Xt-EHR
0.1.0 - ci-build

Xt-EHR, 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: EHDSPatientSummaryHeader - Detailed Descriptions

Draft as of 2024-11-07

Definitions for the EHDSPatientSummaryHeader logical model.

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

0. EHDSPatientSummaryHeader
Definition

A.1 - EHDS refined base model for Report header data elements

ShortReport header
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSPatientSummaryHeader.subject
Definition

Patient/subject information

ShortA.1.1 - Subject
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
4. EHDSPatientSummaryHeader.relatedPerson
Definition

Patient/subject guardian and related person information

ShortA.1.2 - Related person
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson
6. EHDSPatientSummaryHeader.preferredHealthProfessional
Definition

Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).

ShortA.1.3 - Preferred Health Professional
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
8. EHDSPatientSummaryHeader.authorship
Definition

Information about author or authors of the document

ShortA.1.6 - Authorship
Control1..*
TypeBase
10. EHDSPatientSummaryHeader.authorship.author
Definition

Author by whom the document was/were authored. Multiple authors could be provided.

ShortA.1.6.1 - Author
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
12. EHDSPatientSummaryHeader.authorship.datetime
Definition

Date and time of the last modification of the document by its Author.

ShortA.1.6.2 - DateTime
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSPatientSummaryHeader.documentMetadata
Definition

Data relevent to document type and its content for administrative and searching purposes.

ShortA.1.9 - Document metadata
Control1..1
TypeBase
16. EHDSPatientSummaryHeader.documentMetadata.documentId
Definition

Unique identifier of the document

ShortA.1.9.1 - Document ID
Control1..1
TypeIdentifier
18. EHDSPatientSummaryHeader.documentMetadata.documentType
Definition

Identifies the type of document at hand, e.g. Hospital discharge report.

ShortA.1.9.2 - Document type
Control1..1
Binding

LOINC

TypeCodeableConcept
20. EHDSPatientSummaryHeader.documentMetadata.documentStatus
Definition

The status of the document/report. E.g., preliminary, final.

ShortA.1.9.3 - Document status
Control1..1
Binding

hl7:CompositionStatus

TypeCodeableConcept
22. EHDSPatientSummaryHeader.documentMetadata.period
Definition

Documented period service. Typically used for searching purposes.

ShortA.1.9.4 - Period
Control0..1
TypePeriod
24. EHDSPatientSummaryHeader.documentMetadata.reportDateAndTime
Definition

Date and time of the report creation.

ShortA.1.9.5 - Report date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSPatientSummaryHeader.documentMetadata.documentTitle
Definition

Document title, such as "Hospital discharge report", "Laboratory Result Report" etc..

ShortA.1.9.6 - Document title
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. EHDSPatientSummaryHeader.documentMetadata.reportCustodian
Definition

Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

ShortA.1.9.9 - Report custodian
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization
30. EHDSPatientSummaryHeader.documentMetadata.documentFormat
Definition

An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.

ShortA.1.9.10 - Document format
Control0..1
Binding

HL7 Document Format Codes

TypeCodeableConcept
32. EHDSPatientSummaryHeader.documentMetadata.confidentiality
Definition

Level of confidentiality of the document. Implicit value is normal.

ShortA.1.9.11 - Confidentiality
Control0..1
Binding

hl7:Confidentiality

TypeCodeableConcept
34. EHDSPatientSummaryHeader.documentMetadata.language
Definition

Language in which the document is written. Language is expressed by the ISO language code.

