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: Coverage model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCoverage Version: 0.1.0
Draft as of 2025-06-10 Computable Name: EHDSCoverage

EHDS refined base model for Coverage

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSCoverage 0..* Base Coverage model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Business Identifier for the coverage
... type 0..1 CodeableConcept Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Binding Description: (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
... patient 1..1 EHDSPatient Patient who benefits from the insurance coverage when products and/or services are provided.
.... payorEntity[x] 1..1 Payor entity
..... payorEntityEHDSOrganization EHDSOrganization
..... payorEntityEHDSPatient EHDSPatient
.... subscriberId 0..1 Identifier Number or code under which the insured person is registered at the insurance provider.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSCoverage.typepreferred

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSCoverage 0..* Base Coverage model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Business Identifier for the coverage
... type 0..1 CodeableConcept Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Binding Description: (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
... patient 1..1 EHDSPatient Patient who benefits from the insurance coverage when products and/or services are provided.
.... payorEntity[x] 1..1 Payor entity
..... payorEntityEHDSOrganization EHDSOrganization
..... payorEntityEHDSPatient EHDSPatient
.... subscriberId 0..1 Identifier Number or code under which the insured person is registered at the insurance provider.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSCoverage.typepreferred
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSCoverage 0..* Base Coverage model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Business Identifier for the coverage
... type 0..1 CodeableConcept Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Binding Description: (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
... patient 1..1 EHDSPatient Patient who benefits from the insurance coverage when products and/or services are provided.
.... payorEntity[x] 1..1 Payor entity
..... payorEntityEHDSOrganization EHDSOrganization
..... payorEntityEHDSPatient EHDSPatient
.... subscriberId 0..1 Identifier Number or code under which the insured person is registered at the insurance provider.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSCoverage.typepreferred

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSCoverage 0..* Base Coverage model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Business Identifier for the coverage
... type 0..1 CodeableConcept Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Binding Description: (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
... patient 1..1 EHDSPatient Patient who benefits from the insurance coverage when products and/or services are provided.
.... payorEntity[x] 1..1 Payor entity
..... payorEntityEHDSOrganization EHDSOrganization
..... payorEntityEHDSPatient EHDSPatient
.... subscriberId 0..1 Identifier Number or code under which the insured person is registered at the insurance provider.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSCoverage.typepreferred

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSCoverage 0..* Base Coverage model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Business Identifier for the coverage
... type 0..1 CodeableConcept Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Binding Description: (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
... patient 1..1 EHDSPatient Patient who benefits from the insurance coverage when products and/or services are provided.
.... payorEntity[x] 1..1 Payor entity
..... payorEntityEHDSOrganization EHDSOrganization
..... payorEntityEHDSPatient EHDSPatient
.... subscriberId 0..1 Identifier Number or code under which the insured person is registered at the insurance provider.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSCoverage.typepreferred

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSCoverage 0..* Base Coverage model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Business Identifier for the coverage
... type 0..1 CodeableConcept Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Binding Description: (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
... patient 1..1 EHDSPatient Patient who benefits from the insurance coverage when products and/or services are provided.
.... payorEntity[x] 1..1 Payor entity
..... payorEntityEHDSOrganization EHDSOrganization
..... payorEntityEHDSPatient EHDSPatient
.... subscriberId 0..1 Identifier Number or code under which the insured person is registered at the insurance provider.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSCoverage.typepreferred

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

 

Other representations of profile: CSV, Excel