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
: refusal values - TTL Representation
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@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 xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "be-cs-refusal-values"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem be-cs-refusal-values</b></p><a name=\"be-cs-refusal-values\"> </a><a name=\"hcbe-cs-refusal-values\"> </a><a name=\"be-cs-refusal-values-en-US\"> </a><p>This case-sensitive code system <code>https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-refusal-values</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">001<a name=\"be-cs-refusal-values-001\"> </a></td><td>Renewal period not yet expired</td></tr><tr><td style=\"white-space:nowrap\">002<a name=\"be-cs-refusal-values-002\"> </a></td><td>Maximum number of services already reached over the authorized period (and/or no derogation granted)</td></tr><tr><td style=\"white-space:nowrap\">003<a name=\"be-cs-refusal-values-003\"> </a></td><td>Service no longer authorized (already reimbursed) for this location (tooth, quadrant, etc.)</td></tr><tr><td style=\"white-space:nowrap\">004<a name=\"be-cs-refusal-values-004\"> </a></td><td>L600 value reached for authorized period</td></tr><tr><td style=\"white-space:nowrap\">005<a name=\"be-cs-refusal-values-005\"> </a></td><td>No MC/CTD agreement recorded for the service requested</td></tr><tr><td style=\"white-space:nowrap\">006<a name=\"be-cs-refusal-values-006\"> </a></td><td>Price consultation is not allowed for this service as it requires the approval of the TTR in accordance with the reimbursement conditions.</td></tr><tr><td style=\"white-space:nowrap\">007<a name=\"be-cs-refusal-values-007\"> </a></td><td>Consultation of the tariff is not authorized for this service because the tariff depends on other services invoiced at the same time.</td></tr><tr><td style=\"white-space:nowrap\">008<a name=\"be-cs-refusal-values-008\"> </a></td><td>Prerequisite not met</td></tr><tr><td style=\"white-space:nowrap\">009<a name=\"be-cs-refusal-values-009\"> </a></td><td>The nomenclature code cannot be attested on this date</td></tr><tr><td style=\"white-space:nowrap\">010<a name=\"be-cs-refusal-values-010\"> </a></td><td>Service cannot be combined with another service</td></tr></table></div>"
] ; #
fhir:url [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-refusal-values"^^xsd:anyURI] ; #
fhir:version [ fhir:v "1.0.0"] ; #
fhir:name [ fhir:v "BeCSRefusalValues"] ; #
fhir:title [ fhir:v "refusal values"] ; #
fhir:status [ fhir:v "draft"] ; #
fhir:experimental [ fhir:v "false"^^xsd:boolean] ; #
fhir:date [ fhir:v "2024-10-02T11:49:46+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "eHealth Platform"] ; #
fhir:contact ( [
fhir:name [ fhir:v "eHealth Platform" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.ehealth.fgov.be/" ] ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "support@be-ehealth-standards.atlassian.net" ] ] )
] ) ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "BE" ] ;
fhir:display [ fhir:v "Belgium" ] ] )
] ) ; #
fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; #
fhir:content [ fhir:v "complete"] ; #
fhir:count [ fhir:v "10"^^xsd:nonNegativeInteger] ; #
fhir:concept ( [
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "Renewal period not yet expired" ]
] [
fhir:code [ fhir:v "002" ] ;
fhir:display [ fhir:v "Maximum number of services already reached over the authorized period (and/or no derogation granted)" ]
] [
fhir:code [ fhir:v "003" ] ;
fhir:display [ fhir:v "Service no longer authorized (already reimbursed) for this location (tooth, quadrant, etc.)" ]
] [
fhir:code [ fhir:v "004" ] ;
fhir:display [ fhir:v "L600 value reached for authorized period" ]
] [
fhir:code [ fhir:v "005" ] ;
fhir:display [ fhir:v "No MC/CTD agreement recorded for the service requested" ]
] [
fhir:code [ fhir:v "006" ] ;
fhir:display [ fhir:v "Price consultation is not allowed for this service as it requires the approval of the TTR in accordance with the reimbursement conditions." ]
] [
fhir:code [ fhir:v "007" ] ;
fhir:display [ fhir:v "Consultation of the tariff is not authorized for this service because the tariff depends on other services invoiced at the same time." ]
] [
fhir:code [ fhir:v "008" ] ;
fhir:display [ fhir:v "Prerequisite not met" ]
] [
fhir:code [ fhir:v "009" ] ;
fhir:display [ fhir:v "The nomenclature code cannot be attested on this date" ]
] [
fhir:code [ fhir:v "010" ] ;
fhir:display [ fhir:v "Service cannot be combined with another service" ]
] ) . #