ShortA.1.9.12 - Language
Control0..1
Binding

ISO 639

TypeCodeableConcept
36. EHDSPatientSummaryHeader.documentMetadata.version
Definition

Version of the document

ShortA.1.9.13 - Version
NoteThis is a business version Id, not a resource version Id (see discussion)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. EHDSPatientSummaryHeader.documentMetadata.dateOfLastUpdate
Definition

Date on which document or document part was updated (date of most recent version)

ShortA.1.9.16 - Date of last update
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. EHDSPatientSummaryHeader.documentMetadata.natureOfTheDocument
Definition

Defines the context in which the document was generated. Distinguishes between four methodological approaches for generating the document:1) Created entirely by a HCP2) Manually created by HCP(s) and collected by machine(s)3) Created by machine(s) and checked by HCP(s)4) Created and collected by machine(s)

ShortA.1.9.17 - Nature of the document
Control1..1
TypeBase
42. EHDSPatientSummaryHeader.KnowledgeResources
Definition

To provide links between specified data elements and external knowledge resources

ShortA.1.10 - Additional information / Knowledge resources
Control0..*
TypeBase
44. EHDSPatientSummaryHeader.KnowledgeResources.externalReference
Definition

A reference leading to Clinical Practice Guidelines (CPG), emergency and anesthesia guidelines or other clinical relevant guidelines. This should be used only for providing specific guidance which may not be readily available to the health professional caring for the patient.

ShortA.1.10.1 - External reference
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. EHDSPatientSummaryHeader.KnowledgeResources.relatedWith
Definition

Identify the entry or entries of this document or document part for which this additional information relates with, for example a link between a rare disease problem and guidelines for that particular rare disease (this section).

ShortA.1.10.2 - Related with
Control0..*
TypeReference(Condition (model), Procedure (model), Observation (model))

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

0. EHDSPatientSummaryHeader
Definition

A.1 - EHDS refined base model for Report header data elements


Base definition for all types defined in FHIR type system.

ShortReport headerBase 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. EHDSPatientSummaryHeader.subject
Definition

Patient/subject information

ShortA.1.1 - Subject
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
4. EHDSPatientSummaryHeader.relatedPerson
Definition

Patient/subject guardian and related person information

ShortA.1.2 - Related person
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson
6. EHDSPatientSummaryHeader.preferredHealthProfessional
Definition

Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).

ShortA.1.3 - Preferred Health Professional
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
8. EHDSPatientSummaryHeader.authorship
Definition

Information about author or authors of the document

ShortA.1.6 - Authorship
Control1..*
TypeBase
10. EHDSPatientSummaryHeader.authorship.author
Definition

Author by whom the document was/were authored. Multiple authors could be provided.

ShortA.1.6.1 - Author
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
12. EHDSPatientSummaryHeader.authorship.datetime
Definition

Date and time of the last modification of the document by its Author.

ShortA.1.6.2 - DateTime
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSPatientSummaryHeader.documentMetadata
Definition

Data relevent to document type and its content for administrative and searching purposes.

ShortA.1.9 - Document metadata
Control1..1
TypeBase
16. EHDSPatientSummaryHeader.documentMetadata.documentId
Definition

Unique identifier of the document

ShortA.1.9.1 - Document ID
Control1..1
TypeIdentifier
18. EHDSPatientSummaryHeader.documentMetadata.documentType
Definition

Identifies the type of document at hand, e.g. Hospital discharge report.

ShortA.1.9.2 - Document type
Control1..1
Binding

LOINC

TypeCodeableConcept
20. EHDSPatientSummaryHeader.documentMetadata.documentStatus
Definition

The status of the document/report. E.g., preliminary, final.

ShortA.1.9.3 - Document status
Control1..1
Binding

hl7:CompositionStatus

TypeCodeableConcept
22. EHDSPatientSummaryHeader.documentMetadata.period
Definition

Documented period service. Typically used for searching purposes.

ShortA.1.9.4 - Period
Control0..1
TypePeriod
24. EHDSPatientSummaryHeader.documentMetadata.reportDateAndTime
Definition

Date and time of the report creation.

ShortA.1.9.5 - Report date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSPatientSummaryHeader.documentMetadata.documentTitle
Definition

Document title, such as "Hospital discharge report", "Laboratory Result Report" etc..

