{
  "description": "Claimresponse profile for use in the different eAgreement flows from MyCareNet.",
  "_filename": "StructureDefinition-be-eagreementclaimresponse.json",
  "package_name": "ehealthplatform.be.r4.federalprofiles",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "BeMyCareNetEagreementClaimResponse",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  } ],
  "abstract": false,
  "type": "ClaimResponse",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MyCareNet eAgreement Claim Response BE profile",
  "package_version": "1.1.4-beta",
  "status": "active",
  "id": "432d3332-be5d-4534-88ba-8fb151eb9723",
  "kind": "resource",
  "url": "http://www.mycarenet.be/fhir/StructureDefinition/be-eagreementclaimresponse",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "ClaimResponse.status",
      "path": "ClaimResponse.status",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.type",
      "path": "ClaimResponse.type",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.subType",
      "min": 1,
      "path": "ClaimResponse.subType",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.subType.coding.system",
      "path": "ClaimResponse.subType.coding.system",
      "patternUri": "http://www.mycarenet.be/fhir/CodeSystem/agreement-types"
    }, {
      "id": "ClaimResponse.use",
      "path": "ClaimResponse.use",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.patient",
      "path": "ClaimResponse.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ClaimResponse.created",
      "path": "ClaimResponse.created",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.insurer",
      "path": "ClaimResponse.insurer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ClaimResponse.requestor",
      "path": "ClaimResponse.requestor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "ClaimResponse.outcome",
      "path": "ClaimResponse.outcome",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.preAuthRef",
      "path": "ClaimResponse.preAuthRef",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.preAuthPeriod",
      "path": "ClaimResponse.preAuthPeriod",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.item.adjudication",
      "path": "ClaimResponse.item.adjudication",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.item.adjudication.category.coding.system",
      "path": "ClaimResponse.item.adjudication.category.coding.system",
      "patternUri": "http://www.mycarenet.be/fhir/CodeSystem/decision-values"
    }, {
      "id": "ClaimResponse.item.adjudication.reason.coding.system",
      "path": "ClaimResponse.item.adjudication.reason.coding.system",
      "patternUri": "http://www.mycarenet.be/fhir/CodeSystem/refusal-values"
    }, {
      "id": "ClaimResponse.addItem",
      "path": "ClaimResponse.addItem",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.addItem.itemSequence",
      "path": "ClaimResponse.addItem.itemSequence",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.addItem.productOrService",
      "path": "ClaimResponse.addItem.productOrService",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://www.mycarenet.be/fhir/ValueSet/be-beproductorservice"
      }
    }, {
      "id": "ClaimResponse.addItem.adjudication",
      "path": "ClaimResponse.addItem.adjudication",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClaimResponse"
}