Sha256: c9fcbca62387fb43b5dc7653457503000da8bf225320f5f652a4115b5b9834b6

Contents?: true

Size: 1.35 KB

Versions: 10

Compression:

Stored size: 1.35 KB

Contents

<?xml version="1.0" encoding="UTF-8"?>
<CoverageEligibilityResponse xmlns="http://hl7.org/fhir">
	<id value="E2503"/>

	<meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  

	<identifier>
		<system value="http://www.BenefitsInc.com/fhir/coverageeligibilityresponse"/>
		<value value="8812343"/>
	</identifier>

	<status value="active"/>

	<purpose value="validation"/>

	<patient>
		<reference value="Patient/f201"/>
	</patient>

	<created value="2014-09-16"/>

	<requestor>
		<identifier>
			<system value="http://national.org/clinic"/>
			<value value="OR1234"/>
		</identifier>   
	</requestor>

	<request>
		<reference value="http://www.BenefitsInc.com/fhir/CoverageEligibilityRequest/225476332406"/>
	</request>

	<outcome value="error"/>
	
	<disposition value="Eligibiliy request could not be processed, please address errors before submitting."/>

	<insurer>
		<reference value="Organization/2"/>
	</insurer>

	<form>
		<coding>
			<system value="http://national.org/form"/>
			<code value="ELRSP/2017/01"/>
		</coding>
	</form>

	<error>
		<code>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/adjudication-error"/>
				<code value="a001"/>
			</coding>
		</code>
	</error>

</CoverageEligibilityResponse>

Version data entries

10 entries across 10 versions & 1 rubygems

Version Path
fhir_models-4.3.0 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.2.2 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.2.1 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.2.0 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.1.2 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.1.1 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.1.0 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.0.2 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.0.1 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml
fhir_models-4.0.0 lib/fhir_models/examples/xml/coverageeligibilityresponse-example-error.xml