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Resource "EligibilityResponse" Version "1" (StructureDefinition)

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XML or JSON representation. Try out the Profile as a questionnaire based web form . Edit this as XML or JSON. provenance for this resource

Generated Narrative with Details

id: EligibilityResponse

meta:

url: http://hl7.org/fhir/StructureDefinition/EligibilityResponse

name: EligibilityResponse

status: draft

date: 10/24/2019 11:53:00 AM

publisher: Health Level Seven International (Financial Management)

contact: ,

description: Base StructureDefinition for EligibilityResponse Resource

fhirVersion: 3.0.2

kind: resource

abstract: false

type: EligibilityResponse

baseDefinition: http://hl7.org/fhir/StructureDefinition/DomainResource

derivation: specialization


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="EligibilityResponse"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-11-06T21:33:49.205Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: EligibilityResponse</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/EligibilityResponse">http://hl7.org/fhir/StructureDefinition/EligibilityResponse</a>
      </p>
      <p>
        <b>name</b>: EligibilityResponse</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: 10/24/2019 11:53:00 AM</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Financial Management)</p>
      <p>
        <b>contact</b>: , </p>
      <p>
        <b>description</b>: Base StructureDefinition for EligibilityResponse Resource</p>
      <p>
        <b>fhirVersion</b>: 3.0.2</p>
      <p>
        <b>kind</b>: resource</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>type</b>: EligibilityResponse</p>
      <p>
        <b>baseDefinition</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/DomainResource">http://hl7.org/fhir/StructureDefinition/DomainResource</a>
      </p>
      <p>
        <b>derivation</b>: specialization</p>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/EligibilityResponse"/>
  <name value="EligibilityResponse"/>
  <status value="draft"/>
  <date value="2019-10-24T11:53:00+11:00"/>
  <publisher value="Health Level Seven International (Financial Management)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm/index.cfm"/>
    </telecom>
  </contact>
  <description value="Base StructureDefinition for EligibilityResponse Resource"/>
  <fhirVersion value="3.0.2"/>
  <mapping>
    <identity value="workflow"/>
    <uri value="http://hl7.org/fhir/workflow"/>
    <name value="Workflow Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <mapping>
    <identity value="cdanetv4"/>
    <uri value="http://www.cda-adc.ca/en/services/cdanet/"/>
    <name value="Canadian Dental Association eclaims standard"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="EligibilityResponse"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="EligibilityResponse">
      <path value="EligibilityResponse"/>
      <short value="EligibilityResponse resource"/>
      <definition value="This resource provides eligibility and plan details from the processing of an Eligibility resource."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression value="contained.where((&apos;#&apos;+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&apos;#&apos;, $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="financial.support"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.id">
      <path value="EligibilityResponse.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="EligibilityResponse.meta">
      <path value="EligibilityResponse.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="EligibilityResponse.implicitRules">
      <path value="EligibilityResponse.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. &#10;&#10;This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&apos;s meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="EligibilityResponse.language">
      <path value="EligibilityResponse.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.text">
      <path value="EligibilityResponse.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.contained">
      <path value="EligibilityResponse.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.extension">
      <path value="EligibilityResponse.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.modifierExtension">
      <path value="EligibilityResponse.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.identifier">
      <path value="EligibilityResponse.identifier"/>
      <short value="Business Identifier"/>
      <definition value="The Response business identifier."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.status">
      <path value="EligibilityResponse.status"/>
      <short value="active | cancelled | draft | entered-in-error"/>
      <definition value="The status of the resource instance."/>
      <comment value="This element is labeled as a modifier because the status contains codes that mark the response as not currently valid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EligibilityResponseStatus"/>
        </extension>
        <strength value="required"/>
        <description value="A code specifying the state of the resource instance."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.created">
      <path value="EligibilityResponse.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.requestProvider">
      <path value="EligibilityResponse.requestProvider"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="B01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.requestOrganization">
      <path value="EligibilityResponse.requestOrganization"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.onBehalfOf"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.request">
      <path value="EligibilityResponse.request"/>
      <short value="Eligibility reference"/>
      <definition value="Original request resource reference."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EligibilityRequest"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A02|G01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.outcome">
      <path value="EligibilityResponse.outcome"/>
      <short value="complete | error | partial"/>
      <definition value="Transaction status: error, complete."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RemittanceOutcome"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="required"/>
