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: 13
  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: 16
    elements:
      reference: {index: 17}
    required: [reference]
  insurance: {index: 44}
  processNote: {index: 43}
  meta:
    mustSupport: true
    index: 1
    elements:
      profile: {index: 2}
    required: [profile]
  preAuthRef: {mustSupport: true, index: 19}
  use: {mustSupport: true, index: 12}
  payment: {index: 42}
  item:
    index: 22
    elements:
      adjudication:
        mustSupport: true
        index: 23
        elements:
          category:
            elements:
              coding:
                index: 24
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://www.mycarenet.be/fhir/CodeSystem/decision-values'}
                    index: 25
                  code: {index: 26}
                required: [system, code]
            required: [coding]
          reason:
            elements:
              coding:
                binding: {strength: extensible, valueSet: 'http://www.mycarenet.be/fhir/ValueSet/eagreementadjudicationreason'}
                index: 27
                elements:
                  system: {index: 28}
                  code: {index: 29}
                required: [system, code]
            required: [coding]
      detail:
        index: 30
        elements:
          subDetail: {index: 31}
  type:
    mustSupport: true
    index: 4
    elements:
      coding:
        index: 5
        elements:
          system: {index: 6}
          code: {index: 7}
        required: [system, code]
    required: [coding]
  created: {mustSupport: true, index: 14}
  preAuthPeriod:
    mustSupport: true
    index: 20
    elements:
      start: {index: 21}
    required: [start]
  outcome: {mustSupport: true, index: 18}
  total: {index: 41}
  insurer:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization']
    index: 15
  status: {mustSupport: true, index: 3}
  id: {mustSupport: true, index: 0}
  error: {index: 45}
  subType:
    mustSupport: true
    index: 8
    elements:
      coding:
        index: 9
        elements:
          system:
            pattern: {type: Uri, value: 'http://www.mycarenet.be/fhir/CodeSystem/agreement-types'}
            index: 10
          code: {index: 11}
        required: [system, code]
    required: [coding]
  addItem:
    mustSupport: true
    index: 32
    elements:
      itemSequence: {mustSupport: true, index: 33}
      productOrService:
        binding: {strength: extensible, valueSet: 'http://www.mycarenet.be/fhir/ValueSet/eagreementproductorservice'}
        index: 34
        elements:
          coding:
            index: 35
            elements:
              system: {index: 36}
              code: {index: 37}
            required: [system, code]
        required: [coding]
      adjudication: {mustSupport: true, index: 38}
      detail:
        index: 39
        elements:
          subDetail: {index: 40}
    required: [itemSequence]
package_version: 1.1.14-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: [requestor, id, preAuthRef, meta, subType]