STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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

Eligibilityresponse.profile.xml

Raw XML (canonical form)

StructureDefinition for eligibilityresponse

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="EligibilityResponse"/>
  <meta>
    <lastUpdated value="2016-08-11T17:02:54.322+10:00"/>
  </meta>
  <text>
    <status value="generated"/>
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            <a href="formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/> 
            <span title="EligibilityResponse : This resource provides eligibility and plan details from the processing
             of an Eligibility resource.">EligibilityResponse</span>
            <a name="EligibilityResponse"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">EligibilityResponse resource</td>
        </tr>

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            <span title="EligibilityResponse.identifier : The Response business identifier.">identifier</span>
            <a name="EligibilityResponse.identifier"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Business Identifier</td>
        </tr>

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            <span title="EligibilityResponse.status : The status of the resource instance.">status</span>
            <a name="EligibilityResponse.status"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is a modifier element">?!</span>
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">active | cancelled | draft | entered-in-error
            <br/>
            <a href="valueset-eligibilityresponse-status.html" title="A code specifying the state of the resource instance.">EligibilityResponseStatus</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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            <span title="EligibilityResponse.request[x] : Original request resource reference.">request[x]</span>
            <a name="EligibilityResponse.request_x_"> </a>
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Claim reference</td>
        </tr>

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            <span title="A technical identifier - identifies some entity uniquely and unambiguously.">requestIdentifier</span>
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <a href="references.html">Reference</a>(
            <a href="eligibilityrequest.html">EligibilityRequest</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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            <span title="EligibilityResponse.outcome : Transaction status: error, complete.">outcome</span>
            <a name="EligibilityResponse.outcome"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">complete | error | partial
            <br/>
            <a href="valueset-remittance-outcome.html" title="The outcome of the processing.">RemittanceOutcome</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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            <span title="EligibilityResponse.disposition : A description of the status of the adjudication.">disposition</span>
            <a name="EligibilityResponse.disposition"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Disposition Message</td>
        </tr>

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            <span title="EligibilityResponse.ruleset : The version of the style of resource contents. This should
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            <a name="EligibilityResponse.ruleset"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Resource version
            <br/>
            <a href="valueset-ruleset.html" title="The static and dynamic model to which contents conform, which may be business version
             or standard/version.">Ruleset Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <span title="EligibilityResponse.originalRuleset : The style (standard) and version of the original
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            <a name="EligibilityResponse.originalRuleset"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Original version
            <br/>
            <a href="valueset-ruleset.html" title="The static and dynamic model to which contents conform, which may be business version
             or standard/version.">Ruleset Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
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          </td>
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            <a name="EligibilityResponse.created"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>
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            <a href="references.html">Reference</a>(
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Responsible practitioner</td>
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            <span title="EligibilityResponse.requestOrganization[x] : The organization which is responsible for
             the services rendered to the patient.">requestOrganization[x]</span>
            <a name="EligibilityResponse.requestOrganization_x_"> </a>
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Responsible organization</td>
        </tr>

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            <span title="A technical identifier - identifies some entity uniquely and unambiguously.">requestOrganizationIdentifier</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="organization.html">Organization</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="EligibilityResponse.inforce : Flag indicating if the coverage provided is inforce currently
              if no service date(s) specified or for the whole duration of the service dates.">inforce</span>
            <a name="EligibilityResponse.inforce"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Coverage inforce</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="EligibilityResponse.contract : The contract resource which may provide more detailed information.">contract</span>
            <a name="EligibilityResponse.contract"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="contract.html">Contract</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Contract details</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="EligibilityResponse.form : The form to be used for printing the content.">form</span>
            <a name="EligibilityResponse.form"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Printed Form Identifier
            <br/>
            <a href="valueset-forms.html" title="The forms codes.">Form Codes</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Benefit Category
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            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Benefit SubCategory
            <br/>
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            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Short name for the benefit</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Description of the benefit</td>
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            <span title="EligibilityResponse.benefitBalance.network : Network designation.">network</span>
            <a name="EligibilityResponse.benefitBalance.network"> </a>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
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            <br/>
            <a href="valueset-benefit-network.html" title="Code to classify in or out of network services">Network Type Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
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            <span title="EligibilityResponse.benefitBalance.unit : Unit designation: individual or family.">unit</span>
            <a name="EligibilityResponse.benefitBalance.unit"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Individual or family
            <br/>
            <a href="valueset-benefit-unit.html" title="Unit covered/serviced - individual or family">Unit Type Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="EligibilityResponse.benefitBalance.term : The term or period of the values such as 'maximum
             lifetime benefit' or 'maximum annual vistis'.">term</span>
            <a name="EligibilityResponse.benefitBalance.term"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Annual or lifetime
            <br/>
            <a href="valueset-benefit-term.html" title="Coverage unit - annual, lifetime">Benefit Term Codes</a> (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.">Example</a>)
          </td>
        </tr>

