{
  "description": "Claimresponse profile for use in the different eAgreement flows from MyCareNet.",
  "_filename": "structuredefinition-be-mycarenetclaimresponse.json",
  "package_name": "ehealthplatform.be.r4.federalprofiles",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.0",
  "name": "BeMyCareNetClaimResponse",
  "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": null,
  "package_version": "1.1.0-beta",
  "status": "draft",
  "id": "d67e45e3-6633-4ba1-8aba-1316164e134c",
  "kind": "resource",
  "url": "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-mycarenetclaimresponse",
  "version": null,
  "differential": {
    "element": [ {
      "id": "ClaimResponse.subType",
      "min": 1,
      "path": "ClaimResponse.subType"
    }, {
      "id": "ClaimResponse.subType.coding.system",
      "code": [ {
        "system": "https://www.mycarenet.be/fhir/CodeSystem/agreement-types"
      } ],
      "path": "ClaimResponse.subType.coding.system",
      "fixedUri": "https://www.mycarenet.be/fhir/CodeSystem/agreement-types"
    }, {
      "id": "ClaimResponse.patient",
      "path": "ClaimResponse.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient" ]
      } ]
    }, {
      "id": "ClaimResponse.insurer",
      "path": "ClaimResponse.insurer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization" ]
      } ]
    }, {
      "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-practitionerrole", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner" ]
      } ]
    }, {
      "id": "ClaimResponse.item.adjudication.category.coding.system",
      "path": "ClaimResponse.item.adjudication.category.coding.system",
      "fixedUri": "https://www.mycarenet.be/fhir/CodeSystem/decision-values"
    }, {
      "id": "ClaimResponse.item.adjudication.reason.coding.system",
      "path": "ClaimResponse.item.adjudication.reason.coding.system",
      "fixedUri": "https://www.mycarenet.be/fhir/CodeSystem/refusal-values"
    }, {
      "id": "ClaimResponse.addItem.productOrService",
      "path": "ClaimResponse.addItem.productOrService",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://www.ehealth.fgov.be/standards/fhir/ValueSet/be-productorservice-nihdi-eagreement"
      }
    }, {
      "id": "ClaimResponse.addItem.adjudication.category.coding",
      "max": "1",
      "path": "ClaimResponse.addItem.adjudication.category.coding"
    }, {
      "id": "ClaimResponse.addItem.adjudication.reason.coding",
      "max": "1",
      "path": "ClaimResponse.addItem.adjudication.reason.coding"
    }, {
      "id": "ClaimResponse.adjudication.category.coding",
      "max": "1",
      "path": "ClaimResponse.adjudication.category.coding"
    }, {
      "id": "ClaimResponse.adjudication.reason.coding",
      "min": 1,
      "path": "ClaimResponse.adjudication.reason.coding"
    }, {
      "id": "ClaimResponse.adjudication.reason.coding.system",
      "min": 1,
      "path": "ClaimResponse.adjudication.reason.coding.system",
      "fixedUri": "https://www.mycarenet.be/fhir/CodeSystem/refusal-values"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ClaimResponse"
}