{
"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": "1.1.31-beta",
"status": "active",
"id": "d7f7a368-6c97-4152-933b-63fc2df0585c",
"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",
"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",
"mustSupport": false
}, {
"id": "Claim.type.coding.code",
"min": 1,
"path": "Claim.type.coding.code",
"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",
"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"
}, {
"id": "Claim.priority.coding.code",
"min": 1,
"path": "Claim.priority.coding.code"
}, {
"id": "Claim.related",
"path": "Claim.related",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "RelatedClaim"
} ]
}, {
"id": "Claim.payee",
"path": "Claim.payee",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Payee"
} ]
}, {
"id": "Claim.referral",
"path": "Claim.referral",
"mustSupport": true
}, {
"id": "Claim.referral.reference",
"min": 1,
"path": "Claim.referral.reference"
}, {
"id": "Claim.careTeam",
"path": "Claim.careTeam",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "CareTeam"
} ]
}, {
"id": "Claim.supportingInfo",
"path": "Claim.supportingInfo",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "SupportingInformation"
} ],
"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.diagnosis",
"path": "Claim.diagnosis",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Diagnosis"
} ]
}, {
"id": "Claim.procedure",
"path": "Claim.procedure",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Procedure"
} ]
}, {
"id": "Claim.insurance",
"path": "Claim.insurance",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Insurance"
} ],
"mustSupport": true
}, {
"id": "Claim.accident",
"path": "Claim.accident",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Accident"
} ]
}, {
"id": "Claim.item",
"path": "Claim.item",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "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"
} ]
}, {
"id": "Claim.item.detail",
"path": "Claim.item.detail",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Detail"
} ]
}, {
"id": "Claim.item.detail.subDetail",
"path": "Claim.item.detail.subDetail",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "SubDetail"
} ]
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Claim"
}