FHIR R6 FM Incubator, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fm-incubator/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Enrollment Request

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

Usages:

• Refer to this Resource: Enrollment Response, DocumentReference and GuidanceResponse

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EnrollmentRequest		0..*	DomainResource	Enroll in coverage Elements defined in Ancestors:id, meta, implicitRules, language, text, contained, extension, modifierExtension
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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		0..1	Reference(Organization)	Target
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Responsible practitioner
candidate		0..1	Reference(Patient | Group)	The subject(s)to be enrolled
coverage		0..1	Reference(Coverage)	Insurance information
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EnrollmentRequest.language	Base	required	All Languages	📍6.0.0-ballot3	FHIR Std.
EnrollmentRequest.status	Base	required	Financial Resource Status Codes	📦6.0.0-ballot3	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EnrollmentRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())

This structure is derived from DomainResource

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EnrollmentRequest		0..*	DomainResource	Enroll in coverage 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: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
created		0..1	dateTime	Creation date
insurer		0..1	Reference(Organization)	Target
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Responsible practitioner
candidate		0..1	Reference(Patient | Group)	The subject(s)to be enrolled
coverage		0..1	Reference(Coverage)	Insurance information
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
EnrollmentRequest.status	Base	required	Financial Resource Status Codes	📦6.0.0-ballot3	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EnrollmentRequest		0..*	DomainResource	Enroll in coverage Elements defined in Ancestors:id, meta, implicitRules, language, text, contained, extension, modifierExtension
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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		0..1	Reference(Organization)	Target
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Responsible practitioner
candidate		0..1	Reference(Patient | Group)	The subject(s)to be enrolled
coverage		0..1	Reference(Coverage)	Insurance information
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EnrollmentRequest.language	Base	required	All Languages	📍6.0.0-ballot3	FHIR Std.
EnrollmentRequest.status	Base	required	Financial Resource Status Codes	📦6.0.0-ballot3	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EnrollmentRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())

This structure is derived from DomainResource

Summary

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EnrollmentRequest		0..*	DomainResource	Enroll in coverage Elements defined in Ancestors:id, meta, implicitRules, language, text, contained, extension, modifierExtension
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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		0..1	Reference(Organization)	Target
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Responsible practitioner
candidate		0..1	Reference(Patient | Group)	The subject(s)to be enrolled
coverage		0..1	Reference(Coverage)	Insurance information
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EnrollmentRequest.language	Base	required	All Languages	📍6.0.0-ballot3	FHIR Std.
EnrollmentRequest.status	Base	required	Financial Resource Status Codes	📦6.0.0-ballot3	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EnrollmentRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())

Differential View

This structure is derived from DomainResource

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EnrollmentRequest		0..*	DomainResource	Enroll in coverage 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: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
created		0..1	dateTime	Creation date
insurer		0..1	Reference(Organization)	Target
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Responsible practitioner
candidate		0..1	Reference(Patient | Group)	The subject(s)to be enrolled
coverage		0..1	Reference(Coverage)	Insurance information
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
EnrollmentRequest.status	Base	required	Financial Resource Status Codes	📦6.0.0-ballot3	FHIR Std.

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EnrollmentRequest		0..*	DomainResource	Enroll in coverage Elements defined in Ancestors:id, meta, implicitRules, language, text, contained, extension, modifierExtension
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
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		0..1	Reference(Organization)	Target
provider		0..1	Reference(Practitioner | PractitionerRole | Organization)	Responsible practitioner
candidate		0..1	Reference(Patient | Group)	The subject(s)to be enrolled
coverage		0..1	Reference(Coverage)	Insurance information
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EnrollmentRequest.language	Base	required	All Languages	📍6.0.0-ballot3	FHIR Std.
EnrollmentRequest.status	Base	required	Financial Resource Status Codes	📦6.0.0-ballot3	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	EnrollmentRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EnrollmentRequest	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	EnrollmentRequest	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())

This structure is derived from DomainResource

Summary

Maturity: 0

​Other representations of profile: CSV, Excel, Schematron

Notes: