Xt-EHR Metadata Standards
0.1.0 - ci-build
Xt-EHR Metadata Standards
0.1.0 - ci-build
Xt-EHR Metadata Standards, 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-metadata/ and changes regularly. See the Directory of published versions
| Draft as of 2025-08-21 |
XML representation of the EHDSDocument logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="EHDSDocument"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition EHDSDocument</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument" title="Common elements for all EHDS document exchange.">EHDSDocument</a><a name="EHDSDocument"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-EHDSDataSet.html">EHDSDataSet</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><br/>Elements defined in Ancestors:<a href="StructureDefinition-EHDSDataSet.html" title="Unique identifier of the data object">identifier</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Patient/subject information">subject</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Country of the data exchange initiator.">country</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Patient/subject guardian and related person information">relatedPerson</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Document/resource authoring details">authorship</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Date and time of the last update to the document/information">lastUpdate</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Status of the information">status</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Business version of the data object.">version</a>, <a href="StructureDefinition-EHDSDataSet.html" title="Language in which the information is written. Language is expressed by the IETF language tag.">language</a>, <a href="StructureDefinition-EHDSDataSet.html" title="The presentation of the data, e.g. a PDF document, a video, a text file, etc. In case of unstructured data, this is the actual content.">presentation</a><br/>EHDS document<br/><span style="font-weight:bold">Instances of this logical model can be the target of a Reference</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.identifier">identifier</a><a name="EHDSDocument.identifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Document ID</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.documentType" title="Identifies the type of document at hand, e.g. Hospital discharge report.">documentType</a><a name="EHDSDocument.documentType"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document type<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding Description: </span><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant." class="binding">preferred</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">LOINC</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.eventType" title="Categorization 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 betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.">eventType</a><a name="EHDSDocument.eventType"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Event type<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding Description: </span><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant." class="binding">preferred</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">LOINC, SNOMED CT, dicom-cid-33-Modality</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.documentTitle" title="Document title, such as Hospital Discharge Report, Laboratory Result Report, etc.">documentTitle</a><a name="EHDSDocument.documentTitle"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document title</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.documentStatus" title="The status of the Hospital discharge report. E.g., preliminary, final.">documentStatus</a><a name="EHDSDocument.documentStatus"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document status<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding Description: </span><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant." class="binding">preferred</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">hl7:CompositionStatus</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.period" title="Time of service that is being documented">period</a><a name="EHDSDocument.period"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Period</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.issuedDateTime" title="Date and time of the report creation.">issuedDateTime</a><a name="EHDSDocument.issuedDateTime"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Report date and time</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.attestation" title="Document attestation details">attestation</a><a name="EHDSDocument.attestation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Base</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Attestation<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.attestation.attester" title="Attester who validated the document. Mulitple attesters could be provided.">attester</a><a name="EHDSDocument.attestation.attester"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-EHDSHealthProfessional.html">EHDSHealthProfessional</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Attester</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.attestation.datetime" title="Date and time of the approval of the document by Attester.">datetime</a><a name="EHDSDocument.attestation.datetime"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DateTime</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.legalAuthentication" title="Document legal authentication">legalAuthentication</a><a name="EHDSDocument.legalAuthentication"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Base</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Legal authentication</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.legalAuthentication.legalAuthenticator" title="The person taking responsibility for the medical content of the document">legalAuthenticator</a><a name="EHDSDocument.legalAuthentication.legalAuthenticator"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-EHDSHealthProfessional.html">EHDSHealthProfessional</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Legal authenticator</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.legalAuthentication.datetime" title="Date and time when the document was authorized.">datetime</a><a name="EHDSDocument.legalAuthentication.datetime"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DateTime</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.authorSpecialty" title="Additional details about where the content was created (e.g. clinical specialty)">authorSpecialty</a><a