Belgian MyCareNet Profiles
2.0.0 - STU
Belgian MyCareNet Profiles
2.0.0 - STU
This page is part of the HL7 Belgium FHIR Implementation Guide - MyCareNet profiles (v2.0.0: Trial Use) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex02"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand"/>
</meta>
<type value="message"/>
<timestamp value="2015-07-14T11:15:33+02:00"/>
<entry>
<fullUrl value="urn:uuid:ce2e2084-3f5c-4f52-8551-8088bb6d3491"/>
<resource>
<MessageHeader>
<id value="267b18ce-3d37-4581-9baa-6fada338038b"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MessageHeader</b><a name="267b18ce-3d37-4581-9baa-6fada338038b"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MessageHeader "267b18ce-3d37-4581-9baa-6fada338038b" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-messageheader.html">MyCareNet MessageHeader BE profile</a></p></div><p><b>event</b>: claim-ask (Details: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events code claim-ask = 'claim-ask', stated as 'null')</p><h3>Destinations</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>MyCareNet</td><td><code>MyCareNet</code></td></tr></table><p><b>sender</b>: <a href="#PractitionerRole_PractitionerRole1">See above (PractitionerRole/PractitionerRole1)</a></p><h3>Sources</h3><table class="grid"><tr><td>-</td><td><b>Endpoint</b></td></tr><tr><td>*</td><td><code>urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3</code></td></tr></table><p><b>focus</b>: <a href="#Claim_Claim1">See above (Claim/Claim1)</a></p></div>
</text>
<eventCoding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events"/>
<code value="claim-ask"/>
</eventCoding>
<destination>
<name value="MyCareNet"/>
<endpoint value="MyCareNet"/>
</destination>
<sender>
<reference value="PractitionerRole/PractitionerRole1"/>
</sender>
<source>
<endpoint value="urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
</source>
<focus>
<reference value="Claim/Claim1"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"/>
<resource>
<PractitionerRole>
<id value="PractitionerRole1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</b><a name="PractitionerRole1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PractitionerRole "PractitionerRole1" </p><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/StructureDefinition-be-practitionerrole.html">Practitioner role core BE profile</a></p></div><p><b>practitioner</b>: <a href="#Practitioner_Practitioner1">See above (Practitioner/Practitioner1)</a></p><p><b>code</b>: physiotherapist <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/CodeSystem-cd-hcparty.html">HCParty</a>#persphysiotherapist)</span></p></div>
</text>
<practitioner>
<reference value="Practitioner/Practitioner1"/>
</practitioner>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysiotherapist"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"/>
<resource>
<Practitioner>
<id value="Practitioner1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="Practitioner1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "Practitioner1" </p><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/StructureDefinition-be-practitioner.html">Practitioner core BE profile</a></p></div><p><b>identifier</b>: id: 54263481527</p><p><b>name</b>: John Smith </p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="54263481527"/>
</identifier>
<name>
<family value="Smith"/>
<given value="John"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"/>
<resource>
<Patient>
<id value="Patient1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Patient</b><a name="Patient1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Patient "Patient1" </p><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/StructureDefinition-be-patient.html">Patient core BE profile</a></p></div><p><b>identifier</b>: id: n° inscription mutualiste</p><p><b>name</b>: Jean Dupont </p><p><b>gender</b>: male</p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership"/>
<value value="n° inscription mutualiste"/>
<assigner>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber"/>
<value value="n° mutualité"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="Dupont"/>
<given value="Jean"/>
</name>
<gender value="male"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"/>
<resource>
<PractitionerRole>
<id value="PractitionerRole2"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: PractitionerRole</b><a name="PractitionerRole2"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PractitionerRole "PractitionerRole2" </p><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/StructureDefinition-be-practitionerrole.html">Practitioner role core BE profile</a></p></div><p><b>practitioner</b>: <a href="#Practitioner_Practitioner2">See above (Practitioner/Practitioner2)</a></p><p><b>code</b>: physician <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/CodeSystem-cd-hcparty.html">HCParty</a>#persphysician)</span></p></div>
