DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 2). 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

7.7 Resource EnrollmentRequest - Content

This resource is marked as a draft.

Financial Management Work GroupMaturity Level: 0Compartments: Patient

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

7.7.1 Scope and Usage

This resource has not yet undergone proper review by FM. At this time, it 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

This resource is referenced by enrollmentresponse

7.7.2 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest ΣDomainResourceEnrollment request
... identifier Σ0..*IdentifierBusiness Identifier
... ruleset Σ0..1CodingResource version
Ruleset Codes (Example)
... originalRuleset Σ0..1CodingOriginal version
Ruleset Codes (Example)
... created Σ0..1dateTimeCreation date
... target Σ0..1Reference(Organization)Insurer
... provider Σ0..1Reference(Practitioner)Responsible practitioner
... organization Σ0..1Reference(Organization)Responsible organization
... subject Σ1..1Reference(Patient)The subject of the Products and Services
... coverage Σ1..1Reference(Coverage)Insurance information
... relationship Σ1..1CodingPatient relationship to subscriber
Surface Codes (Example)

doco Documentation for this format

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>
 <ruleset><!-- 0..1 Coding Resource version --></ruleset>
 <originalRuleset><!-- 0..1 Coding Original version --></originalRuleset>
 <created value="[dateTime]"/><!-- 0..1 Creation date -->
 <target><!-- 0..1 Reference(Organization) Insurer --></target>
 <provider><!-- 0..1 Reference(Practitioner) Responsible practitioner --></provider>
 <organization><!-- 0..1 Reference(Organization) Responsible organization --></organization>
 <subject><!-- 1..1 Reference(Patient) The subject of the Products and Services --></subject>
 <coverage><!-- 1..1 Reference(Coverage) Insurance information --></coverage>
 <relationship><!-- 1..1 Coding Patient relationship to subscriber --></relationship>
</EnrollmentRequest>

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest ΣDomainResourceEnrollment request
... identifier Σ0..*IdentifierBusiness Identifier
... ruleset Σ0..1CodingResource version
Ruleset Codes (Example)
... originalRuleset Σ0..1CodingOriginal version
Ruleset Codes (Example)
... created Σ0..1dateTimeCreation date
... target Σ0..1Reference(Organization)Insurer
... provider Σ0..1Reference(Practitioner)Responsible practitioner
... organization Σ0..1Reference(Organization)Responsible organization
... subject Σ1..1Reference(Patient)The subject of the Products and Services
... coverage Σ1..1Reference(Coverage)Insurance information
... relationship Σ1..1CodingPatient relationship to subscriber
Surface Codes (Example)

doco Documentation for this format

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>
 <ruleset><!-- 0..1 Coding Resource version --></ruleset>
 <originalRuleset><!-- 0..1 Coding Original version --></originalRuleset>
 <created value="[dateTime]"/><!-- 0..1 Creation date -->
 <target><!-- 0..1 Reference(Organization) Insurer --></target>
 <provider><!-- 0..1 Reference(Practitioner) Responsible practitioner --></provider>
 <organization><!-- 0..1 Reference(Organization) Responsible organization --></organization>
 <subject><!-- 1..1 Reference(Patient) The subject of the Products and Services --></subject>
 <coverage><!-- 1..1 Reference(Coverage) Insurance information --></coverage>
 <relationship><!-- 1..1 Coding Patient relationship to subscriber --></relationship>
</EnrollmentRequest>

 

Alternate definitions: Schema/Schematron, Resource Profile (XML, JSON), Questionnaire

7.7.2.1 Terminology Bindings

PathDefinitionTypeReference
EnrollmentRequest.ruleset
EnrollmentRequest.originalRuleset
The static and dynamic model to which contents conform, which may be business version or standard/version.ExampleRuleset Codes
EnrollmentRequest.relationship The code for the relationship of the patient to the subscriber.ExampleSurface Codes

7.7.3 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionPaths
identifiertokenThe business identifier of the EnrollmentEnrollmentRequest.identifier
patientreferenceThe party to be enrolledEnrollmentRequest.subject
(Patient)
subjectreferenceThe party to be enrolledEnrollmentRequest.subject
(Patient)