This is the set of resources that conform to both MyCareNet eAgreement Claim Response BE profile (https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaimresponse) and MyCareNet eAgreement Claim Response BE profile (https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaimresponse).
Name Flags Card. Type Description & Constraints Filter: Bindings Constraints Obligations
ClaimResponse C 0..* Response to a claim predetermination or preauthorizationConstraints: be-rule-eagreementclaimresponse-1 , be-rule-eagreementclaimresponse-2 ClaimResponse. meta S This element must be supported. Σ This element is included in summaries. 1..1 Meta Metadata about the resource ClaimResponse.meta. extension 0..* Extension Additional content defined by implementations ClaimResponse.meta. versionId Σ This element is included in summaries. 0..1 id Version specific identifier ClaimResponse.meta. lastUpdated Σ This element is included in summaries. 0..1 instant When the resource version last changed ClaimResponse.meta. source Σ This element is included in summaries. 0..1 uri Identifies where the resource comes from ClaimResponse.meta. profile Σ This element is included in summaries. 1..1 canonical (StructureDefinition )Profiles this resource claims to conform to ClaimResponse.meta. security Σ This element is included in summaries. 0..* Coding Security Labels applied to this resourceBinding: ?? ( extensible ) : Security Labels from the Healthcare Privacy and Security Classification System. ClaimResponse.meta. tag Σ This element is included in summaries. 0..* Coding Tags applied to this resourceBinding: ?? ( example ) : Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". ClaimResponse. implicitRules ?! This element is a modifier element. Σ This element is included in summaries. 0..1 uri A set of rules under which this content was created ClaimResponse. language 0..1 code Language of the resource contentBinding: ?? ( preferred ) : A human language. ClaimResponse. text 0..1 Narrative Text summary of the resource, for human interpretationThis profile does not constrain the narrative in regard to content, language, or traceability to data elements ClaimResponse. contained 0..* Resource Contained, inline Resources ClaimResponse. extension 0..* Extension Additional content defined by implementations ClaimResponse. modifierExtension ?! This element is a modifier element. 0..* Extension Extensions that cannot be ignored ClaimResponse. identifier 0..* Identifier Business Identifier for a claim response ClaimResponse. status ?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. 1..1 code active | cancelled | draft | entered-in-errorBinding: ?? ( required ) : A code specifying the state of the resource instance. ClaimResponse. type S This element must be supported. Σ This element is included in summaries. 1..1 CodeableConcept More granular claim typeBinding: ?? ( extensible ) : The type or discipline-style of the claim. ClaimResponse.type. extension 0..* Extension Additional content defined by implementations ClaimResponse.type. coding Σ This element is included in summaries. 1..1 Coding Code defined by a terminology system ClaimResponse.type.coding. extension 0..* Extension Additional content defined by implementations ClaimResponse.type.coding. system Σ This element is included in summaries. 1..1 uri Identity of the terminology system ClaimResponse.type.coding. version Σ This element is included in summaries. 0..1 string Version of the system - if relevant ClaimResponse.type.coding. code Σ This element is included in summaries. 1..1 code Symbol in syntax defined by the system ClaimResponse.type.coding. display Σ This element is included in summaries. 0..1 string Representation defined by the system ClaimResponse.type.coding. userSelected Σ This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user ClaimResponse.type. text Σ This element is included in summaries. 0..1 string Plain text representation of the concept ClaimResponse. subType S This element must be supported. 1..1 CodeableConcept More granular claim typeBinding: ?? ( example ) : A more granular claim typecode. ClaimResponse.subType. extension 0..* Extension Additional content defined by implementations ClaimResponse.subType. coding Σ This element is included in summaries. 1..1 Coding Code defined by a terminology system ClaimResponse.subType.coding. extension 0..