Release 4

Financial Management Work GroupMaturity Level: 0 Trial UseSecurity Category: Patient Compartments: Not linked to any defined compartments

Detailed Descriptions for the elements in the EnrollmentResponse resource.

EnrollmentResponse
Element IdEnrollmentResponse
Definition

This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource.

Cardinality0..*
TypeDomainResource
EnrollmentResponse.identifier
Element IdEnrollmentResponse.identifier
Definition

The Response business identifier.

NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
EnrollmentResponse.status
Element IdEnrollmentResponse.status
Definition

The status of the resource instance.

Cardinality0..1
Terminology BindingFinancial Resource Status Codes (Required)
Typecode
Is Modifiertrue (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)
Summarytrue
Comments

This element is labeled as a modifier because the status contains codes that mark the response as not currently valid.

EnrollmentResponse.request
Element IdEnrollmentResponse.request
Definition

Original request resource reference.

Cardinality0..1
TypeReference(EnrollmentRequest)
EnrollmentResponse.outcome
Element IdEnrollmentResponse.outcome
Definition

Processing status: error, complete.

Cardinality0..1
Terminology BindingRemittanceOutcome (Required)
Typecode
EnrollmentResponse.disposition
Element IdEnrollmentResponse.disposition
Definition

A description of the status of the adjudication.

Cardinality0..1
Typestring
EnrollmentResponse.created
Element IdEnrollmentResponse.created
Definition

The date when the enclosed suite of services were performed or completed.

Cardinality0..1
TypedateTime
EnrollmentResponse.organization
Element IdEnrollmentResponse.organization
Definition

The Insurer who produced this adjudicated response.

Cardinality0..1
TypeReference(Organization)
EnrollmentResponse.requestProvider
Element IdEnrollmentResponse.requestProvider
Definition

The practitioner who is responsible for the services rendered to the patient.

Cardinality0..1
TypeReference(Practitioner | PractitionerRole | Organization)