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: Procedure obligations

Official URL: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedureObligations | Version: 0.4.0
Draft as of 2026-03-03 | Computable Name: EHDSProcedureObligations

Obligations for the logical model for procedure.

Usages:

- This Logical Model Profile is not used by any profiles in this Implementation Guide

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
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | EHDSProcedure | Procedure model
header |  | 1..1 | Base | Basic metadata for this information
subject | O | 1..1 | EHDSPatient | Patient/subject information
Obligations | Actor
SHALL:able-to-populate | Producer
identifier | O | 0..* | Identifier | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Obligations | Actor
SHOULD:able-to-populate | Producer
author[x] |  | 0..* |  | Author responsible for the provided information.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 0..1 | dateTime | Date and optionally time of authoring/issuing
status | O | 1..1 | CodeableConcept | Status of the procedure (e.g. completed, on hold, stopped) Binding Description: (preferred): HL7 Event Status
Obligations | Actor
SHALL:able-to-populate | Producer
source |  | 0..1 | CodeableConcept | 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.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
code | O | 1..1 | CodeableConcept | Concept code and display name identifying the type of procedure Binding Description: (preferred): SNOMED CT
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDate[x] | O | 0..1 |  | Date and time of the procedure or interval of its performance
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDateDateTime |  |  | dateTime |
procedureDatePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | Actors who performed the procedure (only main responsible actors expected)
bodySite | O | 0..* | EHDSBodyStructure | Target body site of the procedure. Laterality may be included as a qualifier of the body site.
Obligations | Actor
SHOULD:able-to-populate | Producer
reason[x] |  | 0..* |  | The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason. Binding Description: (preferred): SNOMED CT, ICD-10, Orphacode
reasonCodeableConcept |  |  | CodeableConcept |
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time. Binding Description: (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description: (preferred): ICD-10, SNOMED CT
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
note | O | 0..1 | string | Additional information about the procedure
Obligations | Actor
SHOULD:able-to-populate | Producer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSProcedure.header.​status | Base | preferred |  | Not State | Unknown
EHDSProcedure.header.​language | Base | preferred |  | Not State | Unknown
EHDSProcedure.code | Base | preferred |  | Not State | Unknown
EHDSProcedure.reason[x] | Base | preferred |  | Not State | Unknown
EHDSProcedure.outcome | Base | preferred |  | Not State | Unknown
EHDSProcedure.complication | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSProcedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | EHDSProcedure | Procedure model
header |  |  |  |
subject | O | 1..1 | EHDSPatient | Patient/subject information
Obligations | Actor
SHALL:able-to-populate | Producer
identifier | O | 0..* | Identifier | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Obligations | Actor
SHOULD:able-to-populate | Producer
status | O | 1..1 | CodeableConcept | Status of the procedure (e.g. completed, on hold, stopped)
Obligations | Actor
SHALL:able-to-populate | Producer
code | O | 1..1 | CodeableConcept | Concept code and display name identifying the type of procedure
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDate[x] | O | 0..1 | dateTime, Period | Date and time of the procedure or interval of its performance
Obligations | Actor
SHALL:able-to-populate | Producer
bodySite | O | 0..* | EHDSBodyStructure | Target body site of the procedure. Laterality may be included as a qualifier of the body site.
Obligations | Actor
SHOULD:able-to-populate | Producer
note | O | 0..1 | string | Additional information about the procedure
Obligations | Actor
SHOULD:able-to-populate | Producer
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | EHDSProcedure | Procedure model
header |  | 1..1 | Base | Basic metadata for this information
subject | O | 1..1 | EHDSPatient | Patient/subject information
Obligations | Actor
SHALL:able-to-populate | Producer
identifier | O | 0..* | Identifier | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Obligations | Actor
SHOULD:able-to-populate | Producer
author[x] |  | 0..* |  | Author responsible for the provided information.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 0..1 | dateTime | Date and optionally time of authoring/issuing
status | O | 1..1 | CodeableConcept | Status of the procedure (e.g. completed, on hold, stopped) Binding Description: (preferred): HL7 Event Status
Obligations | Actor
SHALL:able-to-populate | Producer
source |  | 0..1 | CodeableConcept | 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.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
code | O | 1..1 | CodeableConcept | Concept code and display name identifying the type of procedure Binding Description: (preferred): SNOMED CT
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDate[x] | O | 0..1 |  | Date and time of the procedure or interval of its performance
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDateDateTime |  |  | dateTime |
procedureDatePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | Actors who performed the procedure (only main responsible actors expected)
bodySite | O | 0..* | EHDSBodyStructure | Target body site of the procedure. Laterality may be included as a qualifier of the body site.
Obligations | Actor
SHOULD:able-to-populate | Producer
reason[x] |  | 0..* |  | The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason. Binding Description: (preferred): SNOMED CT, ICD-10, Orphacode
reasonCodeableConcept |  |  | CodeableConcept |
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time. Binding Description: (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description: (preferred): ICD-10, SNOMED CT
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
note | O | 0..1 | string | Additional information about the procedure
Obligations | Actor
SHOULD:able-to-populate | Producer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSProcedure.header.​status | Base | preferred |  | Not State | Unknown
EHDSProcedure.header.​language | Base | preferred |  | Not State | Unknown
EHDSProcedure.code | Base | preferred |  | Not State | Unknown
EHDSProcedure.reason[x] | Base | preferred |  | Not State | Unknown
EHDSProcedure.outcome | Base | preferred |  | Not State | Unknown
EHDSProcedure.complication | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSProcedure

