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

13.8.5 Resource EnrollmentResponse - Detailed Descriptions

Detailed Descriptions for the elements in the EnrollmentResponse resource.

EnrollmentResponse
Definition

This resource provides enrollment and plan details from the processing of an Enrollment resource.

Control1..1
EnrollmentResponse.identifier
Definition

The Response business identifier.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
EnrollmentResponse.status
Definition

The status of the resource instance.

Control1..1
BindingEnrollmentResponseStatus: A code specifying the state of the resource instance. (Required)
Typecode
Is Modifiertrue
Summarytrue
EnrollmentResponse.request[x]
Definition

Original request resource reference.

Control0..1
TypeIdentifier|Reference(EnrollmentRequest)
[x] NoteSee Choice of Data Types for further information about how to use [x]
EnrollmentResponse.outcome
Definition

Processing status: error, complete.

Control0..1
BindingRemittanceOutcome: The outcome of the processing. (Required)
Typecode
EnrollmentResponse.disposition
Definition

A description of the status of the adjudication.

Control0..1
Typestring
EnrollmentResponse.ruleset
Definition

The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources.

Control0..1
BindingRuleset Codes: The static and dynamic model to which contents conform, which may be business version or standard/version. (Example)
TypeCoding
EnrollmentResponse.originalRuleset
Definition

The style (standard) and version of the original material which was converted into this resource.

Control0..1
BindingRuleset Codes: The static and dynamic model to which contents conform, which may be business version or standard/version. (Example)
TypeCoding
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.

EnrollmentResponse.created
Definition

The date when the enclosed suite of services were performed or completed.

Control0..1
TypedateTime
EnrollmentResponse.organization[x]
Definition

The Insurer who produced this adjudicated response.

Control0..1
TypeIdentifier|Reference(Organization)
[x] NoteSee Choice of Data Types for further information about how to use [x]
EnrollmentResponse.requestProvider[x]
Definition

The practitioner who is responsible for the services rendered to the patient.

Control0..1
TypeIdentifier|Reference(Practitioner)
[x] NoteSee Choice of Data Types for further information about how to use [x]
EnrollmentResponse.requestOrganization[x]
Definition

The organization which is responsible for the services rendered to the patient.

Control0..1
TypeIdentifier|Reference(Organization)
[x] NoteSee Choice of Data Types for further information about how to use [x]