|
Name
|
Flags
|
Card.
|
Type
|
Description & Constraints
|
be-model-eagreement-response
|
|
|
Element
|
This logical model cannot be the target of a reference
|
patient
|
|
0..1 |
Identifier |
Patient identification |
|
rejectionReason
|
|
0..* |
CodeableConcept |
Reason for rejection
|
|
serviceProvider
|
|
0..1 |
Identifier |
NIHDI number of the service provider/institution responsible for the request |
|
eAgreementType
|
|
0..1 |
CodeableConcept |
Identification of the type of agreement (ex: Fb) |
|
decisionId
|
|
0..1 |
Identifier |
Identifier of the decision communicated by the insurer organization |
|
pathologicalSituation
|
|
0..1 |
CodeableConcept |
Codification of the pathological situation referring to existing notification/request forms (eg: Fb-51) |
|
decisionType
|
|
0..1 |
CodeableConcept |
Current decision of the request (ex: 'in process') |
decisionDate
|
|
0..1 |
dateTime |
Latest decision date (including if in process or request for info) |
|
insurer
|
|
0..1 |
Identifier |
Insurer organization responsible for the message (3 positions) |
|
agreementStartDate
|
|
0..1 |
dateTime |
Agreement start date (dd/mm/yyyy) |
|
agreementEndDate
|
|
0..1 |
dateTime |
Agreement end date (dd/mm/yyyy) |
|
refusalReason
|
|
0..* |
CodeableConcept |
Reason for refusal (code with optional additional description)
|
additionalInfoReason
|
|
0..* |
CodeableConcept |
Reason for the request of additional information
|
Documentation for this format
|