FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

13.5 Resource EnrollmentResponse - Content

Financial Management Work Group Maturity Level: 0 Draft Compartments: Not linked to any defined compartments

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

13.5.1 Scope and Usage

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

13.5.2 Resource Content

Structure

Name Flags Card. Type Description & Constraints doco
.. EnrollmentResponse DomainResource EnrollmentResponse resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*Identifier Business Identifier
... status ?!Σ0..1code active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... request 0..1Reference(EnrollmentRequest)Claim reference
... outcome 0..1CodeableConcept complete | error | partial
RemittanceOutcome (Required)
... disposition 0..1string Disposition Message
... created 0..1dateTime Creation date
... organization 0..1Reference(Organization)Insurer
... requestProvider 0..1Reference(Practitioner)Responsible practitioner
... requestOrganization 0..1Reference(Organization)Responsible organization

doco Documentation for this format

XML Template

<EnrollmentResponse 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  -->
 <request><!-- 0..1 Reference(EnrollmentRequest) Claim reference  --></request>
 <outcome><!-- 0..1 CodeableConcept  complete | error | partial  --></outcome>
 <disposition value="[string ]"/><!-- 0..1 Disposition Message  -->
 <created value="[dateTime ]"/><!-- 0..1 Creation date  -->
 <organization><!-- 0..1 Reference(Organization) Insurer  --></organization>
 <requestProvider><!-- 0..1 Reference(Practitioner) Responsible practitioner  --></requestProvider>
 <requestOrganization><!-- 0..1 Reference(Organization) Responsible organization  --></requestOrganization>
</EnrollmentResponse>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:EnrollmentResponse;
 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:EnrollmentResponse.identifier[ Identifier ], ... ; # 0..* Business Identifier
 fhir:EnrollmentResponse.status[ code ]; # 0..1 active | cancelled | draft | entered-in-error
 fhir:EnrollmentResponse.request[ Reference(EnrollmentRequest) ]; # 0..1 Claim reference
 fhir:EnrollmentResponse.outcome[ CodeableConcept ]; # 0..1 complete | error | partial
 fhir:EnrollmentResponse.disposition[ string ]; # 0..1 Disposition Message
 fhir:EnrollmentResponse.created[ dateTime ]; # 0..1 Creation date
 fhir:EnrollmentResponse.organization[ Reference(Organization) ]; # 0..1 Insurer
 fhir:EnrollmentResponse.requestProvider[ Reference(Practitioner) ]; # 0..1 Responsible practitioner
 fhir:EnrollmentResponse.requestOrganization[ Reference(Organization) ]; # 0..1 Responsible organization
]

Changes since DSTU2

EnrollmentResponse.status
  • Added Element
EnrollmentResponse.outcome
  • Type changed from code to CodeableConcept
EnrollmentResponse.ruleset
  • deleted
EnrollmentResponse.originalRuleset
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R2 <--> R3 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and all r3 resources are valid.).

Structure

Name Flags Card. Type Description & Constraints doco
.. EnrollmentResponse DomainResource EnrollmentResponse resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*Identifier Business Identifier
... status ?!Σ0..1code active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
... request 0..1Reference(EnrollmentRequest)Claim reference
... outcome 0..1CodeableConcept complete | error | partial
RemittanceOutcome (Required)
... disposition 0..1string Disposition Message
... created 0..1dateTime Creation date
... organization 0..1Reference(Organization)Insurer
... requestProvider 0..1Reference(Practitioner)Responsible practitioner
... requestOrganization 0..1Reference(Organization)Responsible organization

doco Documentation for this format

XML Template

<EnrollmentResponse 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  -->
 <request><!-- 0..1 Reference(EnrollmentRequest) Claim reference  --></request>
 <outcome><!-- 0..1 CodeableConcept  complete | error | partial  --></outcome>
 <disposition value="[string ]"/><!-- 0..1 Disposition Message  -->
 <created value="[dateTime ]"/><!-- 0..1 Creation date  -->
 <organization><!-- 0..1 Reference(Organization) Insurer  --></organization>
 <requestProvider><!-- 0..1 Reference(Practitioner) Responsible practitioner  --></requestProvider>
 <requestOrganization><!-- 0..1 Reference(Organization) Responsible organization  --></requestOrganization>
</EnrollmentResponse>

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco 
[ a fhir:EnrollmentResponse;
 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:EnrollmentResponse.identifier[ Identifier ], ... ; # 0..* Business Identifier
 fhir:EnrollmentResponse.status[ code ]; # 0..1 active | cancelled | draft | entered-in-error
 fhir:EnrollmentResponse.request[ Reference(EnrollmentRequest) ]; # 0..1 Claim reference
 fhir:EnrollmentResponse.outcome[ CodeableConcept ]; # 0..1 complete | error | partial
 fhir:EnrollmentResponse.disposition[ string ]; # 0..1 Disposition Message
 fhir:EnrollmentResponse.created[ dateTime ]; # 0..1 Creation date
 fhir:EnrollmentResponse.organization[ Reference(Organization) ]; # 0..1 Insurer
 fhir:EnrollmentResponse.requestProvider[ Reference(Practitioner) ]; # 0..1 Responsible practitioner
 fhir:EnrollmentResponse.requestOrganization[ Reference(Organization) ]; # 0..1 Responsible organization
]

Changes since DSTU2

EnrollmentResponse.status
  • Added Element
EnrollmentResponse.outcome
  • Type changed from code to CodeableConcept
EnrollmentResponse.ruleset
  • deleted
EnrollmentResponse.originalRuleset
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R2 <--> R3 Conversion Maps (status = 1 test that all execute ok. 1 fail round-trip testing and all r3 resources are valid.).

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle)

13.5.2.1 Terminology Bindings

PathDefinitionTypeReference
EnrollmentResponse.status A code specifying the state of the resource instance.Required Financial Resource Status Codes
EnrollmentResponse.outcome The outcome of the processing.Required RemittanceOutcome

13.5.3 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
identifier token The business identifier of the EnrollmentResponse EnrollmentResponse.identifier
organization reference The organization who generated this resource EnrollmentResponse.organization
(Organization)
request reference The reference to the claim EnrollmentResponse.request
(EnrollmentRequest)

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