* Extension Additional content defined by implementations ClaimResponse.subType.coding. system Σ This element is included in summaries. 1..1 uri Identity of the terminology system ClaimResponse.subType.coding. version Σ This element is included in summaries. 0..1 string Version of the system - if relevant ClaimResponse.subType.coding. code Σ This element is included in summaries. 1..1 code Symbol in syntax defined by the system ClaimResponse.subType.coding. display Σ This element is included in summaries. 0..1 string Representation defined by the system ClaimResponse.subType.coding. userSelected Σ This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user ClaimResponse.subType. text Σ This element is included in summaries. 0..1 string Plain text representation of the concept ClaimResponse. use S This element must be supported. Σ This element is included in summaries. 1..1 code claim | preauthorization | predeterminationBinding: ?? ( required ) : Claim, preauthorization, predetermination. ClaimResponse. patient S This element must be supported. Σ This element is included in summaries. 1..1 Reference (BePatient )The recipient of the products and services ClaimResponse. created S This element must be supported. Σ This element is included in summaries. 1..1 dateTime Response creation date ClaimResponse. insurer S This element must be supported. Σ This element is included in summaries. 1..1 Reference (BeOrganization )Party responsible for reimbursement ClaimResponse. requestor S This element must be supported. 1..1 Reference (BeOrganization | BePractitioner | BePractitionerRole )Party responsible for the claim ClaimResponse.requestor. extension 0..* Extension Additional content defined by implementations ClaimResponse.requestor. reference Σ This element is included in summaries. 1..1 string Literal reference, Relative, internal or absolute URL ClaimResponse.requestor. type Σ This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")Binding: ?? ( extensible ) : Aa resource (or, for logical models, the URI of the logical model). ClaimResponse.requestor. identifier Σ This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known ClaimResponse.requestor. display Σ This element is included in summaries. 0..1 string Text alternative for the resource ClaimResponse. request Σ This element is included in summaries. 0..1 Reference (Claim )Id of resource triggering adjudication ClaimResponse. outcome S This element must be supported. Σ This element is included in summaries. 1..1 code queued | complete | error | partialBinding: ?? ( required ) : The result of the claim processing. ClaimResponse. disposition 0..1 string Disposition Message ClaimResponse. preAuthRef S This element must be supported. 0..1 string Preauthorization reference ClaimResponse. preAuthPeriod S This element must be supported. 0..1 Period Preauthorization reference effective period ClaimResponse.preAuthPeriod. extension 0..* Extension Additional content defined by implementations ClaimResponse.preAuthPeriod. start Σ This element is included in summaries. 1..1 dateTime Starting time with inclusive boundary ClaimResponse.preAuthPeriod. end Σ This element is included in summaries. 0..1 dateTime End time with inclusive boundary, if not ongoing ClaimResponse. payeeType 0..1 CodeableConcept Party to be paid any benefits payableBinding: ?? ( example ) : A code for the party to be reimbursed. ClaimResponse. item 0..* BackboneElement Adjudication for claim line items ClaimResponse.item. extension 0..* Extension Additional content defined by implementations ClaimResponse.item. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.item. itemSequence 1..1 positiveInt Claim item instance identifier ClaimResponse.item. noteNumber 0..* positiveInt Applicable note numbers ClaimResponse.item. adjudication S This element must be supported. 1..1 BackboneElement Adjudication details ClaimResponse.item.adjudication. extension 0..* Extension Additional content defined by implementations ClaimResponse.item.adjudication. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.item.adjudication. category 1..1 CodeableConcept Type of adjudication informationBinding: ?? ( example ) : The adjudication codes. ClaimResponse.item.adjudication.category. extension 0..* Extension Additional content defined by implementations ClaimResponse.item.adjudication.category. coding Σ This element is included in summaries. 