Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

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

Detailed Descriptions for the elements in the EnrollmentRequest resource.

EnrollmentRequest
Element IdEnrollmentRequest
Definition

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

Short DisplayEnroll in coverage
Cardinality0..*
TypeDomainResource
Summaryfalse
EnrollmentRequest.identifier
Element IdEnrollmentRequest.identifier
Definition

The Response business identifier.

Short DisplayBusiness Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Summaryfalse
EnrollmentRequest.status
Element IdEnrollmentRequest.status
Definition

The status of the resource instance.

Short Displayactive | cancelled | draft | entered-in-error
Cardinality0..1
Terminology BindingFinancial Resource Status Codes (Required)
Typecode
Is Modifiertrue (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)
Summarytrue
Comments

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

EnrollmentRequest.created
Element IdEnrollmentRequest.created
Definition

The date when this resource was created.

Short DisplayCreation date
Cardinality0..1
TypedateTime
Summaryfalse
EnrollmentRequest.insurer
Element IdEnrollmentRequest.insurer
Definition

The Insurer who is target of the request.

Short DisplayTarget
Cardinality0..1
TypeReference(Organization)
Summaryfalse
EnrollmentRequest.provider
Element IdEnrollmentRequest.provider
Definition

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

Short DisplayResponsible practitioner
Cardinality0..1
TypeReference(Practitioner | PractitionerRole | Organization)
Summaryfalse
EnrollmentRequest.candidate
Element IdEnrollmentRequest.candidate
Definition

Patient Resource.

Short DisplayThe subject to be enrolled
Cardinality0..1
TypeReference(Patient)
Summaryfalse
EnrollmentRequest.coverage
Element IdEnrollmentRequest.coverage
Definition

Reference to the program or plan identification, underwriter or payor.

Short DisplayInsurance information
Cardinality0..1
TypeReference(Coverage)
Requirements

Need to identify the issuer to target for processing and for coordination of benefit processing.

Summaryfalse