{
  "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": "1.1.9-beta",
  "status": "active",
  "id": "5646f9a1-5dca-4d96-9cc1-9e4e3a74a7d1",
  "kind": "resource",
  "url": "http://www.mycarenet.be/fhir/StructureDefinition/be-eagreementclaimresponse",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "ClaimResponse.id",
      "min": 1,
      "path": "ClaimResponse.id",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.meta",
      "min": 1,
      "path": "ClaimResponse.meta",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.meta.profile",
      "max": "1",
      "min": 1,
      "path": "ClaimResponse.meta.profile"
    }, {
      "id": "ClaimResponse.status",
      "path": "ClaimResponse.status",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.type",
      "path": "ClaimResponse.type",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.type.coding",
      "max": "1",
      "min": 1,
      "path": "ClaimResponse.type.coding"
    }, {
      "id": "ClaimResponse.type.coding.system",
      "min": 1,
      "path": "ClaimResponse.type.coding.system"
    }, {
      "id": "ClaimResponse.type.coding.code",
      "min": 1,
      "path": "ClaimResponse.type.coding.code"
    }, {
      "id": "ClaimResponse.subType",
      "min": 1,
      "path": "ClaimResponse.subType",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.subType.coding",
      "max": "1",
      "min": 1,
      "path": "ClaimResponse.subType.coding"
    }, {
      "id": "ClaimResponse.subType.coding.system",
      "min": 1,
      "path": "ClaimResponse.subType.coding.system",
      "patternUri": "http://www.mycarenet.be/fhir/CodeSystem/agreement-types"
    }, {
      "id": "ClaimResponse.subType.coding.code",
      "min": 1,
      "path": "ClaimResponse.subType.coding.code"
    }, {
      "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",
      "min": 1,
      "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.requestor.reference",
      "min": 1,
      "path": "ClaimResponse.requestor.reference"
    }, {
      "id": "ClaimResponse.outcome",
      "path": "ClaimResponse.outcome",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.preAuthRef",
      "min": 1,
      "path": "ClaimResponse.preAuthRef",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.preAuthPeriod",
      "path": "ClaimResponse.preAuthPeriod",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.preAuthPeriod.start",
      "min": 1,
      "path": "ClaimResponse.preAuthPeriod.start"
    }, {
      "id": "ClaimResponse.preAuthPeriod.end",
      "min": 1,
      "path": "ClaimResponse.preAuthPeriod.end"
    }, {
      "id": "ClaimResponse.item",
      "path": "ClaimResponse.item",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Item"
      } ]
    }, {
      "id": "ClaimResponse.item.adjudication",
      "max": "1",
      "path": "ClaimResponse.item.adjudication",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Adjudication"
      } ],
      "mustSupport": true
    }, {
      "id": "ClaimResponse.item.adjudication.category.coding",
      "max": "1",
      "min": 1,
      "path": "ClaimResponse.item.adjudication.category.coding"
    }, {
      "id": "ClaimResponse.item.adjudication.category.coding.system",
      "min": 1,
      "path": "ClaimResponse.item.adjudication.category.coding.system",
      "patternUri": "http://www.mycarenet.be/fhir/CodeSystem/decision-values"
    }, {
      "id": "ClaimResponse.item.adjudication.category.coding.code",
      "min": 1,
      "path": "ClaimResponse.item.adjudication.category.coding.code"
    }, {
      "id": "ClaimResponse.item.adjudication.reason.coding",
      "max": "1",
      "min": 1,
      "path": "ClaimResponse.item.adjudication.reason.coding",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://www.mycarenet.be/fhir/ValueSet/eagreementadjudicationreason"
      }
    }, {
      "id": "ClaimResponse.item.adjudication.reason.coding.system",
      "min": 1,
      "path": "ClaimResponse.item.adjudication.reason.coding.system"
    }, {
      "id": "ClaimResponse.item.adjudication.reason.coding.code",
      "min": 1,
      "path": "ClaimResponse.item.adjudication.reason.coding.code"
    }, {
      "id": "ClaimResponse.item.detail",
      "path": "ClaimResponse.item.detail",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "ItemDetail"
      } ]
    }, {
      "id": "ClaimResponse.item.detail.subDetail",
      "path": "ClaimResponse.item.detail.subDetail",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "SubDetail"
      } ]
    }, {
      "id": "ClaimResponse.addItem",
      "path": "ClaimResponse.addItem",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "AddedItem"
      } ],
      "mustSupport": true
    }, {
      "id": "ClaimResponse.addItem.itemSequence",
      "max": "1",
      "min": 1,
      "path": "ClaimResponse.addItem.itemSequence",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.addItem.productOrService",
      "path": "ClaimResponse.addItem.productOrService",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://www.mycarenet.be/fhir/ValueSet/eagreementproductorservice"
      }
    }, {
      "id": "ClaimResponse.addItem.productOrService.coding",
      "max": "1",
      "min": 1,
      "path": "ClaimResponse.addItem.productOrService.coding"
    }, {
      "id": "ClaimResponse.addItem.productOrService.coding.system",
      "min": 1,
      "path": "ClaimResponse.addItem.productOrService.coding.system"
    }, {
      "id": "ClaimResponse.addItem.productOrService.coding.code",
      "min": 1,
      "path": "ClaimResponse.addItem.productOrService.coding.code"
    }, {
      "id": "ClaimResponse.addItem.adjudication",
      "max": "1",
      "path": "ClaimResponse.addItem.adjudication",
      "mustSupport": true
    }, {
      "id": "ClaimResponse.addItem.detail",
      "path": "ClaimResponse.addItem.detail",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "AddedItemDetail"
      } ]
    }, {
      "id": "ClaimResponse.addItem.detail.subDetail",
      "path": "ClaimResponse.addItem.detail.subDetail",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "AddedItemSubDetail"
      } ]
    }, {
      "id": "ClaimResponse.total",
      "path": "ClaimResponse.total",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Total"
      } ]
    }, {
      "id": "ClaimResponse.payment",
      "path": "ClaimResponse.payment",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Payment"
      } ]
    }, {
      "id": "ClaimResponse.processNote",
      "path": "ClaimResponse.processNote",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Note"
      } ]
    }, {
      "id": "ClaimResponse.insurance",
      "path": "ClaimResponse.insurance",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Insurance"
      } ]
    }, {
      "id": "ClaimResponse.error",
      "path": "ClaimResponse.error",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
        "valueString": "Error"
      } ]
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClaimResponse"
}