        <description value="The outcome of the processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/remittance-outcome"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.disposition">
      <path value="EligibilityResponse.disposition"/>
      <short value="Disposition Message"/>
      <definition value="A description of the status of the adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.note"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurer">
      <path value="EligibilityResponse.insurer"/>
      <short value="Insurer issuing the coverage"/>
      <definition value="The Insurer who produced this adjudicated response."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="EligibilityResponse.inforce">
      <path value="EligibilityResponse.inforce"/>
      <short value="Coverage inforce indicator"/>
      <definition value="Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Insurance"/>
      </extension>
      <path value="EligibilityResponse.insurance"/>
      <short value="Details by insurance coverage"/>
      <definition value="The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="EligibilityResponse.insurance.id">
      <path value="EligibilityResponse.insurance.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.extension">
      <path value="EligibilityResponse.insurance.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.modifierExtension">
      <path value="EligibilityResponse.insurance.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.coverage">
      <path value="EligibilityResponse.insurance.coverage"/>
      <short value="Updated Coverage details"/>
      <definition value="A suite of updated or additional Coverages from the Insurer."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.contract">
      <path value="EligibilityResponse.insurance.contract"/>
      <short value="Contract details"/>
      <definition value="The contract resource which may provide more detailed information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Contract"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefits"/>
      </extension>
      <path value="EligibilityResponse.insurance.benefitBalance"/>
      <short value="Benefits by Category"/>
      <definition value="Benefits and optionally current balances by Category."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.id">
      <path value="EligibilityResponse.insurance.benefitBalance.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.extension">
      <path value="EligibilityResponse.insurance.benefitBalance.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.modifierExtension">
      <path value="EligibilityResponse.insurance.benefitBalance.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.category">
      <path value="EligibilityResponse.insurance.benefitBalance.category"/>
      <short value="Type of services covered"/>
      <definition value="Dental, Vision, Medical, Pharmacy, Rehab etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit categories such as: oral, medical, vision etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.subCategory">
      <path value="EligibilityResponse.insurance.benefitBalance.subCategory"/>
      <short value="Detailed services covered within the type"/>
      <definition value="Dental: basic, major, ortho Vision exam, glasses, contacts etc."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitSubCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.excluded">
      <path value="EligibilityResponse.insurance.benefitBalance.excluded"/>
      <short value="Excluded from the plan"/>
      <definition value="True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.name">
      <path value="EligibilityResponse.insurance.benefitBalance.name"/>
      <short value="Short name for the benefit"/>
      <definition value="A short name or tag for the benefit, for example MED01, or DENT2."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.description">
      <path value="EligibilityResponse.insurance.benefitBalance.description"/>
      <short value="Description of the benefit or services covered"/>
      <definition value="A richer description of the benefit, for example &apos;DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.network">
      <path value="EligibilityResponse.insurance.benefitBalance.network"/>
      <short value="In or out of network"/>
      <definition value="Network designation."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitNetwork"/>
        </extension>
        <strength value="example"/>
        <description value="Code to classify in or out of network services"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-network"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.unit">
      <path value="EligibilityResponse.insurance.benefitBalance.unit"/>
      <short value="Individual or family"/>
      <definition value="Unit designation: individual or family."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitUnit"/>
        </extension>
        <strength value="example"/>
        <description value="Unit covered/serviced - individual or family"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-unit"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.term">
      <path value="EligibilityResponse.insurance.benefitBalance.term"/>
      <short value="Annual or lifetime"/>
      <definition value="The term or period of the values such as &apos;maximum lifetime benefit&apos; or &apos;maximum annual vistis&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitTerm"/>
        </extension>
        <strength value="example"/>
        <description value="Coverage unit - annual, lifetime"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-term"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefit"/>
      </extension>
      <path value="EligibilityResponse.insurance.benefitBalance.financial"/>
      <short value="Benefit Summary"/>
      <definition value="Benefits Used to date."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.id">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.extension">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.modifierExtension">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.type">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.type"/>
      <short value="Deductable, visits, benefit amount"/>
      <definition value="Deductable, visits, benefit amount."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitType"/>
        </extension>
        <strength value="example"/>
        <description value="Deductable, visits, co-pay, etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.allowed[x]">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.allowed[x]"/>
