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13.5 Resource EnrollmentResponse - Content

Financial Management icon Work GroupMaturity Level: 0 Trial UseSecurity Category: Patient Compartments: No defined compartments

This resource provides enrollment and plan details from the processing of an EnrollmentRequest 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 References to this Resource

13.5.3 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse TU DomainResource EnrollmentResponse resource

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..* Identifier Business Identifier

... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: Financial Resource Status Codes (Required)
... request 0..1 Reference(EnrollmentRequest) Claim reference
... disposition 0..1 string Disposition Message
... created 0..1 dateTime Creation date
... organization 0..1 Reference(Organization) Insurer
... requestProvider 0..1 Reference(Practitioner | PractitionerRole | Organization) Responsible practitioner

doco Documentation for this format icon

See the Extensions for this resource

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 value="[code]"/><!-- 0..1 queued | complete | error | partial -->
 <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(Organization|Practitioner|PractitionerRole) Responsible practitioner --></requestProvider>
</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:identifier  ( [ Identifier ] ... ) ; # 0..* Business Identifier
  fhir:status [ code ] ; # 0..1 active | cancelled | draft | entered-in-error
  fhir:request [ Reference(EnrollmentRequest) ] ; # 0..1 Claim reference
  fhir:outcome [ code ] ; # 0..1 queued | complete | error | partial
  fhir:disposition [ string ] ; # 0..1 Disposition Message
  fhir:created [ dateTime ] ; # 0..1 Creation date
  fhir:organization [ Reference(Organization) ] ; # 0..1 Insurer
  fhir:requestProvider [ Reference(Organization|Practitioner|PractitionerRole) ] ; # 0..1 Responsible practitioner
]

Changes from both R4 and R4B

EnrollmentResponse
EnrollmentResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Enrollment Outcome

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse TU DomainResource EnrollmentResponse resource

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..* Identifier Business Identifier

... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: Financial Resource Status Codes (Required)
... request 0..1 Reference(EnrollmentRequest) Claim reference
... disposition 0..1 string Disposition Message
... created 0..1 dateTime Creation date
... organization 0..1 Reference(Organization) Insurer
... requestProvider 0..1 Reference(Practitioner | PractitionerRole | Organization) Responsible practitioner

doco Documentation for this format icon

See the Extensions for this resource

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 value="[code]"/><!-- 0..1 queued | complete | error | partial -->
 <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(Organization|Practitioner|PractitionerRole) Responsible practitioner --></requestProvider>
</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:identifier  ( [ Identifier ] ... ) ; # 0..* Business Identifier
  fhir:status [ code ] ; # 0..1 active | cancelled | draft | entered-in-error
  fhir:request [ Reference(EnrollmentRequest) ] ; # 0..1 Claim reference
  fhir:outcome [ code ] ; # 0..1 queued | complete | error | partial
  fhir:disposition [ string ] ; # 0..1 Disposition Message
  fhir:created [ dateTime ] ; # 0..1 Creation date
  fhir:organization [ Reference(Organization) ] ; # 0..1 Insurer
  fhir:requestProvider [ Reference(Organization|Practitioner|PractitionerRole) ] ; # 0..1 Responsible practitioner
]

Changes from both R4 and R4B

EnrollmentResponse
EnrollmentResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Enrollment Outcome

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

13.5.3.1 Terminology Bindings

Path ValueSet Type Documentation
EnrollmentResponse.status FinancialResourceStatusCodes Required

This value set includes Status codes.
EnrollmentResponse.outcome EnrollmentOutcome (a valid code from Claim Processing Codes) Required

The outcome of the processing.



13.5.4 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to 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
request reference The reference to the claim EnrollmentResponse.request
(EnrollmentRequest)
status token The status of the enrollment response EnrollmentResponse.status