Belgian MyCareNet eTariff Profiles
1.0.0 - STU
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
| Official URL: https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/BeModeleTariffRequest | Version: 1.0.0 | |||
| Draft as of 2024-10-02 | Computable Name: BeModeleTariffRequest | |||
Tariff request by care provider
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  BeModeleTariffRequest |
0..* | Base | BeModeleTariffRequest Instances of this logical model are not marked to be the target of a Reference | |
  serviceProvider |
1..1 | Identifier | NIHDI N° of the service provider/organization requesting the tariff | |
| patient |
1..1 | Identifier | Patient identification | |
| tariffRequestType |
1..1 | CodeableConcept | Identification of the type of tariff request | |
 service |
1..* | BackboneElement | List of services | |
  provider |
1..1 | BackboneElement | Provider | |
  identifier |
1..1 | Identifier | INAMI number of the provider | |
| identifier |
1..1 | CodeableConcept | (pseudo-) service nomenclature code | |
| related |
0..1 | Identifier | The relative service must be completed when the reimbursement of the service depends on the performance of another service. It is the latter which must be mentioned as a relative service. | |
| toothNumber |
0..1 | CodeableConcept | The services for which a tooth number must be mentioned are indicated in the list of tariffs for dental services published on the NIHDI website | |
 identical |
0..1 | positiveInt | For certain services, the rules of application of the nomenclature provide for a maximum number of services in a certain period. In certain cases, the nomenclature also provides for derogations from this maximum number. Such derogations may be communicated in this area. The supporting documents for the derogation are made available to the insurers for subsequent checks. This zone is also used to indicate that it is indeed a second (or third or following) identical service on the same day for services without maximum rules (e.g. consultations or visits from general practitioners). Values: See 'Electronic invoicing instructions' (RT50Z23) | |
| date |
1..1 | dateTime | Date of service | |
| auxiliaryProvider |
0..1 | BackboneElement | Auxiliary provider | |
| GMF |
0..1 | Identifier | Identification Physician holding the patient's GMF. Mentioned when 'G' is applied, i.e. when the physician requesting the tariff has access to the patient's GMF data but is not the holder of it. | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| BeModeleTariffRequest |
0..* | Base | BeModeleTariffRequest Instances of this logical model are not marked to be the target of a Reference | |
| serviceProvider |
1..1 | Identifier | NIHDI N° of the service provider/organization requesting the tariff | |
| patient |
1..1 | Identifier | Patient identification | |
| tariffRequestType |
1..1 | CodeableConcept | Identification of the type of tariff request | |
| service |
1..* | BackboneElement | List of services | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| provider |
1..1 | BackboneElement | Provider | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier |
1..1 | Identifier | INAMI number of the provider | |
| identifier |
1..1 | CodeableConcept | (pseudo-) service nomenclature code | |
| related |
0..1 | Identifier | The relative service must be completed when the reimbursement of the service depends on the performance of another service. It is the latter which must be mentioned as a relative service. | |
| toothNumber |
0..1 | CodeableConcept | The services for which a tooth number must be mentioned are indicated in the list of tariffs for dental services published on the NIHDI website | |
| identical |
0..1 | positiveInt | For certain services, the rules of application of the nomenclature provide for a maximum number of services in a certain period. In certain cases, the nomenclature also provides for derogations from this maximum number. Such derogations may be communicated in this area. The supporting documents for the derogation are made available to the insurers for subsequent checks. This zone is also used to indicate that it is indeed a second (or third or following) identical service on the same day for services without maximum rules (e.g. consultations or visits from general practitioners). Values: See 'Electronic invoicing instructions' (RT50Z23) | |
| date |
1..1 | dateTime | Date of service | |
| auxiliaryProvider |
0..1 | BackboneElement | Auxiliary provider | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| GMF |
0..1 | Identifier | Identification Physician holding the patient's GMF. Mentioned when 'G' is applied, i.e. when the physician requesting the tariff has access to the patient's GMF data but is not the holder of it. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| BeModeleTariffRequest |
0..* | Base | BeModeleTariffRequest Instances of this logical model are not marked to be the target of a Reference | |
| serviceProvider |
1..1 | Identifier | NIHDI N° of the service provider/organization requesting the tariff | |
| patient |
1..1 | Identifier | Patient identification | |
| tariffRequestType |
1..1 | CodeableConcept | Identification of the type of tariff request | |
| service |
1..* | BackboneElement | List of services | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| provider |
1..1 | BackboneElement | Provider | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier |
1..1 | Identifier | INAMI number of the provider | |
| identifier |
1..1 | CodeableConcept | (pseudo-) service nomenclature code | |
| related |
0..1 | Identifier | The relative service must be completed when the reimbursement of the service depends on the performance of another service. It is the latter which must be mentioned as a relative service. | |
| toothNumber |
0..1 | CodeableConcept | The services for which a tooth number must be mentioned are indicated in the list of tariffs for dental services published on the NIHDI website | |
| identical |
0..1 | positiveInt | For certain services, the rules of application of the nomenclature provide for a maximum number of services in a certain period. In certain cases, the nomenclature also provides for derogations from this maximum number. Such derogations may be communicated in this area. The supporting documents for the derogation are made available to the insurers for subsequent checks. This zone is also used to indicate that it is indeed a second (or third or following) identical service on the same day for services without maximum rules (e.g. consultations or visits from general practitioners). Values: See 'Electronic invoicing instructions' (RT50Z23) | |
| date |
1..1 | dateTime | Date of service | |
| auxiliaryProvider |
0..1 | BackboneElement | Auxiliary provider | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| GMF |
0..1 | Identifier | Identification Physician holding the patient's GMF. Mentioned when 'G' is applied, i.e. when the physician requesting the tariff has access to the patient's GMF data but is not the holder of it. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| BeModeleTariffRequest |
