STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R3 R2

Eligibilityresponse-example.xml

Raw XML (canonical form)

General Person Primary Coverage Example (id = "E2500")

<EligibilityResponse xmlns="http://hl7.org/fhir">
 <id value="E2500"/>

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

  <identifier>
    <system value="http://www.BenefitsInc.com/fhir/eligibilityresponse"/>
    <value value="881234"/>
  </identifier>
  
  <status value="active"/>

  <created value="2014-08-16"/>

  <!--  
  <requestOrganization> 
    <reference value="Organization/1"/>
  </requestOrganization>
   -->
 
  <request>
  <reference value="http://www.BenefitsInc.com/fhir/eligibility/225476332402"/>
  </request>
  
  <outcome>
   <coding>
    <system value="http://hl7.org/fhir/remittance-outcome"/>
  <code value="complete"/>
   </coding>
  </outcome>
  
  <disposition value="Policy is currently in-force."/>
 
  <insurer>
    <reference value="Organization/2"/>
  </insurer>

  <inforce value="true"/>
  
</EligibilityResponse>

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.