CData Python Connector for FHIR

Build 24.0.9029

CoverageEligibilityResponse

CoverageEligibilityResponse view.

Columns

Name Type Description
id String The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
lastUpdated Datetime The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
implicitRules String A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
language String The base language in which the resource is written.
text_div String The div of the text. A human-readable narrative that contains a summary of the resource and can 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 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
text_status String The status of the text. A human-readable narrative that contains a summary of the resource and can 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 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
contained String 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.
extension String May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
modifierExtension String 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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
identifier_value String The value of the identifier. A unique identifier assigned to this coverage eligiblity request.
identifier_use String The identifier-use of the identifier-use. A unique identifier assigned to this coverage eligiblity request.
identifier_type_coding String The coding of the identifier-type. A unique identifier assigned to this coverage eligiblity request.
identifier_type_text String The text of the identifier-type. A unique identifier assigned to this coverage eligiblity request.
identifier_system String The identifier-system of the identifier-system. A unique identifier assigned to this coverage eligiblity request.
identifier_period_start String The start of the identifier-period. A unique identifier assigned to this coverage eligiblity request.
identifier_period_end String The end of the identifier-period. A unique identifier assigned to this coverage eligiblity request.
status String The status of the resource instance.
purpose String Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified.
patient_display String The display of the patient. The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.
patient_reference String The reference of the patient. The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.
patient_identifier_value String The value of the patient-identifier. The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.
patient_type String The patient-type of the patient-type. The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.
serviced_x_ Date The date or dates when the enclosed suite of services were performed or completed.
created Datetime The date this resource was created.
requestor_display String The display of the requestor. The provider which is responsible for the request.
requestor_reference String The reference of the requestor. The provider which is responsible for the request.
requestor_identifier_value String The value of the requestor-identifier. The provider which is responsible for the request.
requestor_type String The requestor-type of the requestor-type. The provider which is responsible for the request.
request_display String The display of the request. Reference to the original request resource.
request_reference String The reference of the request. Reference to the original request resource.
request_identifier_value String The value of the request-identifier. Reference to the original request resource.
request_type String The request-type of the request-type. Reference to the original request resource.
outcome String The outcome of the request processing.
disposition String A human readable description of the status of the adjudication.
insurer_display String The display of the insurer. The Insurer who issued the coverage in question and is the author of the response.
insurer_reference String The reference of the insurer. The Insurer who issued the coverage in question and is the author of the response.
insurer_identifier_value String The value of the insurer-identifier. The Insurer who issued the coverage in question and is the author of the response.
insurer_type String The insurer-type of the insurer-type. The Insurer who issued the coverage in question and is the author of the response.
insurance_id String The insurance-id of the insurance-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
insurance_extension String The insurance-extension of the insurance-extension. May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
insurance_modifierExtension String The insurance-modifierExtension of the insurance-modifierExtension. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
insurance_coverage_display String The display of the insurance-coverage. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_coverage_reference String The reference of the insurance-coverage. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_coverage_identifier_value String The value of the insurance-coverage-identifier. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_coverage_type String The insurance-coverage-type of the insurance-coverage-type. Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
insurance_inforce Bool The insurance-inforce of the insurance-inforce. Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates.
insurance_benefitPeriod_start Datetime The start of the insurance-benefitPeriod. The term of the benefits documented in this response.
insurance_benefitPeriod_end Datetime The end of the insurance-benefitPeriod. The term of the benefits documented in this response.
insurance_item_id String The insurance-item-id of the insurance-item-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
insurance_item_extension String The insurance-item-extension of the insurance-item-extension. May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
insurance_item_modifierExtension String The insurance-item-modifierExtension of the insurance-item-modifierExtension. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
insurance_item_category_coding String The coding of the insurance-item-category. Code to identify the general type of benefits under which products and services are provided.
insurance_item_category_text String The text of the insurance-item-category. Code to identify the general type of benefits under which products and services are provided.