1..1 Coding Code defined by a terminology system ClaimResponse.item.adjudication.category.coding. extension 0..* Extension Additional content defined by implementations ClaimResponse.item.adjudication.category.coding. system Σ This element is included in summaries. 1..1 uri Identity of the terminology system ClaimResponse.item.adjudication.category.coding. version Σ This element is included in summaries. 0..1 string Version of the system - if relevant ClaimResponse.item.adjudication.category.coding. code Σ This element is included in summaries. 1..1 code Symbol in syntax defined by the system ClaimResponse.item.adjudication.category.coding. display Σ This element is included in summaries. 0..1 string Representation defined by the system ClaimResponse.item.adjudication.category.coding. userSelected Σ This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user ClaimResponse.item.adjudication.category. text Σ This element is included in summaries. 0..1 string Plain text representation of the concept ClaimResponse.item.adjudication. reason 0..1 CodeableConcept Explanation of adjudication outcomeBinding: ?? ( example ) : The adjudication reason codes. ClaimResponse.item.adjudication.reason. extension 0..* Extension Additional content defined by implementations ClaimResponse.item.adjudication.reason. coding Σ This element is included in summaries. 1..1 Coding Code defined by a terminology systemBinding: ?? ( extensible ) ClaimResponse.item.adjudication.reason.coding. extension 0..* Extension Additional content defined by implementations ClaimResponse.item.adjudication.reason.coding. system Σ This element is included in summaries. 1..1 uri Identity of the terminology system ClaimResponse.item.adjudication.reason.coding. version Σ This element is included in summaries. 0..1 string Version of the system - if relevant ClaimResponse.item.adjudication.reason.coding. code Σ This element is included in summaries. 1..1 code Symbol in syntax defined by the system ClaimResponse.item.adjudication.reason.coding. display Σ This element is included in summaries. 0..1 string Representation defined by the system ClaimResponse.item.adjudication.reason.coding. userSelected Σ This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user ClaimResponse.item.adjudication.reason. text Σ This element is included in summaries. 0..1 string Plain text representation of the concept ClaimResponse.item.adjudication. amount 0..1 Money Monetary amount ClaimResponse.item.adjudication. value 0..1 decimal Non-monetary value ClaimResponse.item. detail 0..* BackboneElement Adjudication for claim details ClaimResponse.item.detail. extension 0..* Extension Additional content defined by implementations ClaimResponse.item.detail. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.item.detail. detailSequence 1..1 positiveInt Claim detail instance identifier ClaimResponse.item.detail. noteNumber 0..* positiveInt Applicable note numbers ClaimResponse.item.detail. adjudication 1..* Detail level adjudication details ClaimResponse.item.detail. subDetail 0..* BackboneElement Adjudication for claim sub-details ClaimResponse.item.detail.subDetail. extension 0..* Extension Additional content defined by implementations ClaimResponse.item.detail.subDetail. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.item.detail.subDetail. subDetailSequence 1..1 positiveInt Claim sub-detail instance identifier ClaimResponse.item.detail.subDetail. noteNumber 0..* positiveInt Applicable note numbers ClaimResponse.item.detail.subDetail. adjudication 0..* Subdetail level adjudication details ClaimResponse. addItem S This element must be supported. 0..* BackboneElement Insurer added line items ClaimResponse.addItem. extension 0..* Extension Additional content defined by implementations ClaimResponse.addItem. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.addItem. itemSequence S This element must be supported. 1..1 positiveInt Item sequence number ClaimResponse.addItem. detailSequence 0..* positiveInt Detail sequence number ClaimResponse.addItem. subdetailSequence 0..* positiveInt Subdetail sequence number ClaimResponse.addItem. provider 0..* Reference (Practitioner | PractitionerRole | Organization )Authorized providers ClaimResponse.addItem. productOrService 1..1 CodeableConcept Billing, service, product, or drug codeBinding: ?? ( extensible ) ClaimResponse.addItem.productOrService. extension 0..