Release 4B Snapshot #1

This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). 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

Enrollmentrequest-example.json

Financial Management Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: Patient

Raw JSON (canonical form + also see JSON Format Specification)

General Simple Enrollment Example

{
  "resourceType": "EnrollmentRequest",
  "id": "22345",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the EnrollmentRequest.</div>"
  },
  "identifier": [
    {
      "system": "http://happyvalley.com/enrollmentrequest",
      "value": "EN22345"
    }
  ],
  "status": "active",
  "created": "2014-08-16",
  "insurer": {
    "reference": "Organization/2"
  },
  "provider": {
    "reference": "Organization/1"
  },
  "candidate": {
    "reference": "Patient/1"
  },
  "coverage": {
    "reference": "Coverage/9876B1"
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.