insurance_item_productOrService_coding String The coding of the insurance-item-productOrService. This contains the product, service, drug or other billing code for the item.
insurance_item_productOrService_text String The text of the insurance-item-productOrService. This contains the product, service, drug or other billing code for the item.
insurance_item_modifier_coding String The coding of the insurance-item-modifier. Item typification or modifiers codes to convey additional context for the product or service.
insurance_item_modifier_text String The text of the insurance-item-modifier. Item typification or modifiers codes to convey additional context for the product or service.
insurance_item_provider_display String The display of the insurance-item-provider. The practitioner who is eligible for the provision of the product or service.
insurance_item_provider_reference String The reference of the insurance-item-provider. The practitioner who is eligible for the provision of the product or service.
insurance_item_provider_identifier_value String The value of the insurance-item-provider-identifier. The practitioner who is eligible for the provision of the product or service.
insurance_item_provider_type String The insurance-item-provider-type of the insurance-item-provider-type. The practitioner who is eligible for the provision of the product or service.
insurance_item_excluded Bool The insurance-item-excluded of the insurance-item-excluded. True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.
insurance_item_name String The insurance-item-name of the insurance-item-name. A short name or tag for the benefit.
insurance_item_description String The insurance-item-description of the insurance-item-description. A richer description of the benefit or services covered.
insurance_item_network_coding String The coding of the insurance-item-network. Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.
insurance_item_network_text String The text of the insurance-item-network. Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.
insurance_item_unit_coding String The coding of the insurance-item-unit. Indicates if the benefits apply to an individual or to the family.
insurance_item_unit_text String The text of the insurance-item-unit. Indicates if the benefits apply to an individual or to the family.
insurance_item_term_coding String The coding of the insurance-item-term. The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.
insurance_item_term_text String The text of the insurance-item-term. The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.
insurance_item_benefit_id String The insurance-item-benefit-id of the insurance-item-benefit-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
insurance_item_benefit_extension String The insurance-item-benefit-extension of the insurance-item-benefit-extension. May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
insurance_item_benefit_modifierExtension String The insurance-item-benefit-modifierExtension of the insurance-item-benefit-modifierExtension. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
insurance_item_benefit_type_coding String The coding of the insurance-item-benefit-type. Classification of benefit being provided.
insurance_item_benefit_type_text String The text of the insurance-item-benefit-type. Classification of benefit being provided.
insurance_item_benefit_allowed_x_ String The insurance-item-benefit-allowed[x] of the insurance-item-benefit-allowed[x]. The quantity of the benefit which is permitted under the coverage.
insurance_item_benefit_used_x_ String The insurance-item-benefit-used[x] of the insurance-item-benefit-used[x]. The quantity of the benefit which have been consumed to date.
insurance_item_authorizationRequired Bool The insurance-item-authorizationRequired of the insurance-item-authorizationRequired. A boolean flag indicating whether a preauthorization is required prior to actual service delivery.
insurance_item_authorizationSupporting_coding String The coding of the insurance-item-authorizationSupporting. Codes or comments regarding information or actions associated with the preauthorization.
insurance_item_authorizationSupporting_text String The text of the insurance-item-authorizationSupporting. Codes or comments regarding information or actions associated with the preauthorization.
insurance_item_authorizationUrl String The insurance-item-authorizationUrl of the insurance-item-authorizationUrl. A web location for obtaining requirements or descriptive information regarding the preauthorization.
preAuthRef String A reference from the Insurer to which these services pertain to be used on further communication and as proof that the request occurred.
form_coding String The coding of the form. A code for the form to be used for printing the content.
form_text String The text of the form. A code for the form to be used for printing the content.
error_id String The error-id of the error-id. Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
error_extension String The error-extension of the error-extension. May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
error_modifierExtension String The error-modifierExtension of the error-modifierExtension. 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
error_code_coding String The coding of the error-code. An error code,from a specified code system, which details why the eligibility check could not be performed.
error_code_text String The text of the error-code. An error code,from a specified code system, which details why the eligibility check could not be performed.
SP_source String The SP_source search parameter.
SP_text String The SP_text search parameter.
SP_content String The SP_content search parameter.
SP_securitySP_start String The SP_securitySP_start search parameter.
SP_request String The SP_request search parameter.
SP_tagSP_start String The SP_tagSP_start search parameter.
SP_requestor String The SP_requestor search parameter.
SP_identifier_start String The SP_identifier_start search parameter.
SP_list String The SP_list search parameter.
SP_identifier_end String The SP_identifier_end search parameter.
SP_profile String The SP_profile search parameter.
SP_insurer String The SP_insurer search parameter.
SP_tagSP_end String The SP_tagSP_end search parameter.
SP_patient String The SP_patient search parameter.
SP_securitySP_end String The SP_securitySP_end search parameter.
SP_filter String The SP_filter search parameter.

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Build 24.0.9029