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 - XML Profile

Draft as of 2026-03-05

XML representation of the EHDSAdvanceDirectiveObligations logical model.

Raw xml | Download


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="EHDSAdvanceDirectiveObligations"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition EHDSAdvanceDirectiveObligations</b></p><a name="EHDSAdvanceDirectiveObligations"> </a><a name="hcEHDSAdvanceDirectiveObligations"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective">EHDSAdvanceDirective</a><a name="EHDSAdvanceDirective"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-EHDSAdvanceDirective.html">EHDSAdvanceDirective</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Advance directive model</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.header">header</a><a name="EHDSAdvanceDirective.header"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.header.subject">subject</a><a name="EHDSAdvanceDirective.header.subject"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="StructureDefinition-EHDSPatient.html">EHDSPatient</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Patient/subject information</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.header.author[x]">author[x]</a><a name="EHDSAdvanceDirective.header.author_x_"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="StructureDefinition-EHDSHealthProfessional.html">EHDSHealthProfessional</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="StructureDefinition-EHDSOrganisation.html">EHDSOrganisation</a><span style="opacity: 0.5">, </span><a style="opacity: 0.5; opacity: 0.5" href="StructureDefinition-EHDSDevice.html">EHDSDevice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Author of the advance directive.</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.header.date">date</a><a name="EHDSAdvanceDirective.header.date"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Date and optionally time of authoring/issuing</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.header.status">status</a><a name="EHDSAdvanceDirective.header.status"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Status of the resource or document</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.header.source">source</a><a name="EHDSAdvanceDirective.header.source"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">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.</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.category">category</a><a name="EHDSAdvanceDirective.category"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Categories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.note">note</a><a name="EHDSAdvanceDirective.note"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Textual description of the directive</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSAdvanceDirectiveObligations-definitions.html#EHDSAdvanceDirective.attachment">attachment</a><a name="EHDSAdvanceDirective.attachment"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="StructureDefinition-EHDSAttachment.html">EHDSAttachment</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Source document, such as a PDF, with the living will and the patient's signature.</span><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHOULD</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/CodeSystem-obligation.html#obligation-able-to-populate" title="Obligation Codes: be able to populate">able-to-populate</a></td><td style="font-size: 11px; opacity: 0.5;"><a href="ActorDefinition-actor-producer.html">Producer</a></td></tr></table></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations"/>
  <version value="0.4.0"/>
  <name value="EHDSAdvanceDirectiveObligations"/>
  <title value="Advance directive obligations"/>
  <status value="draft"/>
  <date value="2026-03-05T08:51:34+00:00"/>
  <publisher value="Xt-EHR"/>
  <contact>
    <name value="Xt-EHR"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.xt-ehr.eu/"/>
    </telecom>
  </contact>
  <description
               value="Obligations for the logical model for advance directive."/>
  <fhirVersion value="5.0.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirective"/>
  <baseDefinition
                  value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirective"/>
  <derivation value="constraint"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="0.4.0"/>
    </extension>
    <element id="EHDSAdvanceDirective">
      <path value="EHDSAdvanceDirective"/>
      <short value="Advance directive model"/>
      <definition
                  value="Healthcare directives concerning life or after life wishes of the patient"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="EHDSAdvanceDirective.header">
      <path value="EHDSAdvanceDirective.header"/>
      <short value="Basic metadata for this information"/>
      <definition value="Basic metadata for this information"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Base"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.header.subject">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.subject"/>
      <short value="Patient/subject information"/>
      <definition value="Patient/subject information"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.subject"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.header.identifier">
      <path value="EHDSAdvanceDirective.header.identifier"/>
      <short
             value="Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries)."/>
      <definition
                  value="Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries)."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EHDSDataSet.header.identifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.header.author[x]">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.author[x]"/>
      <short value="Author of the advance directive."/>
      <definition value="Author of the advance directive."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EHDSDataSet.header.author[x]"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"/>
      </type>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"/>
      </type>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.header.date">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.date"/>
      <short value="Date and optionally time of authoring/issuing"/>
      <definition value="Date and optionally time of authoring/issuing"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.date"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.header.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.status"/>
      <short value="Status of the resource or document"/>
      <definition value="Status of the resource or document"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.status"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.header.source">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.source"/>
      <short
             value="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."/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.source"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.header.language">
      <path value="EHDSAdvanceDirective.header.language"/>
      <short
             value="Language in which the resource is written. Language is expressed by the IETF language tag."/>
      <definition
                  value="Language in which the resource is written. Language is expressed by the IETF language tag."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSDataSet.header.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="BCP 47"/>
      </binding>
    </element>
    <element id="EHDSAdvanceDirective.category">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.category"/>
      <short
             value="Categories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation."/>
      <definition
                  value="Categories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation."/>
      <requirements value="ISO IPS"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="EHDSAdvanceDirective.category"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="preferred"/>
        <description value="SNOMED CT"/>
      </binding>
    </element>
    <element id="EHDSAdvanceDirective.note">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.note"/>
      <short value="Textual description of the directive"/>
      <definition value="Textual description of the directive"/>
      <requirements value="eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAdvanceDirective.note"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="EHDSAdvanceDirective.attachment">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueCanonical
                          value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirectiveObligations|0.4.0"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.attachment"/>
      <short
             value="Source document, such as a PDF, with the living will and the patient's signature."/>
      <definition
                  value="Source document, such as a PDF, with the living will and the patient's signature."/>
      <requirements value="eHN HDR Guideline, ISO IPS"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="EHDSAdvanceDirective.attachment"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="EHDSAdvanceDirective">
      <path value="EHDSAdvanceDirective"/>
    </element>
    <element id="EHDSAdvanceDirective.header.subject">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.subject"/>
    </element>
    <element id="EHDSAdvanceDirective.header.author[x]">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.author[x]"/>
    </element>
    <element id="EHDSAdvanceDirective.header.date">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.date"/>
    </element>
    <element id="EHDSAdvanceDirective.header.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.status"/>
    </element>
    <element id="EHDSAdvanceDirective.header.source">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.header.source"/>
    </element>
    <element id="EHDSAdvanceDirective.category">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.category"/>
    </element>
    <element id="EHDSAdvanceDirective.note">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.note"/>
    </element>
    <element id="EHDSAdvanceDirective.attachment">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHOULD:able-to-populate"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="https://www.xt-ehr.eu/specifications/fhir/actor-producer"/>
        </extension>
      </extension>
      <path value="EHDSAdvanceDirective.attachment"/>
    </element>
  </differential>
</StructureDefinition>