HL7 Europe Patient Summary
0.0.1-ci - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

Logical Model: PregnancyPsEhn - Detailed Descriptions

Draft as of 2024-10-19

Definitions for the Pregnancy logical model.

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

0. Pregnancy
Definition

Functional Status. Section A.2.3.3 of the eHN guideline.

ShortA.2.6 Pregnancy history
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Pregnancy.pregnancyStatus
Definition

A.2.6.1 Current pregnancy status

ShortA.2.6.1 Current pregnancy status
Control0..*
TypeBackboneElement
4. Pregnancy.pregnancyStatus.dateOfObservation
Definition

Date on which the observation of the pregnancy state was made - Preferred system(s): ISO 8601

ShortA.2.6.1.1 Date of observation
Control0..*
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. Pregnancy.pregnancyStatus.status
Definition

Provides the woman's current state at the date the observation was made: e.g. pregnant, not pregnant, unknown - Preferred system(s): SNOMED CT GPS

ShortA.2.6.1.2 Status
Control0..*
TypeCodeableConcept
8. Pregnancy.pregnancyStatus.deliveryDate
Definition

Date on which the woman is due to give birth. - Preferred system(s): ISO 8601

ShortA.2.6.1.3 Expected date of delivery
Control0..*
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. Pregnancy.hxPreviousPregnancies
Definition

A.2.6.2 History of previous pregnancies

ShortA.2.6.2 History of previous pregnancies
Control0..*
TypeBackboneElement
12. Pregnancy.hxPreviousPregnancies.status
Definition

Information on the woman's previous pregnancies: Yes, previous pregnancies; No, previous pregnancies; Unknown - Preferred system(s): SNOMED CT GPS

ShortA.2.6.2.1 Previous pregnancies status
Control0..*
TypeCodeableConcept
14. Pregnancy.hxPreviousPregnancies.description
Definition

A.2.6.2.2 Previous pregnancies description

ShortA.2.6.2.2 Previous pregnancies description
Control0..*
TypeBackboneElement
16. Pregnancy.hxPreviousPregnancies.description.outcomeDate
Definition

Date referred to the previous pregnancies outcome - Preferred system(s): ISO 8601

ShortA.2.6.2.2.1 Outcome date
Control0..*
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. Pregnancy.hxPreviousPregnancies.description.outcome
Definition

Outcome of the previous pregnancies - Preferred system(s): SNOMED CT GPS

ShortA.2.6.2.2.2 Outcome
Control0..*
TypeCodeableConcept
20. Pregnancy.hxPreviousPregnancies.description.numberOfChildren
Definition

Number of children/fetus in this specific pregnancy

ShortA.2.6.2.2.3 Number of children
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. Pregnancy
Definition

Functional Status. Section A.2.3.3 of the eHN guideline.

ShortA.2.6 Pregnancy history
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Pregnancy.pregnancyStatus
Definition

A.2.6.1 Current pregnancy status

ShortA.2.6.1 Current pregnancy status
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Pregnancy.pregnancyStatus.modifierExtension
Definition

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 manageable, 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).

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Pregnancy.pregnancyStatus.dateOfObservation
Definition

Date on which the observation of the pregnancy state was made - Preferred system(s): ISO 8601

ShortA.2.6.1.1 Date of observation
Control0..*
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. Pregnancy.pregnancyStatus.status
Definition

Provides the woman's current state at the date the observation was made: e.g. pregnant, not pregnant, unknown - Preferred system(s): SNOMED CT GPS

ShortA.2.6.1.2 Status
Control0..*
TypeCodeableConcept
10. Pregnancy.pregnancyStatus.deliveryDate
Definition

Date on which the woman is due to give birth. - Preferred system(s): ISO 8601

ShortA.2.6.1.3 Expected date of delivery
Control0..*
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. Pregnancy.hxPreviousPregnancies
Definition

A.2.6.2 History of previous pregnancies

ShortA.2.6.2 History of previous pregnancies
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Pregnancy.hxPreviousPregnancies.modifierExtension
Definition

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 manageable, 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).

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Pregnancy.hxPreviousPregnancies.status
Definition

Information on the woman's previous pregnancies: Yes, previous pregnancies; No, previous pregnancies; Unknown - Preferred system(s): SNOMED CT GPS

ShortA.2.6.2.1 Previous pregnancies status
Control0..*
TypeCodeableConcept
18. Pregnancy.hxPreviousPregnancies.description
Definition

A.2.6.2.2 Previous pregnancies description

ShortA.2.6.2.2 Previous pregnancies description
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Pregnancy.hxPreviousPregnancies.description.modifierExtension
Definition

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 manageable, 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).

