Release 5

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13.5.6 Resource EnrollmentResponse - Detailed Descriptions

Financial Management icon Work Group Maturity Level: 0 Trial Use Security Category: Patient Compartments: No defined compartments

Detailed Descriptions for the elements in the EnrollmentResponse resource.

EnrollmentResponse
Element Id EnrollmentResponse
Definition

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

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

The Response business identifier.

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

Original request resource reference.

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

Processing status: error, complete.

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

A description of the status of the adjudication.

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

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

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

The Insurer who produced this adjudicated response.

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

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