Name Flags Card. Type Description & Constraints doco
. . EligibilityResponse Σ DomainResource EligibilityResponse resource
. . . identifier Σ 0..* Identifier Business Identifier
. . . request Σ 0..1 Reference( EligibilityRequest) Claim reference
. . . outcome Σ 0..1 code complete | error
RemittanceOutcome ( Required)
. . . disposition Σ 0..1 string Disposition Message
. . . ruleset Σ 0..1 Coding Resource version
Ruleset Codes ( Example)
. . . originalRuleset Σ 0..1 Coding Original version
Ruleset Codes ( Example)
. . . created Σ 0..1 dateTime Creation date
. . . organization Σ 0..1 Reference( Organization) Insurer
. . . requestProvider Σ 0..1 Reference( Practitioner) Responsible practitioner
. . . requestOrganization Σ 0..1 Reference( Organization) Responsible organization

doco Documentation for this format