* Extension Additional content defined by implementations ClaimResponse.addItem.productOrService. coding Σ This element is included in summaries. 1..1 Coding Code defined by a terminology system ClaimResponse.addItem.productOrService.coding. extension 0..* Extension Additional content defined by implementations ClaimResponse.addItem.productOrService.coding. system Σ This element is included in summaries. 1..1 uri Identity of the terminology system ClaimResponse.addItem.productOrService.coding. version Σ This element is included in summaries. 0..1 string Version of the system - if relevant ClaimResponse.addItem.productOrService.coding. code Σ This element is included in summaries. 1..1 code Symbol in syntax defined by the system ClaimResponse.addItem.productOrService.coding. display Σ This element is included in summaries. 0..1 string Representation defined by the system ClaimResponse.addItem.productOrService.coding. userSelected Σ This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user ClaimResponse.addItem.productOrService. text Σ This element is included in summaries. 0..1 string Plain text representation of the concept ClaimResponse.addItem. modifier 0..* CodeableConcept Service/Product billing modifiersBinding: ?? ( example ) : Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. ClaimResponse.addItem. programCode 0..* CodeableConcept Program the product or service is provided underBinding: ?? ( example ) : Program specific reason codes. ClaimResponse.addItem. serviced[x] 0..1 Date or dates of service or product delivery ClaimResponse.addItem.serviced[x]. servicedDate date ClaimResponse.addItem.serviced[x]. servicedPeriod Period ClaimResponse.addItem. location[x] 0..1 Place of service or where product was suppliedBinding: ?? ( example ) : Place of service: pharmacy, school, prison, etc. ClaimResponse.addItem.location[x]. locationCodeableConcept CodeableConcept ClaimResponse.addItem.location[x]. locationAddress Address ClaimResponse.addItem.location[x]. locationReferenceReference (Location )ClaimResponse.addItem. quantity 0..1 ?? ?? Count of products or services ClaimResponse.addItem. unitPrice 0..1 Money Fee, charge or cost per item ClaimResponse.addItem. factor 0..1 decimal Price scaling factor ClaimResponse.addItem. net 0..1 Money Total item cost ClaimResponse.addItem. bodySite 0..1 CodeableConcept Anatomical locationBinding: ?? ( example ) : The code for the teeth, quadrant, sextant and arch. ClaimResponse.addItem. subSite 0..* CodeableConcept Anatomical sub-locationBinding: ?? ( example ) : The code for the tooth surface and surface combinations. ClaimResponse.addItem. noteNumber 0..* positiveInt Applicable note numbers ClaimResponse.addItem. adjudication S This element must be supported. 1..* Added items adjudication ClaimResponse.addItem. detail 0..* BackboneElement Insurer added line details ClaimResponse.addItem.detail. extension 0..* Extension Additional content defined by implementations ClaimResponse.addItem.detail. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.addItem.detail. productOrService 1..1 CodeableConcept Billing, service, product, or drug codeBinding: ?? ( example ) : Allowable service and product codes. ClaimResponse.addItem.detail. modifier 0..* CodeableConcept Service/Product billing modifiersBinding: ?? ( example ) : Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. ClaimResponse.addItem.detail. quantity 0..1 ?? ?? Count of products or services ClaimResponse.addItem.detail. unitPrice 0..1 Money Fee, charge or cost per item ClaimResponse.addItem.detail. factor 0..1 decimal Price scaling factor ClaimResponse.addItem.detail. net 0..1 Money Total item cost ClaimResponse.addItem.detail. noteNumber 0..* positiveInt Applicable note numbers ClaimResponse.addItem.detail. adjudication 1..* Added items detail adjudication ClaimResponse.addItem.detail. subDetail 0..* BackboneElement Insurer added line items ClaimResponse.addItem.detail.subDetail. extension 0..* Extension Additional content defined by implementations ClaimResponse.addItem.detail.subDetail. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.addItem.detail.subDetail. productOrService 1..1 CodeableConcept Billing, service, product, or drug codeBinding: ?? ( example ) : Allowable service and product codes. ClaimResponse.addItem.detail.subDetail. modifier 0..