      <short value="Benefits allowed"/>
      <definition value="Benefits allowed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.used[x]">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.used[x]"/>
      <short value="Benefits used"/>
      <definition value="Benefits used."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.form">
      <path value="EligibilityResponse.form"/>
      <short value="Printed Form Identifier"/>
      <definition value="The form to be used for printing the content."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Forms"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="The forms codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/forms"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G42"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Errors"/>
      </extension>
      <path value="EligibilityResponse.error"/>
      <short value="Processing errors"/>
      <definition value="Mutually exclusive with Services Provided (Item)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
    </element>
    <element id="EligibilityResponse.error.id">
      <path value="EligibilityResponse.error.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error.extension">
      <path value="EligibilityResponse.error.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error.modifierExtension">
      <path value="EligibilityResponse.error.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error.code">
      <path value="EligibilityResponse.error.code"/>
      <short value="Error code detailing processing issues"/>
      <definition value="An error code,from a specified code system, which details why the eligibility check could not be performed."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjudicationError"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="The error codes for adjudication processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-error"/>
        </valueSetReference>
      </binding>
    </element>
  </snapshot>
  <differential>
    <element id="EligibilityResponse">
      <path value="EligibilityResponse"/>
      <short value="EligibilityResponse resource"/>
      <definition value="This resource provides eligibility and plan details from the processing of an Eligibility resource."/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="financial.support"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.identifier">
      <path value="EligibilityResponse.identifier"/>
      <short value="Business Identifier"/>
      <definition value="The Response business identifier."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.status">
      <path value="EligibilityResponse.status"/>
      <short value="active | cancelled | draft | entered-in-error"/>
      <definition value="The status of the resource instance."/>
      <comment value="This element is labeled as a modifier because the status contains codes that mark the response as not currently valid."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="EligibilityResponseStatus"/>
        </extension>
        <strength value="required"/>
        <description value="A code specifying the state of the resource instance."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/fm-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.created">
      <path value="EligibilityResponse.created"/>
      <short value="Creation date"/>
      <definition value="The date when the enclosed suite of services were performed or completed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.requestProvider">
      <path value="EligibilityResponse.requestProvider"/>
      <short value="Responsible practitioner"/>
      <definition value="The practitioner who is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="B01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.requestOrganization">
      <path value="EligibilityResponse.requestOrganization"/>
      <short value="Responsible organization"/>
      <definition value="The organization which is responsible for the services rendered to the patient."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.onBehalfOf"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.request">
      <path value="EligibilityResponse.request"/>
      <short value="Eligibility reference"/>
      <definition value="Original request resource reference."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EligibilityRequest"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="A02|G01"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.outcome">
      <path value="EligibilityResponse.outcome"/>
      <short value="complete | error | partial"/>
      <definition value="Transaction status: error, complete."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RemittanceOutcome"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="required"/>
        <description value="The outcome of the processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/remittance-outcome"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.disposition">
      <path value="EligibilityResponse.disposition"/>
      <short value="Disposition Message"/>
      <definition value="A description of the status of the adjudication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.note"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.insurer">
      <path value="EligibilityResponse.insurer"/>
      <short value="Insurer issuing the coverage"/>
      <definition value="The Insurer who produced this adjudicated response."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
    </element>
    <element id="EligibilityResponse.inforce">
      <path value="EligibilityResponse.inforce"/>
      <short value="Coverage inforce indicator"/>
      <definition value="Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Insurance"/>
      </extension>
      <path value="EligibilityResponse.insurance"/>
      <short value="Details by insurance coverage"/>
      <definition value="The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.coverage">
      <path value="EligibilityResponse.insurance.coverage"/>
      <short value="Updated Coverage details"/>
      <definition value="A suite of updated or additional Coverages from the Insurer."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.contract">
      <path value="EligibilityResponse.insurance.contract"/>
      <short value="Contract details"/>
