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
| Draft as of 2024-10-02 |
XML representation of the BeModeleTariffResponse logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="BeModeleTariffResponse"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition BeModeleTariffResponse</b></p><a name="BeModeleTariffResponse"> </a><a name="hcBeModeleTariffResponse"> </a><a name="BeModeleTariffResponse-en-US"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse" title="Response for tariff request by careprovider">BeModeleTariffResponse</a><a name="BeModeleTariffResponse"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">BeModeleTariffResponse<br/><span style="font-weight:bold">Instances of this logical model are not marked to be the target of a Reference</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.insurer" title="Identification of the insurer">insurer</a><a name="BeModeleTariffResponse.insurer"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identification of the insurer</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.patient" title="Patient identification">patient</a><a name="BeModeleTariffResponse.patient"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient identification</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.holderCode1" title="holder code 1">holderCode1</a><a name="BeModeleTariffResponse.holderCode1"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">holder code 1</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.holderCode2" title="holder code 2">holderCode2</a><a name="BeModeleTariffResponse.holderCode2"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">holder code 2</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.tariffRequestType" title="Identification of the type of tariff request">tariffRequestType</a><a name="BeModeleTariffResponse.tariffRequestType"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Identification of the type of tariff request</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service" title="List of services">service</a><a name="BeModeleTariffResponse.service"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">List of services<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.provider" title="Provider ID">provider</a><a name="BeModeleTariffResponse.service.provider"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Provider ID</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.identifier" title="(pseudo-)nomenclature code of the service that was performed.">identifier</a><a name="BeModeleTariffResponse.service.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">(pseudo-)nomenclature code of the service that was performed.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.date" title="Date on which the service was performed.">date</a><a name="BeModeleTariffResponse.service.date"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date on which the service was performed.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.tariff" title="Tariff">tariff</a><a name="BeModeleTariffResponse.service.tariff"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Tariff</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.tariff.fee" title="Legal fee for the service (reimbursement amount + co-payment). The AO will provide the unit price, regardless of the rules for applying the nomenclature.">fee</a><a name="BeModeleTariffResponse.service.tariff.fee"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Legal fee for the service (reimbursement amount + co-payment). The AO will provide the unit price, regardless of the rules for applying the nomenclature.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.tariff.reimbursement" title="Amount paid by insurer">reimbursement</a><a name="BeModeleTariffResponse.service.tariff.reimbursement"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Amount paid by insurer</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.tariff.patientFee" title="Personal co-payment paid by the patient">patientFee</a><a name="BeModeleTariffResponse.service.tariff.patientFee"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Money">Money</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Personal co-payment paid by the patient</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.tariff.commitment" title="Approval number of the tariff commitment that the service provider must indicate in its billing.">commitment</a><a name="BeModeleTariffResponse.service.tariff.commitment"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Approval number of the tariff commitment that the service provider must indicate in its billing.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.refusal" title="Refusal of the service requested">refusal</a><a name="BeModeleTariffResponse.service.refusal"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Refusal of the service requested</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.refusal.reason" title="code for refusal of intervention by the AO for the requested service
The possible values are as follows.
001 Renewal period not yet expired
002 () Maximum number of services already reached within the authorised period (and/or no exemption granted)*
003 () Benefit is no longer authorised (already reimbursed) for this location (tooth, quadrant, ..)*
004 L600 value reached for the authorised period
005 No MC/CTD agreement registered for the requested service
006 Tariff consultation is not allowed for this benefit as it requires TTR approval as per reimbursement conditions.
007 Tariff consultation is not allowed for this service as the tariff is dependent on other services being billed at the same time.
008 Precondition not met.
009 Nomenclature code cannot be certified on this date
010 () Service cannot be combined with another service*
In certain cases (), the AO will indicate the nomenclature code and the date of the service received by the patient which justifies the refusal of reimbursement of the service requested.*">reason</a><a name="BeModeleTariffResponse.service.refusal.reason"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">code for refusal of intervention by the AO for the requested service
The possible values are as follows.
001 Renewal period not yet expired
002 () Maximum number of services already reached within the authorised period (and/or no exemption granted)*
003 () Benefit is no longer authorised (already reimbursed) for this location (tooth, quadrant, ..)*
004 L600 value reached for the authorised period
005 No MC/CTD agreement registered for the requested service
006 Tariff consultation is not allowed for this benefit as it requires TTR approval as per reimbursement conditions.
007 Tariff consultation is not allowed for this service as the tariff is dependent on other services being billed at the same time.