* CodeableConcept Service/Product billing modifiersBinding: ?? ( example ) : Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. ClaimResponse.addItem.detail.subDetail. quantity 0..1 ?? ?? Count of products or services ClaimResponse.addItem.detail.subDetail. unitPrice 0..1 Money Fee, charge or cost per item ClaimResponse.addItem.detail.subDetail. factor 0..1 decimal Price scaling factor ClaimResponse.addItem.detail.subDetail. net 0..1 Money Total item cost ClaimResponse.addItem.detail.subDetail. noteNumber 0..* positiveInt Applicable note numbers ClaimResponse.addItem.detail.subDetail. adjudication 1..* Added items detail adjudication ClaimResponse. adjudication 0..* Header-level adjudication ClaimResponse. total Σ This element is included in summaries. 0..* BackboneElement Adjudication totals ClaimResponse.total. extension 0..* Extension Additional content defined by implementations ClaimResponse.total. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.total. category Σ This element is included in summaries. 1..1 CodeableConcept Type of adjudication informationBinding: ?? ( example ) : The adjudication codes. ClaimResponse.total. amount Σ This element is included in summaries. 1..1 Money Financial total for the category ClaimResponse. payment 0..1 BackboneElement Payment Details ClaimResponse.payment. extension 0..* Extension Additional content defined by implementations ClaimResponse.payment. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.payment. type 1..1 CodeableConcept Partial or complete paymentBinding: ?? ( example ) : The type (partial, complete) of the payment. ClaimResponse.payment. adjustment 0..1 Money Payment adjustment for non-claim issues ClaimResponse.payment. adjustmentReason 0..1 CodeableConcept Explanation for the adjustmentBinding: ?? ( example ) : Payment Adjustment reason codes. ClaimResponse.payment. date 0..1 date Expected date of payment ClaimResponse.payment. amount 1..1 Money Payable amount after adjustment ClaimResponse.payment. identifier 0..1 Identifier Business identifier for the payment ClaimResponse. fundsReserve 0..1 CodeableConcept Funds reserved statusBinding: ?? ( example ) : For whom funds are to be reserved: (Patient, Provider, None). ClaimResponse. formCode 0..1 CodeableConcept Printed form identifierBinding: ?? ( example ) : The forms codes. ClaimResponse. form 0..1 Attachment Printed reference or actual form ClaimResponse. processNote 0..* BackboneElement Note concerning adjudication ClaimResponse.processNote. extension 0..* Extension Additional content defined by implementations ClaimResponse.processNote. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.processNote. number 0..1 positiveInt Note instance identifier ClaimResponse.processNote. type 0..1 code display | print | printoperBinding: ?? ( required ) : The presentation types of notes. ClaimResponse.processNote. text 1..1 string Note explanatory text ClaimResponse.processNote. language 0..1 CodeableConcept Language of the textBinding: ?? ( preferred ) : A human language. ClaimResponse. communicationRequest 0..* Reference (CommunicationRequest )Request for additional information ClaimResponse. insurance 0..* BackboneElement Patient insurance information ClaimResponse.insurance. extension 0..* Extension Additional content defined by implementations ClaimResponse.insurance. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.insurance. sequence 1..1 positiveInt Insurance instance identifier ClaimResponse.insurance. focal 1..1 boolean Coverage to be used for adjudication ClaimResponse.insurance. coverage 1..1 Reference (Coverage )Insurance information ClaimResponse.insurance. businessArrangement 0..1 string Additional provider contract number ClaimResponse.insurance. claimResponse 0..1 Reference (ClaimResponse )Adjudication results ClaimResponse. error 0..* BackboneElement Processing errors ClaimResponse.error. extension 0..* Extension Additional content defined by implementations ClaimResponse.error. modifierExtension ?! This element is a modifier element. Σ This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized ClaimResponse.error. itemSequence 0..1 positiveInt Item sequence number ClaimResponse.error. detailSequence 0..1 positiveInt Detail sequence number ClaimResponse.error. subDetailSequence 0..1 positiveInt Subdetail sequence number ClaimResponse.error. code 1..1 CodeableConcept Error code detailing processing issuesBinding: ?? ( example ) : The adjudication error codes.
ClaimResponse 
meta 
extension 
versionId 
contained 
modifierExtension 
patient 
serviced[x] 
, ??