EligibilityRequest - FHIR Resource (stu3)

This EligibilityRequest Resource uses the FHIR API standard for access and structure.

Validate an EligibilityRequest FHIR Resource (stu3)

Validate this EligibilityRequest

Resource Attributes

Attribute	Field is list	Type	Description
benefitCategory	false	CodeableConcept	# Type of services covered
benefitSubCategory	false	CodeableConcept	# Detailed services covered within the type
businessArrangement	false	string	# Business agreement
coverage	false	Reference	# Insurance or medical plan
created	false	dateTime	# Creation date
enterer	false	Reference	# Author
facility	false	Reference	# Servicing Facility
identifier	true	Identifier	# Business Identifier
insurer	false	Reference	# Target
organization	false	Reference	# Responsible organization
patient	false	Reference	# The subject of the Products and Services
priority	false	CodeableConcept	# Desired processing priority
provider	false	Reference	# Responsible practitioner
servicedDate	false	date	# "servicedDate" : "<date>",
servicedPeriod	false	Period	# "servicedPeriod" : { Period },
status	false	code	# active | cancelled | draft | entered-in-error

EligibilityRequest Example

{
  "status": "active",
  "patient": {
    "reference": "Patient/pat1"
  },
  "created": "2014-08-16",
  "resourceType": "EligibilityRequest",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the EligibilityRequest</div>"
  },
  "insurer": {
    "reference": "Organization/2"
  },
  "priority": {
    "coding": [
      {
        "code": "normal"
      }
    ]
  },
  "coverage": {
    "reference": "Coverage/9876B1"
  },
  "organization": {
    "reference": "Organization/1"
  },
  "identifier": [
    {
      "system": "http://happyvalley.com/elegibilityrequest",
      "value": "52345"
    }
  ],
  "id": "52345"
}

EligibilityRequest Structure

  
{
  "resourceType" : "EligibilityRequest",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier
  "status" : "<code>", // active | cancelled | draft | entered-in-error
  "priority" : { CodeableConcept }, // Desired processing priority
  "patient" : { Reference(Patient) }, // The subject of the Products and Services
  // serviced[x]: Estimated date or dates of Service. One of these 2:
  "servicedDate" : "<date>",
  "servicedPeriod" : { Period },
  "created" : "<dateTime>", // Creation date
  "enterer" : { Reference(Practitioner) }, // Author
  "provider" : { Reference(Practitioner) }, // Responsible practitioner
  "organization" : { Reference(Organization) }, // Responsible organization
  "insurer" : { Reference(Organization) }, // Target
  "facility" : { Reference(Location) }, // Servicing Facility
  "coverage" : { Reference(Coverage) }, // Insurance or medical plan
  "businessArrangement" : "<string>", // Business agreement
  "benefitCategory" : { CodeableConcept }, // Type of services covered
  "benefitSubCategory" : { CodeableConcept } // Detailed services covered within the type
}


 

EligibilityRequest Search Parameters

The following search parameters can be used to query EligibilityRequest resources. Just submit them like so:

https://api.1up.health/fhir/stu3/EligibilityRequest?query-param=queryvalue

Search Parameter	Field Type	Resource Fields Searched
created	date	created
enterer	reference	enterer
facility	reference	facility
identifier	text	identifier
organization	reference	organization
patient	reference	patient
provider	reference	provider