EligibilityResponse - FHIR v0.5.0

DSTU2 Ballot Source

This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R3 R2

7.5.5 Resource EligibilityResponse - Detailed Descriptions

Detailed Descriptions for the elements in the EligibilityResponse resource.

EligibilityResponse
Definition	This resource provides eligibility and plan details from the processing of an Eligibility resource.
Control	1..1
EligibilityResponse.identifier
Definition	The Response Business Identifier.
Note	This is a business identifer, not a resource identifier (see discussion)
Control	0..*
Type	Identifier
EligibilityResponse.request
Definition	Original request resource reference.
Control	0..1
Type	Reference(EligibilityRequest)
EligibilityResponse.outcome
Definition	Transaction status: error, complete.
Control	0..1
Binding	RemittanceOutcome: Required: http://hl7.org/fhir/RS-link (The outcome of the processing.)
Type	code
EligibilityResponse.disposition
Definition	A description of the status of the adjudication.
Control	0..1
Type	string
EligibilityResponse.ruleset
Definition	The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources.
Control	0..1
Binding	Ruleset: Example: See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.)
Type	Coding
EligibilityResponse.originalRuleset
Definition	The style (standard) and version of the original material which was converted into this resource.
Control	0..1
Binding	Ruleset: Example: See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.)
Type	Coding
Requirements	Knowledge of the original version can inform the processing of this instance so that information which is processable by the originating system may be generated.
EligibilityResponse.created
Definition	The date when the enclosed suite of services were performed or completed.
Control	0..1
Type	dateTime
EligibilityResponse.organization
Definition	The Insurer who produced this adjudicated response.
Control	0..1
Type	Reference(Organization)
EligibilityResponse.requestProvider
Definition	The practitioner who is responsible for the services rendered to the patient.
Control	0..1
Type	Reference(Practitioner)
EligibilityResponse.requestOrganization
Definition	The organization which is responsible for the services rendered to the patient.
Control	0..1
Type	Reference(Organization)