Finance and Insurance Service (FAIS)
1.0.0 - trial-use International flag

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

Resource Profile: FAIS EnrollmentResponse Profile

Official URL: https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentResponse Version: 1.0.0
Active as of 2024-11-13 Computable Name: FAISEnrollmentResponse

The FAIS EnrollmentResponse profile to be used as the response to the FAIS EnrollmentRequest $submit

Usage:

Formal Views of Profile Content

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

This structure is derived from EnrollmentResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse EnrollmentResponse
... implicitRules 0..0
... modifierExtension 0..0
... status 1..1 code active | cancelled | draft | entered-in-error
... request 1..1 Reference(FAIS EnrollmentRequest Profile) Claim reference
... outcome 1..1 code queued | complete | error | partial

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse 0..* EnrollmentResponse EnrollmentResponse resource
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... request 1..1 Reference(FAIS EnrollmentRequest Profile) Claim reference
... outcome 1..1 code queued | complete | error | partial
Binding: ClaimProcessingCodes (required): The outcome of the processing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EnrollmentResponse.statusrequiredFinancialResourceStatusCodes
http://hl7.org/fhir/ValueSet/fm-status|4.0.1
from the FHIR Standard
EnrollmentResponse.outcomerequiredClaimProcessingCodes
http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse 0..* EnrollmentResponse EnrollmentResponse resource
... 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
... extension 0..* Extension Additional content defined by implementations
... identifier 0..* Identifier Business Identifier
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... request 1..1 Reference(FAIS EnrollmentRequest Profile) Claim reference
... outcome 1..1 code queued | complete | error | partial
Binding: ClaimProcessingCodes (required): The outcome of the processing.

... 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

Terminology Bindings

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

This structure is derived from EnrollmentResponse

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from EnrollmentResponse

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse EnrollmentResponse
... implicitRules 0..0
... modifierExtension 0..0
... status 1..1 code active | cancelled | draft | entered-in-error
... request 1..1 Reference(FAIS EnrollmentRequest Profile) Claim reference
... outcome 1..1 code queued | complete | error | partial

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse 0..* EnrollmentResponse EnrollmentResponse resource
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... request 1..1 Reference(FAIS EnrollmentRequest Profile) Claim reference
... outcome 1..1 code queued | complete | error | partial
Binding: ClaimProcessingCodes (required): The outcome of the processing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EnrollmentResponse.statusrequiredFinancialResourceStatusCodes
http://hl7.org/fhir/ValueSet/fm-status|4.0.1
from the FHIR Standard
EnrollmentResponse.outcomerequiredClaimProcessingCodes
http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EnrollmentResponse 0..* EnrollmentResponse EnrollmentResponse resource
... 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
... extension 0..* Extension Additional content defined by implementations
... identifier 0..* Identifier Business Identifier
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.

... request 1..1 Reference(FAIS EnrollmentRequest Profile) Claim reference
... outcome 1..1 code queued | complete | error | partial
Binding: ClaimProcessingCodes (required): The outcome of the processing.

... 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

Terminology Bindings

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

This structure is derived from EnrollmentResponse

Summary

Mandatory: 3 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron