Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). 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

Eligibilityrequest-example.xml

Raw XML (canonical form)

General Person Primary Coverage Example (id = "52345")

<EligibilityRequest xmlns="http://hl7.org/fhir">
  <id value="52345"/>

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

  <identifier>
    <system value="http://happyvalley.com/elegibilityrequest"/>
    <value value="52345"/>
  </identifier>
 
  <created value="2014-08-16"/>

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

  <organization>
    <reference value="Organization/1"/>
  </organization>

  <priority>
    <code value="normal"/>
  </priority>

  <patient>
    <reference value="Patient/pat1"/>
  </patient>
 
  <coverage>
      <reference value="Coverage/9876B1"/>
  </coverage>

  <relationship>
      <code value="self"/>
  </relationship>

 </EligibilityRequest>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.