Finance and Insurance Service (FAIS)
1.0.0 - trial-use
Finance and Insurance Service (FAIS)
1.0.0 - trial-use
This page is part of the IHE ITI Finance and Insurance Services (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest | Version: 1.0.0 | |||
| Active as of 2024-11-13 | Computable Name: FAISEnrollmentRequest | |||
The FAIS EnrollmentRequest profile for submitting enrollment requests.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from EnrollmentRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  EnrollmentRequest |
EnrollmentRequest | |||
  implicitRules |
0..0 | |||
 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 | |
 modifierExtension |
0..0 | |||
| insurer |
1..1 | Reference(Organization) | Target | |
| candidate |
1..1 | Reference(Patient) | The subject to be enrolled | |
 coverage |
1..1 | Reference(Coverage) | Insurance information | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| EnrollmentRequest.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| EnrollmentRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| EnrollmentRequest.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard |
This structure is derived from EnrollmentRequest
Differential View
This structure is derived from EnrollmentRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| EnrollmentRequest |
EnrollmentRequest | |||
| implicitRules |
0..0 | |||
| 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 | |
| modifierExtension |
0..0 | |||
| insurer |
1..1 | Reference(Organization) | Target | |
| candidate |
1..1 | Reference(Patient) | The subject to be enrolled | |
| coverage |
1..1 | Reference(Coverage) | Insurance information | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| EnrollmentRequest.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| EnrollmentRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| EnrollmentRequest.status | required | FinancialResourceStatusCodeshttp://hl7.org/fhir/ValueSet/fm-status|4.0.1from the FHIR Standard |
This structure is derived from EnrollmentRequest
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ IHE IT Infrastructure Technical Committee. Package ihe.iti.fais#1.0.0 based on FHIR 4.0.1. Generated 2024-11-13
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