ex32
type: Bundle
node role: treeRoot
resource.id:
  value: ex32
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemandreply
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemandreply
resource.language:
  value: en
bundle.type:
  value: message
bundle.timestamp:
  value: 2015-07-14T11:15:37+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

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 667b18ce-3d37-4581-9baa-6fada338038c Profile: MyCareNet MessageHeader BE profile event: CodeSystem message events: claimresponse-decide (claimresponse-decide) Destinations - Endpoint Receiver * urn:be:fgov:person:ssin:ehealth:1.0:logopedist:nihii11:60567689801 PractitionerRole physician sender: Organization Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten Sources - Endpoint * urn:be:fgov:kbo-bce:organization:cbe-number:0411724220 Responses - Identifier Code * 267b18ce-3d37-4581-9baa-6fada338038b OK focus: ClaimResponse: status = active; type = Institutional; subType = rehabilitation-convention; use = preauthorization; created = 2024-05-09 11:15:30+0200; outcome = complete
message header.event coding:
  coding.system:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events
  coding.code:
    value: claimresponse-decide
message header.destination:
  index: -1
  message header.destination.endpoint:
    value: urn:be:fgov:person:ssin:ehealth:1.0:logopedist:nihii11:60567689801
message header.source:
  message header.source.endpoint:
    value: urn:be:fgov:kbo-bce:organization:cbe-number:0411724220
message header.response:
  message header.response.code:
    value: ok
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: Organization
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: Organization cfabb40d-a53f-4c56-bc19-725ea669b358 Profile: BeOrganization identifier: BeInsuranceNumberNamingSystem/300 name: Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten
organization.identifier:
  index: -1
  identifier.system:
    value: https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/insurancenumber
  identifier.value:
    value: 300
organization.name:
  value: Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten

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: ClaimResponse
resource.meta:
  meta.profile:
    value: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaimresponse
    index: -1
    link: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaimresponse
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: ClaimResponse 0a0d60df-0340-45a6-a493-a5d67f74d693 Profile: MyCareNet eAgreement Claim Response BE profile status: Active type: Professional subType: speechtherapy-treatment 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 insurer: Organization Union Nationale des Mutualités Socialistes - Nationaal Verbond van de Socialistische Mutualiteiten requestor: PractitionerRole physician outcome: Processing Complete preAuthRef: identifiant business de la décision (accord/refus/en traitement) preAuthPeriod: 2020-01-15 --> 2020-03-15 addItem itemSequence: 1 productOrService: Hearing problems Adjudications - Category Reason * partialAgreement ajout de commentaires sur l'accord partiel
claim response.status:
  value: active
claim response.type:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/claim-type
    coding.code:
      value: professional
claim response.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-treatment
claim response.use:
  value: preauthorization
claim response.created:
  value: 2015-07-14T11:15:30+02:00
claim response.outcome:
  value: complete
claim response.pre auth ref:
  value: identifiant business de la décision (accord/refus/en traitement)
claim response.pre auth period:
  period.start:
    value: 2020-01-15
  period.end:
    value: 2020-03-15
claim response.add item:
  index: -1
  claim response.add item.item sequence:
    value: 1
    index: -1
  claim response.add item.product or service:
    codeable concept.coding:
      index: -1
      coding.system:
        value: https://www.ehealth.fgov.be/standards/fhir/nihdi-terminology/CodeSystem/be-cs-speech-therapy-pathology-situation-code
      coding.code:
        value: d
  claim response.add item.adjudication:
    index: -1
    claim response.item.adjudication.category:
      codeable concept.coding:
        index: -1
    claim response.item.adjudication.reason:
      codeable concept.coding:
        index: -1
      codeable concept.text:
        value: ajout de commentaires sur l'accord partiel

value: partialAgreement

value: PARTIAL_AGREE_SRV_LOGO_001