Finance and Insurance Service (FAIS)
1.0.1-current - ci-build International flag

Finance and Insurance Service (FAIS), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.Finance/ and changes regularly. See the Directory of published versions

Resource Profile: FAIS EnrollmentRequest Profile

Official URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest Version: 1.0.1-current
Active as of 2024-11-22 Computable Name: FAISEnrollmentRequest

The FAIS EnrollmentRequest profile for submitting enrollment requests.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from EnrollmentRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest 0..* EnrollmentRequest Enroll in coverage
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Request Status Reason
URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/request-statusReason
... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... insurer 1..1 Reference(Organization) Target
... candidate 1..1 Reference(Patient) The subject to be enrolled
... coverage 1..1 Reference(Coverage) Insurance information

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EnrollmentRequest.statusrequiredFinancialResourceStatusCodes
http://hl7.org/fhir/ValueSet/fm-status|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest 0..* EnrollmentRequest Enroll in coverage
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Request Status Reason
URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/request-statusReason
... identifier 0..* Identifier Business Identifier
... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... created 0..1 dateTime Creation date
... insurer 1..1 Reference(Organization) Target
... provider 0..1 Reference(Practitioner | PractitionerRole | Organization) Responsible practitioner
... candidate 1..1 Reference(Patient) The subject to be enrolled
... coverage 1..1 Reference(Coverage) Insurance information

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EnrollmentRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
EnrollmentRequest.statusrequiredFinancialResourceStatusCodes
http://hl7.org/fhir/ValueSet/fm-status|4.0.1
from the FHIR Standard

This structure is derived from EnrollmentRequest

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from EnrollmentRequest

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest 0..* EnrollmentRequest Enroll in coverage
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Request Status Reason
URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/request-statusReason
... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... insurer 1..1 Reference(Organization) Target
... candidate 1..1 Reference(Patient) The subject to be enrolled
... coverage 1..1 Reference(Coverage) Insurance information

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EnrollmentRequest.statusrequiredFinancialResourceStatusCodes
http://hl7.org/fhir/ValueSet/fm-status|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentRequest 0..* EnrollmentRequest Enroll in coverage
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusReason 0..1 CodeableConcept Request Status Reason
URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/request-statusReason
... identifier 0..* Identifier Business Identifier
... status ?!Σ 0..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... created 0..1 dateTime Creation date
... insurer 1..1 Reference(Organization) Target
... provider 0..1 Reference(Practitioner | PractitionerRole | Organization) Responsible practitioner
... candidate 1..1 Reference(Patient) The subject to be enrolled
... coverage 1..1 Reference(Coverage) Insurance information

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EnrollmentRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
EnrollmentRequest.statusrequiredFinancialResourceStatusCodes
http://hl7.org/fhir/ValueSet/fm-status|4.0.1
from the FHIR Standard

This structure is derived from EnrollmentRequest

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron