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Version 1
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Field | Description |
|---|
Insured name | |
Insured Birthdate | |
Insured NISZ | |
Addressee House number | |
Addressee Zip code | |
Invoice Type | |
Credit Note | |
Invoice id | |
Invoice date | |
Hospital id | |
Date in | |
Date out | |
Gross amount | |
Tax amount | |
Line items
Frais du Séjour / Verblijfskosten
Column | Description |
|---|
Bedroom type | |
Date from | |
Date to | |
Number of units | |
nomenclature code | |
MUT amount | |
PA amount | |
SUP amount | |
Montants forfaitaires / Forfaitaire kosten
Column | Description |
|---|
description | |
MUT amount | |
PA amount | |
SUP amount | |
Pharmacie / Apotheek
Column | Description |
|---|
description | |
CNK code | |
Number of units | |
nomenclature code | |
Notification Code | |
MUT amount | |
PA amount | |
SUP amount | |
Honoraires / Honoraria
Column | Description |
|---|
description | |
Date from | |
nomenclature code | |
Number of units | |
MUT amount | |
PA amount | |
SUP amount | |
Autres fournitures / Andere leveringen
Column | description |
|---|
nomenclature code | |
description | |
Number of units | |
MUT amount | |
PA amount | |
Transport / Ziekenvervoer
Column | description |
|---|
Date from | |
nomenclature code | |
Number of units | |
description | |
MUT amount | |
PA amount | |
Frais Divers / Diverse kosten
Column | description |
|---|
nomenclature code | |
description | |
Number of units | |
PA amount | |
Payment Details
Column | description |
|---|
payment_amount | |
payment_iban | |
payment_reference | |
Totals
Column | description |
|---|
Section | =rubriek |
MUT amount | |
PA amount | |
SUP amount | |
Example computed fields
Field | Formula |
|---|
SUM CHECK SUP | EQUAL( ADD($Frais du Séjour / Verblijfskosten.SUP amount$1:$Frais du Séjour / Verblijfskosten.SUP amount$$, $Montants forfaitaires / Forfaitaire kosten.SUP amount$1:$Montants forfaitaires / Forfaitaire kosten.SUP amount$$, $Pharmacie / Apotheek.SUP amount$1:$Pharmacie / Apotheek.SUP amount$$, $Honoraires / Honoraria.SUP amount$1:$Honoraires / Honoraria.SUP amount$$), ADD($Totals.SUP amount$1:$Totals.SUP amount$$) )
|
SUM CHECK MUT | EQUAL( ADD($Frais du Séjour / Verblijfskosten.MUT amount$1:$Frais du Séjour / Verblijfskosten.MUT amount$$, $Montants forfaitaires / Forfaitaire kosten.MUT amount$1:$Montants forfaitaires / Forfaitaire kosten.MUT amount$$, $Pharmacie / Apotheek.MUT amount$1:$Pharmacie / Apotheek.MUT amount$$, $Honoraires / Honoraria.MUT amount$1:$Honoraires / Honoraria.MUT amount$$, $Autres fournitures / Andere leveringen.MUT amount$1:$Autres fournitures / Andere leveringen.MUT amount$$, $Transport / Ziekenvervoer.MUT amount$1:$Transport / Ziekenvervoer.MUT amount$$), ADD($Totals.MUT amount$1:$Totals.MUT amount$$) )
|
SUM CHECK PA | EQUAL( ADD($Frais du Séjour / Verblijfskosten.PA amount$1:$Frais du Séjour / Verblijfskosten.PA amount$$, $Montants forfaitaires / Forfaitaire kosten.PA amount$1:$Montants forfaitaires / Forfaitaire kosten.PA amount$$, $Pharmacie / Apotheek.PA amount$1:$Pharmacie / Apotheek.PA amount$$, $Honoraires / Honoraria.PA amount$1:$Honoraires / Honoraria.PA amount$$, $Autres fournitures / Andere leveringen.PA amount$1:$Autres fournitures / Andere leveringen.PA amount$$, $Transport / Ziekenvervoer.PA amount$1:$Transport / Ziekenvervoer.PA amount$$, $Frais Divers / Diverse kosten.PA amount$1:$Frais Divers / Diverse kosten.PA amount$$), ADD($Totals.PA amount$1:$Totals.PA amount$$) )
|