HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.1-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions
| Draft as of 2025-08-05 | 
Definitions for the EHDSAdvanceDirective logical model
Guidance on how to interpret the contents of this table can be foundhere
| 0. EHDSAdvanceDirective | |
| Definition | Healthcare directives concerning life or after life wishes of the patient | 
| Short | Advance directive model | 
| Control | 0..* | 
| Is Modifier | false | 
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | 
| 2. EHDSAdvanceDirective.header | |
| Definition | Common header for all patient-related data | 
| Short | Common header for all patient-related data | 
| Control | 1..1 | 
| Type | Base | 
| 4. EHDSAdvanceDirective.header.subject | |
| Definition | Patient/subject information | 
| Short | Subject | 
| Control | 1..1 | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient | 
| 6. EHDSAdvanceDirective.header.identifier | |
| Definition | Business identifier for the object | 
| Short | Business identifier for the object | 
| Note | This is a business identifier, not a resource identifier (see discussion) | 
| Control | 0..* | 
| Type | Identifier | 
| 8. EHDSAdvanceDirective.header.authorship | |
| Definition | Resource authoring details | 
| Short | Authorship | 
| Control | 1..* | 
| Type | Base | 
| 10. EHDSAdvanceDirective.header.authorship.author[x] | |
| Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided. | 
| Short | Author | 
| Control | 1..1 | 
| Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| 12. EHDSAdvanceDirective.header.authorship.datetime | |
| Definition | Date and time of the issuing the document/resource by its author. | 
| Short | Date and time of authoring/issuing | 
| Control | 1..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 14. EHDSAdvanceDirective.header.lastUpdate | |
| Definition | Date and time of the last update to the document/information | 
| Short | Date and time of the last update to the resource | 
| Control | 0..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 16. EHDSAdvanceDirective.header.status | |
| Definition | Status of the resource | 
| Short | Status of the resource | 
| Control | 1..1 | 
| Type | CodeableConcept | 
| 18. EHDSAdvanceDirective.header.statusReason[x] | |
| Definition | Reason for the current status of the resource. | 
| Short | Reason for the current status of the resource. | 
| Control | 0..1 | 
| Type | Choice of: CodeableConcept, string | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 20. EHDSAdvanceDirective.header.language | |
| Definition | Language in which the resource is written. Language is expressed by the IETF language tag. | 
| Short | Language | 
| Control | 0..1 | 
| Binding | BCP 47 | 
| Type | CodeableConcept | 
| 22. EHDSAdvanceDirective.header.version | |
| Definition | Business version of the resource. | 
| Short | Version | 
| Note | This is a business version Id, not a resource version Id (see discussion) | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 24. EHDSAdvanceDirective.presentedForm | |
| Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Control | 0..* | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | 
| 26. EHDSAdvanceDirective.category | |
| Definition | Categories of Directives related to decisions prior and after death | 
| Short | Categories of Directives related to decisions prior and after death | 
| Comments | Examples: Intubation, Tube Feedings, Life Support, Cardiopulmonary resuscitation, Antibiotics, Resuscitation, Artificial respiration, Administration of medication, Transfusion, Transfer of care to hospital, Dialysis procedure, Negative declaration, Organ donation, Body donation, Intravenous infusion | 
| Control | 0..* | 
| Binding | SNOMED CT | 
| Type | CodeableConcept | 
| Requirements | ISO IPS | 
| 28. EHDSAdvanceDirective.narrative | |
| Definition | Textual description of the directive | 
| Short | Textual description of the directive | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| Requirements | eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS | 
| 30. EHDSAdvanceDirective.effectivePeriod | |
| Definition | Time period during which the directive is effective | 
| Short | Time period during which the directive is effective | 
| Control | 0..1 | 
| Type | Period | 
| Requirements | eHN HDR Guideline, ISO IPS | 
| 32. EHDSAdvanceDirective.authorisingEntity[x] | |
| Definition | Person or organisation that authorizes the directive | 
