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 Eligibilityrequest.questionnaire This is an example form generated from the questionnaire. See also the XML or JSON format. Eligibilityrequest.questionnaire - FHIR v0.4.0                           div.fhir-code-form { background-color: Lemonchiffon; border-bottom: 1px solid #778899; border-right: 1px solid #778899; padding: 10px 10px 0px 10px; margin: 0px 0px 0px 0px; position: fixed; width: 520px; top: 0; left: 0; opacity: 1.0; z-order: 50; } div.fhir-code-form,div.fhir-reference-form { background-color: Lemonchiffon; border-bottom: 1px solid #778899; border-right: 1px solid #778899; padding: 10px 10px 0px 10px; margin: 0px 0px 0px 0px; position: fixed; width: 520px; top: 0; left: 0; opacity: 1.0; z-order: 50; } .combo {position:relative;width:310px;text-align:left;padding:0;margin:0;} .combo * {padding:0;margin:0;} .combo label {display:block;float:left;width:92px;text-align:right;} .combo input {width:300px; height:1.5em;z-index:50;} .combo ul {padding:1px;border:2px solid #ccc;width: 600px;background-color:#fff;position:absolute;left:3px;top:1.8em;display:none;z-index:51;} .combo li {display:block; width: 100%;} Form Development Version FHIR Home Documentation Implementation Resources Clinical Administrative Infrastructure Financial Home Financial EligibilityRequest Generated Questionnaire This is an example form generated from the questionnaire. See also the XML or JSON format Eligibility request EligibilityRequest EligibilityRequest.id EligibilityRequest.id.value Logical id of this artefact EligibilityRequest.id 1 Metadata about the resource EligibilityRequest.meta EligibilityRequest.meta 1 EligibilityRequest.implicitRules EligibilityRequest.implicitRules.value A set of rules under which this content was created EligibilityRequest.implicitRules 1 EligibilityRequest.language EligibilityRequest.language.value language EligibilityRequest.language 1 Text summary of the resource, for human interpretation EligibilityRequest.text EligibilityRequest.text 1 Contained, inline Resources EligibilityRequest.contained EligibilityRequest.contained 1 Business Identifier EligibilityRequest.identifier EligibilityRequest.identifier.label label: EligibilityRequest.identifier.system system: EligibilityRequest.identifier.value value: EligibilityRequest.identifier 1 EligibilityRequest.ruleset EligibilityRequest.ruleset.value Resource version EligibilityRequest.ruleset 1 EligibilityRequest.originalRuleset EligibilityRequest.originalRuleset.value Original version EligibilityRequest.originalRuleset 1 EligibilityRequest.created EligibilityRequest.created.value Creation date EligibilityRequest.created 1 EligibilityRequest.target EligibilityRequest.target.value Insurer Edit EligibilityRequest.target 1 EligibilityRequest.provider EligibilityRequest.provider.value Responsible practitioner Edit EligibilityRequest.provider 1 EligibilityRequest.organization EligibilityRequest.organization.value Responsible organization Edit EligibilityRequest.organization 1 EligibilityRequest 1 Save as Draft Save as Complete © HL7.org 2011+. FHIR DSTU (v0.4.0-4902) generated on Fri, Mar 27, 2015 00:19+1100. Links: What's a DSTU? | Version History | Specification Map | Compare to DSTU1 | | Propose a change   © HL7.org 2011+. FHIR DSTU (v0.4.0-4902) generated on Fri, Mar 27, 2015 00:19+1100. Links: What's a DSTU? | Version History | Specification Map | Compare to DSTU1 | | Propose a change