EnrollmentRequest - FHIR v1.4.0

STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

7.7.5 Resource EnrollmentRequest - Detailed Descriptions

Detailed Descriptions for the elements in the EnrollmentRequest resource.

EnrollmentRequest
Definition	This resource provides the insurance enrollment details to the insurer regarding a specified coverage.
Control	1..1
Summary	true
EnrollmentRequest.identifier
Definition	The Response business identifier.
Note	This is a business identifer, not a resource identifier (see discussion)
Control	0..*
Type	Identifier
Summary	true
EnrollmentRequest.ruleset
Definition	The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources.
Control	0..1
Binding	Ruleset Codes: The static and dynamic model to which contents conform, which may be business version or standard/version. (Example)
Type	Coding
Summary	true
EnrollmentRequest.originalRuleset
Definition	The style (standard) and version of the original material which was converted into this resource.
Control	0..1
Binding	Ruleset Codes: The static and dynamic model to which contents conform, which may be business version or standard/version. (Example)
Type	Coding
Requirements	Knowledge of the original version can inform the processing of this instance so that information which is processable by the originating system may be generated.
Summary	true
EnrollmentRequest.created
Definition	The date when this resource was created.
Control	0..1
Type	dateTime
Summary	true
EnrollmentRequest.target
Definition	The Insurer who is target of the request.
Control	0..1
Type	Reference(Organization)
Summary	true
EnrollmentRequest.provider
Definition	The practitioner who is responsible for the services rendered to the patient.
Control	0..1
Type	Reference(Practitioner)
Summary	true
EnrollmentRequest.organization
Definition	The organization which is responsible for the services rendered to the patient.
Control	0..1
Type	Reference(Organization)
Summary	true
EnrollmentRequest.subject
Definition	Patient Resource.
Control	1..1
Type	Reference(Patient)
Summary	true
EnrollmentRequest.coverage
Definition	Reference to the program or plan identification, underwriter or payor.
Control	1..1
Type	Reference(Coverage)
Requirements	Need to identify the issuer to target for processing and for coordination of benefit processing.
Summary	true
EnrollmentRequest.relationship
Definition	The relationship of the patient to the subscriber.
Control	1..1
Binding	Beneficiary Relationship Codes: The code for the relationship of the patient to the subscriber. (Example)
Type	Coding
Requirements	To determine the relationship between the patient and the subscriber.
Summary	true