| Short | Person or organisation that authorizes the directive | 
| Control | 0..1 | 
| Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Requirements | ISO IPS | 
| 34. EHDSAdvanceDirective.relatedConditions[x] | |
| Definition | The problem or disorder to which the living will applies. Multiple fields could be provided. | 
| Short | The problem or disorder to which the living will applies. Multiple fields could be provided. | 
| Control | 0..* | 
| Binding | ICD-10, SNOMED CT, Orphacode | 
| Type | CodeableConcept | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Requirements | ISO IPS | 
| 36. EHDSAdvanceDirective.advanceDirectiveDocument | |
| Definition | Scanned source document with the living will and the patient's signature, such as a PDF. | 
| Short | Scanned source document with the living will and the patient's signature, such as a PDF. | 
| Control | 0..1 | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | 
| Requirements | eHN HDR Guideline, ISO IPS | 
Guidance on how to interpret the contents of this table can be foundhere
| 0. EHDSAdvanceDirective | |
| Definition | Healthcare directives concerning life or after life wishes of the patient | 
| Short | Advance directive model | 
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | 
| 2. EHDSAdvanceDirective.category | |
| Definition | Categories of Directives related to decisions prior and after death | 
| Short | Categories of Directives related to decisions prior and after death | 
| Comments | Examples: Intubation, Tube Feedings, Life Support, Cardiopulmonary resuscitation, Antibiotics, Resuscitation, Artificial respiration, Administration of medication, Transfusion, Transfer of care to hospital, Dialysis procedure, Negative declaration, Organ donation, Body donation, Intravenous infusion | 
| Control | 0..* | 
| Binding | SNOMED CT | 
| Type | CodeableConcept | 
| Requirements | ISO IPS | 
| 4. EHDSAdvanceDirective.narrative | |
| Definition | Textual description of the directive | 
| Short | Textual description of the directive | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| Requirements | eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS | 
| 6. EHDSAdvanceDirective.effectivePeriod | |
| Definition | Time period during which the directive is effective | 
| Short | Time period during which the directive is effective | 
| Control | 0..1 | 
| Type | Period | 
| Requirements | eHN HDR Guideline, ISO IPS | 
| 8. EHDSAdvanceDirective.authorisingEntity[x] | |
| Definition | Person or organisation that authorizes the directive | 
| Short | Person or organisation that authorizes the directive | 
| Control | 0..1 | 
| Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Requirements | ISO IPS | 
| 10. EHDSAdvanceDirective.relatedConditions[x] | |
| Definition | The problem or disorder to which the living will applies. Multiple fields could be provided. | 
| Short | The problem or disorder to which the living will applies. Multiple fields could be provided. | 
| Control | 0..* | 
| Binding | ICD-10, SNOMED CT, Orphacode | 
| Type | CodeableConcept | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Requirements | ISO IPS | 
| 12. EHDSAdvanceDirective.advanceDirectiveDocument | |
| Definition | Scanned source document with the living will and the patient's signature, such as a PDF. | 
| Short | Scanned source document with the living will and the patient's signature, such as a PDF. | 
| Control | 0..1 | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | 
| Requirements | eHN HDR Guideline, ISO IPS | 
Guidance on how to interpret the contents of this table can be foundhere
| 0. EHDSAdvanceDirective | |
| Definition | Healthcare directives concerning life or after life wishes of the patient | 
| Short | Advance directive model | 
| Control | 0..* | 
| Is Modifier | false | 
| Logical Model | Instances of this logical model are not marked to be the target of a Reference | 
| 2. EHDSAdvanceDirective.header | |
| Definition | Common header for all patient-related data | 
| Short | Common header for all patient-related data | 
| Control | 1..1 | 
| Type | Base | 
| 4. EHDSAdvanceDirective.header.subject | |
| Definition | Patient/subject information | 
| Short | Subject | 
| Control | 1..1 | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient | 
| 6. EHDSAdvanceDirective.header.identifier | |
| Definition | Business identifier for the object | 
| Short | Business identifier for the object | 
