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7.7.4 Resource EnrollmentRequest - Detailed Descriptions

Detailed Descriptions for the elements in the EnrollmentRequest resource.

EnrollmentRequest
Definition

This resource provides the insurance Enrollment details to the insurer regarding a specified coverage.

Control 1..1
EnrollmentRequest.identifier
Definition

The Response Business Identifier.

Note This is a business identifer, not a resource identifier (see discussion )
Control 0..*
Type Identifier
EnrollmentRequest.ruleset
Definition

The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources.

Control 0..1
Binding Ruleset: Example : See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.)
Type Coding
EnrollmentRequest.originalRuleset
Definition

The style (standard) and version of the original material which was converted into this resource.

Control 0..1
Binding Ruleset: Example : See http://hl7.org/fhir/vs/ruleset (The static and dynamic model to which contents conform, may be business version or standard and version.)
Type Coding
Requirements

Knowledge of the original version can inform the processing of this instance so that information which is processable by the originating system may be generated.

EnrollmentRequest.created
Definition

The date when this resource was created.

Control 0..1
Type dateTime
EnrollmentRequest.target
Definition

The Insurer who is target of the request.

Control 0..1
Type Reference ( Organization )
EnrollmentRequest.provider
Definition

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

Control 0..1
Type Reference ( Practitioner )
EnrollmentRequest.organization
Definition

The organization which is responsible for the services rendered to the patient.

Control 0..1
Type Reference ( Organization )
EnrollmentRequest.subject
Definition

Patient Resource.

Control 1..1
Type Reference ( Patient )
EnrollmentRequest.coverage
Definition

Reference to the program or plan identification, underwriter or payor.

Control 1..1
Type Reference ( Coverage )
Requirements

Need to identify the issuer to target for processing and for coordination of benefit processing.

EnrollmentRequest.relationship
Definition

The relationship of the patient to the subscriber.

Control 1..1
Binding Relationship: Example : See http://hl7.org/fhir/vs/relationship (The code for the relationship of the patient to the subscriber)
Type Coding
Requirements

To determine relationship between the patient and the subscriber.