This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Explanationofbenefit.questionnaire

This is an example form generated from the questionnaire. See also the XML or JSON format.

Explanationofbenefit.questionnaire - FHIR v0.4.0 Form
Development Version

This is an example form generated from the questionnaire. See also the XML or JSON format

Remittance resource

ExplanationOfBenefit
ExplanationOfBenefit.id
ExplanationOfBenefit.id.value Logical id of this artefact
ExplanationOfBenefit.id 1

Metadata about the resource

ExplanationOfBenefit.meta
ExplanationOfBenefit.meta 1
ExplanationOfBenefit.implicitRules
ExplanationOfBenefit.implicitRules.value A set of rules under which this content was created
ExplanationOfBenefit.implicitRules 1
ExplanationOfBenefit.language
ExplanationOfBenefit.language.value language
ExplanationOfBenefit.language 1

Text summary of the resource, for human interpretation

ExplanationOfBenefit.text
ExplanationOfBenefit.text 1

Contained, inline Resources

ExplanationOfBenefit.contained
ExplanationOfBenefit.contained 1

Business Identifier

ExplanationOfBenefit.identifier
ExplanationOfBenefit.identifier.label label:
ExplanationOfBenefit.identifier.system system:
ExplanationOfBenefit.identifier.value value:
ExplanationOfBenefit.identifier 1
ExplanationOfBenefit.request
ExplanationOfBenefit.request.value Claim reference
ExplanationOfBenefit.request 1
ExplanationOfBenefit.outcome
ExplanationOfBenefit.outcome.value outcome
ExplanationOfBenefit.outcome 1
ExplanationOfBenefit.disposition
ExplanationOfBenefit.disposition.value Disposition Message
ExplanationOfBenefit.disposition 1
ExplanationOfBenefit.ruleset
ExplanationOfBenefit.ruleset.value Resource version
ExplanationOfBenefit.ruleset 1
ExplanationOfBenefit.originalRuleset
ExplanationOfBenefit.originalRuleset.value Original version
ExplanationOfBenefit.originalRuleset 1
ExplanationOfBenefit.created
ExplanationOfBenefit.created.value Creation date
ExplanationOfBenefit.created 1
ExplanationOfBenefit.organization
ExplanationOfBenefit.organization.value Insurer
ExplanationOfBenefit.organization 1
ExplanationOfBenefit.requestProvider
ExplanationOfBenefit.requestProvider.value Responsible practitioner
ExplanationOfBenefit.requestProvider 1
ExplanationOfBenefit.requestOrganization
ExplanationOfBenefit.requestOrganization.value Responsible organization
ExplanationOfBenefit.requestOrganization 1
ExplanationOfBenefit 1