| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
ClaimResponse
|
ClaimResponse | |||
id
|
S | 1.. | ||
|
status
|
S | |||
|
type
|
S | |||
coding
|
S | 1..1 | ||
system
|
S | 1.. | ||
|
code
|
S | 1.. | ||
|
subType
|
S | 1.. | Binding: eTariff types ( extensible ) | |
|
coding
|
S | 1..1 | ||
|
system
|
S | 1.. | ||
|
code
|
S | 1.. | ||
|
use
|
S | Required Pattern: predetermination | ||
patient
|
S | Reference (BePatient) | ||
|
created
|
S | |||
|
insurer
|
S | Reference (BeOrganization) | ||
|
requestor
|
S | 1.. | Reference (BeOrganization | BePractitionerRole) | |
|
reference
|
1.. | |||
|
outcome
|
S | |||
|
addItem
|
S | 1.. | ||
Slices for extension
|
Slice: Unordered, Open by value:url | |||
reimbursement
|
S | 0..1 | Money |
Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-mycarenet-item-reimbursement |
value[x]
|
||||
|
value
|
S | 1.. | ||
|
currency
|
S | 1.. | ||
|
patientFee
|
S | 0..1 | Money |
Extension
URL: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-mycarenet-item-patientfee |
|
value[x]
|
||||
|
value
|
S | 1.. | ||
|
currency
|
S | 1.. | ||
|
commitment
|
S | 0..1 | string |
Extension
URL: https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/be-ext-etariff-item-commitment |
|
itemSequence
|
S | 1..1 | ||
|
provider
|
S | 1..1 | Reference (BePractitionerRole) | |
|
productOrService
|
S | |||
|
coding
|
S | 1..1 | ||
|
system
|
S | 1.. | Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/be-ns-nihdi-nomenclature | |
|
code
|
S | 1.. | ||
Slices for serviced[x]
|
Slice: Unordered, Open by type:$this | |||
serviced[x]:servicedDate
|
S | 0..1 | date | |
|
quantity
|
S | |||
|
value
|
S | 1.. | ||
|
unitPrice
|
S | |||
|
value
|
S | 1.. | ||
|
currency
|
S | 1.. | ||
|
net
|
S | |||
|
value
|
S | 1.. | ||
|
currency
|
S | 1.. | ||
adjudication
|
S | ..1 | BackboneElement | |
|
Slices for extension
|
Slice: Unordered, Open by value:url | |||
|
refusalId
|
S | 0..1 | CodeableConcept |
Extension
URL: https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/be-ext-etariff-adjudication-refusalserviceidentifier |
|
value[x]:valueCodeableConcept
|
CodeableConcept | |||
|
coding
|
S | 1..1 | ||
|
system
|
S | 1.. | ||
|
code
|
S | 1.. | ||
|
refusalDate
|
S | 0..1 | date |
Extension
URL: https://www.ehealth.fgov.be/standards/fhir/etariff/StructureDefinition/be-ext-etariff-adjudication-refusalservicedate |
|
category
|
S | Binding: Mycarenet Decision Values ( extensible ) | ||
|
coding
|
S | 1..1 | ||
|
system
|
S | 1.. | ||
|
code
|
S | 1.. | ||
|
reason
|
Binding: BeVSRefusalValues ( extensible ) | |||
|
insurance
|
S | 1..1 | ||
|
coverage
|
S | Reference (MyCareNet Coverage BE profile) | ||
|
Documentation for this format
|
||||