EHDS Logical Information Models
0.1.0 - ci-build

EHDS Logical Information Models, published by Xt-EHR. 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/Xt-EHR/xt-ehr-common/tree/main and changes regularly. See the Directory of published versions

Logical Model: EHDSCoverage - Detailed Descriptions

Draft as of 2025-06-13

Definitions for the EHDSCoverage logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSCoverage
Definition

EHDS refined base model for Coverage


Base definition for all types defined in FHIR type system.

ShortCoverage modelBase for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCoverage.identifier
Definition

Business Identifier for the coverage

ShortBusiness Identifier for the coverage
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCoverage.type
Definition

Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.

ShortType of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Control0..1
Binding

hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode

TypeCodeableConcept
6. EHDSCoverage.patient
Definition

Patient who benefits from the insurance coverage when products and/or services are provided.

ShortPatient who benefits from the insurance coverage when products and/or services are provided.
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
8. EHDSCoverage.payor
Definition

Payor including both insurance and non-insurance agreements, such as patient-pay agreements.

ShortPayor including both insurance and non-insurance agreements, such as patient-pay agreements.
Control1..*
TypeBase
10. EHDSCoverage.payor.payorEntity[x]
Definition

Payor entity

ShortPayor entity
Control1..1
TypeChoice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
12. EHDSCoverage.payor.subscriberId
Definition

Number or code under which the insured person is registered at the insurance provider.

ShortNumber or code under which the insured person is registered at the insurance provider.
Control0..1
TypeIdentifier

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSCoverage
Definition

EHDS refined base model for Coverage

ShortCoverage model
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCoverage.identifier
Definition

Business Identifier for the coverage

ShortBusiness Identifier for the coverage
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCoverage.type
Definition

Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.

ShortType of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Control0..1
Binding

hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode

TypeCodeableConcept
6. EHDSCoverage.patient
Definition

Patient who benefits from the insurance coverage when products and/or services are provided.

ShortPatient who benefits from the insurance coverage when products and/or services are provided.
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
8. EHDSCoverage.payor
Definition

Payor including both insurance and non-insurance agreements, such as patient-pay agreements.

ShortPayor including both insurance and non-insurance agreements, such as patient-pay agreements.
Control1..*
TypeBase
10. EHDSCoverage.payor.payorEntity[x]
Definition

Payor entity

ShortPayor entity
Control1..1
TypeChoice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
12. EHDSCoverage.payor.subscriberId
Definition

Number or code under which the insured person is registered at the insurance provider.

ShortNumber or code under which the insured person is registered at the insurance provider.
Control0..1
TypeIdentifier

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSCoverage
Definition

EHDS refined base model for Coverage

ShortCoverage model
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCoverage.identifier
Definition

Business Identifier for the coverage

ShortBusiness Identifier for the coverage
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCoverage.type
Definition

Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.

ShortType of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Control0..1
Binding

hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode

TypeCodeableConcept
6. EHDSCoverage.patient
Definition

Patient who benefits from the insurance coverage when products and/or services are provided.

ShortPatient who benefits from the insurance coverage when products and/or services are provided.
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
8. EHDSCoverage.payor
Definition

Payor including both insurance and non-insurance agreements, such as patient-pay agreements.

ShortPayor including both insurance and non-insurance agreements, such as patient-pay agreements.
Control1..*
TypeBase
10. EHDSCoverage.payor.payorEntity[x]
Definition

Payor entity

ShortPayor entity
Control1..1
TypeChoice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
12. EHDSCoverage.payor.subscriberId
Definition

Number or code under which the insured person is registered at the insurance provider.

ShortNumber or code under which the insured person is registered at the insurance provider.
Control0..1
TypeIdentifier