description: Claimresponse profile for use in the different eAgreement flows from MyCareNet.
package_name: ehealthplatform.be.r4.federalprofiles
derivation: constraint
name: BeMyCareNetClaimResponse
type: ClaimResponse
elements:
  subType:
    index: 0
    elements:
      coding:
        elements:
          system:
            code:
            - {system: 'https://www.mycarenet.be/fhir/CodeSystem/agreement-types'}
            pattern: {type: Uri, value: 'https://www.mycarenet.be/fhir/CodeSystem/agreement-types'}
            index: 1
  patient:
    type: Reference
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient']
    index: 2
  insurer:
    type: Reference
    refers: ['https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization']
    index: 3
  requestor:
    type: Reference
    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: 4
  item:
    elements:
      adjudication:
        elements:
          category:
            elements:
              coding:
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.mycarenet.be/fhir/CodeSystem/decision-values'}
                    index: 5
          reason:
            elements:
              coding:
                elements:
                  system:
                    pattern: {type: Uri, value: 'https://www.mycarenet.be/fhir/CodeSystem/refusal-values'}
                    index: 6
  addItem:
    elements:
      productOrService:
        binding: {strength: preferred, valueSet: 'https://www.ehealth.fgov.be/standards/fhir/ValueSet/be-productorservice-nihdi-eagreement'}
        index: 7
      adjudication:
        elements:
          category:
            elements:
              coding: {index: 8}
          reason:
            elements:
              coding: {index: 9}
  adjudication:
    elements:
      category:
        elements:
          coding: {index: 10}
      reason:
        elements:
          coding:
            index: 11
            elements:
              system:
                pattern: {type: Uri, value: 'https://www.mycarenet.be/fhir/CodeSystem/refusal-values'}
                index: 12
            required: [system]
        required: [coding]
package_version: 1.1.0-beta
class: profile
kind: resource
url: https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-mycarenetclaimresponse
base: http://hl7.org/fhir/StructureDefinition/ClaimResponse
version: null
required: [subType]