Cumuluz Translate Implementation Guide
0.1.0 - ci-build

Cumuluz Translate Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: Logical Model: Coverage

Official URL: https://translate-ig.cumuluz.dev/ig/StructureDefinition/logical-coverage Version: 0.1.0
Draft as of 2026-07-11 Computable Name: LogicalCoverage

Canonical intermediate logical model for Coverage-shaped nl-core routes.

Usages:

  • This Logical Model is not used by any profiles in this Implementation Guide

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.

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. logical-coverage 0..* Element Logical Model: Coverage

Elementen gedefinieerd in ancestors:@id, extension
... @id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
... sourceProfile 0..1 uri source Profile
... sourceResourceType 0..1 code FHIR source resource type accepted on the source side.
... targetResourceType 0..1 code FHIR target resource type produced on the target side.
... identifier 0..* Identifier Coverage identifiers.
... status 0..1 code Coverage status.
... type 0..1 CodeableConcept Coverage type.
... policyHolder 0..1 Reference() Policy holder.
... subscriber 0..1 Reference() Subscriber.
... subscriberId 0..1 string Subscriber id.
... beneficiary 0..1 Reference() Beneficiary.
... dependent 0..1 string Dependent id.
... relationship 0..1 CodeableConcept Relationship.
... period 0..1 Period Coverage period.
... payor 0..* Reference() Payors.
... order 0..1 positiveInt Order.
... network 0..1 string Network.
... class 0..* logical-coverage-class Coverage class and plan identifiers.
... costToBeneficiary 0..* logical-coverage-cost-to-beneficiary Patient cost-sharing rules.
... subrogation 0..1 boolean Whether insurer recovery rights apply.
... contract 0..* Reference(Contract) Contracts governing the coverage.

doco Documentatie voor dit formaat

Constrains

Id Grade Pad(en) Omschrijving Expressie
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 Element

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. logical-coverage 0..* Element Logical Model: Coverage

Elementen gedefinieerd in ancestors:@id, extension
... sourceProfile 0..1 uri source Profile
... targetProfile 0..1 uri target Profile
... sourceResourceType 0..1 code FHIR source resource type accepted on the source side.
... identifier 0..* Identifier Coverage identifiers.
... status 0..1 code Coverage status.
... type 0..1 CodeableConcept Coverage type.
... policyHolder 0..1 Reference() Policy holder.
... subscriber 0..1 Reference() Subscriber.
... subscriberId 0..1 string Subscriber id.
... beneficiary 0..1 Reference() Beneficiary.
... dependent 0..1 string Dependent id.
... relationship 0..1 CodeableConcept Relationship.
... period 0..1 Period Coverage period.
... payor 0..* Reference() Payors.
... order 0..1 positiveInt Order.
... network 0..1 string Network.
... class 0..* logical-coverage-class Coverage class and plan identifiers.
... costToBeneficiary 0..* logical-coverage-cost-to-beneficiary Patient cost-sharing rules.
... subrogation 0..1 boolean Whether insurer recovery rights apply.
... contract 0..* Reference(Contract) Contracts governing the coverage.

doco Documentatie voor dit formaat
NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. logical-coverage 0..* Element Logical Model: Coverage

Elementen gedefinieerd in ancestors:@id, extension
... @id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
... sourceProfile 0..1 uri source Profile
... sourceResourceType 0..1 code FHIR source resource type accepted on the source side.
... targetResourceType 0..1 code FHIR target resource type produced on the target side.
... identifier 0..* Identifier Coverage identifiers.
... status 0..1 code Coverage status.
... type 0..1 CodeableConcept Coverage type.
... policyHolder 0..1 Reference() Policy holder.
... subscriber 0..1 Reference() Subscriber.
... subscriberId 0..1 string Subscriber id.
... beneficiary 0..1 Reference() Beneficiary.
... dependent 0..1 string Dependent id.
... relationship 0..1 CodeableConcept Relationship.
... period 0..1 Period Coverage period.
... payor 0..* Reference() Payors.
... order 0..1 positiveInt Order.
... network 0..1 string Network.
... class 0..* logical-coverage-class Coverage class and plan identifiers.
... costToBeneficiary 0..* logical-coverage-cost-to-beneficiary Patient cost-sharing rules.
... subrogation 0..1 boolean Whether insurer recovery rights apply.
... contract 0..* Reference(Contract) Contracts governing the coverage.

