EnrollmentRequest - FHIR v1.6.0

STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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

13.7.5 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
EnrollmentRequest.identifier
Definition	The Response business identifier.
Note	This is a business identifer, not a resource identifier (see discussion)
Control	0..*
Type	Identifier
EnrollmentRequest.status
Definition	The status of the resource instance.
Control	1..1
Binding	EnrollmentRequestStatus: A code specifying the state of the resource instance. (Required)
Type	code
Is Modifier	true
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
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.
EnrollmentRequest.created
Definition	The date when this resource was created.
Control	0..1
Type	dateTime
EnrollmentRequest.insurer[x]
Definition	The Insurer who is target of the request.
Control	0..1
Type	Identifier\|Reference(Organization)
[x] Note	See Choice of Data Types for further information about how to use [x]
EnrollmentRequest.provider[x]
Definition	The practitioner who is responsible for the services rendered to the patient.
Control	0..1
Type	Identifier\|Reference(Practitioner)
[x] Note	See Choice of Data Types for further information about how to use [x]
EnrollmentRequest.organization[x]
Definition	The organization which is responsible for the services rendered to the patient.
Control	0..1
Type	Identifier\|Reference(Organization)
[x] Note	See Choice of Data Types for further information about how to use [x]
EnrollmentRequest.subject[x]
Definition	Patient Resource.
Control	1..1
Type	Identifier\|Reference(Patient)
[x] Note	See Choice of Data Types for further information about how to use [x]
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.