Belgian MyCareNet eTariff Profiles
1.0.0 - STU Belgium flag

Belgian MyCareNet eTariff Profiles, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/etariff/ and changes regularly. See the Directory of published versions

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

BeModeleTariffRequest

Tariff request by care provider
BeModeleTariffResponse

Response for tariff request by careprovider

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

MyCareNet Etariff Claim BE profile

Claim profile for use in the different Etariff flows from MyCareNet
MyCareNet Etariff Claim Response BE profile

Claimresponse profile for use in the different Etariff flows from MyCareNet.
MyCareNet eTariff Request Bundle BE profile

Profile for the request of an Etariff in the MyCareNet flows.
MyCareNet eTariff Response Bundle BE profile

Profile for the response of an eTariff in the MyCareNet flows.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

BeExtEtariffAdjudicationRefusalservicedate

Date of the refusal service
BeExtEtariffAdjudicationRefusalserviceidentifier

Id of the preauthorization of the item
BeExtEtariffItemCommitment

tariff commitment number

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

BeVSRefusalValues

refusal values
eTariff errors

eTariff errors
eTariff types

eTariff types

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

CodeSystem eTariff errors

Errors in the eTariff flows of MyCareNet. These values were delivered by the NIC(Nationaal Intermutualistisch College)/CIN(Collège Intermutualiste National.) Not all codes are defined here, a full list can be found on mycarenet.be.
eTariff types

Type of the tarification request. These values were delivered by the NIC(Nationaal Intermutualistisch College)/CIN(Collège Intermutualiste National.)
refusal values

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

ex01

All eTarifConsultRequest
ex02

All eTarifConsultResponse
ex03

GeneralPractice eTarifConsultRequest
ex04

GeneralPractice eTarifConsultResponse
ex05

GeneralPractice with 2 services eTarifConsultRequest
ex06

GeneralPractice with 2 services eTarifConsultResponse
ex07

Dentistry eTarifConsultRequest
ex08

Dentistry eTarifConsultResponse
ex09

Dentistry within Hospital eTarifConsultRequest
ex10

Dentistry within Hospital eTarifConsultResponse
ex11

Dentistry with tarif and refusal eTarifConsultResponse
ex12

All eTarifReject