# | Name | Source | Ver | Description | |
1 | BeExtEtariffAdjudicationRefusalservicedate | hl7.fhir.be.etariff#current | R4 | Date of the refusal service | |
2 | BeExtEtariffAdjudicationRefusalserviceidentifier | hl7.fhir.be.etariff#current | R4 | Id of the preauthorization of the item | |
3 | BeExtEtariffItemCommitment | hl7.fhir.be.etariff#current | R4 | tariff commitment number | |
4 | BeExtItemPatientFee | hl7.fhir.be.mycarenet#current | R4 | Sum to be paid by the patient per item | |
5 | BeExtItemReimbursement | hl7.fhir.be.mycarenet#current | R4 | Reimbursement for the patient per item |
1 | 2 | 3 | 4 | 5 | |
Extension | |||||
Extension.extension | C | C | C | C | C |
Extension.url | F | F | F | F | F |
Extension.value[x] | C | S C (2) | C | C | C |
Extension.value[x].coding | |||||
Extension.value[x].coding.system | F |
Produced 08 Sep 2023