Belgian MyCareNet Profiles
2.1.0 - STU
Belgian MyCareNet Profiles
2.1.0 - STU
Belgian MyCareNet Profiles, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/mycarenet/ and changes regularly. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
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<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand"/>
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<type value="message"/>
<timestamp value="2015-07-14T11:15:33+02:00"/>
<entry>
<fullUrl value="urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b"/>
<resource>
<MessageHeader>
<id value="267b18ce-3d37-4581-9baa-6fada338038b"/>
<meta>
<profile
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_267b18ce-3d37-4581-9baa-6fada338038b"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader 267b18ce-3d37-4581-9baa-6fada338038b</b></p><a name="267b18ce-3d37-4581-9baa-6fada338038b"> </a><a name="hc267b18ce-3d37-4581-9baa-6fada338038b"> </a><a name="267b18ce-3d37-4581-9baa-6fada338038b-en-US"> </a><p><b>event</b>: <a href="CodeSystem-message-events.html#message-events-claim-ask">CodeSystem message events</a> claim-ask: claim-ask</p><h3>Destinations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>MyCareNet</td><td>urn:be:fgov:kbo-bce:organization:cbe-number:0820563481</td></tr></table><p><b>sender</b>: <a href="Bundle-ex01.html#urn-uuid-e2c6f73a-74d8-40f2-af0b-a61ad20c53d4">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>urn:be:fgov:ehealth:1.0:hospital:nihii-number:71000436000</td></tr></table><p><b>focus</b>: <a href="Bundle-ex11.html#urn-uuid-e85173bc-6f0d-480b-a2cd-2b70d9ffff7a">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p></div>
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<eventCoding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events"/>
<code value="claim-ask"/>
</eventCoding>
<destination>
<name value="MyCareNet"/>
<endpoint
value="urn:be:fgov:kbo-bce:organization:cbe-number:0820563481"/>
</destination>
<sender>
<reference value="urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d4"/>
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<source>
<endpoint
value="urn:be:fgov:ehealth:1.0:hospital:nihii-number:71000436000"/>
</source>
<focus>
<reference value="urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"/>
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<entry>
<fullUrl value="urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d4"/>
<resource>
<Organization>
<id value="e2c6f73a-74d8-40f2-af0b-a61ad20c53d4"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_e2c6f73a-74d8-40f2-af0b-a61ad20c53d4"> </a><p class="res-header-id"><b>Generated Narrative: Organization e2c6f73a-74d8-40f2-af0b-a61ad20c53d4</b></p><a name="e2c6f73a-74d8-40f2-af0b-a61ad20c53d4"> </a><a name="hce2c6f73a-74d8-40f2-af0b-a61ad20c53d4"> </a><a name="e2c6f73a-74d8-40f2-af0b-a61ad20c53d4-en-US"> </a><p><b>identifier</b>: <code>https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi</code>/71000436000</p><p><b>type</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty orghospital}">hospital</span></p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="71000436000"/>
</identifier>
<type>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="orghospital"/>
</coding>
</type>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
<resource>
<PractitionerRole>
<id value="62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_62c7bfad-0cb3-4a39-9abb-3a62e06de834"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 62c7bfad-0cb3-4a39-9abb-3a62e06de834</b></p><a name="62c7bfad-0cb3-4a39-9abb-3a62e06de834"> </a><a name="hc62c7bfad-0cb3-4a39-9abb-3a62e06de834"> </a><a name="62c7bfad-0cb3-4a39-9abb-3a62e06de834-en-US"> </a><p><b>practitioner</b>: <a href="Bundle-ex11.html#urn-uuid-03972cc4-d781-4285-8d79-0f05810e1931">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysiotherapist}">physiotherapist</span></p></div>
</text>
<practitioner>
<reference value="urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"/>
</practitioner>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysiotherapist"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"/>
<resource>
<Practitioner>
<id value="03972cc4-d781-4285-8d79-0f05810e1931"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_03972cc4-d781-4285-8d79-0f05810e1931"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 03972cc4-d781-4285-8d79-0f05810e1931</b></p><a name="03972cc4-d781-4285-8d79-0f05810e1931"> </a><a name="hc03972cc4-d781-4285-8d79-0f05810e1931"> </a><a name="03972cc4-d781-4285-8d79-0f05810e1931-en-US"> </a><p><b>identifier</b>: <code>https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi</code>/54263481527</p><p><b>name</b>: John Smith </p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="54263481527"/>
</identifier>
<name>
<family value="Smith"/>
<given value="John"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
<resource>
<Patient>
<id value="a52efcb6-1f81-4333-a115-d45bd3183686"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_a52efcb6-1f81-4333-a115-d45bd3183686"> </a><p class="res-header-id"><b>Generated Narrative: Patient a52efcb6-1f81-4333-a115-d45bd3183686</b></p><a name="a52efcb6-1f81-4333-a115-d45bd3183686"> </a><a name="hca52efcb6-1f81-4333-a115-d45bd3183686"> </a><a name="a52efcb6-1f81-4333-a115-d45bd3183686-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jean Dupont Male, DoB Unknown ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership#n° inscription mutualiste)</p><hr/></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership"/>
