description: Claim profile for use in the different eAgreement flow from MyCareNet.
package_name: ehealthplatform.be.r4.federalprofiles
derivation: constraint
name: BeMyCareNetEagreementClaim
type: Claim
elements:
  patient:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient']
    index: 13
  insurance:
    mustSupport: true
    index: 34
    elements:
      sequence:
        pattern: {type: PositiveInt, value: 1}
        index: 35
      focal:
        pattern: {type: Boolean, value: true}
        index: 36
      coverage:
        elements:
          display: {index: 37}
        required: [display]
  meta:
    mustSupport: true
    index: 1
    elements:
      profile: {mustSupport: false, index: 2}
    required: [profile]
  enterer:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole']
    index: 16
    elements:
      reference: {index: 17}
    required: [reference]
  supportingInfo:
    mustSupport: true
    index: 26
    elements:
      category:
        mustSupport: true
        index: 27
        elements:
          coding:
            mustSupport: false
            index: 28
            elements:
              system: {mustSupport: false, index: 29}
              code: {mustSupport: false, index: 30}
            required: [system, code]
        required: [coding]
      code:
        elements:
          coding:
            index: 31
            elements:
              system: {index: 32}
              code: {index: 33}
            required: [system, code]
        required: [coding]
  use:
    pattern: {type: Code, value: preauthorization}
    mustSupport: true
    index: 12
  item:
    mustSupport: true
    index: 38
    elements:
      productOrService:
        elements:
          coding:
            binding: {strength: extensible, valueSet: 'http://www.mycarenet.be/fhir/ValueSet/eagreementproductorservice'}
            index: 39
            elements:
              system: {index: 40}
              code: {index: 41}
            required: [system, code]
        required: [coding]
      serviced:
        choices: [servicedDate]
        index: 43
      servicedDate: {type: date, choiceOf: serviced, index: 44}
  type:
    mustSupport: true
    index: 4
    elements:
      coding:
        mustSupport: false
        index: 5
        elements:
          system:
            pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/claim-type'}
            mustSupport: false
            index: 6
          code:
            pattern: {type: Code, value: professional}
            mustSupport: false
            index: 7
        required: [system, code]
    required: [coding]
  created: {mustSupport: true, index: 15}
  referral:
    mustSupport: true
    index: 24
    elements:
      reference: {index: 25}
    required: [reference]
  priority:
    mustSupport: true
    index: 20
    elements:
      coding:
        index: 21
        elements:
          system:
            pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/processpriority'}
            index: 22
          code:
            pattern: {type: Code, value: stat}
            index: 23
        required: [system, code]
    required: [coding]
  status:
    pattern: {type: Code, value: active}
    mustSupport: true
    index: 3
  id: {mustSupport: true, index: 0}
  billablePeriod: {mustSupport: true, index: 14}
  subType:
    mustSupport: true
    index: 8
    elements:
      coding:
        mustSupport: false
        index: 9
        elements:
          system:
            pattern: {type: Uri, value: 'http://www.mycarenet.be/fhir/CodeSystem/agreement-types'}
            mustSupport: false
            index: 10
          code: {mustSupport: false, index: 11}
        required: [system, code]
    required: [coding]
  provider:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization', 'https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole']
    index: 18
    elements:
      reference: {index: 19}
    required: [reference]
package_version: 1.1.34-beta
class: profile
kind: resource
url: http://www.mycarenet.be/fhir/StructureDefinition/be-eagreementclaim
base: http://hl7.org/fhir/StructureDefinition/Claim
version: 1.0.0
required: [id, enterer, meta, subType]