EnrollmentRequest - FHIR v4.6.0

Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot - see ballot notes). 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

13.4.6 Resource EnrollmentRequest - Detailed Descriptions

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
Summary	false
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
Summary	false
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
Summary	false
EnrollmentRequest.insurer
Element Id	EnrollmentRequest.insurer
Definition	The Insurer who is target of the request.
Cardinality	0..1
Type	Reference(Organization)
Summary	false
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
Summary	false
EnrollmentRequest.candidate
Element Id	EnrollmentRequest.candidate
Definition	Patient Resource.
Cardinality	0..1
Type	Reference(Patient)
Summary	false
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.
Summary	false