ShortExtensions that cannot be ignored even if unrecognized
Comments

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.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. Pregnancy.hxPreviousPregnancies.description.outcomeDate
Definition

Date referred to the previous pregnancies outcome - Preferred system(s): ISO 8601

ShortA.2.6.2.2.1 Outcome date
Control0..*
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. Pregnancy.hxPreviousPregnancies.description.outcome
Definition

Outcome of the previous pregnancies - Preferred system(s): SNOMED CT GPS

ShortA.2.6.2.2.2 Outcome
Control0..*
TypeCodeableConcept
26. Pregnancy.hxPreviousPregnancies.description.numberOfChildren
Definition

Number of children/fetus in this specific pregnancy

ShortA.2.6.2.2.3 Number of children
Control0..*
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. Pregnancy
Definition

Functional Status. Section A.2.3.3 of the eHN guideline.

ShortA.2.6 Pregnancy history
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Pregnancy.pregnancyStatus
Definition

A.2.6.1 Current pregnancy status

ShortA.2.6.1 Current pregnancy status
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Pregnancy.pregnancyStatus.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. Pregnancy.pregnancyStatus.extension
Definition

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 manageable, 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.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Pregnancy.pregnancyStatus.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Pregnancy.pregnancyStatus.modifierExtension
    Definition

    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 manageable, 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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Pregnancy.pregnancyStatus.dateOfObservation
    Definition

    Date on which the observation of the pregnancy state was made - Preferred system(s): ISO 8601

    ShortA.2.6.1.1 Date of observation
    Control0..*
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. Pregnancy.pregnancyStatus.status
    Definition

    Provides the woman's current state at the date the observation was made: e.g. pregnant, not pregnant, unknown - Preferred system(s): SNOMED CT GPS

    ShortA.2.6.1.2 Status
    Control0..*
    TypeCodeableConcept
    14. Pregnancy.pregnancyStatus.deliveryDate
    Definition

    Date on which the woman is due to give birth. - Preferred system(s): ISO 8601

    ShortA.2.6.1.3 Expected date of delivery
    Control0..*
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. Pregnancy.hxPreviousPregnancies
    Definition

    A.2.6.2 History of previous pregnancies

    ShortA.2.6.2 History of previous pregnancies
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Pregnancy.hxPreviousPregnancies.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    20. Pregnancy.hxPreviousPregnancies.extension
    Definition

    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 manageable, 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.

    ShortAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Pregnancy.hxPreviousPregnancies.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 22. Pregnancy.hxPreviousPregnancies.modifierExtension
      Definition

      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 manageable, 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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      24. Pregnancy.hxPreviousPregnancies.status
      Definition

      Information on the woman's previous pregnancies: Yes, previous pregnancies; No, previous pregnancies; Unknown - Preferred system(s): SNOMED CT GPS

      ShortA.2.6.2.1 Previous pregnancies status
      Control0..*
      TypeCodeableConcept
      26. Pregnancy.hxPreviousPregnancies.description
      Definition

      A.2.6.2.2 Previous pregnancies description

      ShortA.2.6.2.2 Previous pregnancies description
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Pregnancy.hxPreviousPregnancies.description.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      30. Pregnancy.hxPreviousPregnancies.description.extension
      Definition

      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 manageable, 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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Pregnancy.hxPreviousPregnancies.description.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 32. Pregnancy.hxPreviousPregnancies.description.modifierExtension
        Definition

        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 manageable, 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).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        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.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        34. Pregnancy.hxPreviousPregnancies.description.outcomeDate
        Definition

        Date referred to the previous pregnancies outcome - Preferred system(s): ISO 8601

        ShortA.2.6.2.2.1 Outcome date
        Control0..*
        TypedateTime
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        36. Pregnancy.hxPreviousPregnancies.description.outcome
        Definition

        Outcome of the previous pregnancies - Preferred system(s): SNOMED CT GPS

        ShortA.2.6.2.2.2 Outcome
        Control0..*
        TypeCodeableConcept
        38. Pregnancy.hxPreviousPregnancies.description.numberOfChildren
        Definition

        Number of children/fetus in this specific pregnancy

        ShortA.2.6.2.2.3 Number of children
        Control0..*
        Typeinteger
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension