Sha256: 89bbc372918f06f0d27482f510886b9328f76de66df0437c3ff0084700c84aec

Contents?: true

Size: 1.36 KB

Versions: 10

Compression:

Stored size: 1.36 KB

Contents

{
  "resourceType": "EligibilityResponse",
  "id": "E2503",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the EligibilityResponse.</div>"
  },
  "identifier": [
    {
      "system": "http://www.BenefitsInc.com/fhir/eligibilityresponse",
      "value": "8812343"
    }
  ],
  "status": "active",
  "created": "2014-09-16",
  "requestProvider": {
    "identifier": {
      "system": "http://national.org/provider",
      "value": "PR9876"
    }
  },
  "requestOrganization": {
    "identifier": {
      "system": "http://national.org/clinic",
      "value": "OR1234"
    }
  },
  "request": {
    "reference": "http://www.BenefitsInc.com/fhir/EligibilityRequest/225476332406"
  },
  "outcome": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/remittance-outcome",
        "code": "error"
      }
    ]
  },
  "disposition": "Eligibiliy request could not be processed, please address errors before submitting.",
  "insurer": {
    "reference": "Organization/2"
  },
  "form": {
    "coding": [
      {
        "system": "http://national.org/form",
        "code": "ELRSP/2017/01"
      }
    ]
  },
  "error": [
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/adjudication-error",
            "code": "a001"
          }
        ]
      }
    }
  ]
}

Version data entries

10 entries across 10 versions & 2 rubygems

Version Path
fhir_stu3_models-3.2.0 lib/fhir_stu3_models/examples/json/eligibilityresponse-example-error.json
fhir_stu3_models-3.1.1 lib/fhir_stu3_models/examples/json/eligibilityresponse-example-error.json
fhir_stu3_models-3.1.0 lib/fhir_stu3_models/examples/json/eligibilityresponse-example-error.json
fhir_stu3_models-3.0.2 lib/fhir_stu3_models/examples/json/eligibilityresponse-example-error.json
fhir_stu3_models-3.0.1 lib/fhir_stu3_models/examples/json/eligibilityresponse-example-error.json
fhir_stu3_models-3.0.0 lib/fhir_stu3_models/examples/json/eligibilityresponse-example-error.json
fhir_models-3.0.4 lib/fhir_models/examples/json/eligibilityresponse-example-error.json
fhir_models-3.0.3 lib/fhir_models/examples/json/eligibilityresponse-example-error.json
fhir_models-3.0.2 lib/fhir_models/examples/json/eligibilityresponse-example-error.json
fhir_models-3.0.1 lib/fhir_models/examples/json/eligibilityresponse-example-error.json