EHDS Logical Information Models
0.2.1 - qa-preview
EHDS Logical Information Models
0.2.1 - qa-preview
EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.2.1 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
| Draft as of 2025-10-13 |
Definitions for the EHDSAdvanceDirective logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. EHDSAdvanceDirective | |
| Definition | Healthcare directives concerning life or after life wishes of the patient Base definition for all types defined in FHIR type system. |
| Short | Advance directive modelBase for all types and resources |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. EHDSAdvanceDirective.header | |
| Definition | Common header for all patient-related data |
| Short | Common header for all patient-related data |
| Control | 1..1 |
| Type | Base |
| 4. EHDSAdvanceDirective.header.subject | |
| Definition | Patient/subject information |
| Short | Patient/subject information |
| Control | 1..1 |
| Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient |
| 6. EHDSAdvanceDirective.header.identifier | |
| Definition | Business identifier for the object |
| Short | Business identifier for the object |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| 8. EHDSAdvanceDirective.header.authorship | |
| Definition | Resource authoring details |
| Short | Resource authoring details |
| Control | 1..* |
| Type | Base |
| 10. EHDSAdvanceDirective.header.authorship.author[x] | |
| Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided. |
| Short | Author(s) by whom the resource was/were authored. Multiple authors could be provided. |
| Control | 1..1 |
| Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 12. EHDSAdvanceDirective.header.authorship.datetime | |
| Definition | Date and time of authoring/issuing |
| Short | Date and time of authoring/issuing |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. EHDSAdvanceDirective.header.lastUpdate | |
| Definition | Date and time of the last update to the resource (may be used for technical corrections). |
| Short | Date and time of the last update to the resource (may be used for technical corrections). |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. EHDSAdvanceDirective.header.status | |
| Definition | Status of the resource or document |
| Short | Status of the resource or document |
| Control | 1..1 |
| Type | CodeableConcept |
| 18. EHDSAdvanceDirective.header.statusReason[x] | |
| Definition | Reason for the current status of the resource. |
| Short | Reason for the current status of the resource. |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. EHDSAdvanceDirective.header.language | |
| Definition | Language in which the resource is written. Language is expressed by the IETF language tag. |
| Short | Language in which the resource is written. Language is expressed by the IETF language tag. |
| Control | 0..1 |
| Binding | BCP 47 |
| Type | CodeableConcept |
| 22. EHDSAdvanceDirective.category | |
| Definition | Categories of Directives related to decisions prior and after death |
| Short | Categories of Directives related to decisions prior and after death |
| Comments | Examples: Intubation, Tube Feedings, Life Support, Cardiopulmonary resuscitation, Antibiotics, Resuscitation, Artificial respiration, Administration of medication, Transfusion, Transfer of care to hospital, Dialysis procedure, Negative declaration, Organ donation, Body donation, Intravenous infusion |
| Control | 0..* |
| Binding | SNOMED CT |
| Type | CodeableConcept |
| Requirements | ISO IPS |
| 24. EHDSAdvanceDirective.narrative | |
| Definition | Textual description of the directive |
| Short | Textual description of the directive |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Requirements | eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS |
| 26. EHDSAdvanceDirective.effectivePeriod | |
| Definition | Time period during which the directive is effective |
| Short | Time period during which the directive is effective |
| Control | 0..1 |
| Type | Period |
| Requirements | eHN HDR Guideline, ISO IPS |
| 28. EHDSAdvanceDirective.authorisingEntity[x] | |
| Definition | Person or organisation that authorizes the directive |
| Short | Person or organisation that authorizes the directive |
| Control | 0..1 |
| Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Requirements | ISO IPS |
| 30. EHDSAdvanceDirective.relatedConditions[x] | |
| Definition | The problem or disorder to which the living will applies. Multiple fields could be provided. |
| Short | The problem or disorder to which the living will applies. Multiple fields could be provided. |
| Control | 0..* |
| Binding | ICD-10, SNOMED CT, Orphacode |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Requirements | ISO IPS |
| 32. EHDSAdvanceDirective.advanceDirectiveDocument | |
| Definition | Scanned source document with the living will and the patient's signature, such as a PDF. |
| Short | Scanned source document with the living will and the patient's signature, such as a PDF. |
| Control | 0..1 |
| Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment |
| Requirements | eHN HDR Guideline, ISO IPS |
Guidance on how to interpret the contents of this table can be foundhere
| 0. EHDSAdvanceDirective | |
| Definition | Healthcare directives concerning life or after life wishes of the patient |
| Short | Advance directive model |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. EHDSAdvanceDirective.category | |
| Definition | Categories of Directives related to decisions prior and after death |
| Short | Categories of Directives related to decisions prior and after death |
| Comments | Examples: Intubation, Tube Feedings, Life Support, Cardiopulmonary resuscitation, Antibiotics, Resuscitation, Artificial respiration, Administration of medication, Transfusion, Transfer of care to hospital, Dialysis procedure, Negative declaration, Organ donation, Body donation, Intravenous infusion |
| Control | 0..* |
| Binding | SNOMED CT |
| Type | CodeableConcept |
| Requirements | ISO IPS |
| 4. EHDSAdvanceDirective.narrative | |
| Definition | Textual description of the directive |
| Short | Textual description of the directive |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Requirements | eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS |
| 6. EHDSAdvanceDirective.effectivePeriod | |
| Definition | Time period during which the directive is effective |
