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7.4.4 Resource EligibilityRequest - Detailed Descriptions

Detailed Descriptions for the elements in the EligibilityRequest resource.

EligibilityRequest
Definition

This resource provides the insurance eligibility details from the insurer regarding a specified coverage and optionally some class of service.

Control1..1
EligibilityRequest.identifier
Definition

The Response Business Identifier.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
EligibilityRequest.ruleset
Definition

The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources.

Control0..1
BindingRuleset: Example: See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.)
TypeCoding
EligibilityRequest.originalRuleset
Definition

The style (standard) and version of the original material which was converted into this resource.

Control0..1
BindingRuleset: Example: See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.)
TypeCoding
Requirements

Knowledge of the original version can inform the processing of this instance so that information which is processable by the originating system may be generated.

EligibilityRequest.created
Definition

The date when this resource was created.

Control0..1
TypedateTime
EligibilityRequest.target
Definition

The Insurer who is target of the request.

Control0..1
TypeReference(Organization)
EligibilityRequest.provider
Definition

The practitioner who is responsible for the services rendered to the patient.

Control0..1
TypeReference(Practitioner)
EligibilityRequest.organization
Definition

The organization which is responsible for the services rendered to the patient.

Control0..1
TypeReference(Organization)