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

Logical Model: EHDSCondition - Detailed Descriptions

Draft as of 2026-02-04

Definitions for the EHDSCondition logical model.

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

0. EHDSCondition
Definition

EHDS refined base model for a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.


Base definition for all types defined in FHIR type system.

ShortCondition 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. EHDSCondition.header
Definition

Basic metadata for this information

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

Patient/subject information

ShortPatient/subject information
Control1..1
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
6. EHDSCondition.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. EHDSCondition.header.author[x]
Definition

The author of the condition information.

ShortThe author of the condition information.
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]
10. EHDSCondition.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
12. EHDSCondition.header.status
Definition

Status of the condition/problem (e.g. active, resolved, inactive, etc)

ShortStatus of the condition/problem (e.g. active, resolved, inactive, etc)
Control1..1
Binding

HL7 Condition Clinical Status Codes

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.7; PS (v3.4) A.2.2.2.1

14. EHDSCondition.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
16. EHDSCondition.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. EHDSCondition.problem
Definition

Code identifying the condition, problem or diagnosis

ShortCode identifying the condition, problem or diagnosis
Control1..1
Binding

ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.2; PS (v3.4) A.2.2.2.1, A.2.3.1.1

20. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortOnset date of a problem/condition
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.3; PS (v3.4) A.2.2.2.2, A.2.3.1.2

22. EHDSCondition.endDate
Definition

The date or estimated date that the condition resolved or went into remission

ShortThe date or estimated date that the condition resolved or went into remission
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.4; PS (v3.4) A.2.2.2.3

24. EHDSCondition.category
Definition

Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).

ShortCategory or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).
Control0..*
TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.5

26. EHDSCondition.resolutionCircumstances
Definition

This field includes free text if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).

ShortDescribes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.8; PS (v3.4) A.2.2.2.4

28. EHDSCondition.severity
Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

ShortA subjective assessment of the severity of the condition as evaluated by the clinician.
Control0..1
Binding

HL7 Condition/Diagnosis Severity; SNOMED CT

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.9

30. EHDSCondition.bodySite
Definition

The anatomical location including laterality where this condition manifests itself.

ShortThe anatomical location including laterality where this condition manifests itself.
Control0..*
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.2

32. EHDSCondition.stage
Definition

Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.

ShortStage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Control0..*
Binding

e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.10

34. EHDSCondition.diagnosisAssertionStatus
Definition

Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.

ShortAssertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Control0..1
Binding

HL7 Condition Verification Status

TypeCodeableConcept
Requirements

eHN Guideline PS (v3.4) A.2.3.1.3

36. EHDSCondition.specialistContact
Definition

Health Professional who may be specifically related to the problem, as a preferred contact.

ShortHealth Professional who may be specifically related to the problem, as a preferred contact.
Control0..*
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
Requirements

ISO IPS, MyHealth@EU

38. EHDSCondition.externalResource
Definition

External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.

ShortExternal Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

MyHealth@EU

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

0. EHDSCondition
Definition

EHDS refined base model for a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

ShortCondition model
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.header
4. EHDSCondition.header.author[x]
Definition

The author of the condition information.

ShortThe author of the condition information.
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
6. EHDSCondition.header.status
Definition

Status of the condition/problem (e.g. active, resolved, inactive, etc)

ShortStatus of the condition/problem (e.g. active, resolved, inactive, etc)
Binding

HL7 Condition Clinical Status Codes

Requirements

eHN Guideline HDR (v1.1): A.2.6.1.7; PS (v3.4) A.2.2.2.1

8. EHDSCondition.problem
Definition

Code identifying the condition, problem or diagnosis

ShortCode identifying the condition, problem or diagnosis
Control1..1
Binding

ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.2; PS (v3.4) A.2.2.2.1, A.2.3.1.1

10. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortOnset date of a problem/condition
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.3; PS (v3.4) A.2.2.2.2, A.2.3.1.2

12. EHDSCondition.endDate
Definition

The date or estimated date that the condition resolved or went into remission

ShortThe date or estimated date that the condition resolved or went into remission
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.4; PS (v3.4) A.2.2.2.3

14. EHDSCondition.category
Definition

Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).

