| Name | Flags | Card. | Type | Description & Constraints![]() |
|---|---|---|---|---|
| DomainResource | Enrollment request | |||
| 0..* | Identifier | Business Identifier | ||
| ?!Σ | 0..1 | code | active | cancelled | draft | entered-in-error Financial Resource Status Codes (Required) | |
| 0..1 | dateTime | Creation date | ||
| 0..1 | Reference(Organization) | Target | ||
| 0..1 | Reference(Practitioner) | Responsible practitioner | ||
| 0..1 | Reference(Organization) | Responsible organization | ||
| 0..1 | Reference(Patient) | The subject of the Products and Services | ||
| 0..1 | Reference(Coverage) | Insurance information | ||
Documentation for this format | ||||