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

: refusal values - XML Representation

Draft as of 2024-10-02

Raw xml | Download


<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="be-cs-refusal-values"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://www.ehealth.fgov.be/standards/fhir/etariff/CodeSystem/be-cs-refusal-values"/>
  <version value="1.0.0"/>
  <name value="BeCSRefusalValues"/>
  <title value="refusal values"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2024-10-02T11:49:46+00:00"/>
  <publisher value="eHealth Platform"/>
  <contact>
    <name value="eHealth Platform"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.ehealth.fgov.be/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="support@be-ehealth-standards.atlassian.net"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="BE"/>
      <display value="Belgium"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="10"/>
  <concept>
    <code value="001"/>
    <display value="Renewal period not yet expired"/>
  </concept>
  <concept>
    <code value="002"/>
    <display
             value="Maximum number of services already reached over the authorized period (and/or no derogation granted)"/>
  </concept>
  <concept>
    <code value="003"/>
    <display
             value="Service no longer authorized (already reimbursed) for this location (tooth, quadrant, etc.)"/>
  </concept>
  <concept>
    <code value="004"/>
    <display value="L600 value reached for authorized period"/>
  </concept>
  <concept>
    <code value="005"/>
    <display value="No MC/CTD agreement recorded for the service requested"/>
  </concept>
  <concept>
    <code value="006"/>
    <display
             value="Price consultation is not allowed for this service as it requires the approval of the TTR in accordance with the reimbursement conditions."/>
  </concept>
  <concept>
    <code value="007"/>
    <display
             value="Consultation of the tariff is not authorized for this service because the tariff depends on other services invoiced at the same time."/>
  </concept>
  <concept>
    <code value="008"/>
    <display value="Prerequisite not met"/>
  </concept>
  <concept>
    <code value="009"/>
    <display value="The nomenclature code cannot be attested on this date"/>
  </concept>
  <concept>
    <code value="010"/>
    <display value="Service cannot be combined with another service"/>
  </concept>
</CodeSystem>