doco Documentatie voor dit formaat

Constrains

Id Grade Pad(en) Omschrijving Expressie
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 Element

Samenvatting

Key Elements View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. logical-coverage 0..* Element Logical Model: Coverage

Elementen gedefinieerd in ancestors:@id, extension
... @id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
... sourceProfile 0..1 uri source Profile
... sourceResourceType 0..1 code FHIR source resource type accepted on the source side.
... targetResourceType 0..1 code FHIR target resource type produced on the target side.
... identifier 0..* Identifier Coverage identifiers.
... status 0..1 code Coverage status.
... type 0..1 CodeableConcept Coverage type.
... policyHolder 0..1 Reference() Policy holder.
... subscriber 0..1 Reference() Subscriber.
... subscriberId 0..1 string Subscriber id.
... beneficiary 0..1 Reference() Beneficiary.
... dependent 0..1 string Dependent id.
... relationship 0..1 CodeableConcept Relationship.
... period 0..1 Period Coverage period.
... payor 0..* Reference() Payors.
... order 0..1 positiveInt Order.
... network 0..1 string Network.
... class 0..* logical-coverage-class Coverage class and plan identifiers.
... costToBeneficiary 0..* logical-coverage-cost-to-beneficiary Patient cost-sharing rules.
... subrogation 0..1 boolean Whether insurer recovery rights apply.
... contract 0..* Reference(Contract) Contracts governing the coverage.

doco Documentatie voor dit formaat

Constrains

Id Grade Pad(en) Omschrijving Expressie
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 Element

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. logical-coverage 0..* Element Logical Model: Coverage

Elementen gedefinieerd in ancestors:@id, extension
... sourceProfile 0..1 uri source Profile
... targetProfile 0..1 uri target Profile
... sourceResourceType 0..1 code FHIR source resource type accepted on the source side.
... identifier 0..* Identifier Coverage identifiers.
... status 0..1 code Coverage status.
... type 0..1 CodeableConcept Coverage type.
... policyHolder 0..1 Reference() Policy holder.
... subscriber 0..1 Reference() Subscriber.
... subscriberId 0..1 string Subscriber id.
... beneficiary 0..1 Reference() Beneficiary.
... dependent 0..1 string Dependent id.
... relationship 0..1 CodeableConcept Relationship.
... period 0..1 Period Coverage period.
... payor 0..* Reference() Payors.
... order 0..1 positiveInt Order.
... network 0..1 string Network.
... class 0..* logical-coverage-class Coverage class and plan identifiers.
... costToBeneficiary 0..* logical-coverage-cost-to-beneficiary Patient cost-sharing rules.
... subrogation 0..1 boolean Whether insurer recovery rights apply.
... contract 0..* Reference(Contract) Contracts governing the coverage.

doco Documentatie voor dit formaat

Snapshot View

NaamMarkeringenKard.TypeOmschrijving & constraints    Filter: Filtersdoco
.. logical-coverage 0..* Element Logical Model: Coverage

Elementen gedefinieerd in ancestors:@id, extension
... @id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Zonder volgorde, Open op value:url
... sourceProfile 0..1 uri source Profile
... sourceResourceType 0..1 code FHIR source resource type accepted on the source side.
... targetResourceType 0..1 code FHIR target resource type produced on the target side.
... identifier 0..* Identifier Coverage identifiers.
... status 0..1 code Coverage status.
... type 0..1 CodeableConcept Coverage type.
... policyHolder 0..1 Reference() Policy holder.
... subscriber 0..1 Reference() Subscriber.
... subscriberId 0..1 string Subscriber id.
... beneficiary 0..1 Reference() Beneficiary.
... dependent 0..1 string Dependent id.
... relationship 0..1 CodeableConcept Relationship.
... period 0..1 Period Coverage period.
... payor 0..* Reference() Payors.
... order 0..1 positiveInt Order.
... network 0..1 string Network.
... class 0..* logical-coverage-class Coverage class and plan identifiers.
... costToBeneficiary 0..* logical-coverage-cost-to-beneficiary Patient cost-sharing rules.
... subrogation 0..1 boolean Whether insurer recovery rights apply.
... contract 0..* Reference(Contract) Contracts governing the coverage.

doco Documentatie voor dit formaat

Constrains

Id Grade Pad(en) Omschrijving Expressie
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 Element

Samenvatting

 

Other representations of profile: CSV, Excel