Belgian MyCareNet Profiles
2.1.0 - STU Belgium flag

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

: ex02 - JSON Representation

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  "meta" : {
    "profile" : [
      🔗 "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand"
    ]
  },
  "type" : "message",
  "timestamp" : "2015-07-14T11:15:33+02:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "267b18ce-3d37-4581-9baa-6fada338038b",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader"
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        },
        "text" : {
          "status" : "generated",
          "div" : "<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-ex11.html#urn-uuid-1dc5d974-5447-4afe-a4ab-57081ca518c3\">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:person:ssin:ehealth:1.0:physiotherapist:nihii11:54263481527</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" : {
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          "code" : "claim-ask"
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        "destination" : [
          {
            "name" : "MyCareNet",
            "endpoint" : "urn:be:fgov:kbo-bce:organization:cbe-number:0820563481"
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        ],
        "sender" : {
          "reference" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"
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        "source" : {
          "endpoint" : "urn:be:fgov:person:ssin:ehealth:1.0:physiotherapist:nihii11:54263481527"
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        "focus" : [
          {
            "reference" : "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"
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    },
    {
      "fullUrl" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "1dc5d974-5447-4afe-a4ab-57081ca518c3",
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            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"
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          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_1dc5d974-5447-4afe-a4ab-57081ca518c3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 1dc5d974-5447-4afe-a4ab-57081ca518c3</b></p><a name=\"1dc5d974-5447-4afe-a4ab-57081ca518c3\"> </a><a name=\"hc1dc5d974-5447-4afe-a4ab-57081ca518c3\"> </a><a name=\"1dc5d974-5447-4afe-a4ab-57081ca518c3-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>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code" : "persphysiotherapist"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "03972cc4-d781-4285-8d79-0f05810e1931",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"
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        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "54263481527"
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "John"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "a52efcb6-1f81-4333-a115-d45bd3183686",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership",
            "value" : "n° inscription mutualiste",
            "assigner" : {
              "identifier" : {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber",
                "value" : "n° mutualité"
              }
            }
          }
        ],
        "name" : [
          {
            "family" : "Dupont",
            "given" : [
              "Jean"
            ]
          }
        ],
        "gender" : "male"
      }
    },
    {
      "fullUrl" : "urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "035e3de4-011f-48a4-92c9-15b2bbcec321",
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            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"
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        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_035e3de4-011f-48a4-92c9-15b2bbcec321\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 035e3de4-011f-48a4-92c9-15b2bbcec321</b></p><a name=\"035e3de4-011f-48a4-92c9-15b2bbcec321\"> </a><a name=\"hc035e3de4-011f-48a4-92c9-15b2bbcec321\"> </a><a name=\"035e3de4-011f-48a4-92c9-15b2bbcec321-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>"
        },
        "practitioner" : {
          "reference" : "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code" : "persphysician"
              }
            ]
          }
        ]
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    },
    {
      "fullUrl" : "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "8fc72085-d349-4bd7-ba84-91a935a4e3c6",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"
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        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "19234011004"
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        ],
        "name" : [
          {
            "family" : "Nom du prescripteur",
            "given" : [
              "Prénom du prescripteur"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "b3586cda-f1e5-4c58-a389-94249957d87a",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "contained" : [
          {
            "resourceType" : "Binary",
            "id" : "annexSR1",
            "contentType" : "application/pdf",
            "data" : "QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ="
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "91251008",
                "display" : "Physical therapy procedure"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "91251008",
              "display" : "Physical therapy procedure"
            }
          ]
        },
        "quantityQuantity" : {
          "value" : 15
        },
        "subject" : {
          "reference" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"
        },
        "authoredOn" : "2015-07-10",
        "requester" : {
          "reference" : "urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"
        },
        "supportingInfo" : [
          {
            "reference" : "#annexSR1"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "3b8e1245-b480-4af6-90c0-f67037ef276b",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/uhmep",
            "value" : "n° de la prescription"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "91251008",
                "display" : "Physical therapy procedure"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "91251008",
              "display" : "Physical therapy procedure"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"
        },
        "authoredOn" : "2015-07-08",
        "requester" : {
          "reference" : "urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a",
      "resource" : {
        "resourceType" : "Claim",
        "id" : "e85173bc-6f0d-480b-a2cd-2b70d9ffff7a",
        "meta" : {
          "profile" : [
            🔗 "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim-kine"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<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 --&gt; (ongoing)</p><p><b>created</b>: 2015-07-14 11:15:30+0200</p><p><b>enterer</b>: <a href=\"Bundle-ex11.html#urn-uuid-1dc5d974-5447-4afe-a4ab-57081ca518c3\">Bundle: type = message; timestamp = 2015-07-14 11:15:33+0200</a></p><p><b>provider</b>: <a href=\"Bundle-ex11.html#urn-uuid-1dc5d974-5447-4afe-a4ab-57081ca518c3\">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>"
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              "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
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        "subType" : {
          "coding" : [
            {
              "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types",
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        "use" : "preauthorization",
        "patient" : {
          "reference" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"
        },
        "billablePeriod" : {
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        },
        "created" : "2015-07-14T11:15:30+02:00",
        "enterer" : {
          "reference" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"
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        "provider" : {
          "reference" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"
        },
        "priority" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/processpriority",
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        "referral" : {
          "reference" : "urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a"
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        "supportingInfo" : [
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                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
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                {
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            "valueAttachment" : {
              "contentType" : "application/pdf",
              "data" : "QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ=",
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          },
          {
            "sequence" : 2,
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                  "code" : "info"
                }
              ]
            },
            "valueString" : "additional Information"
          },
          {
            "sequence" : 3,
            "category" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
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            },
            "valueReference" : {
              "reference" : "urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b"
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          }
        ],
        "insurance" : [
          {
            "sequence" : 1,
            "focal" : true,
            "coverage" : {
              "display" : "use of mandatory insurance coverage, no further details provided here."
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        "item" : [
          {
            "sequence" : 1,
            "productOrService" : {
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                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-physiotherapy-pathologysituationcode",
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              ]
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  ]
}