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

: ex13 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "ex13",
  "meta" : {
    "profile" : [
      "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementconsultreply"
    ]
  },
  "type" : "message",
  "timestamp" : "2015-07-14T11:15:37+02:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:ce2e2084-3f5c-4f52-8551-8088bb6d3491",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "667b18ce-3d37-4581-9baa-6fada338038c",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"667b18ce-3d37-4581-9baa-6fada338038c\"> </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;667b18ce-3d37-4581-9baa-6fada338038c&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>: search-type (Details: http://hl7.org/fhir/restful-interaction code search-type = 'search-type', stated as 'null')</p><h3>Destinations</h3><table class=\"grid\"><tr><td>-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td>*</td><td><code>urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3</code></td><td><a href=\"#PractitionerRole_PractitionerRole1\">See above (PractitionerRole/PractitionerRole1)</a></td></tr></table><p><b>sender</b>: <a href=\"#Organization_OrganizationIO1\">See above (Organization/OrganizationIO1)</a></p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Endpoint</b></td></tr><tr><td>*</td><td><code>urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358</code></td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>267b18ce-3d37-4581-9baa-6fada338038b</td><td>ok</td></tr></table><p><b>focus</b>: <a href=\"#Bundle_SearchBundleResponse1\">See above (Bundle/SearchBundleResponse1)</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://hl7.org/fhir/restful-interaction",
          "code" : "search-type"
        },
        "destination" : [
          {
            "endpoint" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3",
            "receiver" : {
              "reference" : "PractitionerRole/PractitionerRole1"
            }
          }
        ],
        "sender" : {
          "reference" : "Organization/OrganizationIO1"
        },
        "source" : {
          "endpoint" : "urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358"
        },
        "response" : {
          "identifier" : "267b18ce-3d37-4581-9baa-6fada338038b",
          "code" : "ok"
        },
        "focus" : [
          {
            "reference" : "Bundle/SearchBundleResponse1"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "OrganizationIO1",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"OrganizationIO1\"> </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 Organization &quot;OrganizationIO1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://www.ehealth.fgov.be/standards/fhir/core/2.0.0/StructureDefinition-be-organization.html\">Organisation core BE profile</a></p></div><p><b>identifier</b>: id:\u00a0300</p><p><b>name</b>: Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten</p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber",
            "value" : "300"
          }
        ],
        "name" : "Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten"
      }
    },
    {
      "fullUrl" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "PractitionerRole1",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "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>"
        },
        "practitioner" : {
          "reference" : "Practitioner/Practitioner1"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code" : "persphysiotherapist"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "Practitioner1",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "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:\u00a054263481527</p><p><b>name</b>: John Smith </p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value" : "54263481527"
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "John"
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1939",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "SearchBundleResponse1",
        "type" : "searchset",
        "total" : 2,
        "link" : [
          {
            "relation" : "self",
            "url" : "http://www.mycarenet.be/ClaimResponse?patient=Patient1&use=preauthorization&subType.code:contains=physiotherapy"
          }
        ],
        "entry" : [
          {
            "fullUrl" : "urn:uuid:cfabb40d-a53f-4c56-bc19-725ea669b358",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "OrganizationIO1",
              "meta" : {
                "profile" : [
                  "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization"
                ]
              },
              "identifier" : [
                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber",
                  "value" : "300"
                }
              ],
              "name" : "Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten"
            },
            "search" : {
              "mode" : "include"
            }
          },
          {
            "fullUrl" : "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3",
            "resource" : {
              "resourceType" : "PractitionerRole",
              "id" : "PractitionerRole1",
              "meta" : {
                "profile" : [
                  "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole"
                ]
              },
              "practitioner" : {
                "reference" : "Practitioner/Practitioner1"
              },
              "code" : [
                {
                  "coding" : [
                    {
                      "system" : "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                      "code" : "persphysiotherapist"
                    }
                  ]
                }
              ]
            },
            "search" : {
              "mode" : "include"
            }
          },
          {
            "fullUrl" : "urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "Practitioner1",
              "meta" : {
                "profile" : [
                  "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner"
                ]
              },
              "identifier" : [
                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
                  "value" : "54263481527"
                }
              ],
              "name" : [
                {
                  "family" : "Smith",
                  "given" : [
                    "John"
                  ]
                }
              ]
            },
            "search" : {
              "mode" : "include"
