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13.5.5 13.5.6 Resource EnrollmentResponse - Detailed Descriptions

Responsible Owner: Financial Management icon Work Group   Normative Maturity Level : 0   Draft Security Category : Patient Compartments : Not linked to any defined compartments Group , Patient

Detailed Descriptions for the elements in the EnrollmentResponse resource.

Control Control Control
EnrollmentResponse
Definition Element Id EnrollmentResponse
Definition

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

Short Display EnrollmentResponse resource
Control Cardinality 0..*
1..1 Type DomainResource
Summary false
EnrollmentResponse.identifier
Definition Element Id EnrollmentResponse.identifier
Definition

The Response business identifier.

Note Short Display Business Identifier
Note This is a business identifer, identifier, not a resource identifier (see discussion )
Control Cardinality 0..*
Type Identifier
Summary false
EnrollmentResponse.status
Definition Element Id EnrollmentResponse.status
Definition

The status of the resource instance.

Short Display active | cancelled | draft | entered-in-error
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 response as not currently valid.

EnrollmentResponse.request
Definition Element Id EnrollmentResponse.request
Definition

Original request resource reference.

Short Display Claim reference
Control Cardinality 0..1
Type Reference ( EnrollmentRequest )
Summary false
EnrollmentResponse.outcome
Definition Element Id EnrollmentResponse.outcome
Definition

Processing status: error, complete.

Short Display queued | complete | error | partial
Control Cardinality 0..1
Terminology Binding RemittanceOutcome Enrollment Outcome ( Required )
Type code
CodeableConcept Summary false
EnrollmentResponse.disposition
Definition Element Id EnrollmentResponse.disposition
Definition

A description of the status of the adjudication.

Short Display Disposition Message
Control Cardinality 0..1
Type string
Summary false
EnrollmentResponse.created
Definition Element Id EnrollmentResponse.created
Definition

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

Short Display Creation date
Control Cardinality 0..1
Type dateTime
Summary false
EnrollmentResponse.organization
Definition Element Id EnrollmentResponse.organization
Definition

The Insurer who produced this adjudicated response.

Short Display Insurer
Control Cardinality 0..1
Type Reference ( Organization )
Summary false
EnrollmentResponse.requestProvider
Definition Element Id EnrollmentResponse.requestProvider
Definition

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

Short Display Responsible practitioner
Cardinality 0..1
Type Reference ( Practitioner | PractitionerRole | Organization )
Summary false
EnrollmentResponse.requestOrganization EnrollmentResponse.candidate
Definition Element Id EnrollmentResponse.candidate
Definition

The organization which is responsible for the services rendered subject or group of subjects to the patient. be enrolled.

Short Display The subject(s)to be enrolled
Cardinality 0..1
Type Reference ( Organization Patient | Group )
Summary false