HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build 150

This page is part of the HL7 Europe Imaging Study Report (v0.1.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Logical Model: EHDSCoverage - Detailed Descriptions

Draft as of 2025-03-21

Definitions for the EHDSCoverage logical model.

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

0. EHDSCoverage
Definition

C.31 - 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

ShortC.31.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCoverage.type
Definition

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

ShortC.31.2 - Type
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.

ShortC.31.3 - Patient
Control1..1
TypeReference(Patient model)
8. EHDSCoverage.payor
Definition

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

ShortC.31.4 - Payor
Control1..*
TypeBase
10. EHDSCoverage.payor.payorEntity
Definition

Payor entity

ShortC.31.4.1 - Payor entity
Control1..1
TypeReference(Organization model, Patient model)
12. EHDSCoverage.payor.subscriberId
Definition

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

ShortC.31.4.2 - Subscriber Id
Control0..1
TypeIdentifier

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

0. EHDSCoverage
Definition

C.31 - 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

ShortC.31.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCoverage.type
Definition

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

ShortC.31.2 - Type
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.

ShortC.31.3 - Patient
Control1..1
TypeReference(Patient model)
8. EHDSCoverage.payor
Definition

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

ShortC.31.4 - Payor
Control1..*
TypeBase
10. EHDSCoverage.payor.payorEntity
Definition

Payor entity

ShortC.31.4.1 - Payor entity
Control1..1
TypeReference(Organization model, Patient model)
12. EHDSCoverage.payor.subscriberId
Definition

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

ShortC.31.4.2 - Subscriber Id
Control0..1
TypeIdentifier

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

0. EHDSCoverage
Definition

C.31 - 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

ShortC.31.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSCoverage.type
Definition

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

ShortC.31.2 - Type
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.

ShortC.31.3 - Patient
Control1..1
TypeReference(Patient model)
8. EHDSCoverage.payor
Definition

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

ShortC.31.4 - Payor
Control1..*
TypeBase
10. EHDSCoverage.payor.payorEntity
Definition

Payor entity

ShortC.31.4.1 - Payor entity
Control1..1
TypeReference(Organization model, Patient model)
12. EHDSCoverage.payor.subscriberId
Definition

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

ShortC.31.4.2 - Subscriber Id
Control0..1
TypeIdentifier