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            <span title="EligibilityResponse.benefitBalance.financial : Benefits Used to date.">financial</span>
            <a name="EligibilityResponse.benefitBalance.financial"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Benefit Summary</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <a name="EligibilityResponse.benefitBalance.financial.type"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Deductable, visits, benefit amount
            <br/>
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          </td>
        </tr>

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Benefits allowed</td>
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            <span title="An integer with a value that is not negative (e.g. &gt;= 0)">benefitUnsignedInt</span>
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            <a href="datatypes.html#unsignedInt">unsignedInt</a>
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            <span title="A sequence of Unicode characters">benefitString</span>
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            <a href="datatypes.html#string">string</a>
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            <span title="An amount of economic utility in some recognised currency.">benefitMoney</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>
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            <span title="EligibilityResponse.benefitBalance.financial.benefitUsed[x] : Benefits used.">benefitUsed[x]</span>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Benefits used</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="An integer with a value that is not negative (e.g. &gt;= 0)">benefitUsedUnsignedInt</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="An amount of economic utility in some recognised currency.">benefitUsedMoney</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Money">Money</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw
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            <span title="EligibilityResponse.error : Mutually exclusive with Services Provided (Item).">error</span>
            <a name="EligibilityResponse.error"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Processing errors</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="EligibilityResponse.error.code : An error code,from a specified code system, which details
             why the eligibility check could not be performed.">code</span>
            <a name="EligibilityResponse.error.code"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Error code detailing processing issues
            <br/>
            <a href="valueset-adjudication-error.html" title="The error codes for adjudication processing.">Adjudication Error Codes</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format
            </a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/EligibilityResponse"/>
  <name value="EligibilityResponse"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Financial Management)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/fm/index.cfm"/>
    </telecom>
  </contact>
  <date value="2016-08-11T17:02:54+10:00"/>
  <description value="Base StructureDefinition for EligibilityResponse Resource"/>
  <fhirVersion value="1.6.0"/>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="cdanetv4"/>
    <uri value="http://www.cda-adc.ca/en/services/cdanet/"/>
    <name value="Canadian Dental Association eclaims standard"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="EligibilityResponse"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="EligibilityResponse">
      <path value="EligibilityResponse"/>
      <short value="EligibilityResponse resource"/>
      <definition value="This resource provides eligibility and plan details from the processing of an Eligibility
       resource."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource"/>
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f
        :reference/@value=concat('#', $id))]))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="financial.support"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.id">
      <path value="EligibilityResponse.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="EligibilityResponse.meta">
      <path value="EligibilityResponse.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="EligibilityResponse.implicitRules">
      <path value="EligibilityResponse.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/>
      <comments value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="EligibilityResponse.language">
      <path value="EligibilityResponse.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.text">
      <path value="EligibilityResponse.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.contained">
      <path value="EligibilityResponse.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/>
      <comments value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.extension">
      <path value="EligibilityResponse.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.modifierExtension">
      <path value="EligibilityResponse.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.identifier">
      <path value="EligibilityResponse.identifier"/>
      <short value="Business Identifier"/>
      <definition value="The Response business identifier."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.status">
      <path value="EligibilityResponse.status"/>
      <short value="active | cancelled | draft | entered-in-error"/>
      <definition value="The status of the resource instance."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A code specifying the state of the resource instance."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/eligibilityresponse-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.request[x]">
      <path value="EligibilityResponse.request[x]"/>
      <short value="Claim reference"/>
      <definition value="Original request resource reference."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/EligibilityRequest"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A02|G01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.outcome">
