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/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Logical Model: Coverage model

C.31 - EHDS refined base model for Coverage

Usage:

• Use this Logical Model Profile: Hospital Discharge Report header model, Imaging report header model, Laboratory order header model and Laboratory report header model
• Refer to this Logical Model Profile: Service request model

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
EHDSCoverage		0..*	Base	Coverage model Instances of this logical model can be the target of a Reference
identifier		0..*	Identifier	C.31.1 - Identifier
type		0..1	CodeableConcept	C.31.2 - Type Binding Description (No ValueSet): (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
patient		1..1	Reference(Patient model)	C.31.3 - Patient
payor		1..*	Base	C.31.4 - Payor
payorEntity		1..1	Reference(Organization model | Patient model)	C.31.4.1 - Payor entity
subscriberId		0..1	Identifier	C.31.4.2 - Subscriber Id
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSCoverage.type	preferred

This structure is derived from Base

Name	Flags	Card.	Type	Description & Constraints
EHDSCoverage		0..*	Base	Coverage model Instances of this logical model can be the target of a Reference
identifier		0..*	Identifier	C.31.1 - Identifier
type		0..1	CodeableConcept	C.31.2 - Type Binding Description (No ValueSet): (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
patient		1..1	Reference(Patient model)	C.31.3 - Patient
payor		1..*	Base	C.31.4 - Payor
payorEntity		1..1	Reference(Organization model | Patient model)	C.31.4.1 - Payor entity
subscriberId		0..1	Identifier	C.31.4.2 - Subscriber Id
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EHDSCoverage.type	preferred

Name	Flags	Card.	Type	Description & Constraints
EHDSCoverage		0..*	Base	Coverage model Instances of this logical model can be the target of a Reference
identifier		0..*	Identifier	C.31.1 - Identifier
type		0..1	CodeableConcept	C.31.2 - Type Binding Description (No ValueSet): (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
patient		1..1	Reference(Patient model)	C.31.3 - Patient
payor		1..*	Base	C.31.4 - Payor
payorEntity		1..1	Reference(Organization model | Patient model)	C.31.4.1 - Payor entity
subscriberId		0..1	Identifier	C.31.4.2 - Subscriber Id
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSCoverage.type	preferred

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient model (https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient)
• Organization model (https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
EHDSCoverage		0..*	Base	Coverage model Instances of this logical model can be the target of a Reference
identifier		0..*	Identifier	C.31.1 - Identifier
type		0..1	CodeableConcept	C.31.2 - Type Binding Description (No ValueSet): (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
patient		1..1	Reference(Patient model)	C.31.3 - Patient
payor		1..*	Base	C.31.4 - Payor
payorEntity		1..1	Reference(Organization model | Patient model)	C.31.4.1 - Payor entity
subscriberId		0..1	Identifier	C.31.4.2 - Subscriber Id
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSCoverage.type	preferred

Differential View

This structure is derived from Base

Name	Flags	Card.	Type	Description & Constraints
EHDSCoverage		0..*	Base	Coverage model Instances of this logical model can be the target of a Reference
identifier		0..*	Identifier	C.31.1 - Identifier
type		0..1	CodeableConcept	C.31.2 - Type Binding Description (No ValueSet): (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
patient		1..1	Reference(Patient model)	C.31.3 - Patient
payor		1..*	Base	C.31.4 - Payor
payorEntity		1..1	Reference(Organization model | Patient model)	C.31.4.1 - Payor entity
subscriberId		0..1	Identifier	C.31.4.2 - Subscriber Id
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EHDSCoverage.type	preferred

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
EHDSCoverage		0..*	Base	Coverage model Instances of this logical model can be the target of a Reference
identifier		0..*	Identifier	C.31.1 - Identifier
type		0..1	CodeableConcept	C.31.2 - Type Binding Description (No ValueSet): (preferred): hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode
patient		1..1	Reference(Patient model)	C.31.3 - Patient
payor		1..*	Base	C.31.4 - Payor
payorEntity		1..1	Reference(Organization model | Patient model)	C.31.4.1 - Payor entity
subscriberId		0..1	Identifier	C.31.4.2 - Subscriber Id
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSCoverage.type	preferred

This structure is derived from Base

Summary

Mandatory: 0 element(3 nested mandatory elements)

Structures

This structure refers to these other structures:

• Patient model (https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient)
• Organization model (https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization)

Other representations of profile: CSV, Excel