This page is part of the FHIR Specification (v3.0.2: STU 3). 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
Financial Management Work Group | Maturity Level: 0 | Draft | Compartments: Patient |
This resource provides the insurance enrollment details to the insurer regarding a specified coverage.
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
This resource is referenced by enrollmentresponse
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
EnrollmentRequest | DomainResource | Enrollment request 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 Financial Resource Status Codes (Required) |
created | 0..1 | dateTime | Creation date | |
insurer | 0..1 | Reference(Organization) | Target | |
provider | 0..1 | Reference(Practitioner) | Responsible practitioner | |
organization | 0..1 | Reference(Organization) | Responsible organization | |
subject | 0..1 | Reference(Patient) | The subject of the Products and Services | |
coverage | 0..1 | Reference(Coverage) | Insurance information | |
Documentation for this format |
UML Diagram (Legend)
XML Template
<EnrollmentRequest xmlns="http://hl7.org/fhir"> <!-- 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(Practitioner) Responsible practitioner --></provider> <organization><!-- 0..1 Reference(Organization) Responsible organization --></organization> <subject><!-- 0..1 Reference(Patient) The subject of the Products and Services --></subject> <coverage><!-- 0..1 Reference(Coverage) Insurance information --></coverage> </EnrollmentRequest>
JSON Template
{ "resourceType" : "EnrollmentRequest", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // Business Identifier "status" : "<code>", // active | cancelled | draft | entered-in-error "created" : "<dateTime>", // Creation date "insurer" : { Reference(Organization) }, // Target "provider" : { Reference(Practitioner) }, // Responsible practitioner "organization" : { Reference(Organization) }, // Responsible organization "subject" : { Reference(Patient) }, // The subject of the Products and Services "coverage" : { Reference(Coverage) } // Insurance information }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ 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:EnrollmentRequest.identifier [ Identifier ], ... ; # 0..* Business Identifier fhir:EnrollmentRequest.status [ code ]; # 0..1 active | cancelled | draft | entered-in-error fhir:EnrollmentRequest.created [ dateTime ]; # 0..1 Creation date fhir:EnrollmentRequest.insurer [ Reference(Organization) ]; # 0..1 Target fhir:EnrollmentRequest.provider [ Reference(Practitioner) ]; # 0..1 Responsible practitioner fhir:EnrollmentRequest.organization [ Reference(Organization) ]; # 0..1 Responsible organization fhir:EnrollmentRequest.subject [ Reference(Patient) ]; # 0..1 The subject of the Products and Services fhir:EnrollmentRequest.coverage [ Reference(Coverage) ]; # 0..1 Insurance information ]
Changes since DSTU2
EnrollmentRequest | |
EnrollmentRequest.status |
|
EnrollmentRequest.insurer |
|
EnrollmentRequest.subject |
|
EnrollmentRequest.coverage |
|
EnrollmentRequest.ruleset |
|
EnrollmentRequest.originalRuleset |
|
EnrollmentRequest.target |
|
EnrollmentRequest.relationship |
|
See the Full Difference for further information
This analysis is available as XML or JSON.
See R2 <--> R3 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and all r3 resources are valid.).
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
EnrollmentRequest | DomainResource | Enrollment request 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 Financial Resource Status Codes (Required) |
created | 0..1 | dateTime | Creation date | |
insurer | 0..1 | Reference(Organization) | Target | |
provider | 0..1 | Reference(Practitioner) | Responsible practitioner | |
organization | 0..1 | Reference(Organization) | Responsible organization | |
subject | 0..1 | Reference(Patient) | The subject of the Products and Services | |
coverage | 0..1 | Reference(Coverage) | Insurance information | |
Documentation for this format |
XML Template
<EnrollmentRequest xmlns="http://hl7.org/fhir"> <!-- 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(Practitioner) Responsible practitioner --></provider> <organization><!-- 0..1 Reference(Organization) Responsible organization --></organization> <subject><!-- 0..1 Reference(Patient) The subject of the Products and Services --></subject> <coverage><!-- 0..1 Reference(Coverage) Insurance information --></coverage> </EnrollmentRequest>
JSON Template
{ "resourceType" : "EnrollmentRequest", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // Business Identifier "status" : "<code>", // active | cancelled | draft | entered-in-error "created" : "<dateTime>", // Creation date "insurer" : { Reference(Organization) }, // Target "provider" : { Reference(Practitioner) }, // Responsible practitioner "organization" : { Reference(Organization) }, // Responsible organization "subject" : { Reference(Patient) }, // The subject of the Products and Services "coverage" : { Reference(Coverage) } // Insurance information }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ 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:EnrollmentRequest.identifier [ Identifier ], ... ; # 0..* Business Identifier fhir:EnrollmentRequest.status [ code ]; # 0..1 active | cancelled | draft | entered-in-error fhir:EnrollmentRequest.created [ dateTime ]; # 0..1 Creation date fhir:EnrollmentRequest.insurer [ Reference(Organization) ]; # 0..1 Target fhir:EnrollmentRequest.provider [ Reference(Practitioner) ]; # 0..1 Responsible practitioner fhir:EnrollmentRequest.organization [ Reference(Organization) ]; # 0..1 Responsible organization fhir:EnrollmentRequest.subject [ Reference(Patient) ]; # 0..1 The subject of the Products and Services fhir:EnrollmentRequest.coverage [ Reference(Coverage) ]; # 0..1 Insurance information ]
Changes since DSTU2
EnrollmentRequest | |
EnrollmentRequest.status |
|
EnrollmentRequest.insurer |
|
EnrollmentRequest.subject |
|
EnrollmentRequest.coverage |
|
EnrollmentRequest.ruleset |
|
EnrollmentRequest.originalRuleset |
|
EnrollmentRequest.target |
|
EnrollmentRequest.relationship |
|
See the Full Difference for further information
This analysis is available as XML or JSON.
See R2 <--> R3 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and all r3 resources are valid.).
Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle)
Path | Definition | Type | Reference |
---|---|---|---|
EnrollmentRequest.status | A code specifying the state of the resource instance. | Required | Financial Resource Status Codes |
Search parameters for 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 | |
organization | reference | The organization who generated this resource | EnrollmentRequest.organization (Organization) | |
patient | reference | The party to be enrolled | EnrollmentRequest.subject (Patient) | |
subject | reference | The party to be enrolled | EnrollmentRequest.subject (Patient) |