This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). 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 | Trial Use | Security Category: Patient | Compartments: Patient |
Detailed Descriptions for the elements in the EnrollmentRequest resource.
EnrollmentRequest | |
Element Id | EnrollmentRequest |
Definition | This resource provides the insurance enrollment details to the insurer regarding a specified coverage. |
Cardinality | 0..* |
Type | DomainResource |
EnrollmentRequest.identifier | |
Element Id | EnrollmentRequest.identifier |
Definition | The Response business identifier. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Cardinality | 0..* |
Type | Identifier |
EnrollmentRequest.status | |
Element Id | EnrollmentRequest.status |
Definition | The status of the resource instance. |
Cardinality | 0..1 |
Terminology Binding | Financial Resource Status Codes (Required) |
Type | code |
Is Modifier | true (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) |
Summary | true |
Comments | This element is labeled as a modifier because the status contains codes that mark the request as not currently valid. |
EnrollmentRequest.created | |
Element Id | EnrollmentRequest.created |
Definition | The date when this resource was created. |
Cardinality | 0..1 |
Type | dateTime |
EnrollmentRequest.insurer | |
Element Id | EnrollmentRequest.insurer |
Definition | The Insurer who is target of the request. |
Cardinality | 0..1 |
Type | Reference(Organization) |
EnrollmentRequest.provider | |
Element Id | EnrollmentRequest.provider |
Definition | The practitioner who is responsible for the services rendered to the patient. |
Cardinality | 0..1 |
Type | Reference(Practitioner | PractitionerRole | Organization) |
Patterns | Reference(Practitioner,PractitionerRole,Organization): Common patterns = Participant |
EnrollmentRequest.candidate | |
Element Id | EnrollmentRequest.candidate |
Definition | Patient Resource. |
Cardinality | 0..1 |
Type | Reference(Patient) |
EnrollmentRequest.coverage | |
Element Id | EnrollmentRequest.coverage |
Definition | Reference to the program or plan identification, underwriter or payor. |
Cardinality | 0..1 |
Type | Reference(Coverage) |
Requirements | Need to identify the issuer to target for processing and for coordination of benefit processing. |