EHDS Logical Information Models
0.4.0 - draft

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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

Logical Model: EHDSAdvanceDirectiveObligations - Detailed Descriptions

Draft as of 2026-03-05

Definitions for the EHDSAdvanceDirectiveObligations 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.

ShortAdvance directive modelBase for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSAdvanceDirective.header
Definition

Basic metadata for this information

ShortBasic metadata for this information
Control1..1
TypeBase
4. EHDSAdvanceDirective.header.subject
Definition

Patient/subject information

ShortPatient/subject information
Control1..1
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
Obligations
    ObligationsActor
    SHALL:able-to-populateProducer
    6. EHDSAdvanceDirective.header.identifier
    Definition

    Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).

    ShortBusiness identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..*
    TypeIdentifier
    8. EHDSAdvanceDirective.header.author[x]
    Definition

    Author of the advance directive.

    ShortAuthor of the advance directive.
    Control0..*
    TypeChoice 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] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Obligations
      ObligationsActor
      SHALL:able-to-populateProducer
      10. EHDSAdvanceDirective.header.date
      Definition

      Date and optionally time of authoring/issuing

      ShortDate and optionally time of authoring/issuing
      Control0..1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Obligations
        ObligationsActor
        SHALL:able-to-populateProducer
        12. EHDSAdvanceDirective.header.status
        Definition

        Status of the resource or document

        ShortStatus of the resource or document
        Control1..1
        TypeCodeableConcept
        Obligations
          ObligationsActor
          SHALL:able-to-populateProducer
          14. EHDSAdvanceDirective.header.source
          Definition

          Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.

          ShortSource of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
          Control0..1
          TypeCodeableConcept
          Obligations
            ObligationsActor
            SHOULD:able-to-populateProducer
            16. EHDSAdvanceDirective.header.language
            Definition

            Language in which the resource is written. Language is expressed by the IETF language tag.

            ShortLanguage in which the resource is written. Language is expressed by the IETF language tag.
            Control0..1
            Binding

            BCP 47

            TypeCodeableConcept
            18. EHDSAdvanceDirective.category
            Definition

            Categories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.

            ShortCategories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.
            Control0..*
            Binding

            SNOMED CT

            TypeCodeableConcept
            Obligations
              ObligationsActor
              SHALL:able-to-populateProducer
              Requirements

              ISO IPS

              20. EHDSAdvanceDirective.note
              Definition

              Textual description of the directive

              ShortTextual description of the directive
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Obligations
                ObligationsActor
                SHOULD:able-to-populateProducer
                Requirements

                eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS

                22. EHDSAdvanceDirective.attachment
                Definition

                Source document, such as a PDF, with the living will and the patient's signature.

                ShortSource document, such as a PDF, with the living will and the patient's signature.
                Control0..1
                Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
                Obligations
                  ObligationsActor
                  SHOULD:able-to-populateProducer
                  Requirements

                  eHN HDR Guideline, ISO IPS

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

                  0. EHDSAdvanceDirective
                  Logical ModelInstances of this logical model are not marked to be the target of a Reference
                  2. EHDSAdvanceDirective.header
                  4. EHDSAdvanceDirective.header.subject
                  Obligations
                    ObligationsActor
                    SHALL:able-to-populateProducer
                    6. EHDSAdvanceDirective.header.author[x]
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Obligations
                      ObligationsActor
                      SHALL:able-to-populateProducer
                      8. EHDSAdvanceDirective.header.date
                      Obligations
                        ObligationsActor
                        SHALL:able-to-populateProducer
                        10. EHDSAdvanceDirective.header.status
                        Obligations
                          ObligationsActor
                          SHALL:able-to-populateProducer
                          12. EHDSAdvanceDirective.header.source
                          Obligations
                            ObligationsActor
                            SHOULD:able-to-populateProducer
                            14. EHDSAdvanceDirective.category
                            Obligations
                              ObligationsActor
                              SHALL:able-to-populateProducer
                              16. EHDSAdvanceDirective.note
                              Obligations
                                ObligationsActor
                                SHOULD:able-to-populateProducer
                                18. EHDSAdvanceDirective.attachment
                                Obligations
                                  ObligationsActor
                                  SHOULD:able-to-populateProducer

                                  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

                                  ShortAdvance directive model
                                  Control0..*
                                  Is Modifierfalse
                                  Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                  2. EHDSAdvanceDirective.header
                                  Definition

                                  Basic metadata for this information

                                  ShortBasic metadata for this information
                                  Control1..1
                                  TypeBase
                                  4. EHDSAdvanceDirective.header.subject
                                  Definition

                                  Patient/subject information

                                  ShortPatient/subject information
                                  Control1..1
                                  Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
                                  Obligations
                                    ObligationsActor
                                    SHALL:able-to-populateProducer
                                    6. EHDSAdvanceDirective.header.identifier
                                    Definition

                                    Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).

                                    ShortBusiness identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control0..*
                                    TypeIdentifier
                                    8. EHDSAdvanceDirective.header.author[x]
                                    Definition

                                    Author of the advance directive.

                                    ShortAuthor of the advance directive.
                                    Control0..*
                                    TypeChoice 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] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Obligations
                                      ObligationsActor
                                      SHALL:able-to-populateProducer
                                      10. EHDSAdvanceDirective.header.date
                                      Definition

                                      Date and optionally time of authoring/issuing

                                      ShortDate and optionally time of authoring/issuing
                                      Control0..1
                                      TypedateTime
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Obligations
                                        ObligationsActor
                                        SHALL:able-to-populateProducer
                                        12. EHDSAdvanceDirective.header.status
                                        Definition

                                        Status of the resource or document

                                        ShortStatus of the resource or document
                                        Control1..1
                                        TypeCodeableConcept
                                        Obligations
                                          ObligationsActor
                                          SHALL:able-to-populateProducer
                                          14. EHDSAdvanceDirective.header.source
                                          Definition

                                          Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.

                                          ShortSource of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
                                          Control0..1
                                          TypeCodeableConcept
                                          Obligations
                                            ObligationsActor
                                            SHOULD:able-to-populateProducer
                                            16. EHDSAdvanceDirective.header.language
                                            Definition

                                            Language in which the resource is written. Language is expressed by the IETF language tag.

                                            ShortLanguage in which the resource is written. Language is expressed by the IETF language tag.
                                            Control0..1
                                            Binding

                                            BCP 47

                                            TypeCodeableConcept
                                            18. EHDSAdvanceDirective.category
                                            Definition

                                            Categories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.

                                            ShortCategories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.
                                            Control0..*
                                            Binding

                                            SNOMED CT

                                            TypeCodeableConcept
                                            Obligations
                                              ObligationsActor
                                              SHALL:able-to-populateProducer
                                              Requirements

                                              ISO IPS

                                              20. EHDSAdvanceDirective.note
                                              Definition

                                              Textual description of the directive

                                              ShortTextual description of the directive
                                              Control0..1
                                              Typestring
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Obligations
                                                ObligationsActor
                                                SHOULD:able-to-populateProducer
                                                Requirements

                                                eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS

                                                22. EHDSAdvanceDirective.attachment
                                                Definition

                                                Source document, such as a PDF, with the living will and the patient's signature.

                                                ShortSource document, such as a PDF, with the living will and the patient's signature.
                                                Control0..1
                                                Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
                                                Obligations
                                                  ObligationsActor
                                                  SHOULD:able-to-populateProducer
                                                  Requirements

                                                  eHN HDR Guideline, ISO IPS