EnrollmentResponse - FHIR v5.0.0-draft-final

R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). 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

13.5.6 Resource EnrollmentResponse - Detailed Descriptions

Financial Management icon

Work Group

Maturity Level: 0

Trial Use

Security Category: Patient

Compartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the EnrollmentResponse resource.

EnrollmentResponse
Element Id	EnrollmentResponse
Definition	This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource.
Short Display	EnrollmentResponse resource
Cardinality	0..*
Type	DomainResource
Summary	false
EnrollmentResponse.identifier
Element Id	EnrollmentResponse.identifier
Definition	The Response business identifier.
Short Display	Business Identifier
Note	This is a business identifier, not a resource identifier (see discussion)
Cardinality	0..*
Type	Identifier
Summary	false
EnrollmentResponse.status
Element Id	EnrollmentResponse.status
Definition	The status of the resource instance.
Short Display	active \| cancelled \| draft \| entered-in-error
Cardinality	0..1
Terminology Binding	Financial Resource Status Codes (Required)
Type	code
Is Modifier	true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summary	true
Comments	This element is labeled as a modifier because the status contains codes that mark the response as not currently valid.
EnrollmentResponse.request
Element Id	EnrollmentResponse.request
Definition	Original request resource reference.
Short Display	Claim reference
Cardinality	0..1
Type	Reference(EnrollmentRequest)
Summary	false
EnrollmentResponse.outcome
Element Id	EnrollmentResponse.outcome
Definition	Processing status: error, complete.
Short Display	queued \| complete \| error \| partial
Cardinality	0..1
Terminology Binding	Enrollment Outcome (Required)
Type	code
Summary	false
EnrollmentResponse.disposition
Element Id	EnrollmentResponse.disposition
Definition	A description of the status of the adjudication.
Short Display	Disposition Message
Cardinality	0..1
Type	string
Summary	false
EnrollmentResponse.created
Element Id	EnrollmentResponse.created
Definition	The date when the enclosed suite of services were performed or completed.
Short Display	Creation date
Cardinality	0..1
Type	dateTime
Summary	false
EnrollmentResponse.organization
Element Id	EnrollmentResponse.organization
Definition	The Insurer who produced this adjudicated response.
Short Display	Insurer
Cardinality	0..1
Type	Reference(Organization)
Summary	false
EnrollmentResponse.requestProvider
Element Id	EnrollmentResponse.requestProvider
Definition	The practitioner who is responsible for the services rendered to the patient.
Short Display	Responsible practitioner
Cardinality	0..1
Type	Reference(Practitioner \| PractitionerRole \| Organization)
Summary	false