name="EHDSDocument.authorSpecialty"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Specialty<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding Description: </span><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant." class="binding">preferred</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">SNOMED CT</span><br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.custodian" title="Organisation that is in charge of maintaining the document/report.">custodian</a><a name="EHDSDocument.custodian"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-EHDSOrganization.html">EHDSOrganization</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document custodian</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.documentFormat" title="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.">documentFormat</a><a name="EHDSDocument.documentFormat"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Document format<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding Description: </span><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R5/terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant." class="binding">preferred</a><span title="null" class="binding">)</span><span title="null" class="binding">: </span><span title="null" class="binding">HL7 Document Format Codes</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.knowledgeResources" title="Related documents and information sources">knowledgeResources</a><a name="EHDSDocument.knowledgeResources"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Base</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Related documents and information sources<br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-EHDSDocument-definitions.html#EHDSDocument.knowledgeResources.externalReference" title="...">externalReference</a><a name="EHDSDocument.knowledgeResources.externalReference"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/references.html">Reference</a>()</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">...<br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">
<valueCode value="can-be-target"/>
</extension>
<url
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDocument"/>
<version value="0.1.0"/>
<name value="EHDSDocument"/>
<title value="EHDS document"/>
<status value="draft"/>
<date value="2025-08-21T07:05:50+00:00"/>
<publisher value="Xt-EHR"/>
<contact>
<name value="Xt-EHR"/>
<telecom>
<system value="url"/>
<value value="http://Xt-EHR.eu"/>
</telecom>
</contact>
<description value="Common elements for all EHDS document exchange."/>
<fhirVersion value="5.0.0"/>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDocument"/>
<baseDefinition
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDataSet"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="0.1.0"/>
</extension>
<element id="EHDSDocument">
<path value="EHDSDocument"/>
<short value="EHDS document"/>
<definition value="Common elements for all EHDS document exchange."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="EHDSDocument.identifier">
<path value="EHDSDocument.identifier"/>
<short value="Document ID"/>
<definition value="Unique identifier of the data object"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="EHDSDataSet.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
</element>
<element id="EHDSDocument.subject">
<path value="EHDSDocument.subject"/>
<short value="Subject"/>
<definition value="Patient/subject information"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.subject"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPerson"/>
</type>
</element>
<element id="EHDSDocument.country">
<path value="EHDSDocument.country"/>
<short value="Country"/>
<definition value="Country of the data exchange initiator."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.country"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="ISO 3166"/>
</binding>
</element>
<element id="EHDSDocument.relatedPerson">
<path value="EHDSDocument.relatedPerson"/>
<code>
<code value="A.1.2"/>
</code>
<short value="Related person"/>
<definition
value="Patient/subject guardian and related person information"/>
<requirements
value="Some roles for the related person are essential for data access control. For example, the role of the guardian is essential for the data access control of a minor patient."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="EHDSDataSet.relatedPerson"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="EHDSDocument.relatedPerson.id">
<path value="EHDSDocument.relatedPerson.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="EHDSDocument.relatedPerson.extension">
<path value="EHDSDocument.relatedPerson.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="EHDSDocument.relatedPerson.modifierExtension">
<path value="EHDSDocument.relatedPerson.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="EHDSDocument.relatedPerson.person">
<path value="EHDSDocument.relatedPerson.person"/>
<short value="Identification and description of the person"/>
<definition
value="Identification and description of the contact person for that patient. This includes relatives, guardians, caring persons etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.relatedPerson.person"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPerson"/>
</type>
</element>
<element id="EHDSDocument.relatedPerson.relationship">
<path value="EHDSDocument.relatedPerson.relationship"/>
<code>
<code value="C.13.3"/>
</code>
<short value="Relationship"/>
<definition
value="The nature of the relationship between the patient and the related person."/>
<requirements
value="Some roles for the related person are essential for data access control. For example, the role of the guardian is essential for the data access control of a minor patient."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.relatedPerson.relationship"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="HL7 RoleCode"/>
</binding>
</element>
<element id="EHDSDocument.authorship">
<path value="EHDSDocument.authorship"/>
<short value="Authorship"/>
<definition value="Document/resource authoring details"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="EHDSDataSet.authorship"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.authorship.author">
<path value="EHDSDocument.authorship.author"/>
<code>
<code value="A.1.6.1"/>
</code>
<short value="Author"/>
<definition
value="Author by whom the resource was/were authored. Multiple authors could be provided."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.authorship.author"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"/>
</type>
</element>
<element id="EHDSDocument.authorship.datetime">
<path value="EHDSDocument.authorship.datetime"/>
<code>
<code value="A.1.6.2"/>
</code>
<short value="Date and time of authoring/issuing"/>
<definition