| Note | This is a business identifier, not a resource identifier (see discussion) | 
| Control | 0..* | 
| Type | Identifier | 
| 8. EHDSAdvanceDirective.header.authorship | |
| Definition | Resource authoring details | 
| Short | Authorship | 
| Control | 1..* | 
| Type | Base | 
| 10. EHDSAdvanceDirective.header.authorship.author[x] | |
| Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided. | 
| Short | Author | 
| Control | 1..1 | 
| Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| 12. EHDSAdvanceDirective.header.authorship.datetime | |
| Definition | Date and time of the issuing the document/resource by its author. | 
| Short | Date and time of authoring/issuing | 
| Control | 1..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 14. EHDSAdvanceDirective.header.lastUpdate | |
| Definition | Date and time of the last update to the document/information | 
| Short | Date and time of the last update to the resource | 
| Control | 0..1 | 
| Type | dateTime | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 16. EHDSAdvanceDirective.header.status | |
| Definition | Status of the resource | 
| Short | Status of the resource | 
| Control | 1..1 | 
| Type | CodeableConcept | 
| 18. EHDSAdvanceDirective.header.statusReason[x] | |
| Definition | Reason for the current status of the resource. | 
| Short | Reason for the current status of the resource. | 
| Control | 0..1 | 
| Type | Choice of: CodeableConcept, string | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 20. EHDSAdvanceDirective.header.language | |
| Definition | Language in which the resource is written. Language is expressed by the IETF language tag. | 
| Short | Language | 
| Control | 0..1 | 
| Binding | BCP 47 | 
| Type | CodeableConcept | 
| 22. EHDSAdvanceDirective.header.version | |
| Definition | Business version of the resource. | 
| Short | Version | 
| Note | This is a business version Id, not a resource version Id (see discussion) | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| 24. EHDSAdvanceDirective.presentedForm | |
| Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | 
| Control | 0..* | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | 
| 26. EHDSAdvanceDirective.category | |
| Definition | Categories of Directives related to decisions prior and after death | 
| Short | Categories of Directives related to decisions prior and after death | 
| Comments | Examples: Intubation, Tube Feedings, Life Support, Cardiopulmonary resuscitation, Antibiotics, Resuscitation, Artificial respiration, Administration of medication, Transfusion, Transfer of care to hospital, Dialysis procedure, Negative declaration, Organ donation, Body donation, Intravenous infusion | 
| Control | 0..* | 
| Binding | SNOMED CT | 
| Type | CodeableConcept | 
| Requirements | ISO IPS | 
| 28. EHDSAdvanceDirective.narrative | |
| Definition | Textual description of the directive | 
| Short | Textual description of the directive | 
| Control | 0..1 | 
| Type | string | 
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | 
| Requirements | eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS | 
| 30. EHDSAdvanceDirective.effectivePeriod | |
| Definition | Time period during which the directive is effective | 
| Short | Time period during which the directive is effective | 
| Control | 0..1 | 
| Type | Period | 
| Requirements | eHN HDR Guideline, ISO IPS | 
| 32. EHDSAdvanceDirective.authorisingEntity[x] | |
| Definition | Person or organisation that authorizes the directive | 
| Short | Person or organisation that authorizes the directive | 
| Control | 0..1 | 
| Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Requirements | ISO IPS | 
| 34. EHDSAdvanceDirective.relatedConditions[x] | |
| Definition | The problem or disorder to which the living will applies. Multiple fields could be provided. | 
| Short | The problem or disorder to which the living will applies. Multiple fields could be provided. | 
| Control | 0..* | 
| Binding | ICD-10, SNOMED CT, Orphacode | 
| Type | CodeableConcept | 
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | 
| Requirements | ISO IPS | 
| 36. EHDSAdvanceDirective.advanceDirectiveDocument | |
| Definition | Scanned source document with the living will and the patient's signature, such as a PDF. | 
| Short | Scanned source document with the living will and the patient's signature, such as a PDF. | 
| Control | 0..1 | 
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment | 
| Requirements | eHN HDR Guideline, ISO IPS |