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | EHDSProcedure | Procedure model
header |  | 1..1 | Base | Basic metadata for this information
subject | O | 1..1 | EHDSPatient | Patient/subject information
Obligations | Actor
SHALL:able-to-populate | Producer
identifier | O | 0..* | Identifier | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Obligations | Actor
SHOULD:able-to-populate | Producer
author[x] |  | 0..* |  | Author responsible for the provided information.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 0..1 | dateTime | Date and optionally time of authoring/issuing
status | O | 1..1 | CodeableConcept | Status of the procedure (e.g. completed, on hold, stopped) Binding Description: (preferred): HL7 Event Status
Obligations | Actor
SHALL:able-to-populate | Producer
source |  | 0..1 | CodeableConcept | 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.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
code | O | 1..1 | CodeableConcept | Concept code and display name identifying the type of procedure Binding Description: (preferred): SNOMED CT
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDate[x] | O | 0..1 |  | Date and time of the procedure or interval of its performance
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDateDateTime |  |  | dateTime |
procedureDatePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | Actors who performed the procedure (only main responsible actors expected)
bodySite | O | 0..* | EHDSBodyStructure | Target body site of the procedure. Laterality may be included as a qualifier of the body site.
Obligations | Actor
SHOULD:able-to-populate | Producer
reason[x] |  | 0..* |  | The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason. Binding Description: (preferred): SNOMED CT, ICD-10, Orphacode
reasonCodeableConcept |  |  | CodeableConcept |
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time. Binding Description: (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description: (preferred): ICD-10, SNOMED CT
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
note | O | 0..1 | string | Additional information about the procedure
Obligations | Actor
SHOULD:able-to-populate | Producer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSProcedure.header.​status | Base | preferred |  | Not State | Unknown
EHDSProcedure.header.​language | Base | preferred |  | Not State | Unknown
EHDSProcedure.code | Base | preferred |  | Not State | Unknown
EHDSProcedure.reason[x] | Base | preferred |  | Not State | Unknown
EHDSProcedure.outcome | Base | preferred |  | Not State | Unknown
EHDSProcedure.complication | Base | preferred |  | Not State | Unknown

Differential View

This structure is derived from EHDSProcedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | EHDSProcedure | Procedure model
header |  |  |  |
subject | O | 1..1 | EHDSPatient | Patient/subject information
Obligations | Actor
SHALL:able-to-populate | Producer
identifier | O | 0..* | Identifier | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Obligations | Actor
SHOULD:able-to-populate | Producer
status | O | 1..1 | CodeableConcept | Status of the procedure (e.g. completed, on hold, stopped)
Obligations | Actor
SHALL:able-to-populate | Producer
code | O | 1..1 | CodeableConcept | Concept code and display name identifying the type of procedure
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDate[x] | O | 0..1 | dateTime, Period | Date and time of the procedure or interval of its performance
Obligations | Actor
SHALL:able-to-populate | Producer
bodySite | O | 0..* | EHDSBodyStructure | Target body site of the procedure. Laterality may be included as a qualifier of the body site.
Obligations | Actor
SHOULD:able-to-populate | Producer
note | O | 0..1 | string | Additional information about the procedure
Obligations | Actor
SHOULD:able-to-populate | Producer
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | EHDSProcedure | Procedure model
header |  | 1..1 | Base | Basic metadata for this information
subject | O | 1..1 | EHDSPatient | Patient/subject information
Obligations | Actor
SHALL:able-to-populate | Producer
identifier | O | 0..* | Identifier | Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
Obligations | Actor
SHOULD:able-to-populate | Producer
author[x] |  | 0..* |  | Author responsible for the provided information.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 0..1 | dateTime | Date and optionally time of authoring/issuing
status | O | 1..1 | CodeableConcept | Status of the procedure (e.g. completed, on hold, stopped) Binding Description: (preferred): HL7 Event Status
Obligations | Actor
SHALL:able-to-populate | Producer
source |  | 0..1 | CodeableConcept | 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.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
code | O | 1..1 | CodeableConcept | Concept code and display name identifying the type of procedure Binding Description: (preferred): SNOMED CT
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDate[x] | O | 0..1 |  | Date and time of the procedure or interval of its performance
Obligations | Actor
SHALL:able-to-populate | Producer
procedureDateDateTime |  |  | dateTime |
procedureDatePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | Actors who performed the procedure (only main responsible actors expected)
bodySite | O | 0..* | EHDSBodyStructure | Target body site of the procedure. Laterality may be included as a qualifier of the body site.
Obligations | Actor
SHOULD:able-to-populate | Producer
reason[x] |  | 0..* |  | The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason. Binding Description: (preferred): SNOMED CT, ICD-10, Orphacode
reasonCodeableConcept |  |  | CodeableConcept |
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time. Binding Description: (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description: (preferred): ICD-10, SNOMED CT
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
note | O | 0..1 | string | Additional information about the procedure
Obligations | Actor
SHOULD:able-to-populate | Producer
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSProcedure.header.​status | Base | preferred |  | Not State | Unknown
EHDSProcedure.header.​language | Base | preferred |  | Not State | Unknown
EHDSProcedure.code | Base | preferred |  | Not State | Unknown
EHDSProcedure.reason[x] | Base | preferred |  | Not State | Unknown
EHDSProcedure.outcome | Base | preferred |  | Not State | Unknown
EHDSProcedure.complication | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSProcedure

Summary

Other representations of profile: CSV, Excel