description: Claimresponse profile for use in the different eAgreement flows from MyCareNet.
package_name: ehealthplatform.be.r4.federalprofiles
derivation: constraint
name: BeMyCareNetEagreementClaimResponse
type: ClaimResponse
elements:
  patient:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient']
    index: 5
  requestor:
    type: Reference
    mustSupport: true
    refers: ['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']
    index: 8
  preAuthRef: {mustSupport: true, index: 10}
  use: {mustSupport: true, index: 4}
  item:
    elements:
      adjudication:
        mustSupport: true
        index: 12
        elements:
          category:
            elements:
              coding:
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://www.mycarenet.be/fhir/CodeSystem/decision-values'}
                    index: 13
          reason:
            elements:
              coding:
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://www.mycarenet.be/fhir/CodeSystem/refusal-values'}
                    index: 14
  type: {mustSupport: true, index: 1}
  created: {mustSupport: true, index: 6}
  preAuthPeriod: {mustSupport: true, index: 11}
  outcome: {mustSupport: true, index: 9}
  insurer:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization']
    index: 7
  status: {mustSupport: true, index: 0}
  subType:
    mustSupport: true
    index: 2
    elements:
      coding:
        elements:
          system:
            pattern: {type: Uri, value: 'http://www.mycarenet.be/fhir/CodeSystem/agreement-types'}
            index: 3
  addItem:
    mustSupport: true
    index: 15
    elements:
      itemSequence: {mustSupport: true, index: 16}
      productOrService:
        binding: {strength: extensible, valueSet: 'http://www.mycarenet.be/fhir/ValueSet/be-beproductorservice'}
        index: 17
      adjudication: {mustSupport: true, index: 18}
package_version: 1.1.5-beta
class: profile
kind: resource
url: http://www.mycarenet.be/fhir/StructureDefinition/be-eagreementclaimresponse
base: http://hl7.org/fhir/StructureDefinition/ClaimResponse
version: 1.0.0
required: [subType]