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
{
"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"
}
]
}
}
]
}
}
]
}