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

Artifacts Summary

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

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

BeSPClaimResponsePreAuthRef

This SearchParameter enables query of ClaimResponses by preAuthRef.

BeSPClaimResponseSubType

This SearchParameter enables query of ClaimResponses by subType.

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.

BeModelEAgreement
BeModelEAgreementResponse

Structures: Resource Profiles

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

MyCareNet Coverage BE profile

Coverage profile for use in the different MyCareNet flows

MyCareNet MessageHeader BE profile

This is the generic MessageHeader profile for use in the different eAgreement flows from MyCareNet.

MyCareNet eAgreement Claim BE profile

Claim profile for use in the different eAgreement flow from MyCareNet.

MyCareNet eAgreement Claim Kine BE profile

Claim profile for use in the different eAgreement flow from MyCareNet for kine. This profile is a diff on the general be-eagreementclaim.

MyCareNet eAgreement Claim Logo BE profile

Claim profile for use in the different eAgreement flow from MyCareNet for speech therapy. This profile is a diff on the general be-eagreementclaim.

MyCareNet eAgreement Claim Response BE profile

Claimresponse profile for use in the different eAgreement flows from MyCareNet.

MyCareNet eAgreement Consult Bundle BE profile

Profile for the consulting of eAgreement in the MyCareNet flows.

MyCareNet eAgreement Consult Reply Bundle BE profile

Profile for the reply to consulting eAgreement request in the MyCareNet flows.

MyCareNet eAgreement Demand Bundle BE profile

The profile for the demand for an agreement.

MyCareNet eAgreement Demand Reply Bundle BE profile

The profile for the reply on a demand for an agreement in the MyCareNet flows.

MyCareNet eAgreement Service Request Binary BE profile

A supporting profile on Binary for use in the ServiceRequest eAgreement profile from MyCareNet.

MyCareNet eAgreement ServiceRequest BE profile

The ServiceRequest profile for use in the different eAgreement flows from MyCareNet.

MyCareNet operation outcome BE profile

OperationOutcome profile for the specific error codes of MyCareNet.

Structures: Extension Definitions

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

BeExtItemPatientFee

Sum to be paid by the patient per item

BeExtItemReimbursement

Reimbursement for the patient per item

BeExtSystem

System indicating the type of the value

Terminology: Value Sets

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

Basic Laterality

Basic Laterality as requested by CIN-NIC, subset of be-vs-body-laterality

BeVSHolderCode1

see http://www.securimed.eu/fr/tiers-payant/codes-dassurabilite

BeVSHolderCode2

see http://www.securimed.eu/fr/tiers-payant/codes-dassurabilite

EAgreement errors

Errors in the EAgreement flow

Mycarenet Decision Values

Values indicating the type of decision. These values were delivered by the NIC(Nationaal Intermutualistisch College)/CIN(Collège Intermutualiste National.)

Tooth Number Body Site

Tooth Number Body Site

ValueSet adjudication reason

Codes for use to describe eAgreement adjudication reasons in the MyCareNet eAgreement flows.

ValueSet message

Codes for use to describe eAgreement messages in the MyCareNet eAgreement flows.

ValueSet product or service

NIHDI codes for use to describe eAgreement products or services in the MyCareNet eAgreement flows.

Terminology: Code Systems

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

BeCSPartialAgreementValues

Partial agreement values

CodeSystem NIHDIPhysiotherapyPathology

Legal pathology situation codes as defined by NIHDI to be used in the pathology registration flows of MyCareNet. These values are managed by NIHDI. The codes are not defined here. Consult the cookbooks on mycarenet.be for concrete usage instructions.

CodeSystem agreement errors

Errors in the agreement 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.

CodeSystem agreement types

Agreement types for MyCareNet flows. Not all codes are defined here, a full list can be found on mycarenet.be

CodeSystem annex types

Annex types for MyCareNet flows. Not all codes are defined here, a full list can be found on mycarenet.be

CodeSystem decision values

Decision values in the agreement flows of MyCareNet. These values were delivered by the NIC(Nationaal Intermutualistisch College)/CIN(Collège Intermutualiste National.) The codes are not defined here, a full list can be found on mycarenet.be.

CodeSystem message events

Message events for MyCareNet flows.Not all codes are defined here, a full list can be found on mycarenet.be

CodeSystem refusal values

Refusal values in the agreement flows of MyCareNet. These values were delivered by the NIC(Nationaal Intermutualistisch College)/CIN(Collège Intermutualiste National.)

CodeSystem waiting for information values

Waiting for information values in the agreement flows of MyCareNet. These values were delivered by the NIC(Nationaal Intermutualistisch College)/CIN(Collège Intermutualiste National.)

Insurability code CT1

see http://www.securimed.eu/fr/tiers-payant/codes-dassurabilite

Insurability code CT2

see http://www.securimed.eu/fr/tiers-payant/codes-dassurabilite

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

be-ns-claim-related-claim

Claim Related Claim

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

BeCMISOToothSnomedCT

ISO tooth numbers to SNOMED CT

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

FHIR Physiotherapy within Hospital eAgreementAskRequest

ex02

FHIR Physiotherapy eAgreementAskRequest with patient identified by mutuality registration number

ex03

FHIR Physiotherapy eAgreementAskRequest with patient identified by national registration number

ex04

FHIR Physiotherapy eAgreementAskResponse with an agreement response

ex05

FHIR Physiotherapy eAgreementAskResponse with an intreatment response

ex06

FHIR Physiotherapy eAgreementAskResponse with a refusal response

ex07

FHIR Physiotherapy eAgreementRejectResponse

ex08

FHIR Physiotherapy eAgreementCancelRequest

ex09

FHIR Physiotherapy eAgreementCancelResponse

ex10

FHIR Physiotherapy eAgreementExtentRequest

ex11

FHIR Physiotherapy eAgreementArgueRequest

ex12

FHIR Physiotherapy eAgreementConsultRequest

ex13

FHIR Physiotherapy eAgreementConsultResponse

ex14

FHIR Physiotherapy eAgreementCompleteRequest

ex15

FHIR Physiotherapy eAgreementCompleteResponse

ex16

FHIR Speechtherapy eAgreementAskRequest for assessment

ex17

FHIR Speechtherapy eAgreementAskRequest for treatment

ex18

FHIR Speechtherapy eAgreementAskResponse for assessment with an intreatment response

ex19

FHIR Speechtherapy eAgreementAskResponse for treatment with an intreatment response

ex20

FHIR Speechtherapy eAgreementAskResponse for treatment with an agreement response

ex21

FHIR Speechtherapy eAgreementAskResponse for assessment with a refusal response

ex22

FHIR Speechtherapy eAgreementCancelRequest

ex23

FHIR Speechtherapy eAgreementCancelResponse

ex24

FHIR Speechtherapy eAgreementCompleteRequest

ex25

FHIR Speechtherapy eAgreementCompleteResponse

ex26

FHIR Speechtherapy eAgreementConsultRequest

ex27

FHIR Speechtherapy eAgreementConsultResponse

ex29

FHIR Speechtherapy eAgreementExtentRequest for treatment

ex30

FHIR Speechtherapy eAgreementExtentResponse for treatment with an agreement response

ex31

FHIR Speechtherapy eAgreementRejectResponse

ex32

FHIR Speechtherapy eAgreementAskResponse for treatment with a partial agreement response