</text>
<practitioner>
<reference value="Practitioner/Practitioner2"/>
</practitioner>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"/>
<code value="persphysician"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6"/>
<resource>
<Practitioner>
<id value="Practitioner2"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Practitioner</b><a name="Practitioner2"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Practitioner "Practitioner2" </p><p style="margin-bottom: 0px">Profile: <a href="https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/StructureDefinition-be-practitioner.html">Practitioner core BE profile</a></p></div><p><b>identifier</b>: id: 19234011004</p><p><b>name</b>: Prénom du prescripteur Nom du prescripteur </p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"/>
<value value="19234011004"/>
</identifier>
<name>
<family value="Nom du prescripteur"/>
<given value="Prénom du prescripteur"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a"/>
<resource>
<ServiceRequest>
<id value="ServiceRequest1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="ServiceRequest1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ServiceRequest "ServiceRequest1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-eagreementservicerequest.html">MyCareNet eAgreement ServiceRequest BE profile</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Physical therapy procedure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#91251008)</span></p><p><b>code</b>: Physical therapy procedure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#91251008)</span></p><p><b>quantity</b>: 15</p><p><b>subject</b>: <a href="#Patient_Patient1">See above (Patient/Patient1)</a></p><p><b>authoredOn</b>: 2015-07-10</p><p><b>requester</b>: <a href="#PractitionerRole_PractitionerRole2">See above (PractitionerRole/PractitionerRole2)</a></p><p><b>supportingInfo</b>: <a name="annexSR1"> </a></p><blockquote><p/><p><a name="annexSR1"> </a></p><p><b>contentType</b>: application/pdf</p><p><b>data</b>: QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ=</p></blockquote><hr/><blockquote><p><b>Generated Narrative: Binary #annexSR1</b><a name="annexSR1"> </a></p><p><b>contentType</b>: application/pdf</p><p><b>data</b>: QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ=</p></blockquote></div>
</text>
<contained>
<Binary>
<id value="annexSR1"/>
<contentType value="application/pdf"/>
<data value="QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ="/>
</Binary>
</contained>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91251008"/>
<display value="Physical therapy procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91251008"/>
<display value="Physical therapy procedure"/>
</coding>
</code>
<quantityQuantity>
<value value="15"/>
</quantityQuantity>
<subject>
<reference value="Patient/Patient1"/>
</subject>
<authoredOn value="2015-07-10"/>
<requester>
<reference value="PractitionerRole/PractitionerRole2"/>
</requester>
<supportingInfo>
<reference value="#annexSR1"/>
</supportingInfo>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b"/>
<resource>
<ServiceRequest>
<id value="ServiceRequest2"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="ServiceRequest2"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource ServiceRequest "ServiceRequest2" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-eagreementservicerequest.html">MyCareNet eAgreement ServiceRequest BE profile</a></p></div><p><b>identifier</b>: id: n° de la prescription</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>subject</b>: <a href="#Patient_Patient1">See above (Patient/Patient1)</a></p><p><b>requester</b>: <a href="#PractitionerRole_PractitionerRole2">See above (PractitionerRole/PractitionerRole2)</a></p></div>
</text>
<identifier>
<system
value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/uhmep"/>
<value value="n° de la prescription"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<subject>
<reference value="Patient/Patient1"/>
</subject>
<requester>
<reference value="PractitionerRole/PractitionerRole2"/>
</requester>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"/>
<resource>
<Claim>
<id value="Claim1"/>
<meta>
<profile