value="Date and time of the issuing the document/resource by its author."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.authorship.datetime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.lastUpdate">
<path value="EHDSDocument.lastUpdate"/>
<short value="Date and time of the last update to the data object"/>
<definition
value="Date and time of the last update to the document/information"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.lastUpdate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.status">
<path value="EHDSDocument.status"/>
<short value="Status of the information"/>
<definition value="Status of the information"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="EHDSDocument.version">
<path value="EHDSDocument.version"/>
<short value="Version"/>
<definition value="Business version of the data object."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="EHDSDocument.language">
<path value="EHDSDocument.language"/>
<code>
<code value="A.1.9.12"/>
</code>
<short value="Language"/>
<definition
value="Language in which the information is written. Language is expressed by the IETF language tag."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.language"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="BCP 47"/>
</binding>
</element>
<element id="EHDSDocument.presentation">
<path value="EHDSDocument.presentation"/>
<short value="Presentation form"/>
<definition
value="The presentation of the data, e.g. a PDF document, a video, a text file, etc. In case of unstructured data, this is the actual content."/>
<min value="1"/>
<max value="*"/>
<base>
<path value="EHDSDataSet.presentation"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.presentation.author">
<path value="EHDSDocument.presentation.author"/>
<code>
<code value="A.1.6.1"/>
</code>
<short value="Author"/>
<definition
value="Author by whom the resource was/were authored. Multiple authors could be provided."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.presentation.author"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"/>
</type>
</element>
<element id="EHDSDocument.presentation.datetime">
<path value="EHDSDocument.presentation.datetime"/>
<code>
<code value="A.1.6.2"/>
</code>
<short value="Date and time of authoring/issuing"/>
<definition
value="Date and time of the issuing the document/resource by its author."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDataSet.presentation.datetime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.documentType">
<path value="EHDSDocument.documentType"/>
<short value="Document type"/>
<definition
value="Identifies the type of document at hand, e.g. Hospital discharge report."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.documentType"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="LOINC"/>
</binding>
</element>
<element id="EHDSDocument.eventType">
<path value="EHDSDocument.eventType"/>
<short value="Event type"/>
<definition
value="Categorization 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 betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="EHDSDocument.eventType"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="LOINC, SNOMED CT, dicom-cid-33-Modality"/>
</binding>
</element>
<element id="EHDSDocument.documentTitle">
<path value="EHDSDocument.documentTitle"/>
<short value="Document title"/>
<definition
value="Document title, such as Hospital Discharge Report, Laboratory Result Report, etc."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.documentTitle"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="EHDSDocument.documentStatus">
<path value="EHDSDocument.documentStatus"/>
<short value="Document status"/>
<definition
value="The status of the Hospital discharge report. E.g., preliminary, final."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.documentStatus"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="hl7:CompositionStatus"/>
</binding>
</element>
<element id="EHDSDocument.period">
<path value="EHDSDocument.period"/>
<short value="Period"/>
<definition value="Time of service that is being documented"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDocument.period"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</type>
</element>
<element id="EHDSDocument.issuedDateTime">
<path value="EHDSDocument.issuedDateTime"/>
<short value="Report date and time"/>
<definition value="Date and time of the report creation."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.issuedDateTime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.attestation">
<path value="EHDSDocument.attestation"/>
<short value="Attestation"/>
<definition value="Document attestation details"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="EHDSDocument.attestation"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.attestation.attester">
<path value="EHDSDocument.attestation.attester"/>
<short value="Attester"/>
<definition
value="Attester who validated the document. Mulitple attesters could be provided."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.attestation.attester"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"/>
</type>
</element>
<element id="EHDSDocument.attestation.datetime">
<path value="EHDSDocument.attestation.datetime"/>
<short value="DateTime"/>
<definition
value="Date and time of the approval of the document by Attester."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.attestation.datetime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.legalAuthentication">
<path value="EHDSDocument.legalAuthentication"/>
<short value="Legal authentication"/>
<definition value="Document legal authentication"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDocument.legalAuthentication"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.legalAuthentication.legalAuthenticator">
<path value="EHDSDocument.legalAuthentication.legalAuthenticator"/>
<short value="Legal authenticator"/>
<definition
value="The person taking responsibility for the medical content of the document"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.legalAuthentication.legalAuthenticator"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"/>
</type>
</element>
<element id="EHDSDocument.legalAuthentication.datetime">
<path value="EHDSDocument.legalAuthentication.datetime"/>
<short value="DateTime"/>
<definition value="Date and time when the document was authorized."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.legalAuthentication.datetime"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.authorSpecialty">
<path value="EHDSDocument.authorSpecialty"/>
<short value="Specialty"/>
<definition
value="Additional details about where the content was created (e.g. clinical specialty)"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="EHDSDocument.authorSpecialty"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="SNOMED CT"/>
