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type: resource-definitionsresource: EnrollmentRequest

EnrollmentRequest Definitions

<a id="EnrollmentRequest"></a>

EnrollmentRequest

Enroll in coverage

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

Cardinality: 0..*

Mappings: workflow=Request; w5=financial.support

<a id="EnrollmentRequest.identifier"></a>

EnrollmentRequest.identifier

Business Identifier

Definition: The Response business identifier.

Cardinality: 0..*

Type: Identifier

Mappings: workflow=Request.identifier

<a id="EnrollmentRequest.status"></a>

EnrollmentRequest.status

active | cancelled | draft | entered-in-error

Definition: The status of the resource instance.

Comments: This element is labeled as a modifier because the status contains codes that mark the request as not currently valid.

Cardinality: 0..1

Type: code

Binding: required:fm-status

Summary: true

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)

Mappings: workflow=Request.status

<a id="EnrollmentRequest.created"></a>

EnrollmentRequest.created

Creation date

Definition: The date when this resource was created.

Cardinality: 0..1

Type: dateTime

Mappings: workflow=Request.authoredOn

<a id="EnrollmentRequest.insurer"></a>

EnrollmentRequest.insurer

Target

Definition: The Insurer who is target of the request.

Cardinality: 0..1

Type: Reference(Organization)

Mappings: workflow=Request.performer

<a id="EnrollmentRequest.provider"></a>

EnrollmentRequest.provider

Responsible practitioner

Definition: The practitioner who is responsible for the services rendered to the patient.

Cardinality: 0..1

Type: Reference(Practitioner, PractitionerRole, Organization)

Mappings: workflow=Request.requester; w5=FiveWs.actor; cdanetv4=B01

<a id="EnrollmentRequest.candidate"></a>

EnrollmentRequest.candidate

The subject(s)to be enrolled

Definition: The subject or group of subjects to be enrolled.

Cardinality: 0..1

Type: Reference(Patient, Group)

Mappings: workflow=Request.subject; w5=FiveWs.actor; cdanetv4=C06,C07,C08, C05, C04

<a id="EnrollmentRequest.coverage"></a>

EnrollmentRequest.coverage

Insurance information

Definition: Reference to the program or plan identification, underwriter or payor.

Requirements: Need to identify the issuer to target for processing and for coordination of benefit processing.

Cardinality: 0..1

Type: Reference(Coverage)

Mappings: workflow=Request.insurance