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: EHDSCondition - Detailed Descriptions

Draft as of 2025-07-08

Definitions for the EHDSCondition logical model.

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

0. EHDSCondition
Definition

Health conditions affecting the health of the patient and are important to be known for a health professional during a health encounter.


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

Common header for all patient-related data

ShortCommon header for all patient-related data
Control1..1
TypeBase
4. EHDSCondition.header.subject
Definition

Patient/subject information

ShortSubject
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSCondition.header.identifier
Definition

Business identifier for the object

ShortBusiness identifier for the object
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
8. EHDSCondition.header.authorship
Definition

Resource authoring details

ShortAuthorship
Control1..*
TypeBase
10. EHDSCondition.header.authorship.author[x]
Definition

Author(s) by whom the resource was/were authored. Multiple authors could be provided.

ShortAuthor
Control1..1
TypeChoice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
12. EHDSCondition.header.authorship.datetime
Definition

Date and time of the issuing the document/resource by its author.

ShortDate and time of authoring/issuing
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSCondition.header.lastUpdate
Definition

Date and time of the last update to the document/information

ShortDate and time of the last update to the resource
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. EHDSCondition.header.status
Definition

Status of the resource

ShortStatus of the resource
Control1..1
TypeCodeableConcept
18. EHDSCondition.header.statusReason[x]
Definition

Reason for the current status of the resource.

ShortReason for the current status of the resource.
Control0..1
TypeChoice of: CodeableConcept, string
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. EHDSCondition.header.language
Definition

Language in which the resource is written. Language is expressed by the IETF language tag.

ShortLanguage
Control0..1
Binding

BCP 47

TypeCodeableConcept
22. EHDSCondition.header.version
Definition

Business version of the resource.

ShortVersion
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
24. EHDSCondition.presentedForm
Definition

A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document

ShortA narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSCondition.problem
Definition

Identification of the condition, problem or diagnosis. Coded values are preferable, but text should be accepted.

ShortIdentification of the condition, problem or diagnosis. Coded values are preferable, but text should be accepted.
Control1..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.63 eHDSIRareDisease (OrphaCodes, used in MH@EU); ICD-11; SNOMED CT

TypeCodeableConcept
Requirements

eHN PS Guideline, ISO IPS

28. 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

1.3.6.1.4.1.12559.11.10.1.3.1.42.64 eHDSICertainty (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-ver-status (HL7, required in HL7 FHIR)

TypeCodeableConcept
Requirements

eHN PS Guideline

30. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortDate of problem onset
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline, ISO IPS

32. EHDSCondition.endDate
Definition

The date (or estimated date) that the condition resolved or went into remission.

ShortProblem resolution date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline, ISO IPS

34. 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..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline

36. EHDSCondition.problemStatus
Definition

The clinical status of the condition

ShortThe clinical status of the condition
Control0..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.15 eHDSIStatusCode (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-clinical (HL7, required in HL7 FHIR)

TypeCodeableConcept
Requirements

ISO IPS, MH@EU, (implicit eHN PS Guideline)

38. EHDSCondition.severity
Definition

Subjective assessment of the severity of the condition.

ShortSubjective assessment of the severity of the condition.
Control0..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-severity (SCT, Preferred in HL7 FHIR); Basic 3-Value Severity Scale Value: Mild-Moderate-Severe http://id.who.int/icd/entity/681697550 (ICD-11)

TypeCodeableConcept
Requirements

ISO IPS, MH@EU

40. 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..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
Requirements

ISO IPS, MH@EU

42. EHDSCondition.externalResourceRelatedWith
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

MH@EU

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

0. EHDSCondition
Definition

Health conditions affecting the health of the patient and are important to be known for a health professional during a health encounter.

ShortCondition model
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.problem
Definition

Identification of the condition, problem or diagnosis. Coded values are preferable, but text should be accepted.

ShortIdentification of the condition, problem or diagnosis. Coded values are preferable, but text should be accepted.
Control1..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.63 eHDSIRareDisease (OrphaCodes, used in MH@EU); ICD-11; SNOMED CT

TypeCodeableConcept
Requirements

eHN PS Guideline, ISO IPS

4. 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

1.3.6.1.4.1.12559.11.10.1.3.1.42.64 eHDSICertainty (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-ver-status (HL7, required in HL7 FHIR)

TypeCodeableConcept
Requirements

eHN PS Guideline

6. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortDate of problem onset
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline, ISO IPS

8. EHDSCondition.endDate
Definition

The date (or estimated date) that the condition resolved or went into remission.