            }
          },
          {
            "fullUrl" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "Patient1",
              "meta" : {
                "profile" : [
                  "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"
                ]
              },
              "identifier" : [
                {
                  "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
                  "value" : "73031805784"
                }
              ],
              "name" : [
                {
                  "family" : "Dupont",
                  "given" : [
                    "Jean"
                  ]
                }
              ],
              "gender" : "male"
            },
            "search" : {
              "mode" : "include"
            }
          },
          {
            "fullUrl" : "urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d693",
            "resource" : {
              "resourceType" : "ClaimResponse",
              "id" : "ClaimResponse1",
              "meta" : {
                "profile" : [
                  "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaimresponse"
                ]
              },
              "status" : "active",
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
                    "code" : "professional"
                  }
                ]
              },
              "subType" : {
                "coding" : [
                  {
                    "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types",
                    "code" : "physiotherapy-fb"
                  }
                ]
              },
              "use" : "preauthorization",
              "patient" : {
                "reference" : "Patient/Patient1"
              },
              "created" : "2015-07-14T11:15:30+02:00",
              "insurer" : {
                "reference" : "Organization/OrganizationIO1"
              },
              "requestor" : {
                "reference" : "PractitionerRole/PractitionerRole1"
              },
              "outcome" : "complete",
              "preAuthRef" : "identifiant business de la décision (accord/refus/en traitement)",
              "preAuthPeriod" : {
                "start" : "2020-01-15",
                "end" : "2020-03-15"
              },
              "addItem" : [
                {
                  "itemSequence" : [
                    1
                  ],
                  "productOrService" : {
                    "coding" : [
                      {
                        "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-physiotherapy-pathologysituationcode",
                        "code" : "fb-51"
                      }
                    ]
                  },
                  "adjudication" : [
                    {
                      "category" : {
                        "coding" : [
                          {
                            "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/decision-values",
                            "code" : "agreement"
                          }
                        ]
                      }
                    }
                  ]
                }
              ]
            },
            "search" : {
              "mode" : "match"
            }
          },
          {
            "fullUrl" : "urn:uuid:0a0d60df-0340-45a6-a493-a5d67f74d699",
            "resource" : {
              "resourceType" : "ClaimResponse",
              "id" : "ClaimResponse2",
              "meta" : {
                "profile" : [
                  "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaimresponse"
                ]
              },
              "status" : "active",
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/claim-type",
                    "code" : "professional"
                  }
                ]
              },
              "subType" : {
                "coding" : [
                  {
                    "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types",
                    "code" : "physiotherapy-fb"
                  }
                ]
              },
              "use" : "preauthorization",
              "patient" : {
                "reference" : "Patient/Patient1"
              },
              "created" : "2015-07-14T11:15:30+02:00",
              "insurer" : {
                "reference" : "Organization/OrganizationIO1"
              },
              "requestor" : {
                "reference" : "PractitionerRole/PractitionerRole1"
              },
              "outcome" : "partial",
              "preAuthRef" : "identifiant business de la décision (accord/refus/en traitement)",
              "addItem" : [
                {
                  "itemSequence" : [
                    1
                  ],
                  "productOrService" : {
                    "coding" : [
                      {
                        "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-physiotherapy-pathologysituationcode",
                        "code" : "fb-51"
                      }
                    ]
                  },
                  "adjudication" : [
                    {
                      "category" : {
                        "coding" : [
                          {
                            "system" : "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/decision-values",
                            "code" : "intreatment"
                          }
                        ]
                      }
                    }
                  ]
                }
              ]
            },
            "search" : {
              "mode" : "match"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Patient1",
        "meta" : {
          "profile" : [
            "https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "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:\u00a0n° inscription mutualiste</p><p><b>name</b>: Jean Dupont </p><p><b>gender</b>: male</p></div>"
        },
        "identifier" : [
          {
            "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership",
            "value" : "n° inscription mutualiste",
            "assigner" : {
              "identifier" : {
                "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber",
                "value" : "n° mutualité"
              }
            }
          }
        ],
        "name" : [
          {
            "family" : "Dupont",
            "given" : [
              "Jean"
            ]
          }
        ],
        "gender" : "male"
      }
    }
  ]
}