This resource provides enrollment and plan details from the processing of an Enrollment resource.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

An Extension

R4: EnrollmentResponse.requestProvider

Element EnrollmentResponse.requestProvider is mapped to FHIR STU3 element EnrollmentResponse.requestProvider as SourceIsBroaderThanTarget. Element EnrollmentResponse.requestProvider is mapped to FHIR STU3 element EnrollmentResponse.requestOrganization as SourceIsBroaderThanTarget. The standard extension alternate-reference has been mapped as the representation of FHIR R4 element EnrollmentResponse.requestProvider with unmapped reference targets: PractitionerRole.

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

The status of the resource instance.

This element is labeled as a modifier because the status contains codes that mark the response as not currently valid.

A code specifying the state of the resource instance.

R4: EnrollmentResponse.requestProvider

Element EnrollmentResponse.requestProvider is mapped to FHIR STU3 element EnrollmentResponse.requestProvider as SourceIsBroaderThanTarget. Element EnrollmentResponse.requestProvider is mapped to FHIR STU3 element EnrollmentResponse.requestOrganization as SourceIsBroaderThanTarget. The standard extension alternate-reference has been mapped as the representation of FHIR R4 element EnrollmentResponse.requestProvider with unmapped reference targets: PractitionerRole.

R4: EnrollmentResponse.outcome

Element EnrollmentResponse.outcome is mapped to FHIR STU3 element EnrollmentResponse.outcome as RelatedTo.

This resource provides enrollment and plan details from the processing of an Enrollment resource.

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

The base language in which the resource is written.

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

A human language.

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

An Extension

R4: EnrollmentResponse.requestProvider

Element EnrollmentResponse.requestProvider is mapped to FHIR STU3 element EnrollmentResponse.requestProvider as SourceIsBroaderThanTarget. Element EnrollmentResponse.requestProvider is mapped to FHIR STU3 element EnrollmentResponse.requestOrganization as SourceIsBroaderThanTarget. The standard extension alternate-reference has been mapped as the representation of FHIR R4 element EnrollmentResponse.requestProvider with unmapped reference targets: PractitionerRole.

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

The Response business identifier.

The status of the resource instance.

This element is labeled as a modifier because the status contains codes that mark the response as not currently valid.

A code specifying the state of the resource instance.

Original request resource reference.

Processing status: error, complete.

The codes SHALL be taken from Claim Processing Codes
(required to http://hl7.org/fhir/ValueSet/remittance-outcome|3.0.2)

The outcome of the processing.

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

An Extension

R4: EnrollmentResponse.outcome

Element EnrollmentResponse.outcome is mapped to FHIR STU3 element EnrollmentResponse.outcome as RelatedTo.

A reference to a code defined by a terminology system.

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Very often the text is the same as a displayName of one of the codings.

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

A description of the status of the adjudication.

The date when the enclosed suite of services were performed or completed.

The Insurer who produced this adjudicated response.

The practitioner who is responsible for the services rendered to the patient.

The organization which is responsible for the services rendered to the patient.