qualification" : {
              "coding" : [
                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                  "code" : "persdentist"
                }
              ]
            }
          }
        ],
        "supportingInfo" : [
          {
            "sequence" : 1,
            "category" : //  related (claim) for item 
            {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                  "code" : "info"
                }
              ]
            },
            "code" : {
              "coding" : [
                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/NamingSystem/be-ns-claim-related-claim",
                  "code" : "373833"
                }
              ]
            }
          }
        ],
        "insurance" : [
          {
            "sequence" : 1,
            "focal" : true,
            "coverage" : {
              "display" : "use of mandatory insurance coverage, no further details provided here."
            }
          }
        ],
        "item" : [
          {
            "sequence" : 1,
            "careTeamSequence" : [
              1
            ],
            "informationSequence" : [
              1
            ],
            "productOrService" : {
              "coding" : [
                //  identifier for item 
                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature",
                  "code" : "373590"
                }
              ]
            },
            "servicedDate" : "2013-01-12",
            "bodySite" : //  date for item 
            {
              "coding" : [
                //  toothNumber for item 
                //  tooth number 12 in snomed 
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "424877001"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}