008 Precondition not met.
009 Nomenclature code cannot be certified on this date
010 () Service cannot be combined with another service*
In certain cases (), the AO will indicate the nomenclature code and the date of the service received by the patient which justifies the refusal of reimbursement of the service requested.*</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.refusal.serviceIdentifier" title="Nomenclature code of the service justifying the refusal">serviceIdentifier</a><a name="BeModeleTariffResponse.service.refusal.serviceIdentifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Nomenclature code of the service justifying the refusal</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModeleTariffResponse-definitions.html#BeModeleTariffResponse.service.refusal.serviceDate" title="Date of the service justifying the refusal">serviceDate</a><a name="BeModeleTariffResponse.service.refusal.serviceDate"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of the service justifying the refusal</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
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<version value="1.0.0"/>
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<date value="2024-10-02T11:49:46+00:00"/>
<publisher value="eHealth Platform"/>
<contact>
<name value="eHealth Platform"/>
<telecom>
<system value="url"/>
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</telecom>
<telecom>
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</contact>
<description value="Response for tariff request by careprovider"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="BE"/>
<display value="Belgium"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
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<type
value="https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/BeModeleTariffResponse"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<element id="BeModeleTariffResponse">
<path value="BeModeleTariffResponse"/>
<short value="BeModeleTariffResponse"/>
<definition value="Response for tariff request by careprovider"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
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<isModifier value="false"/>
</element>
<element id="BeModeleTariffResponse.insurer">
<path value="BeModeleTariffResponse.insurer"/>
<short value="Identification of the insurer"/>
<definition value="Identification of the insurer"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.insurer"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.patient">
<path value="BeModeleTariffResponse.patient"/>
<short value="Patient identification"/>
<definition value="Patient identification"/>
<min value="1"/>
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<base>
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<type>
<code value="Identifier"/>
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<element id="BeModeleTariffResponse.holderCode1">
<path value="BeModeleTariffResponse.holderCode1"/>
<short value="holder code 1"/>
<definition value="holder code 1"/>
<min value="1"/>
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<base>
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<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.holderCode2">
<path value="BeModeleTariffResponse.holderCode2"/>
<short value="holder code 2"/>
<definition value="holder code 2"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.holderCode2"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.tariffRequestType">
<path value="BeModeleTariffResponse.tariffRequestType"/>
<short value="Identification of the type of tariff request"/>
<definition value="Identification of the type of tariff request"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.tariffRequestType"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.service">
<path value="BeModeleTariffResponse.service"/>
<short value="List of services"/>
<definition value="List of services"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="BeModeleTariffResponse.service"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="BeModeleTariffResponse.service.id">
<path value="BeModeleTariffResponse.service.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.extension">
<path value="BeModeleTariffResponse.service.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.modifierExtension">
<path value="BeModeleTariffResponse.service.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.provider">
<path value="BeModeleTariffResponse.service.provider"/>
<short value="Provider ID"/>
<definition value="Provider ID"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.provider"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.identifier">
<path value="BeModeleTariffResponse.service.identifier"/>
<short
value="(pseudo-)nomenclature code of the service that was performed."/>
<definition
value="(pseudo-)nomenclature code of the service that was performed."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.identifier"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.date">
<path value="BeModeleTariffResponse.service.date"/>
<short value="Date on which the service was performed."/>
<definition value="Date on which the service was performed."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.date"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff">
<path value="BeModeleTariffResponse.service.tariff"/>
<short value="Tariff"/>
<definition value="Tariff"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.tariff"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="BeModeleTariffResponse.service.tariff.id">
<path value="BeModeleTariffResponse.service.tariff.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.tariff.extension">
<path value="BeModeleTariffResponse.service.tariff.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.tariff.modifierExtension">
<path value="BeModeleTariffResponse.service.tariff.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.tariff.fee">
<path value="BeModeleTariffResponse.service.tariff.fee"/>
<short
value="Legal fee for the service (reimbursement amount + co-payment). The AO will provide the unit price, regardless of the rules for applying the nomenclature."/>
<definition
value="Legal fee for the service (reimbursement amount + co-payment). The AO will provide the unit price, regardless of the rules for applying the nomenclature."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.tariff.fee"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff.reimbursement">
<path value="BeModeleTariffResponse.service.tariff.reimbursement"/>
<short value="Amount paid by insurer"/>
<definition value="Amount paid by insurer"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.tariff.reimbursement"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff.patientFee">
<path value="BeModeleTariffResponse.service.tariff.patientFee"/>
<short value="Personal co-payment paid by the patient"/>
<definition value="Personal co-payment paid by the patient"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.tariff.patientFee"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Money"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff.commitment">
<path value="BeModeleTariffResponse.service.tariff.commitment"/>
<short
value="Approval number of the tariff commitment that the service provider must indicate in its billing."/>
<definition
value="Approval number of the tariff commitment that the service provider must indicate in its billing."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.tariff.commitment"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.refusal">
<path value="BeModeleTariffResponse.service.refusal"/>
<short value="Refusal of the service requested"/>
<definition value="Refusal of the service requested"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.refusal"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="BeModeleTariffResponse.service.refusal.id">
<path value="BeModeleTariffResponse.service.refusal.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.refusal.extension">
<path value="BeModeleTariffResponse.service.refusal.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.refusal.modifierExtension">
<path value="BeModeleTariffResponse.service.refusal.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="BeModeleTariffResponse.service.refusal.reason">
<path value="BeModeleTariffResponse.service.refusal.reason"/>
<short
value="code for refusal of intervention by the AO for the requested service
The possible values are as follows.