      <path value="EligibilityResponse.outcome"/>
      <short value="complete | error | partial"/>
      <definition value="Transaction status: error, complete."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The outcome of the processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/remittance-outcome"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.disposition">
      <path value="EligibilityResponse.disposition"/>
      <short value="Disposition Message"/>
      <definition value="A description of the status of the adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.ruleset">
      <path value="EligibilityResponse.ruleset"/>
      <short value="Resource version"/>
      <definition value="The version of the style of resource contents. This should be mapped to the allowable
       profiles for this and supporting resources."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="id.version"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.originalRuleset">
      <path value="EligibilityResponse.originalRuleset"/>
      <short value="Original version"/>
      <definition value="The style (standard) and version of the original material which was converted into this
       resource."/>
      <requirements value="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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.created">
      <path value="EligibilityResponse.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.organization[x]">
      <path value="EligibilityResponse.organization[x]"/>
      <short value="Insurer"/>
      <definition value="The Insurer who produced this adjudicated response."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="EligibilityResponse.requestProvider[x]">
      <path value="EligibilityResponse.requestProvider[x]"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="B01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.requestOrganization[x]">
      <path value="EligibilityResponse.requestOrganization[x]"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.inforce">
      <path value="EligibilityResponse.inforce"/>
      <short value="Coverage inforce"/>
      <definition value="Flag indicating if the coverage provided is inforce currently  if no service date(s) specified
       or for the whole duration of the service dates."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="EligibilityResponse.contract">
      <path value="EligibilityResponse.contract"/>
      <short value="Contract details"/>
      <definition value="The contract resource which may provide more detailed information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Contract"/>
      </type>
    </element>
    <element id="EligibilityResponse.form">
      <path value="EligibilityResponse.form"/>
      <short value="Printed Form Identifier"/>
      <definition value="The form to be used for printing the content."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The forms codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/forms"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G42"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefits"/>
      </extension>
      <path value="EligibilityResponse.benefitBalance"/>
      <short value="Benefits by Category"/>
      <definition value="Benefits and optionally current balances by Category."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.id">
      <path value="EligibilityResponse.benefitBalance.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance.extension">
      <path value="EligibilityResponse.benefitBalance.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance.modifierExtension">
      <path value="EligibilityResponse.benefitBalance.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance.category">
      <path value="EligibilityResponse.benefitBalance.category"/>
      <short value="Benefit Category"/>
      <definition value="Dental, Vision, Medical, Pharmacy, Rehab etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Benefit categories such as: oral, medical, vision etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.subCategory">
      <path value="EligibilityResponse.benefitBalance.subCategory"/>
      <short value="Benefit SubCategory"/>
      <definition value="Dental: basic, major, ortho; Vision exam, glasses, contacts; etc."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.name">
      <path value="EligibilityResponse.benefitBalance.name"/>
      <short value="Short name for the benefit"/>
      <definition value="A short name or tag for the benefit, for example MED01, or DENT2."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.description">
      <path value="EligibilityResponse.benefitBalance.description"/>
      <short value="Description of the benefit"/>
      <definition value="A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major
       but exclused Ortho, Implants and Costmetic services'."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.network">
      <path value="EligibilityResponse.benefitBalance.network"/>
      <short value="In or out of network"/>
      <definition value="Network designation."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Code to classify in or out of network services"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-network"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.unit">
      <path value="EligibilityResponse.benefitBalance.unit"/>
      <short value="Individual or family"/>
      <definition value="Unit designation: individual or family."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Unit covered/serviced - individual or family"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-unit"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.term">
      <path value="EligibilityResponse.benefitBalance.term"/>
      <short value="Annual or lifetime"/>
      <definition value="The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual
       vistis'."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Coverage unit - annual, lifetime"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-term"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefit"/>
