Belgian MyCareNet Profiles
2.0.0 - STU Belgium flag

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

: ex03 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ex03"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand>     ] )
  ] ; # 
  fhir:type [ fhir:v "message"] ; # 
  fhir:timestamp [ fhir:v "2015-07-14T11:15:33+02:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:uuid:ce2e2084-3f5c-4f52-8551-8088bb6d3491"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:ce2e2084-3f5c-4f52-8551-8088bb6d3491> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b> )
  ] [
fhir:fullUrl [ fhir:v "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"^^xsd:anyURI ] ;
    ( fhir:resource <urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a> )
  ] ) . # 

<urn:uuid:ce2e2084-3f5c-4f52-8551-8088bb6d3491> a fhir:MessageHeader ;
  fhir:id [ fhir:v "267b18ce-3d37-4581-9baa-6fada338038b"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;267b18ce-3d37-4581-9baa-6fada338038b&quot; </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>"
  ] ; # 
  fhir:event [
a fhir:Coding ;
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events"^^xsd:anyURI ] ;
fhir:code [ fhir:v "claim-ask" ]
  ] ; # 
  fhir:destination ( [
fhir:name [ fhir:v "MyCareNet" ] ;
fhir:endpoint [ fhir:v "MyCareNet"^^xsd:anyURI ]
  ] ) ; # 
  fhir:sender [
fhir:reference [ fhir:v "PractitionerRole/PractitionerRole1" ]
  ] ; # 
  fhir:source [
fhir:endpoint [ fhir:v "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"^^xsd:anyURI ]
  ] ; # 
  fhir:focus ( [
fhir:reference [ fhir:v "Claim/Claim1" ]
  ] ) . # 

<urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3> a fhir:PractitionerRole ;
  fhir:id [ fhir:v "PractitionerRole1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;PractitionerRole1&quot; </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>"
  ] ; # 
  fhir:practitioner [
fhir:reference [ fhir:v "Practitioner/Practitioner1" ]
  ] ; # 
  fhir:code ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persphysiotherapist" ]     ] )
  ] ) . # 

<urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931> a fhir:Practitioner ;
  fhir:id [ fhir:v "Practitioner1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;Practitioner1&quot; </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>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "54263481527" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Smith" ] ;
    ( fhir:given [ fhir:v "John" ] )
  ] ) . # 

<urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686> a fhir:Patient ;
  fhir:id [ fhir:v "Patient1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;Patient1&quot; </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>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership"^^xsd:anyURI ] ;
fhir:value [ fhir:v "n° inscription mutualiste" ] ;
fhir:assigner [
fhir:identifier [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "n° mutualité" ]       ]     ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Dupont" ] ;
    ( fhir:given [ fhir:v "Jean" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "male"] . # 

<urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321> a fhir:PractitionerRole ;
  fhir:id [ fhir:v "PractitionerRole2"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;PractitionerRole2&quot; </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>"
  ] ; # 
  fhir:practitioner [
fhir:reference [ fhir:v "Practitioner/Practitioner2" ]
  ] ; # 
  fhir:code ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty"^^xsd:anyURI ] ;
fhir:code [ fhir:v "persphysician" ]     ] )
  ] ) . # 

<urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6> a fhir:Practitioner ;
  fhir:id [ fhir:v "Practitioner2"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;Practitioner2&quot; </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>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "19234011004" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Nom du prescripteur" ] ;
    ( fhir:given [ fhir:v "Prénom du prescripteur" ] )
  ] ) . # 

<urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "ServiceRequest1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;ServiceRequest1&quot; </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>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/uhmep"^^xsd:anyURI ] ;
fhir:value [ fhir:v "n° de la prescription" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Patient1" ]
  ] ; # 
  fhir:requester [
fhir:reference [ fhir:v "PractitionerRole/PractitionerRole2" ]
  ] . # 

<urn:uuid:3b8e1245-b480-4af6-90c0-f67037ef276b> a fhir:ServiceRequest ;
  fhir:id [ fhir:v "ServiceRequest2"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;ServiceRequest2&quot; </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>"
  ] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/uhmep"^^xsd:anyURI ] ;
fhir:value [ fhir:v "n° de la prescription" ]
  ] ) ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Patient1" ]
  ] ; # 
  fhir:requester [
fhir:reference [ fhir:v "PractitionerRole/PractitionerRole2" ]
  ] . # 

<urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a> a fhir:Claim ;
  fhir:id [ fhir:v "Claim1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim-kine"^^xsd:anyURI ;
fhir:link <https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim-kine>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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 &quot;Claim1&quot; </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 --&gt; (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>"
  ] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claim-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "professional" ]     ] )
  ] ; # 
  fhir:subType [
    ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types"^^xsd:anyURI ] ;
fhir:code [ fhir:v "physiotherapy-fb" ]     ] )
  ] ; # 
  fhir:use [ fhir:v "preauthorization"] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/Patient1" ]
  ] ; # 
  fhir:billablePeriod [
fhir:start [ fhir:v "2020-01-15"^^xsd:date ]
  ] ; # 
  fhir:created [ fhir:v "2015-07-14T11:15:30+02:00"^^xsd:dateTime] ; # 
  fhir:enterer [
fhir:reference [ fhir:v "PractitionerRole/PractitionerRole1" ]
  ] ; # 
  fhir:provider [
fhir:reference [ fhir:v "PractitionerRole/PractitionerRole1" ]
  ] ; # 
  fhir:priority [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/processpriority"^^xsd:anyURI ] ;
fhir:code [ fhir:v "stat" ]     ] )
  ] ; # 
  fhir:referral [
fhir:reference [ fhir:v "ServiceRequest/ServiceRequest1" ]
  ] ; # 
  fhir:supportingInfo ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "attachment" ]       ] )     ] ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/annex-types"^^xsd:anyURI ] ;
fhir:code [ fhir:v "functional-report" ]       ] )     ] ;
fhir:value [
a fhir:Attachment ;
fhir:contentType [ fhir:v "application/pdf" ] ;
fhir:data [ fhir:v "QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ="^^xsd:base64Binary ] ;
fhir:title [ fhir:v "nom/description de l'annexe" ]     ]
  ] [
fhir:sequence [ fhir:v "2"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:value [ fhir:v "additional Information" ]
  ] [
fhir:sequence [ fhir:v "3"^^xsd:positiveInteger ] ;
fhir:category [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/claiminformationcategory"^^xsd:anyURI ] ;
fhir:code [ fhir:v "info" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "ServiceRequest/ServiceRequest2" ]     ]
  ] ) ; # 
  fhir:insurance ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:focal [ fhir:v "true"^^xsd:boolean ] ;
fhir:coverage [
fhir:display [ fhir:v "use of mandatory insurance coverage, no further details provided here." ]     ]
  ] ) ; # 
  fhir:item ( [
fhir:sequence [ fhir:v "1"^^xsd:positiveInteger ] ;
fhir:productOrService [
      ( fhir:coding [
fhir:system [ fhir:v "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-physiotherapy-pathologysituationcode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fb-51" ]       ] )     ] ;
fhir:serviced [ fhir:v "2020-01-14"^^xsd:date ]
  ] ) . #