001 Renewal period not yet expired
002 () Maximum number of services already reached within the authorised period (and/or no exemption granted)*
003 () Benefit is no longer authorised (already reimbursed) for this location (tooth, quadrant, ..)*
004 L600 value reached for the authorised period
005 No MC/CTD agreement registered for the requested service
006 Tariff consultation is not allowed for this benefit as it requires TTR approval as per reimbursement conditions.
007 Tariff consultation is not allowed for this service as the tariff is dependent on other services being billed at the same time.
008 Precondition not met.
009 Nomenclature code cannot be certified on this date
010 () Service cannot be combined with another service*
In certain cases (), the AO will indicate the nomenclature code and the date of the service received by the patient which justifies the refusal of reimbursement of the service requested.*"/>
<definition
value="code for refusal of intervention by the AO for the requested service
The possible values are as follows.
001 Renewal period not yet expired
002 () Maximum number of services already reached within the authorised period (and/or no exemption granted)*
003 () Benefit is no longer authorised (already reimbursed) for this location (tooth, quadrant, ..)*
004 L600 value reached for the authorised period
005 No MC/CTD agreement registered for the requested service
006 Tariff consultation is not allowed for this benefit as it requires TTR approval as per reimbursement conditions.
007 Tariff consultation is not allowed for this service as the tariff is dependent on other services being billed at the same time.
008 Precondition not met.
009 Nomenclature code cannot be certified on this date
010 () Service cannot be combined with another service*
In certain cases (), the AO will indicate the nomenclature code and the date of the service received by the patient which justifies the refusal of reimbursement of the service requested.*"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.refusal.reason"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.refusal.serviceIdentifier">
<path value="BeModeleTariffResponse.service.refusal.serviceIdentifier"/>
<short value="Nomenclature code of the service justifying the refusal"/>
<definition
value="Nomenclature code of the service justifying the refusal"/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="BeModeleTariffResponse.service.refusal.serviceIdentifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.refusal.serviceDate">
<path value="BeModeleTariffResponse.service.refusal.serviceDate"/>
<short value="Date of the service justifying the refusal"/>
<definition value="Date of the service justifying the refusal"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="BeModeleTariffResponse.service.refusal.serviceDate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
</snapshot>
<differential>
<element id="BeModeleTariffResponse">
<path value="BeModeleTariffResponse"/>
<short value="BeModeleTariffResponse"/>
<definition value="Response for tariff request by careprovider"/>
</element>
<element id="BeModeleTariffResponse.insurer">
<path value="BeModeleTariffResponse.insurer"/>
<short value="Identification of the insurer"/>
<definition value="Identification of the insurer"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.patient">
<path value="BeModeleTariffResponse.patient"/>
<short value="Patient identification"/>
<definition value="Patient identification"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.holderCode1">
<path value="BeModeleTariffResponse.holderCode1"/>
<short value="holder code 1"/>
<definition value="holder code 1"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.holderCode2">
<path value="BeModeleTariffResponse.holderCode2"/>
<short value="holder code 2"/>
<definition value="holder code 2"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.tariffRequestType">
<path value="BeModeleTariffResponse.tariffRequestType"/>
<short value="Identification of the type of tariff request"/>
<definition value="Identification of the type of tariff request"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.service">
<path value="BeModeleTariffResponse.service"/>
<short value="List of services"/>
<definition value="List of services"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.provider">
<path value="BeModeleTariffResponse.service.provider"/>
<short value="Provider ID"/>
<definition value="Provider ID"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.identifier">
<path value="BeModeleTariffResponse.service.identifier"/>
<short
value="(pseudo-)nomenclature code of the service that was performed."/>
<definition
value="(pseudo-)nomenclature code of the service that was performed."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.date">
<path value="BeModeleTariffResponse.service.date"/>
<short value="Date on which the service was performed."/>
