This page is part of the HL7 Europe Laboratory Report (v0.1.1: STU 1) 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

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Logical Model: A.1.3 - Health insurance and payment information

Health insurance and payment information. Section A1.3 of the eHN guideline.

Usage:

• Use this Logical Model Profile: A - Laboratory Report

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Payer		0..*	Base	A.1.3 - Health insurance and payment information
insurance		0..1	BackboneElement	A.1.3.1 Health insurance information ele-1: All FHIR elements must have a @value or children
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		0..*	Identifier	A.1.3.1.1 Health insurance code
name		0..*	string	A.1.3.1.2 Health insurance name
subjectIdentifier		0..*	Identifier	A.1.3.1.3 Health insurance number
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Base

Name	Flags	Card.	Type	Description & Constraints
Payer		0..*	Base	A.1.3 - Health insurance and payment information
insurance		0..1	BackboneElement	A.1.3.1 Health insurance information
identifier		0..*	Identifier	A.1.3.1.1 Health insurance code
name		0..*	string	A.1.3.1.2 Health insurance name
subjectIdentifier		0..*	Identifier	A.1.3.1.3 Health insurance number
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Payer		0..*	Base	A.1.3 - Health insurance and payment information
insurance		0..1	BackboneElement	A.1.3.1 Health insurance information
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	A.1.3.1.1 Health insurance code
name		0..*	string	A.1.3.1.2 Health insurance name
subjectIdentifier		0..*	Identifier	A.1.3.1.3 Health insurance number
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Base

Summary

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Payer		0..*	Base	A.1.3 - Health insurance and payment information
insurance		0..1	BackboneElement	A.1.3.1 Health insurance information ele-1: All FHIR elements must have a @value or children
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		0..*	Identifier	A.1.3.1.1 Health insurance code
name		0..*	string	A.1.3.1.2 Health insurance name
subjectIdentifier		0..*	Identifier	A.1.3.1.3 Health insurance number
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Base

Name	Flags	Card.	Type	Description & Constraints
Payer		0..*	Base	A.1.3 - Health insurance and payment information
insurance		0..1	BackboneElement	A.1.3.1 Health insurance information
identifier		0..*	Identifier	A.1.3.1.1 Health insurance code
name		0..*	string	A.1.3.1.2 Health insurance name
subjectIdentifier		0..*	Identifier	A.1.3.1.3 Health insurance number
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Payer		0..*	Base	A.1.3 - Health insurance and payment information
insurance		0..1	BackboneElement	A.1.3.1 Health insurance information
@id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	Identifier	A.1.3.1.1 Health insurance code
name		0..*	string	A.1.3.1.2 Health insurance name
subjectIdentifier		0..*	Identifier	A.1.3.1.3 Health insurance number
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Base

Summary

Maturity: 2

Other representations of profile: CSV, Excel