R6 Ballot (2nd Draft)

Publish-box (todo)

13.4 Resource EnrollmentRequest - Content

Financial Management icon Work GroupMaturity Level: 0 Trial UseSecurity Category: Patient Compartments: Patient

This resource provides the insurance enrollment details to the insurer regarding a specified coverage.

13.4.1 Scope and Usage

This resource has not yet undergone proper review by FM. At this time it is a 'stub', is known to be incomplete, and is to be considered as a draft.

The EnrollmentRequest resource allows for the addition and removal of plan subscribers and their dependents to health insurance coverage.

Todo

13.4.2 References to this Resource

13.4.3 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest TU DomainResource Enroll in coverage

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..* Identifier Business Identifier

... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: Financial Resource Status Codes (Required)
... created 0..1 dateTime Creation date
... provider 0..1 Reference(Practitioner | PractitionerRole | Organization) Responsible practitioner
... candidate 0..1 Reference(Patient) The subject to be enrolled
... coverage 0..1 Reference(Coverage) Insurance information

doco Documentation for this format icon

See the Extensions for this resource

XML Template

<EnrollmentRequest xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier --></identifier>
 <status value="[code]"/><!-- 0..1 active | cancelled | draft | entered-in-error -->
 <created value="[dateTime]"/><!-- 0..1 Creation date -->
 <insurer><!-- 0..1 Reference(Organization) Target --></insurer>
 <provider><!-- 0..1 Reference(Organization|Practitioner|PractitionerRole) Responsible practitioner --></provider>
 <candidate><!-- 0..1 Reference(Patient) The subject to be enrolled --></candidate>
 <coverage><!-- 0..1 Reference(Coverage) Insurance information --></coverage>
</EnrollmentRequest>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:EnrollmentRequest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Business Identifier
  fhir:status [ code ] ; # 0..1 active | cancelled | draft | entered-in-error
  fhir:created [ dateTime ] ; # 0..1 Creation date
  fhir:insurer [ Reference(Organization) ] ; # 0..1 Target
  fhir:provider [ Reference(Organization|Practitioner|PractitionerRole) ] ; # 0..1 Responsible practitioner
  fhir:candidate [ Reference(Patient) ] ; # 0..1 The subject to be enrolled
  fhir:coverage [ Reference(Coverage) ] ; # 0..1 Insurance information
]

Changes from both R4 and R4B

EnrollmentRequest
  • No Changes

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest TU DomainResource Enroll in coverage

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..* Identifier Business Identifier

... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: Financial Resource Status Codes (Required)
... created 0..1 dateTime Creation date
... provider 0..1 Reference(Practitioner | PractitionerRole | Organization) Responsible practitioner
... candidate 0..1 Reference(Patient) The subject to be enrolled
... coverage 0..1 Reference(Coverage) Insurance information

doco Documentation for this format icon

See the Extensions for this resource

XML Template

<EnrollmentRequest xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier --></identifier>
 <status value="[code]"/><!-- 0..1 active | cancelled | draft | entered-in-error -->
 <created value="[dateTime]"/><!-- 0..1 Creation date -->
 <insurer><!-- 0..1 Reference(Organization) Target --></insurer>
 <provider><!-- 0..1 Reference(Organization|Practitioner|PractitionerRole) Responsible practitioner --></provider>
 <candidate><!-- 0..1 Reference(Patient) The subject to be enrolled --></candidate>
 <coverage><!-- 0..1 Reference(Coverage) Insurance information --></coverage>
</EnrollmentRequest>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:EnrollmentRequest;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Business Identifier
  fhir:status [ code ] ; # 0..1 active | cancelled | draft | entered-in-error
  fhir:created [ dateTime ] ; # 0..1 Creation date
  fhir:insurer [ Reference(Organization) ] ; # 0..1 Target
  fhir:provider [ Reference(Organization|Practitioner|PractitionerRole) ] ; # 0..1 Responsible practitioner
  fhir:candidate [ Reference(Patient) ] ; # 0..1 The subject to be enrolled
  fhir:coverage [ Reference(Coverage) ] ; # 0..1 Insurance information
]

Changes from both R4 and R4B

EnrollmentRequest
  • No Changes

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

13.4.3.1 Terminology Bindings

Path ValueSet Type Documentation
EnrollmentRequest.status FinancialResourceStatusCodes Required

This value set includes Status codes.



13.4.4 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
identifier token The business identifier of the Enrollment EnrollmentRequest.identifier 65 Resources
patient reference The party to be enrolled EnrollmentRequest.candidate
(Patient)		 65 Resources
status token The status of the enrollment EnrollmentRequest.status
subject reference The party to be enrolled EnrollmentRequest.candidate
(Patient)