ShortA.1.9.6 - Document title
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. EHDSPatientSummaryHeader.documentMetadata.reportCustodian
Definition

Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

ShortA.1.9.9 - Report custodian
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization
30. EHDSPatientSummaryHeader.documentMetadata.documentFormat
Definition

An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.

ShortA.1.9.10 - Document format
Control0..1
Binding

HL7 Document Format Codes

TypeCodeableConcept
32. EHDSPatientSummaryHeader.documentMetadata.confidentiality
Definition

Level of confidentiality of the document. Implicit value is normal.

ShortA.1.9.11 - Confidentiality
Control0..1
Binding

hl7:Confidentiality

TypeCodeableConcept
34. EHDSPatientSummaryHeader.documentMetadata.language
Definition

Language in which the document is written. Language is expressed by the ISO language code.

ShortA.1.9.12 - Language
Control0..1
Binding

ISO 639

TypeCodeableConcept
36. EHDSPatientSummaryHeader.documentMetadata.version
Definition

Version of the document

ShortA.1.9.13 - Version
NoteThis is a business version Id, not a resource version Id (see discussion)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. EHDSPatientSummaryHeader.documentMetadata.dateOfLastUpdate
Definition

Date on which document or document part was updated (date of most recent version)

ShortA.1.9.16 - Date of last update
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. EHDSPatientSummaryHeader.documentMetadata.natureOfTheDocument
Definition

Defines the context in which the document was generated. Distinguishes between four methodological approaches for generating the document:1) Created entirely by a HCP2) Manually created by HCP(s) and collected by machine(s)3) Created by machine(s) and checked by HCP(s)4) Created and collected by machine(s)

ShortA.1.9.17 - Nature of the document
Control1..1
TypeBase
42. EHDSPatientSummaryHeader.KnowledgeResources
Definition

To provide links between specified data elements and external knowledge resources

ShortA.1.10 - Additional information / Knowledge resources
Control0..*
TypeBase
44. EHDSPatientSummaryHeader.KnowledgeResources.externalReference
Definition

A reference leading to Clinical Practice Guidelines (CPG), emergency and anesthesia guidelines or other clinical relevant guidelines. This should be used only for providing specific guidance which may not be readily available to the health professional caring for the patient.

ShortA.1.10.1 - External reference
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. EHDSPatientSummaryHeader.KnowledgeResources.relatedWith
Definition

Identify the entry or entries of this document or document part for which this additional information relates with, for example a link between a rare disease problem and guidelines for that particular rare disease (this section).

ShortA.1.10.2 - Related with
Control0..*
TypeReference(Condition (model), Procedure (model), Observation (model))

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

0. EHDSPatientSummaryHeader
Definition

A.1 - EHDS refined base model for Report header data elements

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

Patient/subject information

ShortA.1.1 - Subject
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
4. EHDSPatientSummaryHeader.relatedPerson
Definition

Patient/subject guardian and related person information

ShortA.1.2 - Related person
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson
6. EHDSPatientSummaryHeader.preferredHealthProfessional
Definition

Preferred health professional (HP) - This section can be repeated and linked to any specific information in the document, for example a link between a rare disease problem and the rare disease specialist responsible for the care of the individual patient (this section).

ShortA.1.3 - Preferred Health Professional
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
8. EHDSPatientSummaryHeader.authorship
Definition

Information about author or authors of the document

ShortA.1.6 - Authorship
Control1..*
TypeBase
10. EHDSPatientSummaryHeader.authorship.author
Definition

Author by whom the document was/were authored. Multiple authors could be provided.

ShortA.1.6.1 - Author
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
12. EHDSPatientSummaryHeader.authorship.datetime
Definition

Date and time of the last modification of the document by its Author.

ShortA.1.6.2 - DateTime
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSPatientSummaryHeader.documentMetadata
Definition

Data relevent to document type and its content for administrative and searching purposes.

