EHDS Logical Information Models
0.1.0 - ci-build

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 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: Patient summary body model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatientSummaryBody Version: 0.1.0
Draft as of 2025-03-31 Computable Name: EHDSPatientSummaryBody

B.1 - EHDS refined base model for Patient Summary body data elements

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. EHDSPatientSummaryBody 0..* Base Patient summary body model
Instances of this logical model can be the target of a Reference
... alerts 1..1 Base B.1.1 - Alerts
.... sectionNarative 0..1 string B.1.1.1 - Section narative
.... allergy 1..* EHDSAllergyIntolerance B.1.1.2 - Allergy
.... medicalAlert 0..* EHDSAlertFlag B.1.1.3 - Medical alert
... medicalHistory 1..1 Base B.1.2 - Medical history
.... sectionNarative 0..1 string B.1.2.1 - Section narative
.... vaccinationSection 0..1 Base B.1.2.2 - Vaccination section
..... subsectionNarative 0..1 string B.1.2.2.1 - Subsection narative
..... vaccination 0..* EHDSImmunization B.1.2.2.2 - Vaccination
.... pastProblemsSection 0..1 Base B.1.2.3 - Past problems section
..... subsectionNarative 0..1 string B.1.2.3.1 - Subsection narative
..... pastProblems 0..* EHDSCondition B.1.2.3.2 - Past problems
.... medicalHistorySection 0..1 Base B.1.2.4 - Medical history section
..... medicalHistory 0..* string B.1.2.4.1 - Medical history
... medicalProblems 1..1 Base B.1.3 - Medical problems
.... sectionNarative 0..1 string B.1.3.1 - Section narative
.... currentProblemsSection 0..1 Base B.1.3.2 - Current problems section
..... subsectionNarative 0..1 string B.1.3.2.1 - Subsection narative
..... currentProblems 1..* EHDSCondition B.1.3.2.2 - Current problems
.... medicalDevicesAndImplantsSection 0..1 Base B.1.3.3 - Medical devices and implants section
..... subsectionNarative 0..1 string B.1.3.3.1 - Subsection narative
..... medicalDevicesAndImplants 1..* EHDSDeviceUse B.1.3.3.2 - Medical devices and implants
.... proceduresSection 0..1 Base B.1.3.4 - Procedures section
..... subsectionNarative 0..1 string B.1.3.4.1 - Subsection narative
..... procedures 1..* EHDSProcedure B.1.3.4.2 - Procedures
.... functionalStatusSection 0..1 Base B.1.3.5 - Functional status section
..... subsectionNarative 0..1 string B.1.3.5.1 - Subsection narative
..... functionalStatusAssessment 0..* EHDSFunctionalStatus B.1.3.5.2 - Functional status assessment
.... sectionNarative 0..1 string B.1.4.1 - Section narative
.... currentAndRelevantPastMedicines 1..* EHDSMedicationAdministration B.1.4.2 - Current and relevant past medicines
... socialHistory 0..1 Base B.1.5 - Social history
.... socialHistoryDescription 1..1 string B.1.5.1 - Social history description
.... socialHistoryObservationsRelatedToHealth 0..* EHDSObservation B.1.5.2 - Social history observations related to health
..... observationDate[x] 1..1 C.10.1 - Observation date
...... observationDateDateTime dateTime
...... observationDatePeriod Period
..... observationCode 1..1 CodeableConcept C.10.2 - Observation code
Binding Description (No ValueSet): (preferred): LOINC, NPU, SNOMED CT

..... observationName 1..1 string C.10.3 - Observation name
..... observationOriginalName 0..1 string C.10.4 - Observation original name
..... observationMethod 0..1 CodeableConcept C.10.5 - Observation method
Binding Description (No ValueSet): (preferred): SNOMED CT

..... observationDevice 0..1 EHDSDevice C.10.6 - Observation device
Binding Description (No ValueSet): (preferred): SNOMED CT, EMDN

..... order 0..1 Reference(Service request model) C.10.7 - Order
..... performer 0..1 EHDSHealthProfessional C.10.8 - Performer
..... reporter 0..1 EHDSHealthProfessional C.10.9 - Reporter
..... observationResult 1..1 Base C.10.10 - Observation result
Binding Description (No ValueSet): (preferred): SNOMED CT (for ordinal or nominal scale results and result interpretation), UCUM (for units)

...... textualResult 0..1 string C.10.10.1 - Textual Result
...... numericResult 0..1 Base C.10.10.2 - Numeric Result
....... numericValue[x] 0..1 C.10.10.2.1 - Numeric value
........ numericValueQuantity Quantity
........ numericValueRange Range
....... units 0..1 CodeableConcept C.10.10.2.2 - Units
Binding Description (No ValueSet): (preferred): UCUM

....... uncertainty 0..1 Base C.10.10.2.3 - Uncertainty
...... codedResult 0..1 CodeableConcept C.10.10.3 - Coded Result
Binding Description (No ValueSet): (preferred): SNOMED CT

..... dataAbsentReason 0..1 CodeableConcept C.10.11 - dataAbsentReason
Binding Description (No ValueSet): (preferred): HL7 Data absent reason

..... referenceRange 0..* Base C.10.12 - Reference range
..... observationInterpretation 0..* CodeableConcept C.10.13 - Observation interpretation
Binding Description (No ValueSet): (preferred): SNOMED CT, HL7 ObservationInterpretation