<value value="n° inscription mutualiste"/>
<assigner>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber"/>
<value value="n° mutualité"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Dupont"/>
<given value="Jean"/>
</name>
<gender value="male"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"/>
<resource>
<PractitionerRole>
<id value="035e3de4-011f-48a4-92c9-15b2bbcec32"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_035e3de4-011f-48a4-92c9-15b2bbcec32"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 035e3de4-011f-48a4-92c9-15b2bbcec32</b></p><a name="035e3de4-011f-48a4-92c9-15b2bbcec32"> </a><a name="hc035e3de4-011f-48a4-92c9-15b2bbcec32"> </a><a name="035e3de4-011f-48a4-92c9-15b2bbcec32-en-US"> </a><p><b>practitioner</b>: <a href="Bundle-ex02.html#urn-uuid-8fc72085-d349-4bd7-ba84-91a935a4e3c6">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}">physician</span></p></div>
</text>
<practitioner>
<reference value="urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6"/>
</practitioner>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysician"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6"/>
<resource>
<Practitioner>
<id value="8fc72085-d349-4bd7-ba84-91a935a4e3c6"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_8fc72085-d349-4bd7-ba84-91a935a4e3c6"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 8fc72085-d349-4bd7-ba84-91a935a4e3c6</b></p><a name="8fc72085-d349-4bd7-ba84-91a935a4e3c6"> </a><a name="hc8fc72085-d349-4bd7-ba84-91a935a4e3c6"> </a><a name="8fc72085-d349-4bd7-ba84-91a935a4e3c6-en-US"> </a><p><b>identifier</b>: <code>https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi</code>/19234011004</p><p><b>name</b>: Prénom du prescripteur Nom du prescripteur </p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="19234011004"/>
</identifier>
<name>
<family value="Nom du prescripteur"/>
<given value="Prénom du prescripteur"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a"/>
<resource>
<ServiceRequest>
<id value="b3586cda-f1e5-4c58-a389-94249957d87a"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_b3586cda-f1e5-4c58-a389-94249957d87a"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest b3586cda-f1e5-4c58-a389-94249957d87a</b></p><a name="b3586cda-f1e5-4c58-a389-94249957d87a"> </a><a name="hcb3586cda-f1e5-4c58-a389-94249957d87a"> </a><a name="b3586cda-f1e5-4c58-a389-94249957d87a-en-US"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 91251008}">Physical therapy procedure</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 91251008}">Physical therapy procedure</span></p><p><b>quantity</b>: 15</p><p><b>subject</b>: <a href="Bundle-ex11.html#urn-uuid-a52efcb6-1f81-4333-a115-d45bd3183686">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>authoredOn</b>: 2015-07-10</p><p><b>requester</b>: <a href="Bundle-ex02.html#urn-uuid-035e3de4-011f-48a4-92c9-15b2bbcec321">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>supportingInfo</b>: <a href="#hcb3586cda-f1e5-4c58-a389-94249957d87a/annexSR1">Binary: 32 chars (base64)</a></p><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Binary #annexSR1</b></p><a name="b3586cda-f1e5-4c58-a389-94249957d87a/annexSR1"> </a><a name="hcb3586cda-f1e5-4c58-a389-94249957d87a/annexSR1"> </a><a name="b3586cda-f1e5-4c58-a389-94249957d87a/annexSR1-en-US"> </a><p><b>contentType</b>: application/pdf</p><p><b>data</b>: <code>QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ=</code></p></blockquote></div>
</text>
<contained>
<Binary>
<id value="annexSR1"/>
<contentType value="application/pdf"/>
<data value="QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ="/>
</Binary>
</contained>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91251008"/>
<display value="Physical therapy procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91251008"/>
<display value="Physical therapy procedure"/>
</coding>
</code>
<quantityQuantity>
<value value="15"/>
</quantityQuantity>
<subject>
<reference value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
</subject>
<authoredOn value="2015-07-10"/>
<requester>
<reference value="urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"/>
</requester>
<supportingInfo>
<reference value="#annexSR1"/>
</supportingInfo>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b"/>
<resource>
<ServiceRequest>
<id value="3b8e1245-b480-4af6-90c0-f67037ef276b"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_3b8e1245-b480-4af6-90c0-f67037ef276b"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 3b8e1245-b480-4af6-90c0-f67037ef276b</b></p><a name="3b8e1245-b480-4af6-90c0-f67037ef276b"> </a><a name="hc3b8e1245-b480-4af6-90c0-f67037ef276b"> </a><a name="3b8e1245-b480-4af6-90c0-f67037ef276b-en-US"> </a><p><b>identifier</b>: <code>https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/uhmep</code>/n° de la prescription</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 91251008}">Physical therapy procedure</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 91251008}">Physical therapy procedure</span></p><p><b>subject</b>: <a href="Bundle-ex11.html#urn-uuid-a52efcb6-1f81-4333-a115-d45bd3183686">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>authoredOn</b>: 2015-07-08</p><p><b>requester</b>: <a href="Bundle-ex02.html#urn-uuid-035e3de4-011f-48a4-92c9-15b2bbcec321">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/uhmep"/>
