Bundle ex06 of type message

Entry 1 - fullUrl = urn:uuid:ce2e2084-3f5c-4f52-8551-8088bb6d3491

Resource MessageHeader:

Generated Narrative: MessageHeader

Resource MessageHeader "667b18ce-3d37-4581-9baa-6fada338038c"

Profile: MyCareNet MessageHeader BE profile

event: claimresponse-decide (Details: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events code claimresponse-decide = 'claimresponse-decide', stated as 'null')

Destinations

-	Endpoint	Receiver
*	urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3	See above (PractitionerRole/PractitionerRole1)

sender: See above (Organization/OrganizationIO1)

Sources

-	Endpoint
*	urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358

Responses

-	Identifier	Code
*	id: 267b18ce-3d37-4581-9baa-6fada338038b	OK

focus: See above (ClaimResponse/ClaimResponse1)

Entry 2 - fullUrl = urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3

Resource PractitionerRole:

Generated Narrative: PractitionerRole

Resource PractitionerRole "PractitionerRole1"

Profile: Practitioner role core BE profile

practitioner: See above (Practitioner/Practitioner1)

code: physiotherapist (HCParty#persphysiotherapist)

Entry 3 - fullUrl = urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "Practitioner1"

Profile: Practitioner core BE profile

identifier: id: 54263481527

name: John Smith

Entry 4 - fullUrl = urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358

Resource Organization:

Generated Narrative: Organization

Resource Organization "OrganizationIO1"

Profile: Organisation core BE profile

identifier: id: 300

name: Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten

Entry 5 - fullUrl = urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686

Resource Patient:

Jean Dupont Male, DoB: ( id: n° inscription mutualiste)

Entry 6 - fullUrl = urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693

Resource ClaimResponse:

Generated Narrative: ClaimResponse

Resource ClaimResponse "ClaimResponse1"

Profile: MyCareNet eAgreement Claim Response BE profile

status: ACTIVE

type: Professional (Claim Type Codes#professional)

subType: physiotherapy-fb (CodeSystem agreement types#physiotherapy-fb)

use: PREAUTHORIZATION

patient: See above (Patient/Patient1)

created: 2015-07-14 11:15:30+0200

insurer: See above (Organization/OrganizationIO1)

requestor: See above (PractitionerRole/PractitionerRole1)

outcome: COMPLETE

preAuthRef: identifiant business de la décision (accord/refus/en traitement)

addItem

itemSequence: 1

productOrService: fb-51 (CodeSystem NIHDIPhysiotherapyPathology#fb-51)

Adjudications

-	Category	Reason
*	refusal (CodeSystem decision values#refusal)	ajout de commentaires sur le refus (CodeSystem refusal values#REF_AGREE_ALL_001)