Sha256: f9e5e89341acf97002029d83911f34c3403554002672aa99e0e1a66778f67d11

Contents?: true

Size: 1.43 KB

Versions: 10

Compression:

Stored size: 1.43 KB

Contents

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

	<text>
		<status value="generated"/>
		<div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the EligibilityResponse.</div>
	</text>

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

	<status value="active"/>

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

	<requestProvider>
		<identifier>
			<system value="http://national.org/provider"/>
			<value value="PR9876"/>
		</identifier>  
	</requestProvider>

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

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

	<outcome>
		<coding>
			<system value="http://hl7.org/fhir/remittance-outcome"/>
			<code value="error"/>
		</coding>
	</outcome>

	<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://hl7.org/fhir/adjudication-error"/>
				<code value="a001"/>
			</coding>
		</code>
	</error>

</EligibilityResponse>

Version data entries

10 entries across 10 versions & 2 rubygems

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