Release 4

13.4 Resource EnrollmentRequest - Content

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

На этот ресурс ссылается EnrollmentResponse

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest TUDomainResourceEnroll in coverage
Элементы, определённые в родительском элементе: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... 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 | PractitionerRole | Organization)Responsible practitioner
... candidate 0..1Reference(Patient)The subject to be enrolled
... 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|PractitionerRole|Organization) Responsible practitioner --></provider>
 <candidate><!-- 0..1 Reference(Patient) The subject to be enrolled --></candidate>
 <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|PractitionerRole|Organization) ]; # 0..1 Responsible practitioner
  fhir:EnrollmentRequest.candidate [ Reference(Patient) ]; # 0..1 The subject to be enrolled
  fhir:EnrollmentRequest.coverage [ Reference(Coverage) ]; # 0..1 Insurance information
]

Changes since R3

EnrollmentRequest
EnrollmentRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1
EnrollmentRequest.provider
  • Type Reference: Added Target Types PractitionerRole, Organization
EnrollmentRequest.candidate
  • Renamed from subject to candidate
EnrollmentRequest.organization
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and all r3 resources are valid.)

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest TUDomainResourceEnroll in coverage
Элементы, определённые в родительском элементе: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... 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 | PractitionerRole | Organization)Responsible practitioner
... candidate 0..1Reference(Patient)The subject to be enrolled
... 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|PractitionerRole|Organization) Responsible practitioner --></provider>
 <candidate><!-- 0..1 Reference(Patient) The subject to be enrolled --></candidate>
 <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|PractitionerRole|Organization) ]; # 0..1 Responsible practitioner
  fhir:EnrollmentRequest.candidate [ Reference(Patient) ]; # 0..1 The subject to be enrolled
  fhir:EnrollmentRequest.coverage [ Reference(Coverage) ]; # 0..1 Insurance information
]

Changes since Release 3

EnrollmentRequest
EnrollmentRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1
EnrollmentRequest.provider
  • Type Reference: Added Target Types PractitionerRole, Organization
EnrollmentRequest.candidate
  • Renamed from subject to candidate
EnrollmentRequest.organization
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and all r3 resources are valid.)

 

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

PathОписаниеТипСсылка
EnrollmentRequest.status A code specifying the state of the resource instance.RequiredFinancialResourceStatusCodes

Параметры поиска для этого ресурса. Также к нему применяются общие параметры. Более подробную информацию о поиске в REST, обмене сообщениями и сервисах см. в разделе Поиск.

ИмяТипОпределениеВыражениеОбщее
identifiertokenThe business identifier of the EnrollmentEnrollmentRequest.identifier
patientreferenceThe party to be enrolledEnrollmentRequest.candidate
(Patient)
statustokenThe status of the enrollmentEnrollmentRequest.status
subjectreferenceThe party to be enrolledEnrollmentRequest.candidate
(Patient)