hl7-be / eattestation

eAttestation profiles for NIC-CIN
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First attempt at making eAttestation profiles #2

Closed bdc-ehealth closed 1 year ago

bdc-ehealth commented 1 year ago

based on this file in https://be-ehealth-standards.atlassian.net/jira/servicedesk/projects/ESI/queues/custom/20/ESI-162:

<Bundle xmlns='http://hl7.org/fhir'>
  <id value='ex01'/>
  <meta>
    <profile value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementdemand'/>
  </meta>
  <type value='message'/>
  <timestamp value='2015-07-14T11:15:33+02:00'/>
  <entry>
    <fullUrl value='urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b'/>
    <resource>
      <MessageHeader>
        <id value='267b18ce-3d37-4581-9baa-6fada338038b'/>
        <meta>
          <profile value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-messageheader'/>
        </meta>
        <eventCoding>
          <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/message-events'/>
          <code value='eattest-create'/>
        </eventCoding>
        <destination>
          <name value='MyCareNet'/>
          <endpoint value='MyCareNet'/>
        </destination>
        <sender>
          <reference value='PractitionerRole/PractitionerRole1'/>
        </sender>
        <source>
          <endpoint value='urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834'/>
        </source>
        <focus>
          <reference value='Claim/Claim1'/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:62c7bfad-0cb3-4a39-9abb-3a62e06de834'/>
    <resource>
      <PractitionerRole>
        <id value='PractitionerRole1'/>
        <meta>
          <profile value='https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole'/>
        </meta>
        <practitioner>
          <reference value='Practitioner/Practitioner1'/>
        </practitioner>
        <organization>
          <identifier>
            <system value='https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/cbe'/>
            <value value='0425.222.333'/>
          </identifier>
        </organization>
        <code>
          <coding>
            <system value='https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty'/>
            <code value='persphysiotherapist'/>
          </coding>
        </code>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:03972cc4-d781-4285-8d79-0f05810e1931'/>
    <resource>
      <Practitioner>
        <id value='Practitioner1'/>
        <meta>
          <profile value='https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner'/>
        </meta>
        <identifier>
          <system value='https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi'/>
          <value value='54263481527'/>
        </identifier>
        <name>
          <family value='Smith'/>
          <given value='John'/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:a52efcb6-1f81-4333-a115-d45bd3183686'/>
    <resource>
      <Patient>
        <id value='Patient1'/>
        <meta>
          <profile value='https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient'/>
        </meta>
        <identifier>
          <system value='https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin'/>
          <value value='73031805784'/>
        </identifier>
        <name>
          <family value='Dupont'/>
          <given value='Jean'/>
        </name>
        <gender value='male'/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:035e3de4-011f-48a4-92c9-15b2bbcec321'/>
    <resource>
      <PractitionerRole>
        <id value='PractitionerRole5'/>
        <meta>
          <profile value='https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole'/>
        </meta>
        <practitioner>
          <reference value='Practitioner/Practitioner5'/>
        </practitioner>
        <code>
          <coding>
            <system value='https://www.ehealth.fgov.be/standards/fhir/core/CodeSystem/cd-hcparty'/>
            <code value='persphysician'/>
          </coding>
        </code>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c6'/>
    <resource>
      <Practitioner>
        <id value='Practitioner5'/>
        <meta>
          <profile value='https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner'/>
        </meta>
        <identifier>
          <system value='https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi'/>
          <value value='19234011004'/>
        </identifier>
        <name>
          <family value='Nom du prescripteur'/>
          <given value='Prénom du prescripteur'/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:b3586cda-f1e5-4c58-a389-94249957d87a'/>
    <resource>
      <ServiceRequest>
        <id value='ServiceRequest1'/>
        <status value='active'/>
        <intent value='order'/>
        <category>
          <coding>
            <system value='http://snomed.info/sct'/>
            <code value='91251008'/>
            <display value='Physical therapy procedure'/>
          </coding>
        </category>
        <code>
          <coding>
            <system value='http://snomed.info/sct'/>
            <code value='91251008'/>
            <display value='Physical therapy procedure'/>
          </coding>
        </code>
        <subject>
          <reference value='Patient/Patient1'/>
        </subject>
        <authoredOn value='2015-07-14'/>
        <requester>
          <reference value='PractitionerRole/PractitionerRole5'/>
        </requester>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c7'/>
    <resource>
      <Location>
        <id value='Location1'/>
        <managingOrganization>
          <identifier>
            <system value='https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/nihdi'/>
            <value value='19234011004'/>
          </identifier>
        </managingOrganization>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:8fc72085-d349-4bd7-ba84-91a935a4e3c8'/>
    <resource>
      <Location>
        <id value='Service1'/>
        <identifier>
          <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-hospital-service-cd'/>
          <value value='130'/>
        </identifier>
        <partOf>
          <reference value='Location/Location1'/>
        </partOf>
      </Location>
    </resource>
  </entry>
  <entry>
    <fullUrl value='urn:uuid:e85173bc-6f0d-480b-a2cd-2b70d9ffff7a'/>
    <resource>
      <Claim>
        <id value='Claim1'/>
        <meta>
          <profile value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eattestclaim'/>
        </meta>
        <extension url='https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-eattest-supplement'>
          <valueMoney>
            <value value='60'/>
            <currency value='EUR'/>
          </valueMoney>
        </extension>
        <status value='active'/>
        <type>
          <coding>
            <system value='http://terminology.hl7.org/CodeSystem/claim-type'/>
            <code value='professional'/>
          </coding>
        </type>
        <subType>
          <coding>
            <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/eattest-types'/>
            <code value='generalphysician'/>
          </coding>
        </subType>
        <use value='claim'/>
        <patient>
          <reference value='Patient/Patient1'/>
        </patient>
        <created value='2015-07-14T11:15:30+02:00'/>
        <enterer>
          <reference value='PractitionerRole/PractitionerRole1'/>
        </enterer>
        <provider>