<value value="n° de la prescription"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91251008"/>
<display value="Physical therapy procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91251008"/>
<display value="Physical therapy procedure"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
</subject>
<authoredOn value="2015-07-08"/>
<requester>
<reference value="urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"/>
<resource>
<Claim>
<id value="e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim-kine"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Claim_e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"> </a><p class="res-header-id"><b>Generated Narrative: Claim e85173bc-6f0d-480b-a2cd-2b70d9ffff7a</b></p><a name="e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"> </a><a name="hce85173bc-6f0d-480b-a2cd-2b70d9ffff7a"> </a><a name="e85173bc-6f0d-480b-a2cd-2b70d9ffff7a-en-US"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claim-type professional}">Professional</span></p><p><b>subType</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types physiotherapy-fb}">physiotherapy-fb</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href="Bundle-ex11.html#urn-uuid-a52efcb6-1f81-4333-a115-d45bd3183686">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>billablePeriod</b>: 2020-01-15 --> (ongoing)</p><p><b>created</b>: 2015-07-14 11:15:30+0200</p><p><b>enterer</b>: <a href="Bundle-ex01.html#urn-uuid-62c7bfad-0cb3-4a39-9abb-3a62e06de834">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>provider</b>: <a href="Bundle-ex01.html#urn-uuid-62c7bfad-0cb3-4a39-9abb-3a62e06de834">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>priority</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/processpriority stat}">Immediate</span></p><p><b>referral</b>: <a href="Bundle-ex02.html#urn-uuid-b3586cda-f1e5-4c58-a389-94249957d87a">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory attachment}">Attachment</span></p><p><b>code</b>: <span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/annex-types functional-report}">functional-report</span></p><p><b>value</b>: application/pdf: QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ=</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}">Information</span></p><p><b>value</b>: additional Information</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory info}">Information</span></p><p><b>value</b>: <a href="Bundle-ex02.html#urn-uuid-3b8e1245-b480-4af6-90c0-f67037ef276b">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p></blockquote><h3>Insurances</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>true</td><td>use of mandatory insurance coverage, no further details provided here.</td></tr></table><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td></tr><tr><td style="display: none">*</td><td>1</td><td><span title="Codes:{https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-physiotherapy-pathologysituationcode fb-51}">fb-51</span></td><td>2020-01-14</td></tr></table></div>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="professional"/>
</coding>
</type>
<subType>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types"/>
<code value="physiotherapy-fb"/>
</coding>
</subType>
<use value="preauthorization"/>
<patient>
<reference value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
</patient>
<billablePeriod>
<start value="2020-01-15"/>
</billablePeriod>
<created value="2015-07-14T11:15:30+02:00"/>
<enterer>
<reference value="urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
</enterer>
<provider>
<reference value="urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="stat"/>
</coding>
</priority>
<referral>
<reference value="urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a"/>
</referral>
<supportingInfo>
<sequence value="1"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="attachment"/>
</coding>
</category>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/annex-types"/>
<code value="functional-report"/>
</coding>
</code>
<valueAttachment>
<contentType value="application/pdf"/>
<data value="QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ="/>
<title value="nom/description de l'annexe"/>
</valueAttachment>
</supportingInfo>
<supportingInfo>
<sequence value="2"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="info"/>
</coding>
</category>
<valueString value="additional Information"/>
</supportingInfo>
<supportingInfo>
<sequence value="3"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="info"/>
</coding>
</category>
<valueReference>
<reference value="urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b"/>
</valueReference>
</supportingInfo>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<display
value="use of mandatory insurance coverage, no further details provided here."/>
</coverage>
</insurance>
<item>
<sequence value="1"/>
<productOrService>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-physiotherapy-pathologysituationcode"/>
<code value="fb-51"/>
</coding>
</productOrService>
<servicedDate value="2020-01-14"/>
</item>
</Claim>
</resource>
</entry>
</Bundle>
IG © 2022+ eHealth Platform. Package hl7.fhir.be.mycarenet#2.1.0 based on FHIR 4.0.1. Generated 2024-08-26
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