{
  "description": "Claim profile for use in the different eAgreement flow from MyCareNet.",
  "_filename": "StructureDefinition-be-eagreementclaim.json",
  "package_name": "ehealthplatform.be.r4.federalprofiles",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "BeMyCareNetEagreementClaim",
  "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": "Claim",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MyCareNet eAgreement Claim BE profile",
  "package_version": "1.3.0-beta",
  "status": "draft",
  "id": "8c824a92-8607-40b6-aa04-f79ede3f834e",
  "kind": "resource",
  "url": "http://www.mycarenet.be/fhir/StructureDefinition/be-eagreementclaim",
  "version": "1.0.0",
  "differential": {
    "element": [ {
      "id": "Claim.id",
      "min": 1,
      "path": "Claim.id",
      "mustSupport": true
    }, {
      "id": "Claim.meta",
      "min": 1,
      "path": "Claim.meta",
      "mustSupport": true
    }, {
      "id": "Claim.meta.profile",
      "max": "1",
      "min": 1,
      "path": "Claim.meta.profile",
      "mustSupport": false
    }, {
      "id": "Claim.status",
      "path": "Claim.status",
      "fixedCode": "active",
      "mustSupport": true
    }, {
      "id": "Claim.type",
      "path": "Claim.type",
      "mustSupport": true
    }, {
      "id": "Claim.type.coding",
      "max": "1",
      "min": 1,
      "path": "Claim.type.coding",
      "mustSupport": false
    }, {
      "id": "Claim.type.coding.system",
      "min": 1,
      "path": "Claim.type.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/claim-type",
      "mustSupport": false
    }, {
      "id": "Claim.type.coding.code",
      "min": 1,
      "path": "Claim.type.coding.code",
      "fixedCode": "professional",
      "mustSupport": false
    }, {
      "id": "Claim.subType",
      "min": 1,
      "path": "Claim.subType",
      "mustSupport": true
    }, {
      "id": "Claim.subType.coding",
      "max": "1",
      "min": 1,
      "path": "Claim.subType.coding",
      "mustSupport": false
    }, {
      "id": "Claim.subType.coding.system",
      "min": 1,
      "path": "Claim.subType.coding.system",
      "patternUri": "http://www.mycarenet.be/fhir/CodeSystem/agreement-types",
      "mustSupport": false
    }, {
      "id": "Claim.subType.coding.code",
      "min": 1,
      "path": "Claim.subType.coding.code",
      "mustSupport": false
    }, {
      "id": "Claim.use",
      "path": "Claim.use",
      "fixedCode": "preauthorization",
      "mustSupport": true
    }, {
      "id": "Claim.patient",
      "path": "Claim.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Claim.billablePeriod",
      "path": "Claim.billablePeriod",
      "mustSupport": true
    }, {
      "id": "Claim.created",
      "path": "Claim.created",
      "mustSupport": true
    }, {
      "id": "Claim.enterer",
      "min": 1,
      "path": "Claim.enterer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Claim.enterer.reference",
      "min": 1,
      "path": "Claim.enterer.reference"
    }, {
      "id": "Claim.provider",
      "path": "Claim.provider",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Claim.provider.reference",
      "min": 1,
      "path": "Claim.provider.reference"
    }, {
      "id": "Claim.priority",
      "path": "Claim.priority",
      "mustSupport": true
    }, {
      "id": "Claim.priority.coding",
      "max": "1",
      "min": 1,
      "path": "Claim.priority.coding"
    }, {
      "id": "Claim.priority.coding.system",
      "min": 1,
      "path": "Claim.priority.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/processpriority"
    }, {
      "id": "Claim.priority.coding.code",
      "min": 1,
      "path": "Claim.priority.coding.code",
      "fixedCode": "stat"
    }, {
      "id": "Claim.referral",
      "path": "Claim.referral",
      "mustSupport": true
    }, {
      "id": "Claim.referral.reference",
      "min": 1,
      "path": "Claim.referral.reference"
    }, {
      "id": "Claim.supportingInfo",
      "path": "Claim.supportingInfo",
      "mustSupport": true
    }, {
      "id": "Claim.supportingInfo.category",
      "path": "Claim.supportingInfo.category",
      "mustSupport": true
    }, {
      "id": "Claim.supportingInfo.category.coding",
      "max": "1",
      "min": 1,
      "path": "Claim.supportingInfo.category.coding",
      "mustSupport": false
    }, {
      "id": "Claim.supportingInfo.category.coding.system",
      "min": 1,
      "path": "Claim.supportingInfo.category.coding.system",
      "mustSupport": false
    }, {
      "id": "Claim.supportingInfo.category.coding.code",
      "min": 1,
      "path": "Claim.supportingInfo.category.coding.code",
      "mustSupport": false
    }, {
      "id": "Claim.supportingInfo.code.coding",
      "max": "1",
      "min": 1,
      "path": "Claim.supportingInfo.code.coding"
    }, {
      "id": "Claim.supportingInfo.code.coding.system",
      "min": 1,
      "path": "Claim.supportingInfo.code.coding.system"
    }, {
      "id": "Claim.supportingInfo.code.coding.code",
      "min": 1,
      "path": "Claim.supportingInfo.code.coding.code"
    }, {
      "id": "Claim.insurance",
      "max": "1",
      "path": "Claim.insurance",
      "mustSupport": true
    }, {
      "id": "Claim.insurance.sequence",
      "path": "Claim.insurance.sequence",
      "fixedPositiveInt": 1
    }, {
      "id": "Claim.insurance.focal",
      "path": "Claim.insurance.focal",
      "fixedBoolean": true
    }, {
      "id": "Claim.insurance.coverage.display",
      "min": 1,
      "path": "Claim.insurance.coverage.display"
    }, {
      "id": "Claim.item",
      "path": "Claim.item",
      "mustSupport": true
    }, {
      "id": "Claim.item.productOrService.coding",
      "max": "1",
      "min": 1,
      "path": "Claim.item.productOrService.coding",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://www.mycarenet.be/fhir/ValueSet/eagreementproductorservice"
      }
    }, {
      "id": "Claim.item.productOrService.coding.system",
      "min": 1,
      "path": "Claim.item.productOrService.coding.system"
    }, {
      "id": "Claim.item.productOrService.coding.code",
      "min": 1,
      "path": "Claim.item.productOrService.coding.code"
    }, {
      "id": "Claim.item.serviced[x]",
      "path": "Claim.item.serviced[x]",
      "type": [ {
        "code": "date"
      } ]
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Claim"
}