HL7 Europe Laboratory Report
0.1.1 - trial-use 150

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## Logical Model: PayerLabEhn - Detailed Descriptions

Page standards status: Informative | Maturity Level: 2

Definitions for the Payer 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. Payer
Definition | Health insurance and payment information. Section A1.3 of the eHN guideline.
Short | A.1.3 - Health insurance and payment information
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. Payer.insurance
Definition | Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Short | A.1.3.1 Health insurance information
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
4. Payer.insurance.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
6. Payer.insurance.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Payer.insurance.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. Payer.insurance.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Payer.insurance.identifier
Definition | Unique health insurance company identification code.
Short | A.1.3.1.1 Health insurance code
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
12. Payer.insurance.name
Definition | Full, official name of the healthcare insurance provider.
Short | A.1.3.1.2 Health insurance name
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. Payer.insurance.subjectIdentifier
Definition | Number or code under which the insured person is registered at the insurance provider.
Short | A.1.3.1.3 Health insurance number
Control | 0..*
Type | Identifier

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

0. Payer
Definition | Health insurance and payment information. Section A1.3 of the eHN guideline.
Short | A.1.3 - Health insurance and payment information
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. Payer.insurance
Definition | Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Short | A.1.3.1 Health insurance information
Control | 0..1
Type | BackboneElement
4. Payer.insurance.identifier
Definition | Unique health insurance company identification code.
Short | A.1.3.1.1 Health insurance code
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
6. Payer.insurance.name
Definition | Full, official name of the healthcare insurance provider.
Short | A.1.3.1.2 Health insurance name
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. Payer.insurance.subjectIdentifier
Definition | Number or code under which the insured person is registered at the insurance provider.
Short | A.1.3.1.3 Health insurance number
Control | 0..*
Type | Identifier

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

0. Payer
Definition | Health insurance and payment information. Section A1.3 of the eHN guideline.
Short | A.1.3 - Health insurance and payment information
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. Payer.insurance
Definition | Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Short | A.1.3.1 Health insurance information
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
4. Payer.insurance.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
6. Payer.insurance.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Payer.insurance.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. Payer.insurance.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
10. Payer.insurance.identifier
Definition | Unique health insurance company identification code.
Short | A.1.3.1.1 Health insurance code
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
12. Payer.insurance.name
Definition | Full, official name of the healthcare insurance provider.
Short | A.1.3.1.2 Health insurance name
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. Payer.insurance.subjectIdentifier
Definition | Number or code under which the insured person is registered at the insurance provider.
Short | A.1.3.1.3 Health insurance number
Control | 0..*
Type | Identifier