      </extension>
      <path value="EligibilityResponse.benefitBalance.financial"/>
      <short value="Benefit Summary"/>
      <definition value="Benefits Used to date."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.id">
      <path value="EligibilityResponse.benefitBalance.financial.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.extension">
      <path value="EligibilityResponse.benefitBalance.financial.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.modifierExtension">
      <path value="EligibilityResponse.benefitBalance.financial.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.type">
      <path value="EligibilityResponse.benefitBalance.financial.type"/>
      <short value="Deductable, visits, benefit amount"/>
      <definition value="Deductable, visits, benefit amount."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Deductable, visits, co-pay, etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.benefit[x]">
      <path value="EligibilityResponse.benefitBalance.financial.benefit[x]"/>
      <short value="Benefits allowed"/>
      <definition value="Benefits allowed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.benefitUsed[x]">
      <path value="EligibilityResponse.benefitBalance.financial.benefitUsed[x]"/>
      <short value="Benefits used"/>
      <definition value="Benefits used."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.error">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Errors"/>
      </extension>
      <path value="EligibilityResponse.error"/>
      <short value="Processing errors"/>
      <definition value="Mutually exclusive with Services Provided (Item)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.error.id">
      <path value="EligibilityResponse.error.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error.extension">
      <path value="EligibilityResponse.error.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error.modifierExtension">
      <path value="EligibilityResponse.error.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions."/>
      <comments value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error.code">
      <path value="EligibilityResponse.error.code"/>
      <short value="Error code detailing processing issues"/>
      <definition value="An error code,from a specified code system, which details why the eligibility check could
       not be performed."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The error codes for adjudication processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-error"/>
        </valueSetReference>
      </binding>
    </element>
  </snapshot>
  <differential>
    <element id="EligibilityResponse">
      <path value="EligibilityResponse"/>
      <short value="EligibilityResponse resource"/>
      <definition value="This resource provides eligibility and plan details from the processing of an Eligibility
       resource."/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="w5"/>
        <map value="financial.support"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.identifier">
      <path value="EligibilityResponse.identifier"/>
      <short value="Business Identifier"/>
      <definition value="The Response business identifier."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.status">
      <path value="EligibilityResponse.status"/>
      <short value="active | cancelled | draft | entered-in-error"/>
      <definition value="The status of the resource instance."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="A code specifying the state of the resource instance."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/eligibilityresponse-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.request[x]">
      <path value="EligibilityResponse.request[x]"/>
      <short value="Claim reference"/>
      <definition value="Original request resource reference."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/EligibilityRequest"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A02|G01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.outcome">
      <path value="EligibilityResponse.outcome"/>
      <short value="complete | error | partial"/>
      <definition value="Transaction status: error, complete."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The outcome of the processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/remittance-outcome"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.disposition">
      <path value="EligibilityResponse.disposition"/>
      <short value="Disposition Message"/>
      <definition value="A description of the status of the adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.ruleset">
      <path value="EligibilityResponse.ruleset"/>
      <short value="Resource version"/>
      <definition value="The version of the style of resource contents. This should be mapped to the allowable
       profiles for this and supporting resources."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="w5"/>
        <map value="id.version"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.originalRuleset">
      <path value="EligibilityResponse.originalRuleset"/>
      <short value="Original version"/>
      <definition value="The style (standard) and version of the original material which was converted into this
       resource."/>
      <requirements value="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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="The static and dynamic model to which contents conform, which may be business version
         or standard/version."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/ruleset"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.created">
      <path value="EligibilityResponse.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.organization[x]">
      <path value="EligibilityResponse.organization[x]"/>
      <short value="Insurer"/>
      <definition value="The Insurer who produced this adjudicated response."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="EligibilityResponse.requestProvider[x]">