| Short | Time period during which the directive is effective |
| Control | 0..1 |
| Type | Period |
| Requirements | eHN HDR Guideline, ISO IPS |
| 8. EHDSAdvanceDirective.authorisingEntity[x] | |
| Definition | Person or organisation that authorizes the directive |
| Short | Person or organisation that authorizes the directive |
| Control | 0..1 |
| Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Requirements | ISO IPS |
| 10. EHDSAdvanceDirective.relatedConditions[x] | |
| Definition | The problem or disorder to which the living will applies. Multiple fields could be provided. |
| Short | The problem or disorder to which the living will applies. Multiple fields could be provided. |
| Control | 0..* |
| Binding | ICD-10, SNOMED CT, Orphacode |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Requirements | ISO IPS |
| 12. EHDSAdvanceDirective.advanceDirectiveDocument | |
| Definition | Scanned source document with the living will and the patient's signature, such as a PDF. |
| Short | Scanned source document with the living will and the patient's signature, such as a PDF. |
| Control | 0..1 |
| Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment |
| Requirements | eHN HDR Guideline, ISO IPS |
Guidance on how to interpret the contents of this table can be foundhere
| 0. EHDSAdvanceDirective | |
| Definition | Healthcare directives concerning life or after life wishes of the patient |
| Short | Advance directive model |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. EHDSAdvanceDirective.header | |
| Definition | Common header for all patient-related data |
| Short | Common header for all patient-related data |
| Control | 1..1 |
| Type | Base |
| 4. EHDSAdvanceDirective.header.subject | |
| Definition | Patient/subject information |
| Short | Patient/subject information |
| Control | 1..1 |
| Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient |
| 6. EHDSAdvanceDirective.header.identifier | |
| Definition | Business identifier for the object |
| Short | Business identifier for the object |
| Note | This is a business identifier, not a resource identifier (see discussion) |
| Control | 0..* |
| Type | Identifier |
| 8. EHDSAdvanceDirective.header.authorship | |
| Definition | Resource authoring details |
| Short | Resource authoring details |
| Control | 1..* |
| Type | Base |
| 10. EHDSAdvanceDirective.header.authorship.author[x] | |
| Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided. |
| Short | Author(s) by whom the resource was/were authored. Multiple authors could be provided. |
| Control | 1..1 |
| Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 12. EHDSAdvanceDirective.header.authorship.datetime | |
| Definition | Date and time of authoring/issuing |
| Short | Date and time of authoring/issuing |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. EHDSAdvanceDirective.header.lastUpdate | |
| Definition | Date and time of the last update to the resource (may be used for technical corrections). |
| Short | Date and time of the last update to the resource (may be used for technical corrections). |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. EHDSAdvanceDirective.header.status | |
| Definition | Status of the resource or document |
| Short | Status of the resource or document |
| Control | 1..1 |
| Type | CodeableConcept |
| 18. EHDSAdvanceDirective.header.statusReason[x] | |
| Definition | Reason for the current status of the resource. |
| Short | Reason for the current status of the resource. |
| Control | 0..1 |
| Type | Choice of: CodeableConcept, string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. EHDSAdvanceDirective.header.language | |
| Definition | Language in which the resource is written. Language is expressed by the IETF language tag. |
| Short | Language in which the resource is written. Language is expressed by the IETF language tag. |
| Control | 0..1 |
| Binding | BCP 47 |
| Type | CodeableConcept |
| 22. EHDSAdvanceDirective.category | |
| Definition | Categories of Directives related to decisions prior and after death |
| Short | Categories of Directives related to decisions prior and after death |
| Comments | Examples: Intubation, Tube Feedings, Life Support, Cardiopulmonary resuscitation, Antibiotics, Resuscitation, Artificial respiration, Administration of medication, Transfusion, Transfer of care to hospital, Dialysis procedure, Negative declaration, Organ donation, Body donation, Intravenous infusion |
| Control | 0..* |
| Binding | SNOMED CT |
| Type | CodeableConcept |
| Requirements | ISO IPS |
| 24. EHDSAdvanceDirective.narrative | |
| Definition | Textual description of the directive |
| Short | Textual description of the directive |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Requirements | eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS |
| 26. EHDSAdvanceDirective.effectivePeriod | |
| Definition | Time period during which the directive is effective |
| Short | Time period during which the directive is effective |
| Control | 0..1 |
| Type | Period |
| Requirements | eHN HDR Guideline, ISO IPS |
| 28. EHDSAdvanceDirective.authorisingEntity[x] | |
| Definition | Person or organisation that authorizes the directive |
| Short | Person or organisation that authorizes the directive |
| Control | 0..1 |
| Type | Choice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Requirements | ISO IPS |
| 30. EHDSAdvanceDirective.relatedConditions[x] | |
| Definition | The problem or disorder to which the living will applies. Multiple fields could be provided. |
| Short | The problem or disorder to which the living will applies. Multiple fields could be provided. |
| Control | 0..* |
| Binding | ICD-10, SNOMED CT, Orphacode |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Requirements | ISO IPS |
| 32. EHDSAdvanceDirective.advanceDirectiveDocument | |
| Definition | Scanned source document with the living will and the patient's signature, such as a PDF. |
| Short | Scanned source document with the living will and the patient's signature, such as a PDF. |
| Control | 0..1 |
| Type | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment |
| Requirements | eHN HDR Guideline, ISO IPS |
IG © 2022+ Xt-EHR. Package xtehr.eu.ehds.models#0.2.1 based on FHIR 5.0.0. Generated 2025-10-13
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The Xt-EHR action is co-funded by the European Union, EU4Health Program 2021-2027, under Grant Agreement Nr.ยบ 101128085.
