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Packagehl7.fhir.be.mycarenet
Resource TypeBundle
IdBundle-ex33.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "ex33",
  "meta": {
    "profile": [
      "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand"
    ]
  },
  "type": "message",
  "timestamp": "2024-05-08T11:15:33+02:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "267b18ce-3d37-4581-9baa-6fada338038b",
        "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\"><a name=\"MessageHeader_267b18ce-3d37-4581-9baa-6fada338038b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 267b18ce-3d37-4581-9baa-6fada338038b</b></p><a name=\"267b18ce-3d37-4581-9baa-6fada338038b\"> </a><a name=\"hc267b18ce-3d37-4581-9baa-6fada338038b\"> </a><a name=\"267b18ce-3d37-4581-9baa-6fada338038b-en-US\"> </a><p><b>event</b>: <a href=\"CodeSystem-message-events.html#message-events-claim-ask\">CodeSystem message events claim-ask</a>: claim-ask</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>MyCareNet</td><td>urn:be:fgov:kbo-bce:organization:cbe-number:0820563481</td></tr></table><p><b>sender</b>: <a href=\"Bundle-ex33.html#urn-uuid-e2c6f73a-74d8-40f2-af0b-a61ad20c53d4\">Bundle: type = message; timestamp = 2024-05-08 11:15:33+0200</a></p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>urn:be:fgov:ehealth:1.0:hospital:nihii-number:71000436000</td></tr></table><p><b>focus</b>: <a href=\"Bundle-ex33.html#urn-uuid-e85173bc-6f0d-480b-a2cd-2b70d9ffff7a\">Bundle: type = message; timestamp = 2024-05-08 11:15:33+0200</a></p></div>"
        },
        "eventCoding": {
          "system": "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events",
          "code": "claim-ask"
        },
        "destination": [
          {
            "name": "MyCareNet",
            "endpoint": "urn:be:fgov:kbo-bce:organization:cbe-number:0820563481"
          }
        ],
        "sender": {
          "reference": "urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d4"
        },
        "source": {
          "endpoint": "urn:be:fgov:ehealth:1.0:hospital:nihii-number:71000436000"
        },
        "focus": [
          {
            "reference": "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "1dc5d974-5447-4afe-a4ab-57081ca518c3",
        "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\"><a name=\"PractitionerRole_1dc5d974-5447-4afe-a4ab-57081ca518c3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 1dc5d974-5447-4afe-a4ab-57081ca518c3</b></p><a name=\"1dc5d974-5447-4afe-a4ab-57081ca518c3\"> </a><a name=\"hc1dc5d974-5447-4afe-a4ab-57081ca518c3\"> </a><a name=\"1dc5d974-5447-4afe-a4ab-57081ca518c3-en-US\"> </a><p><b>practitioner</b>: <a href=\"Bundle-ex33.html#urn-uuid-8fc72085-d349-4bd7-ba84-91a935a4e3c6\">Bundle: type = message; timestamp = 2024-05-08 11:15:33+0200</a></p><p><b>code</b>: <span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty persphysician}\">physician</span></p></div>"
        },
        "practitioner": {
          "reference": "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6"
        },
        "code": [
          {
            "coding": [
              {
                "system": "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code": "persphysician"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6",
      "resource": {
        "resourceType": "Practitioner",
        "id": "8fc72085-d349-4bd7-ba84-91a935a4e3c6",
        "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\"><a name=\"Practitioner_8fc72085-d349-4bd7-ba84-91a935a4e3c6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 8fc72085-d349-4bd7-ba84-91a935a4e3c6</b></p><a name=\"8fc72085-d349-4bd7-ba84-91a935a4e3c6\"> </a><a name=\"hc8fc72085-d349-4bd7-ba84-91a935a4e3c6\"> </a><a name=\"8fc72085-d349-4bd7-ba84-91a935a4e3c6-en-US\"> </a><p><b>identifier</b>: BeNIHDINamingSystem/19234011004</p><p><b>name</b>: John Smith </p></div>"
        },
        "identifier": [
          {
            "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value": "19234011004"
          }
        ],
        "name": [
          {
            "family": "Smith",
            "given": [
              "John"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:e2c6f73a-74d8-40f2-af0b-a61ad20c53d4",
      "resource": {
        "resourceType": "Organization",
        "id": "e2c6f73a-74d8-40f2-af0b-a61ad20c53d4",
        "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\"><a name=\"Organization_e2c6f73a-74d8-40f2-af0b-a61ad20c53d4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization e2c6f73a-74d8-40f2-af0b-a61ad20c53d4</b></p><a name=\"e2c6f73a-74d8-40f2-af0b-a61ad20c53d4\"> </a><a name=\"hce2c6f73a-74d8-40f2-af0b-a61ad20c53d4\"> </a><a name=\"e2c6f73a-74d8-40f2-af0b-a61ad20c53d4-en-US\"> </a><p><b>identifier</b>: BeNIHDINamingSystem/71000436000</p><p><b>type</b>: <span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty orghospital}\">hospital</span></p></div>"
        },
        "identifier": [
          {
            "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi",
            "value": "71000436000"
          }
        ],
        "type": [
          {
            "coding": [
              {
                "system": "https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty",
                "code": "orghospital"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686",
      "resource": {
        "resourceType": "Patient",
        "id": "a52efcb6-1f81-4333-a115-d45bd3183686",