      <path value="EligibilityResponse.requestProvider[x]"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="B01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.requestOrganization[x]">
      <path value="EligibilityResponse.requestOrganization[x]"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.inforce">
      <path value="EligibilityResponse.inforce"/>
      <short value="Coverage inforce"/>
      <definition value="Flag indicating if the coverage provided is inforce currently  if no service date(s) specified
       or for the whole duration of the service dates."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="EligibilityResponse.contract">
      <path value="EligibilityResponse.contract"/>
      <short value="Contract details"/>
      <definition value="The contract resource which may provide more detailed information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Contract"/>
      </type>
    </element>
    <element id="EligibilityResponse.form">
      <path value="EligibilityResponse.form"/>
      <short value="Printed Form Identifier"/>
      <definition value="The form to be used for printing the content."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The forms codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/forms"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G42"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.benefitBalance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefits"/>
      </extension>
      <path value="EligibilityResponse.benefitBalance"/>
      <short value="Benefits by Category"/>
      <definition value="Benefits and optionally current balances by Category."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.category">
      <path value="EligibilityResponse.benefitBalance.category"/>
      <short value="Benefit Category"/>
      <definition value="Dental, Vision, Medical, Pharmacy, Rehab etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Benefit categories such as: oral, medical, vision etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.subCategory">
      <path value="EligibilityResponse.benefitBalance.subCategory"/>
      <short value="Benefit SubCategory"/>
      <definition value="Dental: basic, major, ortho; Vision exam, glasses, contacts; etc."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.name">
      <path value="EligibilityResponse.benefitBalance.name"/>
      <short value="Short name for the benefit"/>
      <definition value="A short name or tag for the benefit, for example MED01, or DENT2."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.description">
      <path value="EligibilityResponse.benefitBalance.description"/>
      <short value="Description of the benefit"/>
      <definition value="A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major
       but exclused Ortho, Implants and Costmetic services'."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.network">
      <path value="EligibilityResponse.benefitBalance.network"/>
      <short value="In or out of network"/>
      <definition value="Network designation."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Code to classify in or out of network services"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-network"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.unit">
      <path value="EligibilityResponse.benefitBalance.unit"/>
      <short value="Individual or family"/>
      <definition value="Unit designation: individual or family."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Unit covered/serviced - individual or family"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-unit"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.term">
      <path value="EligibilityResponse.benefitBalance.term"/>
      <short value="Annual or lifetime"/>
      <definition value="The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual
       vistis'."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Coverage unit - annual, lifetime"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-term"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefit"/>
      </extension>
      <path value="EligibilityResponse.benefitBalance.financial"/>
      <short value="Benefit Summary"/>
      <definition value="Benefits Used to date."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.type">
      <path value="EligibilityResponse.benefitBalance.financial.type"/>
      <short value="Deductable, visits, benefit amount"/>
      <definition value="Deductable, visits, benefit amount."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Deductable, visits, co-pay, etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.benefit[x]">
      <path value="EligibilityResponse.benefitBalance.financial.benefit[x]"/>
      <short value="Benefits allowed"/>
      <definition value="Benefits allowed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.benefitBalance.financial.benefitUsed[x]">
      <path value="EligibilityResponse.benefitBalance.financial.benefitUsed[x]"/>
      <short value="Benefits used"/>
      <definition value="Benefits used."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.error">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Errors"/>
      </extension>
      <path value="EligibilityResponse.error"/>
      <short value="Processing errors"/>
      <definition value="Mutually exclusive with Services Provided (Item)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.error.code">
      <path value="EligibilityResponse.error.code"/>
      <short value="Error code detailing processing issues"/>
      <definition value="An error code,from a specified code system, which details why the eligibility check could
       not be performed."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Coding"/>
      </type>
      <binding>
        <strength value="required"/>
        <description value="The error codes for adjudication processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-error"/>
        </valueSetReference>
      </binding>
    </element>
  </differential>
</StructureDefinition>

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.