ShortCategory or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).
Control0..*
TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.5

16. EHDSCondition.resolutionCircumstances
Definition

This field includes free text if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).

ShortDescribes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.8; PS (v3.4) A.2.2.2.4

18. EHDSCondition.severity
Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

ShortA subjective assessment of the severity of the condition as evaluated by the clinician.
Control0..1
Binding

HL7 Condition/Diagnosis Severity; SNOMED CT

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.9

20. EHDSCondition.bodySite
Definition

The anatomical location including laterality where this condition manifests itself.

ShortThe anatomical location including laterality where this condition manifests itself.
Control0..*
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.2

22. EHDSCondition.stage
Definition

Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.

ShortStage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Control0..*
Binding

e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.10

24. EHDSCondition.diagnosisAssertionStatus
Definition

Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.

ShortAssertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Control0..1
Binding

HL7 Condition Verification Status

TypeCodeableConcept
Requirements

eHN Guideline PS (v3.4) A.2.3.1.3

26. EHDSCondition.specialistContact
Definition

Health Professional who may be specifically related to the problem, as a preferred contact.

ShortHealth Professional who may be specifically related to the problem, as a preferred contact.
Control0..*
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
Requirements

ISO IPS, MyHealth@EU

28. EHDSCondition.externalResource
Definition

External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.

ShortExternal Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

MyHealth@EU

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

0. EHDSCondition
Definition

EHDS refined base model for a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

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

Basic metadata for this information

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

Patient/subject information

ShortPatient/subject information
Control1..1
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
6. EHDSCondition.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. EHDSCondition.header.author[x]
Definition

The author of the condition information.

ShortThe author of the condition information.
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]
10. EHDSCondition.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
12. EHDSCondition.header.status
Definition

Status of the condition/problem (e.g. active, resolved, inactive, etc)

ShortStatus of the condition/problem (e.g. active, resolved, inactive, etc)
Control1..1
Binding

HL7 Condition Clinical Status Codes

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.7; PS (v3.4) A.2.2.2.1

14. EHDSCondition.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
16. EHDSCondition.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. EHDSCondition.problem
Definition

Code identifying the condition, problem or diagnosis

ShortCode identifying the condition, problem or diagnosis
Control1..1
Binding

ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.2; PS (v3.4) A.2.2.2.1, A.2.3.1.1

20. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortOnset date of a problem/condition
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.3; PS (v3.4) A.2.2.2.2, A.2.3.1.2

22. EHDSCondition.endDate
Definition

The date or estimated date that the condition resolved or went into remission

ShortThe date or estimated date that the condition resolved or went into remission
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.4; PS (v3.4) A.2.2.2.3

24. EHDSCondition.category
Definition

Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).

ShortCategory or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).
Control0..*
TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.5

26. EHDSCondition.resolutionCircumstances
Definition

This field includes free text if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).

ShortDescribes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
Control0..*
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.8; PS (v3.4) A.2.2.2.4

28. EHDSCondition.severity
Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

ShortA subjective assessment of the severity of the condition as evaluated by the clinician.
Control0..1
Binding

HL7 Condition/Diagnosis Severity; SNOMED CT

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.9

30. EHDSCondition.bodySite
Definition

The anatomical location including laterality where this condition manifests itself.

ShortThe anatomical location including laterality where this condition manifests itself.
Control0..*
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.2

32. EHDSCondition.stage
Definition

Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.

ShortStage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Control0..*
Binding

e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …

TypeCodeableConcept
Requirements

eHN Guideline HDR (v1.1): A.2.6.1.10

34. EHDSCondition.diagnosisAssertionStatus
Definition

Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.

ShortAssertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Control0..1
Binding

HL7 Condition Verification Status

TypeCodeableConcept
Requirements

eHN Guideline PS (v3.4) A.2.3.1.3

36. EHDSCondition.specialistContact
Definition

Health Professional who may be specifically related to the problem, as a preferred contact.

ShortHealth Professional who may be specifically related to the problem, as a preferred contact.
Control0..*
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
Requirements

ISO IPS, MyHealth@EU

38. EHDSCondition.externalResource
Definition

External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.

ShortExternal Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

MyHealth@EU