VRIS - Viljatusravi infosüsteem
0.1.0 - draft Estonia flag

VRIS - Viljatusravi infosüsteem, published by TEHIK. 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/TEHIK-EE/ig-ee-vris/ and changes regularly. See the Directory of published versions

Resource Profile: Coverage: EE VRIS Coverage

Official URL: https://fhir.ee/vris/StructureDefinition/ee-vris-coverage Version: 0.1.0
Draft as of 2026-07-16 Computable Name: EEVRISCoverage

Coverage profile for fertility treatment in Estonian VRIS. Identifies the payer of treatment (Health Insurance Fund or self-pay). (ee Viljatusravi rahastamise allikas, Tervisekassa või omaosalus. KAS teeme selle profiiliga või lihtsa extensioni?)

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... kind Σ 1..1 code (ee Kindlustuse liik insurance / self-pay / other)
Binding: Kind (required)
... paymentBy 0..* BackboneElement (ee Kes maksab, kas patsient ise või kolmas osapool)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... party Σ 1..1 Reference(Patient | RelatedPerson | Organization) (ee Maksja viide. Siia Tervisekassa)
... beneficiary Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) (ee Kindlustushüvitise saaja on patsient, kes ravi saab)
... period Σ 0..1 Period (ee Kindlustuse kehtivuse periood)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Coverage.kind Base required Kind 📍5.0.0 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
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 Coverage

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... identifier 0..* Identifier (ee Kindlustuse identifikaator)
... kind 1..1 code (ee Kindlustuse liik insurance / self-pay / other)
... paymentBy 0..* BackboneElement (ee Kes maksab, kas patsient ise või kolmas osapool)
.... party 1..1 Reference(Patient | RelatedPerson | Organization) (ee Maksja viide. Siia Tervisekassa)
... policyHolder 0..0 Owner of the policy
... subscriber 0..0 Subscriber to the policy
... subscriberId 0..0 ID assigned to the subscriber
... beneficiary 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) (ee Kindlustushüvitise saaja on patsient, kes ravi saab)
... dependent 0..0 Dependent number
... relationship 0..0 Beneficiary relationship to the subscriber
... period 0..1 Period (ee Kindlustuse kehtivuse periood)
... insurer 0..0 Issuer of the policy
... class 0..0 Additional coverage classifications
... order 0..0 Relative order of the coverage
... network 0..0 Insurer network
... costToBeneficiary 0..0 Patient payments for services/products
... subrogation 0..0 Reimbursement to insurer
... contract 0..0 Contract details

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier (ee Kindlustuse identifikaator)
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... kind Σ 1..1 code (ee Kindlustuse liik insurance / self-pay / other)
Binding: Kind (required)
... paymentBy 0..* BackboneElement (ee Kes maksab, kas patsient ise või kolmas osapool)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... party Σ 1..1 Reference(Patient | RelatedPerson | Organization) (ee Maksja viide. Siia Tervisekassa)
.... responsibility Σ 0..1 string Party's responsibility
... beneficiary Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) (ee Kindlustushüvitise saaja on patsient, kes ravi saab)
... period Σ 0..1 Period (ee Kindlustuse kehtivuse periood)
... insurancePlan 0..1 Reference(InsurancePlan) Insurance plan details

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.language Base required All Languages 📍5.0.0 FHIR Std.
Coverage.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Coverage.kind Base required Kind 📍5.0.0 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​type Base extensible Coverage Copay Type Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​network Base example Network Type Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​unit Base example Unit Type Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​term Base example Benefit Term Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​exception.type Base example Example Coverage Financial Exception Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
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 Coverage

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... kind Σ 1..1 code (ee Kindlustuse liik insurance / self-pay / other)
Binding: Kind (required)
... paymentBy 0..* BackboneElement (ee Kes maksab, kas patsient ise või kolmas osapool)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... party Σ 1..1 Reference(Patient | RelatedPerson | Organization) (ee Maksja viide. Siia Tervisekassa)
... beneficiary Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) (ee Kindlustushüvitise saaja on patsient, kes ravi saab)
... period Σ 0..1 Period (ee Kindlustuse kehtivuse periood)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Coverage.kind Base required Kind 📍5.0.0 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
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 Coverage

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... identifier 0..* Identifier (ee Kindlustuse identifikaator)
... kind 1..1 code (ee Kindlustuse liik insurance / self-pay / other)
... paymentBy 0..* BackboneElement (ee Kes maksab, kas patsient ise või kolmas osapool)
.... party 1..1 Reference(Patient | RelatedPerson | Organization) (ee Maksja viide. Siia Tervisekassa)
... policyHolder 0..0 Owner of the policy
... subscriber 0..0 Subscriber to the policy
... subscriberId 0..0 ID assigned to the subscriber
... beneficiary 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) (ee Kindlustushüvitise saaja on patsient, kes ravi saab)
... dependent 0..0 Dependent number
... relationship 0..0 Beneficiary relationship to the subscriber
... period 0..1 Period (ee Kindlustuse kehtivuse periood)
... insurer 0..0 Issuer of the policy
... class 0..0 Additional coverage classifications
... order 0..0 Relative order of the coverage
... network 0..0 Insurer network
... costToBeneficiary 0..0 Patient payments for services/products
... subrogation 0..0 Reimbursement to insurer
... contract 0..0 Contract details

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier (ee Kindlustuse identifikaator)
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
... kind Σ 1..1 code (ee Kindlustuse liik insurance / self-pay / other)
Binding: Kind (required)
... paymentBy 0..* BackboneElement (ee Kes maksab, kas patsient ise või kolmas osapool)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... party Σ 1..1 Reference(Patient | RelatedPerson | Organization) (ee Maksja viide. Siia Tervisekassa)
.... responsibility Σ 0..1 string Party's responsibility
... beneficiary Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) (ee Kindlustushüvitise saaja on patsient, kes ravi saab)
... period Σ 0..1 Period (ee Kindlustuse kehtivuse periood)
... insurancePlan 0..1 Reference(InsurancePlan) Insurance plan details

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Coverage.language Base required All Languages 📍5.0.0 FHIR Std.
Coverage.status Base required Financial Resource Status Codes 📍5.0.0 FHIR Std.
Coverage.kind Base required Kind 📍5.0.0 FHIR Std.
Coverage.class.type Base extensible Coverage Class Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​type Base extensible Coverage Copay Type Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​category Base example Benefit Category Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​network Base example Network Type Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​unit Base example Unit Type Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​term Base example Benefit Term Codes 📍5.0.0 FHIR Std.
Coverage.costToBeneficiary.​exception.type Base example Example Coverage Financial Exception Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Coverage If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Coverage If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Coverage If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Coverage If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Coverage A resource should have narrative for robust management text.`div`.exists()
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 Coverage

 

Other representations of profile: CSV, Excel, Schematron