0..* | Base | BeModeleTariffRequest Instances of this logical model are not marked to be the target of a Reference | |
| serviceProvider |
1..1 | Identifier | NIHDI N° of the service provider/organization requesting the tariff | |
| patient |
1..1 | Identifier | Patient identification | |
| tariffRequestType |
1..1 | CodeableConcept | Identification of the type of tariff request | |
| service |
1..* | BackboneElement | List of services | |
| provider |
1..1 | BackboneElement | Provider | |
| identifier |
1..1 | Identifier | INAMI number of the provider | |
| identifier |
1..1 | CodeableConcept | (pseudo-) service nomenclature code | |
| related |
0..1 | Identifier | The relative service must be completed when the reimbursement of the service depends on the performance of another service. It is the latter which must be mentioned as a relative service. | |
| toothNumber |
0..1 | CodeableConcept | The services for which a tooth number must be mentioned are indicated in the list of tariffs for dental services published on the NIHDI website | |
| identical |
0..1 | positiveInt | For certain services, the rules of application of the nomenclature provide for a maximum number of services in a certain period. In certain cases, the nomenclature also provides for derogations from this maximum number. Such derogations may be communicated in this area. The supporting documents for the derogation are made available to the insurers for subsequent checks. This zone is also used to indicate that it is indeed a second (or third or following) identical service on the same day for services without maximum rules (e.g. consultations or visits from general practitioners). Values: See 'Electronic invoicing instructions' (RT50Z23) | |
| date |
1..1 | dateTime | Date of service | |
| auxiliaryProvider |
0..1 | BackboneElement | Auxiliary provider | |
| GMF |
0..1 | Identifier | Identification Physician holding the patient's GMF. Mentioned when 'G' is applied, i.e. when the physician requesting the tariff has access to the patient's GMF data but is not the holder of it. | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| BeModeleTariffRequest |
0..* | Base | BeModeleTariffRequest Instances of this logical model are not marked to be the target of a Reference | |
| serviceProvider |
1..1 | Identifier | NIHDI N° of the service provider/organization requesting the tariff | |
| patient |
1..1 | Identifier | Patient identification | |
| tariffRequestType |
1..1 | CodeableConcept | Identification of the type of tariff request | |
| service |
1..* | BackboneElement | List of services | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| provider |
1..1 | BackboneElement | Provider | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier |
1..1 | Identifier | INAMI number of the provider | |
| identifier |
1..1 | CodeableConcept | (pseudo-) service nomenclature code | |
| related |
0..1 | Identifier | The relative service must be completed when the reimbursement of the service depends on the performance of another service. It is the latter which must be mentioned as a relative service. | |
| toothNumber |
0..1 | CodeableConcept | The services for which a tooth number must be mentioned are indicated in the list of tariffs for dental services published on the NIHDI website | |
| identical |
0..1 | positiveInt | For certain services, the rules of application of the nomenclature provide for a maximum number of services in a certain period. In certain cases, the nomenclature also provides for derogations from this maximum number. Such derogations may be communicated in this area. The supporting documents for the derogation are made available to the insurers for subsequent checks. This zone is also used to indicate that it is indeed a second (or third or following) identical service on the same day for services without maximum rules (e.g. consultations or visits from general practitioners). Values: See 'Electronic invoicing instructions' (RT50Z23) | |
| date |
1..1 | dateTime | Date of service | |
| auxiliaryProvider |
0..1 | BackboneElement | Auxiliary provider | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| GMF |
0..1 | Identifier | Identification Physician holding the patient's GMF. Mentioned when 'G' is applied, i.e. when the physician requesting the tariff has access to the patient's GMF data but is not the holder of it. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| BeModeleTariffRequest |
0..* | Base | BeModeleTariffRequest Instances of this logical model are not marked to be the target of a Reference | |
| serviceProvider |
1..1 | Identifier | NIHDI N° of the service provider/organization requesting the tariff | |
| patient |
1..1 | Identifier | Patient identification | |
| tariffRequestType |
1..1 | CodeableConcept | Identification of the type of tariff request | |
| service |
1..* | BackboneElement | List of services | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| provider |
1..1 | BackboneElement | Provider | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| identifier |
1..1 | Identifier | INAMI number of the provider | |
| identifier |
1..1 | CodeableConcept | (pseudo-) service nomenclature code | |
| related |
0..1 | Identifier | The relative service must be completed when the reimbursement of the service depends on the performance of another service. It is the latter which must be mentioned as a relative service. | |
| toothNumber |
0..1 | CodeableConcept | The services for which a tooth number must be mentioned are indicated in the list of tariffs for dental services published on the NIHDI website | |
| identical |
0..1 | positiveInt | For certain services, the rules of application of the nomenclature provide for a maximum number of services in a certain period. In certain cases, the nomenclature also provides for derogations from this maximum number. Such derogations may be communicated in this area. The supporting documents for the derogation are made available to the insurers for subsequent checks. This zone is also used to indicate that it is indeed a second (or third or following) identical service on the same day for services without maximum rules (e.g. consultations or visits from general practitioners). Values: See 'Electronic invoicing instructions' (RT50Z23) | |
| date |
1..1 | dateTime | Date of service | |
| auxiliaryProvider |
0..1 | BackboneElement | Auxiliary provider | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| GMF |
0..1 | Identifier | Identification Physician holding the patient's GMF. Mentioned when 'G' is applied, i.e. when the physician requesting the tariff has access to the patient's GMF data but is not the holder of it. | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base
IG © 2022+ eHealth Platform. Package hl7.fhir.be.etariff#1.0.0 based on FHIR 4.0.1. Generated 2024-10-02
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