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

Example Bundle: ex11

Generated Narrative: Bundle ex11

Bundle ex11 of type message

Entry 1 - fullUrl = urn:uuid:667b18ce-3d37-4581-9baa-6fada338038c

Resource MessageHeader:

Generated Narrative: MessageHeader 667b18ce-3d37-4581-9baa-6fada338038c

event: CodeSystem message events etariffresponse-consult: etariffresponse-consult

Destinations

-Receiver
*Bundle: type = message; timestamp = 2015-07-14 11:15:37+0200

sender: Bundle: type = message; timestamp = 2015-07-14 11:15:37+0200

source

Responses

-IdentifierCode
*267b18ce-3d37-4581-9baa-6fada338038bOK

focus: Bundle: type = message; timestamp = 2015-07-14 11:15:37+0200

Entry 2 - fullUrl = urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3

Resource PractitionerRole:

Generated Narrative: PractitionerRole 1dc5d974-5447-4afe-a4ab-57081ca518c3

practitioner: Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200

code: dentist

Entry 3 - fullUrl = urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931

Resource Practitioner:

Generated Narrative: Practitioner 03972cc4-d781-4285-8d79-0f05810e1931

identifier: BeNIHDINamingSystem/30202929001

name: Pierre Durand

Entry 4 - fullUrl = urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358

Resource Organization:

Generated Narrative: Organization cfabb40d-a53f-4c56-bc19-725ea669b358

identifier: BeInsuranceNumberNamingSystem/300

name: Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten

Entry 5 - fullUrl = urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686

Resource Patient:

Generated Narrative: Patient a52efcb6-1f81-4333-a115-d45bd3183686

Jean Dupont Male, DoB Unknown ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#70319666960)

Other Id:BeInsurancymembershipNamingSystem/1234567890123

Entry 6 - fullUrl = urn:uuid:5330da7f-db68-4380-a265-d364aeed8653

Resource Coverage:

Generated Narrative: Coverage 5330da7f-db68-4380-a265-d364aeed8653

status: Active

type: public healthcare

beneficiary: Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200

class

type: Plan

value: Mandatory Health Insurance

class

type: SubPlan

value: 110

class

type: SubPlan

value: 150

Entry 7 - fullUrl = urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693

Resource ClaimResponse:

Generated Narrative: ClaimResponse 0a0d60df-0340-45a6-a493-a5d67f74d693

status: Active

type: Professional

subType: dentistry

use: Predetermination

patient: Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200

created: 2015-07-14 11:15:30+0200

insurer: Bundle: type = message; timestamp = 2015-07-14 11:15:37+0200

requestor: Bundle: type = message; timestamp = 2015-07-14 11:15:37+0200

outcome: complete

addItem

BeExtItemReimbursement: €15.00 (EUR)

BeExtItemPatientFee: €10.00 (EUR)

BeExtEtariffItemCommitment: 123456789012345678901234567890120000000000002000

itemSequence: 1

provider: Bundle: type = message; timestamp = 2015-07-14 11:15:37+0200

productOrService: 373590

serviced: 2013-01-12

quantity: 1

UnitPrices

-ValueCurrency
*25EUR

Nets

-ValueCurrency
*25EUR

Adjudications

-Category
*tariff

addItem

itemSequence: 2

provider: Bundle: type = message; timestamp = 2015-07-14 11:15:37+0200

productOrService: 302153

Adjudications

-ExtensionCategoryReason
*, refusalMaximum number of services already reached over the authorized period (and/or no derogation granted)

Insurances

-SequenceFocalCoverage
*1trueBundle: type = message; timestamp = 2015-07-14 11:15:37+0200