json_schema: {"schema": "http://json-schema.org/draft-04/schema#", "$id": "http://hl7.org/fhir/json-schema/EligibilityResponse", "$ref": "#/definitions/EligibilityResponse", "description": "see http://hl7.org/fhir/json.html#schema for information about the FHIR Json Schemas", "definitions": {"EligibilityResponse": {"allOf": [{"$ref": "DomainResource#/definitions/DomainResource"}, {"description": "This resource provides eligibility and plan details from the processing of an Eligibility resource.", "properties": {"resourceType": {"description": "This is a EligibilityResponse resource", "type": "string", "enum": ["EligibilityResponse"]}, "identifier": {"description": "The Response business identifier.", "type": "array", "items": {"$ref": "http://hl7.org/fhir/json-schema/Identifier#/definitions/Identifier"}}, "status": {"description": "The status of the resource instance.", "type": "string", "pattern": "[^\\s]+([\\s]?[^\\s]+)*"}, "_status": {"description": "Extensions for status", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "created": {"description": "The date when the enclosed suite of services were performed or completed.", "type": "string", "pattern": "-?[0-9]{4}(-(0[1-9]|1[0-2])(-(0[0-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:[0-5][0-9](\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?"}, "_created": {"description": "Extensions for created", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "requestProvider": {"description": "The practitioner who is responsible for the services rendered to the patient.", "$ref": "http://hl7.org/fhir/json-schema/Reference#/definitions/Reference"}, "requestOrganization": {"description": "The organization which is responsible for the services rendered to the patient.", "$ref": "http://hl7.org/fhir/json-schema/Reference#/definitions/Reference"}, "request": {"description": "Original request resource reference.", "$ref": "http://hl7.org/fhir/json-schema/Reference#/definitions/Reference"}, "outcome": {"description": "Transaction status: error, complete.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "disposition": {"description": "A description of the status of the adjudication.", "type": "string"}, "_disposition": {"description": "Extensions for disposition", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "insurer": {"description": "The Insurer who produced this adjudicated response.", "$ref": "http://hl7.org/fhir/json-schema/Reference#/definitions/Reference"}, "inforce": {"description": "Flag indicating if the coverage provided is inforce currently  if no service date(s) specified or for the whole duration of the service dates.", "type": "boolean"}, "_inforce": {"description": "Extensions for inforce", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "insurance": {"description": "The insurer may provide both the details for the requested coverage as well as details for additional coverages known to the insurer.", "type": "array", "items": {"$ref": "#/definitions/EligibilityResponse_Insurance"}}, "form": {"description": "The form to be used for printing the content.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "error": {"description": "Mutually exclusive with Services Provided (Item).", "type": "array", "items": {"$ref": "#/definitions/EligibilityResponse_Error"}}}, "required": ["resourceType"]}]}, "EligibilityResponse_Insurance": {"allOf": [{"$ref": "BackboneElement#/definitions/BackboneElement"}, {"description": "This resource provides eligibility and plan details from the processing of an Eligibility resource.", "properties": {"coverage": {"description": "A suite of updated or additional Coverages from the Insurer.", "$ref": "http://hl7.org/fhir/json-schema/Reference#/definitions/Reference"}, "contract": {"description": "The contract resource which may provide more detailed information.", "$ref": "http://hl7.org/fhir/json-schema/Reference#/definitions/Reference"}, "benefitBalance": {"description": "Benefits and optionally current balances by Category.", "type": "array", "items": {"$ref": "#/definitions/EligibilityResponse_BenefitBalance"}}}}]}, "EligibilityResponse_BenefitBalance": {"allOf": [{"$ref": "BackboneElement#/definitions/BackboneElement"}, {"description": "This resource provides eligibility and plan details from the processing of an Eligibility resource.", "properties": {"category": {"description": "Dental, Vision, Medical, Pharmacy, Rehab etc.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "subCategory": {"description": "Dental: basic, major, ortho; Vision exam, glasses, contacts; etc.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "excluded": {"description": "True if the indicated class of service is excluded from the plan, missing or False indicated the service is included in the coverage.", "type": "boolean"}, "_excluded": {"description": "Extensions for excluded", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "name": {"description": "A short name or tag for the benefit, for example MED01, or DENT2.", "type": "string"}, "_name": {"description": "Extensions for name", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "description": {"description": "A richer description of the benefit, for example 'DENT2 covers 100% of basic, 50% of major but exclused Ortho, Implants and Costmetic services'.", "type": "string"}, "_description": {"description": "Extensions for description", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "network": {"description": "Network designation.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "unit": {"description": "Unit designation: individual or family.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "term": {"description": "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual vistis'.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "financial": {"description": "Benefits Used to date.", "type": "array", "items": {"$ref": "#/definitions/EligibilityResponse_Financial"}}}, "required": ["category"]}]}, "EligibilityResponse_Financial": {"allOf": [{"$ref": "BackboneElement#/definitions/BackboneElement"}, {"description": "This resource provides eligibility and plan details from the processing of an Eligibility resource.", "properties": {"type": {"description": "Deductable, visits, benefit amount.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}, "allowedUnsignedInt": {"description": "Benefits allowed.", "pattern": "[0]|([1-9][0-9]*)", "type": "number"}, "_allowedUnsignedInt": {"description": "Extensions for allowedUnsignedInt", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "allowedString": {"description": "Benefits allowed.", "type": "string"}, "_allowedString": {"description": "Extensions for allowedString", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "allowedMoney": {"description": "Benefits allowed.", "$ref": "http://hl7.org/fhir/json-schema/Money#/definitions/Money"}, "usedUnsignedInt": {"description": "Benefits used.", "pattern": "[0]|([1-9][0-9]*)", "type": "number"}, "_usedUnsignedInt": {"description": "Extensions for usedUnsignedInt", "$ref": "http://hl7.org/fhir/json-schema/Element#/definitions/Element"}, "usedMoney": {"description": "Benefits used.", "$ref": "http://hl7.org/fhir/json-schema/Money#/definitions/Money"}}, "required": ["type"]}]}, "EligibilityResponse_Error": {"allOf": [{"$ref": "BackboneElement#/definitions/BackboneElement"}, {"description": "This resource provides eligibility and plan details from the processing of an Eligibility resource.", "properties": {"code": {"description": "An error code,from a specified code system, which details why the eligibility check could not be performed.", "$ref": "http://hl7.org/fhir/json-schema/CodeableConcept#/definitions/CodeableConcept"}}, "required": ["code"]}]}}}