      <definition value="The contract resource which may provide more detailed information."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Contract"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefits"/>
      </extension>
      <path value="EligibilityResponse.insurance.benefitBalance"/>
      <short value="Benefits by Category"/>
      <definition value="Benefits and optionally current balances by Category."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.category">
      <path value="EligibilityResponse.insurance.benefitBalance.category"/>
      <short value="Type of services covered"/>
      <definition value="Dental, Vision, Medical, Pharmacy, Rehab etc."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit categories such as: oral, medical, vision etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.subCategory">
      <path value="EligibilityResponse.insurance.benefitBalance.subCategory"/>
      <short value="Detailed services covered within the type"/>
      <definition value="Dental: basic, major, ortho Vision exam, glasses, contacts etc."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitSubCategory"/>
        </extension>
        <strength value="example"/>
        <description value="Benefit subcategories such as: oral-basic, major, glasses"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-subcategory"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.excluded">
      <path value="EligibilityResponse.insurance.benefitBalance.excluded"/>
      <short value="Excluded from the plan"/>
      <definition value="True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.name">
      <path value="EligibilityResponse.insurance.benefitBalance.name"/>
      <short value="Short name for the benefit"/>
      <definition value="A short name or tag for the benefit, for example MED01, or DENT2."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.description">
      <path value="EligibilityResponse.insurance.benefitBalance.description"/>
      <short value="Description of the benefit or services covered"/>
      <definition value="A richer description of the benefit, for example &apos;DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.network">
      <path value="EligibilityResponse.insurance.benefitBalance.network"/>
      <short value="In or out of network"/>
      <definition value="Network designation."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitNetwork"/>
        </extension>
        <strength value="example"/>
        <description value="Code to classify in or out of network services"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-network"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.unit">
      <path value="EligibilityResponse.insurance.benefitBalance.unit"/>
      <short value="Individual or family"/>
      <definition value="Unit designation: individual or family."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitUnit"/>
        </extension>
        <strength value="example"/>
        <description value="Unit covered/serviced - individual or family"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-unit"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.term">
      <path value="EligibilityResponse.insurance.benefitBalance.term"/>
      <short value="Annual or lifetime"/>
      <definition value="The term or period of the values such as &apos;maximum lifetime benefit&apos; or &apos;maximum annual vistis&apos;."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitTerm"/>
        </extension>
        <strength value="example"/>
        <description value="Coverage unit - annual, lifetime"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-term"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Benefit"/>
      </extension>
      <path value="EligibilityResponse.insurance.benefitBalance.financial"/>
      <short value="Benefit Summary"/>
      <definition value="Benefits Used to date."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.type">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.type"/>
      <short value="Deductable, visits, benefit amount"/>
      <definition value="Deductable, visits, benefit amount."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BenefitType"/>
        </extension>
        <strength value="example"/>
        <description value="Deductable, visits, co-pay, etc."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/benefit-type"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.allowed[x]">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.allowed[x]"/>
      <short value="Benefits allowed"/>
      <definition value="Benefits allowed."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="string"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.insurance.benefitBalance.financial.used[x]">
      <path value="EligibilityResponse.insurance.benefitBalance.financial.used[x]"/>
      <short value="Benefits used"/>
      <definition value="Benefits used."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <type>
        <code value="Money"/>
      </type>
    </element>
    <element id="EligibilityResponse.form">
      <path value="EligibilityResponse.form"/>
      <short value="Printed Form Identifier"/>
      <definition value="The form to be used for printing the content."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Forms"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="The forms codes."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/forms"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="cdanetv4"/>
        <map value="G42"/>
      </mapping>
    </element>
    <element id="EligibilityResponse.error">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Errors"/>
      </extension>
      <path value="EligibilityResponse.error"/>
      <short value="Processing errors"/>
      <definition value="Mutually exclusive with Services Provided (Item)."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="EligibilityResponse.error.code">
      <path value="EligibilityResponse.error.code"/>
      <short value="Error code detailing processing issues"/>
      <definition value="An error code,from a specified code system, which details why the eligibility check could not be performed."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjudicationError"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="example"/>
        <description value="The error codes for adjudication processing."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/adjudication-error"/>
        </valueSetReference>
      </binding>
    </element>
  </differential>
</StructureDefinition>