StructureDefinition-be-model-eattestation

Sourcehl7.fhir.be.eattestation#current:Belgian MyCareNet eAttestation Profiles (v4.0.1)
resourceTypeStructureDefinition
idbe-model-eattestation
canonicalhttps://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-model-eattestation
version1.0.0
statusdraft
publishereHealth Platform
nameBeModelEAttestation
date2023-08-29T14:29:48+00:00
jurisdictionsbe
fhirVersion4.0.1
kindlogical
abstractfalse
sdTtypehttps://www.ehealth.fgov.be/standards/fhir/eattestation/StructureDefinition/be-model-eattestation
derivationspecialization
basehttp://hl7.org/fhir/StructureDefinition/Element
Usages(none)
Name Flags Card. Type Description & Constraints doco
. . be-model-eattestation Element This logical model cannot be the target of a reference
. . . serviceProvider 1..1 Identifier NIHDI number (identification number) of the service provider/organization that certifies the eAttest
. . . patient 1..1 Identifier Patient identification - INSZ (RR or BIS)
. . . attestationType 1..1 CodeableConcept Identification of the type of eAttestation. Ex: physiotherapy - see codesystem eAgreement
. . . attestationID 0..1 Identifier eAttestation ID (created by the AO that is in the claim response) in order to cancel
. . . cancelReason 0..1 CodeableConcept cancellation request justification - reuse list that is already used Values: A = Patient error B = Provider error C = Error in one of the elements of the ASD D = Double encoding E = eAttestation replaced by e-Fact F = eAttestation replaced by ASD paper G = Situation not allowing the establishment of an eAttestation
. . . totalFee 1..1 Money Amount (in euros) charged to the patient for all services, limited to the legal fee.
. . . supplement 0..1 Money Amount (in euros) of the supplement paid by the patient in addition to the legal fee.
. . . collector 1..1 Identifier CBE number of the collecting entity.
. . . treatmentCauses 0..1 CodeableConcept Causes of treatment (NIHDI specific for eInvoicing third-party payer). This zone allows you to give a first accounting orientation to the eAttestation Values: See 'Instructions for electronic invoicing' (RT20Z17 - record type 20 value Z17)
. . . service 0..* BackboneElement Data of the prescription concerned by the request
. . . . provider 1..1 Identifier Healthcare provider, Identification of the provider. NIHDI number of the provider
. . . . identifier 1..1 Identifier (pseudo-)nomenclature code of the service performed.
. . . . standard 1..1 CodeableConcept This code provides certain necessary information for pricing. Values: See 'Electronic invoicing instructions' (RT50Z3)
. . . . related 1..1 CodeableConcept The related service must be completed when the reimbursement of the service depends on the performance of another service. It is the latter which must be mentioned as a related service.
. . . . toothNumber 0..1 CodeableConcept The services for which a tooth number must be mentioned are indicated in the list of prices for dental services published on the NIHDI website
. . . . laterality 0..1 CodeableConcept In this zone, it is mentioned, by means of a code, whether the treatment was carried out on a left or right limb.
. . . . transplantation 0..1 CodeableConcept This field must be completed for organ or bone marrow transplants. Values: See 'Electronic invoicing instructions' (RT50Z48)
. . . . identical 0..1 CodeableConcept For certain services, the rules for applying the nomenclature provide for a maximum number of services in a certain period. In certain cases, the nomenclature also provides for derogations from this maximum number. Such derogations can be communicated in this area. The supporting documents for the derogation are made available to the insurers for a posteriori checks. This area is also used to indicate that it is indeed a second (or third or following) identical service on the same day for services without maximum rules (eg consultations or visits by general practitioners). Values: See 'Electronic invoicing instructions' (RT50Z23)
. . . . date 1..1 dateTime Date on which the service was performed.
. . . . location 0..1 BackboneElement Place where the service was performed. (RT50Z14) When the service was not performed in a particular place, this field is not present.
. . . . . identifier 1..1 Identifier NIHDI number of the place of service
. . . . . department 0..1 Identifier When the place of service is a hospital, the service code must also be added. The service code can be found in the invoicing instructions (RT50Z13)
. . . . prescription 0..1 BackboneElement Prescription
. . . . . requester 0..1 BackboneElement mentioned for the services listed on the 'prescriber list', forming part of the electronic invoicing instructions for third-party payment.
. . . . . . identifier 0..1 Identifier Identification of the prescriber This content must be filled in if the prescriber standard is different from 3. This content is absent if the prescriber standard is equal to 3.
. . . . . authoredOn 0..1 dateTime Date of prescription This content must be filled in if the prescriber standard is different from 3. This content is absent if the prescriber standard is equal to 3.
. . . . . standard 1..1 CodeableConcept Prescriber standard Values: See 'Electronic invoicing instructions' (RT50Z26) in https://www.inami.fgov.be/SiteCollectionDocuments/instructions_facturation_electronique. pdf
. . . . auxiliaryProvider 0..2 BackboneElement Auxiliary provider (RT50Z49) - look for 'type 50 zone 49' in https://www.inami.fgov.be/SiteCollectionDocuments/instructions_facturation_electronique.pdf
. . . . . GMF 0..1 Identifier Identification of the Physician holding the patient's GMF (Dutch: GMD, French: DMG). Mentioned when the 'G' concept is applied, if the physician is not the holder thereof.
. . . . . trainee 0..1 Identifier When it is a service certified by a physician (training supervisor) but carried out by a trainee physician, then this zone is completed by the identification number of the trainee physician who carried out the service.
. . . . . oralHygienist 0..1 Identifier When it is a service delegated by a dentist but carried out by an oral hygienist then this field is completed by the identification number of the oral hygienist who performed the service
. . . . count 1..1 positiveInt Number of units The number of times a service was provided on the date indicated OR The number of supplies that were delivered on the date indicated
. . . . fee 1..1 Money Amount charged to the patient for the service, limited to the legal fee.
. . . . supplement 0..1 Money Amount of the supplement paid by the patient for the service in addition to the legal fee.
. . . . medicalAdvisorDecisionNr 0..1 Identifier The reference number of a medical decision following a request for agreement
. . . . patientIdentityDocument 0..1 BackboneElement Patient identity document. This item contains the reading data of the patient's identity document.
. . . . . readingDate 0..1 date Date of reading of the patient's identity document See 'Electronic invoicing instructions' (RT52Z6)
. . . . . readingTime 0..1 time Time of reading of the patient's identity document See 'Electronic billing instructions' (RT52Z12-13)
. . . . . entryType 1..1 CodeableConcept Entry type of the patient's identity document See 'Electronic invoicing instructions' (RT52Z9)
. . . . . reasonManual 0..1 CodeableConcept Reason for manual encoding See 'Electronic invoicing instructions' (RT52Z3)
. . . . . medium 1..1 CodeableConcept Type of medium of the patient's identity document See 'Instructions for electronic invoicing' (RT52Z10)
. . . . . stickerReason 0..1 CodeableConcept Reason for using sticker See 'Electronic invoicing instructions' (RT52Z11)
. . . . . serialNumber 0..1 string Media serial number See 'Electronic invoicing instructions' (RT52Z16)

doco Documentation for this format

Produced 08 Sep 2023