{ "description": "Claim profile for use in the different eAgreement flows from MyCareNet.", "_filename": "structuredefinition-be-mycarenetclaim.json", "package_name": "ehealthplatform.be.r4.federalprofiles", "date": null, "derivation": "constraint", "publisher": null, "fhirVersion": "4.0.1", "name": "BeMyCareNetClaim", "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": null, "package_version": "1.1.0-beta", "status": "draft", "id": "faf07eaf-194e-4942-a12e-6717b3de4a35", "kind": "resource", "url": "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-mycarenetclaim", "version": null, "differential": { "element": [ { "id": "Claim.subType", "min": 1, "path": "Claim.subType" }, { "id": "Claim.subType.coding", "min": 1, "path": "Claim.subType.coding" }, { "id": "Claim.subType.coding.system", "path": "Claim.subType.coding.system", "fixedUri": "https://www.mycarenet.be/fhir/CodeSystem/agreement-types" }, { "id": "Claim.patient", "path": "Claim.patient", "type": [ { "code": "Reference", "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient" ] } ] }, { "id": "Claim.enterer", "min": 1, "path": "Claim.enterer", "type": [ { "code": "Reference", "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner" ] } ] }, { "id": "Claim.provider", "path": "Claim.provider", "type": [ { "code": "Reference", "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization" ] } ] }, { "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.careTeam", "path": "Claim.careTeam", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "CareTeam" } ] }, { "id": "Claim.supportingInfo", "path": "Claim.supportingInfo", "slicing": { "rules": "open", "discriminator": [ { "path": "category.coding.code", "type": "value" } ] }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "SupportingInformation" } ] }, { "id": "Claim.supportingInfo:Annex", "path": "Claim.supportingInfo", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "SupportingInformation" } ], "sliceName": "Annex" }, { "id": "Claim.supportingInfo:Annex.category.coding.system", "path": "Claim.supportingInfo.category.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/claiminformationcategory" }, { "id": "Claim.supportingInfo:Annex.category.coding.code", "path": "Claim.supportingInfo.category.coding.code", "fixedCode": "attachment" }, { "id": "Claim.supportingInfo:Annex.value[x]", "min": 1, "path": "Claim.supportingInfo.value[x]", "type": [ { "code": "Attachment" } ] }, { "id": "Claim.supportingInfo:AdditionalInformation", "path": "Claim.supportingInfo", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "SupportingInformation" } ], "sliceName": "AdditionalInformation" }, { "id": "Claim.supportingInfo:AdditionalInformation.category.coding.system", "path": "Claim.supportingInfo.category.coding.system", "fixedUri": "http://terminology.hl7.org/CodeSystem/claiminformationcategory" }, { "id": "Claim.supportingInfo:AdditionalInformation.category.coding.code", "path": "Claim.supportingInfo.category.coding.code", "fixedCode": "info" }, { "id": "Claim.supportingInfo:AdditionalInformation.value[x]", "path": "Claim.supportingInfo.value[x]", "type": [ { "code": "string" }, { "code": "Reference" } ] }, { "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" } ] }, { "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" } ] }, { "id": "Claim.item.productOrService", "path": "Claim.item.productOrService", "binding": { "strength": "preferred", "valueSet": "https://www.ehealth.fgov.be/standards/fhir/ValueSet/be-productorservice-nihdi-eagreement" } }, { "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" }