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/stakeholder-consultation-D6-2 and changes regularly. See the Directory of published versions

## Logical Model: EHDSCoverage - Detailed Descriptions

Draft as of 2025-05-26

Definitions for the EHDSCoverage logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. EHDSCoverage
Definition | EHDS refined base model for Coverage Base definition for all types defined in FHIR type system.
Short | Coverage modelBase for all types and resources
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSCoverage.identifier
Definition | usiness Identifier for the coverage
Short | usiness Identifier for the coverage
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
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.
Short | Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Control | 0..1
Binding | hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
Type | CodeableConcept
6. EHDSCoverage.patient
Definition | Patient who benefits from the insurance coverage when products and/or services are provided.
Short | Patient who benefits from the insurance coverage when products and/or services are provided.
Control | 1..1
Type | https://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.
Short | Payor including both insurance and non-insurance agreements, such as patient-pay agreements.
Control | 1..*
Type | Base
10. EHDSCoverage.payor.payorEntity[x]
Definition | Payor entity
Short | Payor entity
Control | 1..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] Note | SeeChoice 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.
Short | Number or code under which the insured person is registered at the insurance provider.
Control | 0..1
Type | Identifier

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

0. EHDSCoverage
Definition | EHDS refined base model for Coverage
Short | Coverage model
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSCoverage.identifier
Definition | usiness Identifier for the coverage
Short | usiness Identifier for the coverage
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
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.
Short | Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Control | 0..1
Binding | hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
Type | CodeableConcept
6. EHDSCoverage.patient
Definition | Patient who benefits from the insurance coverage when products and/or services are provided.
Short | Patient who benefits from the insurance coverage when products and/or services are provided.
Control | 1..1
Type | https://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.
Short | Payor including both insurance and non-insurance agreements, such as patient-pay agreements.
Control | 1..*
Type | Base
10. EHDSCoverage.payor.payorEntity[x]
Definition | Payor entity
Short | Payor entity
Control | 1..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] Note | SeeChoice 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.
Short | Number or code under which the insured person is registered at the insurance provider.
Control | 0..1
Type | Identifier

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

0. EHDSCoverage
Definition | EHDS refined base model for Coverage
Short | Coverage model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSCoverage.identifier
Definition | usiness Identifier for the coverage
Short | usiness Identifier for the coverage
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
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.
Short | Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.
Control | 0..1
Binding | hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
Type | CodeableConcept
6. EHDSCoverage.patient
Definition | Patient who benefits from the insurance coverage when products and/or services are provided.
Short | Patient who benefits from the insurance coverage when products and/or services are provided.
Control | 1..1
Type | https://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.
Short | Payor including both insurance and non-insurance agreements, such as patient-pay agreements.
Control | 1..*
Type | Base
10. EHDSCoverage.payor.payorEntity[x]
Definition | Payor entity
Short | Payor entity
Control | 1..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
[x] Note | SeeChoice 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.
Short | Number or code under which the insured person is registered at the insurance provider.
Control | 0..1
Type | Identifier