ex24
type: Bundle
node role: treeRoot
resource.id:
  value: ex24
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand
resource.language:
  value: en
bundle.type:
  value: message
bundle.timestamp:
  value: 2015-07-14T11:15:33+02:00
bundle.entry:
  index: -1
bundle.entry:
  index: -1
bundle.entry:
  index: -1
bundle.entry:
  index: -1
bundle.entry:
  index: -1
bundle.entry:
  index: -1
bundle.entry:
  index: -1
bundle.entry:
  index: -1

urn:…
type: MessageHeader
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: MessageHeader 267b18ce-3d37-4581-9baa-6fada338038b Profile: MyCareNet MessageHeader BE profile event: CodeSystem message events: claim-completeAgreement (claim-completeAgreement) Destinations - Name Endpoint * MyCareNet urn:be:fgov:kbo-bce:organization:cbe-number:0820563481 sender: PractitionerRole physician Sources - Endpoint * urn:be:fgov:person:ssin:ehealth:1.0:logopedist:nihii11:60567689801 focus: Claim: status = active; type = Institutional; subType = rehabilitation-convention; use = preauthorization; created = 2024-05-08 11:15:30+0200; priority = Normal
message header.event coding:
  coding.system:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events
  coding.code:
    value: claim-completeAgreement
message header.destination:
  index: -1
  message header.destination.name:
    value: MyCareNet
  message header.destination.endpoint:
    value: urn:be:fgov:kbo-bce:organization:cbe-number:0820563481
message header.source:
  message header.source.endpoint:
    value: urn:be:fgov:person:ssin:ehealth:1.0:logopedist:nihii11:60567689801
message header.focus:
  index: -1

urn:…
type: PractitionerRole
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: PractitionerRole 1dc5d974-5447-4afe-a4ab-57081ca518c3 Profile: BePractitionerRole practitioner: Practitioner John Smith code: logopedist
practitioner role.code:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty
    coding.code:
      value: perslogopedist

urn:…
type: Practitioner
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Practitioner 03972cc4-d781-4285-8d79-0f05810e1931 Profile: BePractitioner identifier: BeNIHDINamingSystem/60567689801 name: John Smith
practitioner.identifier:
  index: -1
  identifier.system:
    value: https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi
  identifier.value:
    value: 60567689801
practitioner.name:
  index: -1
  human name.family:
    value: Smith
  human name.given:
    value: John
    index: -1

urn:…
type: Patient
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Patient a52efcb6-1f81-4333-a115-d45bd3183686 Profile: BePatient Jean Dupont Male, DoB Unknown ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership#BeInsurancymembershipNamingSystem#n° inscription mutualiste)
patient.identifier:
  index: -1
  identifier.system:
    value: https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancymembership
  identifier.value:
    value: n° inscription mutualiste
  identifier.assigner:
    reference.identifier:
      identifier.system:
        value: https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber
      identifier.value:
        value: n° mutualité
patient.name:
  index: -1
  human name.family:
    value: Dupont
  human name.given:
    value: Jean
    index: -1
patient.gender:
  value: male

urn:…
type: PractitionerRole
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: PractitionerRole 035e3de4-011f-48a4-92c9-15b2bbcec321 Profile: BePractitionerRole practitioner: Practitioner John Smith code: physician
practitioner role.code:
  index: -1
  codeable concept.coding:
    index: -1
    coding.system:
      value: https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty
    coding.code:
      value: persphysician

urn:…
type: Practitioner
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Practitioner 8fc72085-d349-4bd7-ba84-91a935a4e3c6 Profile: BePractitioner identifier: BeNIHDINamingSystem/19234011004 name: Prénom du prescripteur Nom du prescripteur
practitioner.identifier:
  index: -1
  identifier.system:
    value: https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi
  identifier.value:
    value: 19234011004
practitioner.name:
  index: -1
  human name.family:
    value: Nom du prescripteur
  human name.given:
    value: Prénom du prescripteur
    index: -1

urn:…
type: ServiceRequest
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementservicerequest
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: ServiceRequest b3586cda-f1e5-4c58-a389-94249957d87a Profile: MyCareNet eAgreement ServiceRequest BE profile status: Active intent: Order category: Speech therapy code: Speech therapy quantity: 15 subject: Jean Dupont Male, DoB Unknown ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#79121137740) authoredOn: 2015-07-10 requester: PractitionerRole physician supportingInfo: Binary: application/pdf (32 bytes base64) Generated Narrative: Binary #annexSR1 contentType: application/pdf data: QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ=
domain resource.contained: Binary
  index: -1
  resource.id:
    value: annexSR1
  binary.content type:
    value: application/pdf
service request.status:
  value: active
service request.intent:
  value: order
service request.category:
  index: -1
  codeable concept.coding: http://snomed.info/id/5154007
    index: -1
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 5154007
    coding.display:
      value: Speech therapy
service request.code:
  codeable concept.coding: http://snomed.info/id/5154007
    index: -1
    coding.system:
      value: http://snomed.info/sct
    coding.code:
      value: 5154007
    coding.display:
      value: Speech therapy
service request.quantity quantity:
  quantity.value:
    value: 15
service request.authored on:
  value: 2015-07-10
service request.supporting info:
  index: -1
  reference.reference:
    value: #annexSR1

urn:…
type: Claim
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim-logo
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim-logo
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Claim e85173bc-6f0d-480b-a2cd-2b70d9ffff7a Profile: MyCareNet eAgreement Claim Logo BE profile status: Active type: Professional subType: speechtherapy-assessment use: Preauthorization patient: Jean Dupont Male, DoB Unknown ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#79121137740) created: 2015-07-14 11:15:30+0200 enterer: PractitionerRole physician provider: PractitionerRole physician priority: Immediate referral: ServiceRequest Physical therapy procedure Insurances - Sequence Focal Coverage PreAuthRef * 1 true use of mandatory insurance coverage, no further details provided here. identifiant business de l'accord à compléter
claim.status:
  value: active
claim.type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/claim-type
    coding.code:
      value: professional
claim.sub type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types
    coding.code:
      value: speechtherapy-assessment
claim.use:
  value: preauthorization
claim.created:
  value: 2015-07-14T11:15:30+02:00
claim.priority:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/processpriority
    coding.code:
      value: stat
claim.insurance:
  index: -1
  claim.insurance.sequence:
    value: 1
  claim.insurance.focal:
    value: true
  claim.insurance.coverage:
    reference.display:
      value: use of mandatory insurance coverage, no further details provided here.
  claim.insurance.pre auth ref:
    value: identifiant business de l'accord à compléter
    index: -1