| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Claim
|
C | Claim |
be-rule-eagreementclaim-1:
Billable period start and end SHALL be YYYY-MM-DD be-rule-eagreementclaim-2: Created SHALL be YYYY-MM-DDThh:mm:ss+zz:zz |
|
id
|
S | 1.. | ||
|
meta
|
S | 1.. | ||
profile
|
1..1 | |||
|
status
|
S | Fixed Value: active | ||
|
type
|
S | |||
|
coding
|
1..1 | |||
system
|
1.. | Fixed Value: http://terminology.hl7.org/CodeSystem/claim-type | ||
|
code
|
1.. | Fixed Value: professional | ||
|
subType
|
S | 1.. | ||
|
coding
|
1..1 | |||
|
system
|
1.. | Required Pattern: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types | ||
|
code
|
1.. | |||
|
use
|
S | Fixed Value: preauthorization | ||
patient
|
S | Reference (BePatient) | ||
|
billablePeriod
|
S | |||
|
created
|
S | |||
|
enterer
|
S | 1.. | Reference (BePractitionerRole) | |
|
reference
|
1.. | |||
|
provider
|
S | Reference (BeOrganization | BePractitionerRole) | ||
|
reference
|
1.. | |||
|
priority
|
S | |||
|
coding
|
1..1 | |||
|
system
|
1.. | Fixed Value: http://terminology.hl7.org/CodeSystem/processpriority | ||
|
code
|
1.. | Fixed Value: stat | ||
|
referral
|
S | |||
|
reference
|
1.. | |||
|
supportingInfo
|
S | |||
|
category
|
S | |||
|
coding
|
1..1 | |||
|
system
|
1.. | |||
|
code
|
1.. | |||
|
code
|
||||
|
coding
|
1..1 | |||
|
system
|
1.. | |||
|
code
|
1.. | |||
|
insurance
|
S | ..1 | ||
|
sequence
|
Fixed Value: 1 | |||
|
focal
|
Fixed Value: true | |||
|
coverage
|
||||
|
display
|
1.. | |||
|
item
|
S | |||
|
productOrService
|
||||
|
coding
|
1..1 | Binding: ValueSet product or service ( extensible ) | ||
|
system
|
1.. | |||
|
code
|
1.. | |||
serviced[x]
|
date | |||
|
Documentation for this format
|
||||