EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.2.0 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

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Logical Model: Document model

EHDS refined base model for common document data elements, including the common header. Data relevant to document type and its content for administrative and searching purposes.

Usages:

• Derived from this Logical Model: Discharge Report model, Imaging report model, Laboratory report model and Patient summary model

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSDocument		0..*	EHDSDataSet	Elements defined in Ancestors:header Document model Instances of this logical model can be the target of a Reference
header		1..1	Base	Document header elements
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Resource authoring details
author[x]		1..1		Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the resource or document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSDocument.header.language	preferred
EHDSDocument.header.documentType	preferred
EHDSDocument.header.eventType	preferred
EHDSDocument.header.serviceSpecialty	preferred
EHDSDocument.header.confidentiality	preferred

This structure is derived from EHDSDataSet

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSDocument		0..*	EHDSDataSet	Elements defined in Ancestors:header Document model Instances of this logical model can be the target of a Reference
header		1..1	Base	Document header elements
identifier		1..*	Identifier	Unique identifier of the document
documentType		1..1	CodeableConcept	Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EHDSDocument.header.documentType	preferred
EHDSDocument.header.eventType	preferred
EHDSDocument.header.serviceSpecialty	preferred
EHDSDocument.header.confidentiality	preferred

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSDocument		0..*	EHDSDataSet	Elements defined in Ancestors:header Document model Instances of this logical model can be the target of a Reference
header		1..1	Base	Document header elements
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Resource authoring details
author[x]		1..1		Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the resource or document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSDocument.header.language	preferred
EHDSDocument.header.documentType	preferred
EHDSDocument.header.eventType	preferred
EHDSDocument.header.serviceSpecialty	preferred
EHDSDocument.header.confidentiality	preferred

This structure is derived from EHDSDataSet

Summary

Mandatory: 1 element(6 nested mandatory elements)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSDocument		0..*	EHDSDataSet	Elements defined in Ancestors:header Document model Instances of this logical model can be the target of a Reference
header		1..1	Base	Document header elements
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Resource authoring details
author[x]		1..1		Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the resource or document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSDocument.header.language	preferred
EHDSDocument.header.documentType	preferred
EHDSDocument.header.eventType	preferred
EHDSDocument.header.serviceSpecialty	preferred
EHDSDocument.header.confidentiality	preferred

Differential View

This structure is derived from EHDSDataSet

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSDocument		0..*	EHDSDataSet	Elements defined in Ancestors:header Document model Instances of this logical model can be the target of a Reference
header		1..1	Base	Document header elements
identifier		1..*	Identifier	Unique identifier of the document
documentType		1..1	CodeableConcept	Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EHDSDocument.header.documentType	preferred
EHDSDocument.header.eventType	preferred
EHDSDocument.header.serviceSpecialty	preferred
EHDSDocument.header.confidentiality	preferred

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EHDSDocument		0..*	EHDSDataSet	Elements defined in Ancestors:header Document model Instances of this logical model can be the target of a Reference
header		1..1	Base	Document header elements
subject		1..1	EHDSPatient	Patient/subject information
identifier		1..*	Identifier	Unique identifier of the document
authorship		1..*	Base	Resource authoring details
author[x]		1..1		Author(s) by whom the resource was/were authored. Multiple authors could be provided.
authorEHDSHealthProfessional			EHDSHealthProfessional
authorEHDSOrganisation			EHDSOrganisation
authorEHDSDevice			EHDSDevice
datetime		1..1	dateTime	Date and time of authoring/issuing
lastUpdate		0..1	dateTime	Date and time of the last update to the resource (may be used for technical corrections).
status		1..1	CodeableConcept	Status of the resource or document
statusReason[x]		0..1		Reason for the current status of the resource.
statusReasonCodeableConcept			CodeableConcept
statusReasonString			string
language		0..1	CodeableConcept	Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType		1..1	CodeableConcept	Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle		1..1	string	Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period		0..1	Period	Time of service that is being documented
version		0..1	string	Business version of the document.
attestation		0..*	Base	Document attestation details
attester		1..1	EHDSHealthProfessional	Attester who validated the document. Mulitple attesters could be provided.
datetime		1..1	dateTime	Date and time of the approval of the document by Attester.
legalAuthentication		0..1	Base	Document legal authentication details
legalAuthenticator		1..1	EHDSHealthProfessional	The person taking responsibility for the medical content of the document
datetime		1..1	dateTime	Date and time when the document was authorised.
eventType		0..*	CodeableConcept	Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty		0..*	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian		0..1	EHDSOrganisation	Organisation that is in charge of maintaining the document/report.
confidentiality		0..1	CodeableConcept	Level of confidentiality of the document. Implicit value is normal. Binding Description: (preferred): hl7:Confidentiality
presentedForm		0..*	EHDSAttachment	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EHDSDocument.header.language	preferred
EHDSDocument.header.documentType	preferred
EHDSDocument.header.eventType	preferred
EHDSDocument.header.serviceSpecialty	preferred
EHDSDocument.header.confidentiality	preferred

This structure is derived from EHDSDataSet

Summary

Mandatory: 1 element(6 nested mandatory elements)

Other representations of profile: CSV, Excel