..... triggeredBy[x] 0..* C.10.14 - Triggered by
...... triggeredByEHDSLaboratoryObservation EHDSLaboratoryObservation
...... triggeredByEHDSObservation EHDSObservation
..... hasMember[x] 0..* C.10.15 - Has member
...... hasMemberEHDSLaboratoryObservation EHDSLaboratoryObservation
...... hasMemberEHDSObservation EHDSObservation
..... resultDescription 0..1 string C.10.16 - Result description
..... anatomicLocation 0..1 CodeableConcept C.10.17 - Anatomic location
Binding Description (No ValueSet): (preferred): SNOMED CT

..... subject 1..1 Reference(Patient model | Location model | Device model | Organization model | Health professional model | Procedure model) C.10.18 - Subject
..... component 0..* Base C.10.19 - Component
...... code 1..1 CodeableConcept C.10.19.1 - Code
Binding Description (No ValueSet): (preferred): LOINC, NPU, SNOMED CT

...... textualResult 0..1 string C.10.19.2 - Textual Result
...... numericResult 0..1 Base C.10.19.3 - Numeric Result
....... numericValue[x] 0..1 C.10.19.3.1 - Numeric value
........ numericValueQuantity Quantity
........ numericValueRange Range
....... units 0..1 CodeableConcept C.10.19.3.2 - Units
Binding Description (No ValueSet): (preferred): UCUM

....... uncertainty 0..1 Base C.10.19.3.3 - Uncertainty
...... codedResult 0..1 CodeableConcept C.10.19.4 - Coded Result
Binding Description (No ValueSet): (preferred): SNOMED CT

...... dataAbsentReason 0..1 CodeableConcept C.10.19.5 - dataAbsentReason
Binding Description (No ValueSet): (preferred): HL7 Data absent reason

...... referenceRange 0..* Base C.10.19.6 - Reference range
...... observationInterpretation 0..* CodeableConcept C.10.19.7 - Observation interpretation
Binding Description (No ValueSet): (preferred): SNOMED CT, HL7 ObservationInterpretation


..... status 1..1 CodeableConcept C.10.19.8 - Status
Binding Description (No ValueSet): (preferred): HL7 Observation status

..... referenceDateRange 0..* Period B.1.5.2.1 - Reference date range
... pregnancyHistory 0..1 Base B.1.6 - Pregnancy history
.... sectionNarative 0..1 string B.1.6.1 - Section narative
.... currentPregnancyStatus 0..1 Base B.1.6.2 - Current pregnancy status
..... dateOfObservation 0..* dateTime B.1.6.2.1 - Date of observation
..... status 0..* EHDSObservation B.1.6.2.2 - Status
..... expectedDateOfDelivery 0..1 dateTime B.1.6.2.3 - Expected date of delivery
.... historyOfPreviousPregnancies 0..1 Base B.1.6.3 - History of previous pregnancies
..... previousPregnanciesStatus 0..1 EHDSObservation B.1.6.2.1 - Previous pregnancies status
..... previousPregnanciesDescription 0..* Base B.1.6.2.2 - Previous pregnancies description
...... outcomeDate 0..1 dateTime B.1.6.2.2.1 - Outcome date
...... outcome 0..1 EHDSObservation B.1.6.2.2.2 - Outcome
...... numberOfChildren 0..1 unsignedInt B.1.6.2.2.3 - Number of children
... patientProvidedData 0..1 Base B.1.7 - Patient provided data
.... sectionNarative 0..1 string B.1.7.1 - Section narative
.... travelHistory 0..* Base B.1.7.2 - Travel history
..... country 0..1 CodeableConcept B.1.7.2.1 - Country
Binding Description (No ValueSet): (preferred): ISO 3166

..... period 0..* Period B.1.7.2.2 - Period
.... advanceDirective 0..1 Base B.1.7.3 - Advance Directive
..... documentation 0..* CodeableConcept B.1.7.3.1 - Documentation
Binding Description (No ValueSet): (preferred): SNOMED CT


... results 0..1 Base B.1.8 - Results
.... sectionNarative 0..1 string B.1.8.1 - Section narative
.... resultObservation[x] 0..* B.1.8.2 - Result observation
..... resultObservationEHDSObservation EHDSObservation
..... resultObservationEHDSLaboratoryObservation EHDSLaboratoryObservation
... planOfCare 0..1 Base B.1.9 - Plan of Care
.... description 0..1 string B.1.9.1 - Description
.... planOfCareEntry 0..* EHDSCarePlan B.1.9.2 - Plan of Care Entry

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.observationCodepreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.observationMethodpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.observationDevicepreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.observationResultpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.observationResult.numericResult.unitspreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.observationResult.codedResultpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.dataAbsentReasonpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.observationInterpretationpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.anatomicLocationpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.component.codepreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.component.numericResult.unitspreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.component.codedResultpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.component.dataAbsentReasonpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.component.observationInterpretationpreferred
EHDSPatientSummaryBody.socialHistory.socialHistoryObservationsRelatedToHealth.statuspreferred
EHDSPatientSummaryBody.patientProvidedData.travelHistory.countrypreferred
EHDSPatientSummaryBody.patientProvidedData.advanceDirective.documentationpreferred

 

Other representations of profile: CSV, Excel