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim-kine"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Claim</b><a name="Claim1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Claim "Claim1" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-be-eagreementclaim-kine.html">MyCareNet eAgreement Claim Kine BE profile</a></p></div><p><b>status</b>: active</p><p><b>type</b>: Professional <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-claim-type.html">Claim Type Codes</a>#professional)</span></p><p><b>subType</b>: physiotherapy-fb <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-agreement-types.html">CodeSystem agreement types</a>#physiotherapy-fb)</span></p><p><b>use</b>: preauthorization</p><p><b>patient</b>: <a href="#Patient_Patient1">See above (Patient/Patient1)</a></p><p><b>billablePeriod</b>: 2020-01-15 --> (ongoing)</p><p><b>created</b>: 2015-07-14 11:15:30+0200</p><p><b>enterer</b>: <a href="#PractitionerRole_PractitionerRole1">See above (PractitionerRole/PractitionerRole1)</a></p><p><b>provider</b>: <a href="#PractitionerRole_PractitionerRole1">See above (PractitionerRole/PractitionerRole1)</a></p><p><b>priority</b>: Immediate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-processpriority.html">Process Priority Codes</a>#stat)</span></p><p><b>referral</b>: <a href="#ServiceRequest_ServiceRequest1">See above (ServiceRequest/ServiceRequest1)</a></p><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 1</p><p><b>category</b>: Attachment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-claiminformationcategory.html">Claim Information Category Codes</a>#attachment)</span></p><p><b>code</b>: functional-report <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-annex-types.html">CodeSystem annex types</a>#functional-report)</span></p><p><b>value</b>: </p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 2</p><p><b>category</b>: Information <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-claiminformationcategory.html">Claim Information Category Codes</a>#info)</span></p><p><b>value</b>: additional Information</p></blockquote><blockquote><p><b>supportingInfo</b></p><p><b>sequence</b>: 3</p><p><b>category</b>: Information <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-claiminformationcategory.html">Claim Information Category Codes</a>#info)</span></p><p><b>value</b>: <a href="#ServiceRequest_ServiceRequest2">See above (ServiceRequest/ServiceRequest2)</a></p></blockquote><h3>Insurances</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td>*</td><td>1</td><td>true</td><td><span>: use of mandatory insurance coverage, no further details provided here.</span></td></tr></table><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Sequence</b></td><td><b>ProductOrService</b></td><td><b>Serviced[x]</b></td></tr><tr><td>*</td><td>1</td><td>fb-51 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-nihdi-physiotherapy-pathologysituationcode.html">CodeSystem NIHDIPhysiotherapyPathology</a>#fb-51)</span></td><td>2020-01-14</td></tr></table></div>
</text>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/claim-type"/>
<code value="professional"/>
</coding>
</type>
<subType>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types"/>
<code value="physiotherapy-fb"/>
</coding>
</subType>
<use value="preauthorization"/>
<patient>
<reference value="Patient/Patient1"/>
</patient>
<billablePeriod>
<start value="2020-01-15"/>
</billablePeriod>
<created value="2015-07-14T11:15:30+02:00"/>
<enterer>
<reference value="PractitionerRole/PractitionerRole1"/>
</enterer>
<provider>
<reference value="PractitionerRole/PractitionerRole1"/>
</provider>
<priority>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/processpriority"/>
<code value="stat"/>
</coding>
</priority>
<referral>
<reference value="ServiceRequest/ServiceRequest1"/>
</referral>
<supportingInfo>
<sequence value="1"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="attachment"/>
</coding>
</category>
<code>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/annex-types"/>
<code value="functional-report"/>
</coding>
</code>
<valueAttachment>
<contentType value="application/pdf"/>
<data value="QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ="/>
<title value="nom/description de l'annexe"/>
</valueAttachment>
</supportingInfo>
<supportingInfo>
<sequence value="2"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="info"/>
</coding>
</category>
<valueString value="additional Information"/>
</supportingInfo>
<supportingInfo>
<sequence value="3"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/claiminformationcategory"/>
<code value="info"/>
</coding>
</category>
<valueReference>
<reference value="ServiceRequest/ServiceRequest2"/>
</valueReference>
</supportingInfo>
<insurance>
<sequence value="1"/>
<focal value="true"/>
<coverage>
<display
value="use of mandatory insurance coverage, no further details provided here."/>
</coverage>
</insurance>
<item>
<sequence value="1"/>
<productOrService>
<coding>
<system
value="https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-physiotherapy-pathologysituationcode"/>
<code value="fb-51"/>
</coding>
</productOrService>
<servicedDate value="2020-01-14"/>
</item>
</Claim>
</resource>
</entry>
</Bundle>
IG © 2022+ eHealth Platform. Package hl7.fhir.be.mycarenet#2.0.0 based on FHIR 4.0.1. Generated 2023-04-27
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