ShortProblem resolution date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline, ISO IPS

10. 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..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline

12. EHDSCondition.problemStatus
Definition

The clinical status of the condition

ShortThe clinical status of the condition
Control0..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.15 eHDSIStatusCode (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-clinical (HL7, required in HL7 FHIR)

TypeCodeableConcept
Requirements

ISO IPS, MH@EU, (implicit eHN PS Guideline)

14. EHDSCondition.severity
Definition

Subjective assessment of the severity of the condition.

ShortSubjective assessment of the severity of the condition.
Control0..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-severity (SCT, Preferred in HL7 FHIR); Basic 3-Value Severity Scale Value: Mild-Moderate-Severe http://id.who.int/icd/entity/681697550 (ICD-11)

TypeCodeableConcept
Requirements

ISO IPS, MH@EU

16. 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..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
Requirements

ISO IPS, MH@EU

18. EHDSCondition.externalResourceRelatedWith
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

MH@EU

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

0. EHDSCondition
Definition

Health conditions affecting the health of the patient and are important to be known for a health professional during a health encounter.

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

Common header for all patient-related data

ShortCommon header for all patient-related data
Control1..1
TypeBase
4. EHDSCondition.header.subject
Definition

Patient/subject information

ShortSubject
Control1..1
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSCondition.header.identifier
Definition

Business identifier for the object

ShortBusiness identifier for the object
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
8. EHDSCondition.header.authorship
Definition

Resource authoring details

ShortAuthorship
Control1..*
TypeBase
10. EHDSCondition.header.authorship.author[x]
Definition

Author(s) by whom the resource was/were authored. Multiple authors could be provided.

ShortAuthor
Control1..1
TypeChoice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
12. EHDSCondition.header.authorship.datetime
Definition

Date and time of the issuing the document/resource by its author.

ShortDate and time of authoring/issuing
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. EHDSCondition.header.lastUpdate
Definition

Date and time of the last update to the document/information

ShortDate and time of the last update to the resource
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. EHDSCondition.header.status
Definition

Status of the resource

ShortStatus of the resource
Control1..1
TypeCodeableConcept
18. EHDSCondition.header.statusReason[x]
Definition

Reason for the current status of the resource.

ShortReason for the current status of the resource.
Control0..1
TypeChoice of: CodeableConcept, string
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. EHDSCondition.header.language
Definition

Language in which the resource is written. Language is expressed by the IETF language tag.

ShortLanguage
Control0..1
Binding

BCP 47

TypeCodeableConcept
22. EHDSCondition.header.version
Definition

Business version of the resource.

ShortVersion
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
24. EHDSCondition.presentedForm
Definition

A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document

ShortA narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control0..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSCondition.problem
Definition

Identification of the condition, problem or diagnosis. Coded values are preferable, but text should be accepted.

ShortIdentification of the condition, problem or diagnosis. Coded values are preferable, but text should be accepted.
Control1..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.63 eHDSIRareDisease (OrphaCodes, used in MH@EU); ICD-11; SNOMED CT

TypeCodeableConcept
Requirements

eHN PS Guideline, ISO IPS

28. 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

1.3.6.1.4.1.12559.11.10.1.3.1.42.64 eHDSICertainty (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-ver-status (HL7, required in HL7 FHIR)

TypeCodeableConcept
Requirements

eHN PS Guideline

30. EHDSCondition.onsetDate
Definition

Onset date of a problem/condition

ShortDate of problem onset
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline, ISO IPS

32. EHDSCondition.endDate
Definition

The date (or estimated date) that the condition resolved or went into remission.

ShortProblem resolution date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline, ISO IPS

34. 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..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS Guideline

36. EHDSCondition.problemStatus
Definition

The clinical status of the condition

ShortThe clinical status of the condition
Control0..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.15 eHDSIStatusCode (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-clinical (HL7, required in HL7 FHIR)

TypeCodeableConcept
Requirements

ISO IPS, MH@EU, (implicit eHN PS Guideline)

38. EHDSCondition.severity
Definition

Subjective assessment of the severity of the condition.

ShortSubjective assessment of the severity of the condition.
Control0..1
Binding

1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/condition-severity (SCT, Preferred in HL7 FHIR); Basic 3-Value Severity Scale Value: Mild-Moderate-Severe http://id.who.int/icd/entity/681697550 (ICD-11)

TypeCodeableConcept
Requirements

ISO IPS, MH@EU

40. 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..*
Typehttps://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
Requirements

ISO IPS, MH@EU

42. EHDSCondition.externalResourceRelatedWith
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

MH@EU