          <reference value='PractitionerRole/PractitionerRole1'/>
        </provider>
        <priority>
          <coding>
            <system value='http://terminology.hl7.org/CodeSystem/processpriority'/>
            <code value='stat'/>
          </coding>
        </priority>
        <payee>
          <type>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/payeetype'/>
              <code value='subscriber'/>
            </coding>
          </type>
          <party>
            <reference value='Patient/Patient1'/>
          </party>
        </payee>
        <careTeam>
          <sequence value='1'/>
          <provider>
            <reference value='PractitionerRole/PractitionerRole2'/>
          </provider>
          <role>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claimcareteamrole'/>
              <code value='other'/>
            </coding>
          </role>
          <qualification>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/??????'/>
              <code value='??????'/>
            </coding>
          </qualification>
        </careTeam>
        <careTeam>
          <sequence value='2'/>
          <provider>
            <reference value='PractitionerRole/PractitionerRole3'/>
          </provider>
          <role>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claimcareteamrole'/>
              <code value='assist'/>
            </coding>
          </role>
          <qualification>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/?????'/>
              <code value='??????'/>
            </coding>
          </qualification>
        </careTeam>
        <careTeam>
          <sequence value='3'/>
          <provider>
            <reference value='PractitionerRole/PractitionerRole4'/>
          </provider>
          <role>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claimcareteamrole'/>
              <code value='assist'/>
            </coding>
          </role>
          <qualification>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/?????'/>
              <code value='??????'/>
            </coding>
          </qualification>
        </careTeam>
        <supportingInfo>
          <sequence value='1'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-claim-treatment-reason'/>
              <code value='0050'/>
            </coding>
          </code>
        </supportingInfo>
        <supportingInfo>
          <sequence value='2'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-claim-normcode'/>
              <code value='1'/>
            </coding>
          </code>
        </supportingInfo>
        <supportingInfo>
          <sequence value='3'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-claim-relatedclaim'/>
              <code value='000000'/>
            </coding>
          </code>
        </supportingInfo>
        <supportingInfo>
          <sequence value='4'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-claim-transplantationcode'/>
              <code value='1'/>
            </coding>
          </code>
        </supportingInfo>
        <supportingInfo>
          <sequence value='5'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-claim-exemptioncode'/>
              <code value='01'/>
            </coding>
          </code>
        </supportingInfo>
        <supportingInfo>
          <sequence value='6'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <valueReference>
            <reference value='ServiceRequest/ServiceRequest1'/>
          </valueReference>
        </supportingInfo>
        <supportingInfo>
          <sequence value='7'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-id-doc-inputtype'/>
              <code value='4'/>
            </coding>
          </code>
          <timingPeriod>
            <start value='2015-07-14T11:14:30+02:00'/>
          </timingPeriod>
          <valueString value='actual cardnumber as string'/>
        </supportingInfo>
        <supportingInfo>
          <sequence value='8'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-id-doc-manual-input-justification'/>
              <code value='2'/>
            </coding>
          </code>
        </supportingInfo>
        <supportingInfo>
          <sequence value='9'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-id-doc-mediatype'/>
              <code value='1'/>
            </coding>
          </code>
        </supportingInfo>
        <supportingInfo>
          <sequence value='10'/>
          <category>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/claiminformationcategory'/>
              <code value='info'/>
            </coding>
          </category>
          <code>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-id-doc-vignette-use-justification'/>
              <code value='1'/>
            </coding>
          </code>
        </supportingInfo>
        <insurance>
          <sequence value='1'/>
          <focal value='true'/>
          <coverage>
            <display value='use of mandatory insurance coverage, no further details provided here.'/>
          </coverage>
        </insurance>
        <item>
          <extension url='https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-eattest-item-supplement'>
            <valueMoney>
              <value value='60'/>
              <currency value='EUR'/>
            </valueMoney>
          </extension>
          <extension url='https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-ext-eattest-item-preauthref'>
            <valueString value='preauthref number'/>
          </extension>
          <sequence value='1'/>
          <careTeamSequence value='1'/>
          <careTeamSequence value='2'/>
          <careTeamSequence value='3'/>
          <informationSequence value='1'/>
          <informationSequence value='2'/>
          <informationSequence value='3'/>
          <informationSequence value='4'/>
          <informationSequence value='5'/>
          <informationSequence value='6'/>
          <informationSequence value='7'/>
          <informationSequence value='8'/>
          <informationSequence value='9'/>
          <informationSequence value='10'/>
          <productOrService>
            <coding>
              <system value='https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/nihdi-claim-nomenclaturecode'/>
              <code value='101032'/>
            </coding>
          </productOrService>
          <servicedDate value='2020-01-14'/>
          <locationReference>
            <reference value='Location/Location1'/>
          </locationReference>
          <quantity>
            <value value='10'/>
          </quantity>
          <unitPrice>
            <value value='50'/>
            <currency value='EUR'/>
          </unitPrice>
          <net>
            <value value='500'/>
            <currency value='EUR'/>
          </net>
          <bodySite>
            <extension url='https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-ext-laterality'>
              <valueCoding>
                <system value='http://snomed.info/sct'/>
                <code value='419161000'/>
              </valueCoding>
            </extension>
            <coding>
              <system value='http://terminology.hl7.org/CodeSystem/ex-tooth'/>
              <code value='1'/>
            </coding>
          </bodySite>
        </item>
        <total>
          <value value='500'/>
          <currency value='EUR'/>
        </total>
      </Claim>
    </resource>
  </entry>
</Bundle>
bdc-ehealth commented 1 year ago

WG: we agree with merging this to master.