ShortA.1.9 - Document metadata
Control1..1
TypeBase
16. EHDSPatientSummaryHeader.documentMetadata.documentId
Definition

Unique identifier of the document

ShortA.1.9.1 - Document ID
Control1..1
TypeIdentifier
18. EHDSPatientSummaryHeader.documentMetadata.documentType
Definition

Identifies the type of document at hand, e.g. Hospital discharge report.

ShortA.1.9.2 - Document type
Control1..1
Binding

LOINC

TypeCodeableConcept
20. EHDSPatientSummaryHeader.documentMetadata.documentStatus
Definition

The status of the document/report. E.g., preliminary, final.

ShortA.1.9.3 - Document status
Control1..1
Binding

hl7:CompositionStatus

TypeCodeableConcept
22. EHDSPatientSummaryHeader.documentMetadata.period
Definition

Documented period service. Typically used for searching purposes.

ShortA.1.9.4 - Period
Control0..1
TypePeriod
24. EHDSPatientSummaryHeader.documentMetadata.reportDateAndTime
Definition

Date and time of the report creation.

ShortA.1.9.5 - Report date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSPatientSummaryHeader.documentMetadata.documentTitle
Definition

Document title, such as "Hospital discharge report", "Laboratory Result Report" etc..

ShortA.1.9.6 - Document title
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. EHDSPatientSummaryHeader.documentMetadata.reportCustodian
Definition

Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

ShortA.1.9.9 - Report custodian
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization
30. EHDSPatientSummaryHeader.documentMetadata.documentFormat
Definition

An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.

ShortA.1.9.10 - Document format
Control0..1
Binding

HL7 Document Format Codes

TypeCodeableConcept
32. EHDSPatientSummaryHeader.documentMetadata.confidentiality
Definition

Level of confidentiality of the document. Implicit value is normal.

ShortA.1.9.11 - Confidentiality
Control0..1
Binding

hl7:Confidentiality

TypeCodeableConcept
34. EHDSPatientSummaryHeader.documentMetadata.language
Definition

Language in which the document is written. Language is expressed by the ISO language code.

ShortA.1.9.12 - Language
Control0..1
Binding

ISO 639

TypeCodeableConcept
36. EHDSPatientSummaryHeader.documentMetadata.version
Definition

Version of the document

ShortA.1.9.13 - Version
NoteThis is a business version Id, not a resource version Id (see discussion)
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. EHDSPatientSummaryHeader.documentMetadata.dateOfLastUpdate
Definition

Date on which document or document part was updated (date of most recent version)

ShortA.1.9.16 - Date of last update
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. EHDSPatientSummaryHeader.documentMetadata.natureOfTheDocument
Definition

Defines the context in which the document was generated. Distinguishes between four methodological approaches for generating the document:1) Created entirely by a HCP2) Manually created by HCP(s) and collected by machine(s)3) Created by machine(s) and checked by HCP(s)4) Created and collected by machine(s)

ShortA.1.9.17 - Nature of the document
Control1..1
TypeBase
42. EHDSPatientSummaryHeader.KnowledgeResources
Definition

To provide links between specified data elements and external knowledge resources

ShortA.1.10 - Additional information / Knowledge resources
Control0..*
TypeBase
44. EHDSPatientSummaryHeader.KnowledgeResources.externalReference
Definition

A reference leading to Clinical Practice Guidelines (CPG), emergency and anesthesia guidelines or other clinical relevant guidelines. This should be used only for providing specific guidance which may not be readily available to the health professional caring for the patient.

ShortA.1.10.1 - External reference
Control0..*
Typeuri
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. EHDSPatientSummaryHeader.KnowledgeResources.relatedWith
Definition

Identify the entry or entries of this document or document part for which this additional information relates with, for example a link between a rare disease problem and guidelines for that particular rare disease (this section).

ShortA.1.10.2 - Related with
Control0..*
TypeReference(Condition (model), Procedure (model), Observation (model))