Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4

Coverageeligibilityresponse-example-error.xml

Example CoverageEligibilityResponse/E2503 (XML)

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

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

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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.