<definition value="Date on which the service was performed."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff">
<path value="BeModeleTariffResponse.service.tariff"/>
<short value="Tariff"/>
<definition value="Tariff"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff.fee">
<path value="BeModeleTariffResponse.service.tariff.fee"/>
<short
value="Legal fee for the service (reimbursement amount + co-payment). The AO will provide the unit price, regardless of the rules for applying the nomenclature."/>
<definition
value="Legal fee for the service (reimbursement amount + co-payment). The AO will provide the unit price, regardless of the rules for applying the nomenclature."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Money"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff.reimbursement">
<path value="BeModeleTariffResponse.service.tariff.reimbursement"/>
<short value="Amount paid by insurer"/>
<definition value="Amount paid by insurer"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Money"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff.patientFee">
<path value="BeModeleTariffResponse.service.tariff.patientFee"/>
<short value="Personal co-payment paid by the patient"/>
<definition value="Personal co-payment paid by the patient"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Money"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.tariff.commitment">
<path value="BeModeleTariffResponse.service.tariff.commitment"/>
<short
value="Approval number of the tariff commitment that the service provider must indicate in its billing."/>
<definition
value="Approval number of the tariff commitment that the service provider must indicate in its billing."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.refusal">
<path value="BeModeleTariffResponse.service.refusal"/>
<short value="Refusal of the service requested"/>
<definition value="Refusal of the service requested"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.refusal.reason">
<path value="BeModeleTariffResponse.service.refusal.reason"/>
<short
value="code for refusal of intervention by the AO for the requested service
The possible values are as follows.
001 Renewal period not yet expired
002 () Maximum number of services already reached within the authorised period (and/or no exemption granted)*
003 () Benefit is no longer authorised (already reimbursed) for this location (tooth, quadrant, ..)*
004 L600 value reached for the authorised period
005 No MC/CTD agreement registered for the requested service
006 Tariff consultation is not allowed for this benefit as it requires TTR approval as per reimbursement conditions.
007 Tariff consultation is not allowed for this service as the tariff is dependent on other services being billed at the same time.
008 Precondition not met.
009 Nomenclature code cannot be certified on this date
010 () Service cannot be combined with another service*
In certain cases (), the AO will indicate the nomenclature code and the date of the service received by the patient which justifies the refusal of reimbursement of the service requested.*"/>
<definition
value="code for refusal of intervention by the AO for the requested service
The possible values are as follows.
001 Renewal period not yet expired
002 () Maximum number of services already reached within the authorised period (and/or no exemption granted)*
003 () Benefit is no longer authorised (already reimbursed) for this location (tooth, quadrant, ..)*
004 L600 value reached for the authorised period
005 No MC/CTD agreement registered for the requested service
006 Tariff consultation is not allowed for this benefit as it requires TTR approval as per reimbursement conditions.
007 Tariff consultation is not allowed for this service as the tariff is dependent on other services being billed at the same time.
008 Precondition not met.
009 Nomenclature code cannot be certified on this date
010 () Service cannot be combined with another service*
In certain cases (), the AO will indicate the nomenclature code and the date of the service received by the patient which justifies the refusal of reimbursement of the service requested.*"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.refusal.serviceIdentifier">
<path value="BeModeleTariffResponse.service.refusal.serviceIdentifier"/>
<short value="Nomenclature code of the service justifying the refusal"/>
<definition
value="Nomenclature code of the service justifying the refusal"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="BeModeleTariffResponse.service.refusal.serviceDate">
<path value="BeModeleTariffResponse.service.refusal.serviceDate"/>
<short value="Date of the service justifying the refusal"/>
<definition value="Date of the service justifying the refusal"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
</differential>
</StructureDefinition>
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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