</binding>
</element>
<element id="EHDSDocument.custodian">
<path value="EHDSDocument.custodian"/>
<short value="Document custodian"/>
<definition
value="Organisation that is in charge of maintaining the document/report."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="EHDSDocument.custodian"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization"/>
</type>
</element>
<element id="EHDSDocument.documentFormat">
<path value="EHDSDocument.documentFormat"/>
<short value="Document format"/>
<definition
value="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="EHDSDocument.documentFormat"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="HL7 Document Format Codes"/>
</binding>
</element>
<element id="EHDSDocument.knowledgeResources">
<path value="EHDSDocument.knowledgeResources"/>
<short value="Related documents and information sources"/>
<definition value="Related documents and information sources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="EHDSDocument.knowledgeResources"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.knowledgeResources.externalReference">
<path value="EHDSDocument.knowledgeResources.externalReference"/>
<short value="..."/>
<definition value="..."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="EHDSDocument.knowledgeResources.externalReference"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
</type>
</element>
</snapshot>
<differential>
<element id="EHDSDocument">
<path value="EHDSDocument"/>
<short value="EHDS document"/>
<definition value="Common elements for all EHDS document exchange."/>
</element>
<element id="EHDSDocument.identifier">
<path value="EHDSDocument.identifier"/>
<min value="1"/>
</element>
<element id="EHDSDocument.documentType">
<path value="EHDSDocument.documentType"/>
<short value="Document type"/>
<definition
value="Identifies the type of document at hand, e.g. Hospital discharge report."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="LOINC"/>
</binding>
</element>
<element id="EHDSDocument.eventType">
<path value="EHDSDocument.eventType"/>
<short value="Event type"/>
<definition
value="Categorization 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 betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="LOINC, SNOMED CT, dicom-cid-33-Modality"/>
</binding>
</element>
<element id="EHDSDocument.documentTitle">
<path value="EHDSDocument.documentTitle"/>
<short value="Document title"/>
<definition
value="Document title, such as Hospital Discharge Report, Laboratory Result Report, etc."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="EHDSDocument.documentStatus">
<path value="EHDSDocument.documentStatus"/>
<short value="Document status"/>
<definition
value="The status of the Hospital discharge report. E.g., preliminary, final."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="hl7:CompositionStatus"/>
</binding>
</element>
<element id="EHDSDocument.period">
<path value="EHDSDocument.period"/>
<short value="Period"/>
<definition value="Time of service that is being documented"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Period"/>
</type>
</element>
<element id="EHDSDocument.issuedDateTime">
<path value="EHDSDocument.issuedDateTime"/>
<short value="Report date and time"/>
<definition value="Date and time of the report creation."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.attestation">
<path value="EHDSDocument.attestation"/>
<short value="Attestation"/>
<definition value="Document attestation details"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.attestation.attester">
<path value="EHDSDocument.attestation.attester"/>
<short value="Attester"/>
<definition
value="Attester who validated the document. Mulitple attesters could be provided."/>
<min value="1"/>
<max value="1"/>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"/>
</type>
</element>
<element id="EHDSDocument.attestation.datetime">
<path value="EHDSDocument.attestation.datetime"/>
<short value="DateTime"/>
<definition
value="Date and time of the approval of the document by Attester."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.legalAuthentication">
<path value="EHDSDocument.legalAuthentication"/>
<short value="Legal authentication"/>
<definition value="Document legal authentication"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.legalAuthentication.legalAuthenticator">
<path value="EHDSDocument.legalAuthentication.legalAuthenticator"/>
<short value="Legal authenticator"/>
<definition
value="The person taking responsibility for the medical content of the document"/>
<min value="1"/>
<max value="1"/>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"/>
</type>
</element>
<element id="EHDSDocument.legalAuthentication.datetime">
<path value="EHDSDocument.legalAuthentication.datetime"/>
<short value="DateTime"/>
<definition value="Date and time when the document was authorized."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
</element>
<element id="EHDSDocument.authorSpecialty">
<path value="EHDSDocument.authorSpecialty"/>
<short value="Specialty"/>
<definition
value="Additional details about where the content was created (e.g. clinical specialty)"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="SNOMED CT"/>
</binding>
</element>
<element id="EHDSDocument.custodian">
<path value="EHDSDocument.custodian"/>
<short value="Document custodian"/>
<definition
value="Organisation that is in charge of maintaining the document/report."/>
<min value="1"/>
<max value="1"/>
<type>
<code
value="https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganization"/>
</type>
</element>
<element id="EHDSDocument.documentFormat">
<path value="EHDSDocument.documentFormat"/>
<short value="Document format"/>
<definition
value="An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="preferred"/>
<description value="HL7 Document Format Codes"/>
</binding>
</element>
<element id="EHDSDocument.knowledgeResources">
<path value="EHDSDocument.knowledgeResources"/>
<short value="Related documents and information sources"/>
<definition value="Related documents and information sources"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Base"/>
</type>
</element>
<element id="EHDSDocument.knowledgeResources.externalReference">
<path value="EHDSDocument.knowledgeResources.externalReference"/>
<short value="..."/>
<definition value="..."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
</type>
</element>
</differential>
</StructureDefinition>
IG © 2022+ Xt-EHR. Package hl7.eu.fhir.xt-ehr.metadata#0.1.0 based on FHIR 5.0.0. Generated 2025-08-21
Links:
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QA Report
The Xt-EHR action is co-funded by the European Union, EU4Health Program 2021-2027, under Grant Agreement Nr.ยบ 101128085.
