STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). 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

13.7 Resource EnrollmentRequest - Content

Financial Management Work GroupMaturity Level: 0Compartments: 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

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest DomainResourceEnrollment request
... identifier 0..*IdentifierBusiness Identifier
... status ?!Σ0..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... created 0..1dateTimeCreation date
... insurer 0..1Reference(Organization)Target
... provider 0..1Reference(Practitioner)Responsible practitioner
... organization 0..1Reference(Organization)Responsible organization
... subject 0..1Reference(Patient)The subject of the Products and Services
... coverage 0..1Reference(Coverage)Insurance information

doco Documentation for this format

XML Template

<EnrollmentRequest xmlns="http://hl7.org/fhir"> doco
 <!-- 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>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ 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 added Element
EnrollmentRequest.insurer added Element
EnrollmentRequest.subject Min Cardinality changed from 1 to 0
EnrollmentRequest.coverage Min Cardinality changed from 1 to 0
EnrollmentRequest.ruleset deleted
EnrollmentRequest.originalRuleset deleted
EnrollmentRequest.target deleted
EnrollmentRequest.relationship deleted

See the Full Difference for further information

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest DomainResourceEnrollment request
... identifier 0..*IdentifierBusiness Identifier
... status ?!Σ0..1codeactive | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... created 0..1dateTimeCreation date
... insurer 0..1Reference(Organization)Target
... provider 0..1Reference(Practitioner)Responsible practitioner
... organization 0..1Reference(Organization)Responsible organization
... subject 0..1Reference(Patient)The subject of the Products and Services
... coverage 0..1Reference(Coverage)Insurance information

doco Documentation for this format

XML Template

<EnrollmentRequest xmlns="http://hl7.org/fhir"> doco
 <!-- 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>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ 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 added Element
EnrollmentRequest.insurer added Element
EnrollmentRequest.subject Min Cardinality changed from 1 to 0
EnrollmentRequest.coverage Min Cardinality changed from 1 to 0
EnrollmentRequest.ruleset deleted
EnrollmentRequest.originalRuleset deleted
EnrollmentRequest.target deleted
EnrollmentRequest.relationship deleted

See the Full Difference for further information

 

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle), JSON-LD (for RDF as JSON-LD),

PathDefinitionTypeReference
EnrollmentRequest.status A code specifying the state of the resource instance.RequiredFinancial 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.

NameTypeDescriptionPathsIn Common
identifiertokenThe business identifier of the EnrollmentEnrollmentRequest.identifier
organizationreferenceThe organization who generated this resourceEnrollmentRequest.organization
(Organization)
patientreferenceThe party to be enrolledEnrollmentRequest.subject
(Patient)
subjectreferenceThe party to be enrolledEnrollmentRequest.subject
(Patient)