Release 4 4B

This page is part of the FHIR Specification (v4.0.1: R4 (v4.3.0: R4B - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). ). 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: R5 R4B R4 R4B R4

Coverageeligibilityresponse-example-error.xml

Financial Management Work Group Maturity Level : N/A Standards Status : Informative Compartments : Patient , Practitioner

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

General Person Primary Coverage with error (id = "E2503") 

<?xml version="1.0" encoding="UTF-8"?>

<CoverageEligibilityResponse xmlns="http://hl7.org/fhir">
  <id value="E2503"/> 

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

  <identifier> 
    <system value="http://www.BenefitsInc.com/fhir/coverageeligibilityresponse"/> 
    <value value="8812343"/> 
  </identifier> 

  <status value="active"/> 

  <purpose value="validation"/> 

  <patient> 
    

    <reference value="Patient/f201"/> 
  </patient> 

  <created value="2014-09-16"/> 

  <requestor> 
    

    <identifier> 
      <system value="http://national.org/clinic"/> 
      <value value="OR1234"/> 
       

    </identifier>    
  </requestor> 

  <request> 
    

    <reference value="http://www.BenefitsInc.com/fhir/coverageeligibilityresponse/225476332406"/> 
  </request> 

  <outcome value="error"/> 
  
  <disposition value="Eligibiliy request could not be processed, please address errors before submitting."/> 

  <insurer> 
    

    <reference value="Organization/2"/> 
  </insurer> 

  <form> 
    <coding> 
      <system value="http://national.org/form"/> 
      <code value="ELRSP/2017/01"/> 
    </coding> 
  </form> 

  <error> 
    <code> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/adjudication-error"/> 
        <code value="a001"/> 
      </coding> 
    </code> 
  </error> 



</

CoverageEligibilityResponse

>

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.