        "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\"><a name=\"Patient_a52efcb6-1f81-4333-a115-d45bd3183686\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient a52efcb6-1f81-4333-a115-d45bd3183686</b></p><a name=\"a52efcb6-1f81-4333-a115-d45bd3183686\"> </a><a name=\"hca52efcb6-1f81-4333-a115-d45bd3183686\"> </a><a name=\"a52efcb6-1f81-4333-a115-d45bd3183686-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jean Dupont  Male, DoB Unknown ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#BeSSINNamingSystem#79121137740)</p><hr/></div>"
        },
        "identifier": [
          {
            "system": "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
            "value": "79121137740"
          }
        ],
        "name": [
          {
            "family": "Dupont",
            "given": [
              "Jean"
            ]
          }
        ],
        "gender": "male"
      }
    },
    {
      "fullUrl": "urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a",
      "resource": {
        "resourceType": "Claim",
        "id": "e85173bc-6f0d-480b-a2cd-2b70d9ffff7a",
        "meta": {
          "profile": [
            "https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaim"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Claim_e85173bc-6f0d-480b-a2cd-2b70d9ffff7a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Claim e85173bc-6f0d-480b-a2cd-2b70d9ffff7a</b></p><a name=\"e85173bc-6f0d-480b-a2cd-2b70d9ffff7a\"> </a><a name=\"hce85173bc-6f0d-480b-a2cd-2b70d9ffff7a\"> </a><a name=\"e85173bc-6f0d-480b-a2cd-2b70d9ffff7a-en-US\"> </a><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claim-type institutional}\">Institutional</span></p><p><b>subType</b>: <span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types rehabilitation-convention}\">rehabilitation-convention</span></p><p><b>use</b>: Preauthorization</p><p><b>patient</b>: <a href=\"Bundle-ex33.html#urn-uuid-a52efcb6-1f81-4333-a115-d45bd3183686\">Bundle: type = message; timestamp = 2024-05-08 11:15:33+0200</a></p><p><b>created</b>: 2024-05-08 11:15:30+0200</p><p><b>enterer</b>: <a href=\"Bundle-ex33.html#urn-uuid-1dc5d974-5447-4afe-a4ab-57081ca518c3\">Bundle: type = message; timestamp = 2024-05-08 11:15:33+0200</a></p><p><b>provider</b>: <a href=\"Bundle-ex33.html#urn-uuid-1dc5d974-5447-4afe-a4ab-57081ca518c3\">Bundle: type = message; timestamp = 2024-05-08 11:15:33+0200</a></p><p><b>priority</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/processpriority normal}\">Normal</span></p><h3>SupportingInfos</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Category</b></td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/claiminformationcategory attachment}\">Attachment</span></td><td><span title=\"Codes:{https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/annex-types 776100}\">7.76.1 - Sequelae of female genital mutilation</span></td><td>application/pdf: QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ=</td></tr></table><h3>Insurances</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Sequence</b></td><td><b>Focal</b></td><td><b>Coverage</b></td></tr><tr><td style=\"display: none\">*</td><td>1</td><td>true</td><td>use of mandatory insurance coverage, no further details provided here.</td></tr></table></div>"
        },
        "status": "active",
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/claim-type",
              "code": "institutional"
            }
          ]
        },
        "subType": {
          "coding": [
            {
              "system": "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types",
              "code": "rehabilitation-convention"
            }
          ]
        },
        "use": "preauthorization",
        "patient": {
          "reference": "urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686"
        },
        "created": "2024-05-08T11:15:30+02:00",
        "enterer": {
          "reference": "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"
        },
        "provider": {
          "reference": "urn:uuid:1dc5d974-5447-4afe-a4ab-57081ca518c3"
        },
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/processpriority",
              "code": "normal"
            }
          ]
        },
        "supportingInfo": [
          {
            "sequence": 1,
            "category": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                  "code": "attachment"
                }
              ]
            },
            "code": {
              "coding": [
                {
                  "system": "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/annex-types",
                  "code": "776100"
                }
              ]
            },
            "valueAttachment": {
              "contentType": "application/pdf",
              "data": "QW5uZXhlIGlubGluZSwgYmFzZTY0ZWQ="
            }
          }
        ],
        "insurance": [
          {
            "sequence": 1,
            "focal": true,
            "coverage": {
              "display": "use of mandatory insurance coverage, no further details provided here."
            }
          }
        ],
        "item": [
          {
            "sequence": 1,
            "productOrService": {
              "coding": [
                {
                  "system": "https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/annex-types",
                  "code": "776100"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}