HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/ and changes regularly. See the Directory of published versions
| Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDocument | Version: 0.1.0 | |||
| Draft as of 2025-08-05 | Computable Name: EHDSDocument | |||
| Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License | ||||
EHDS refined base model for common document data elements, including the common header. Data relevant to document type and its content for administrative and searching purposes.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   EHDSDocument | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Document model Instances of this logical model can be the target of a Reference | |
|    header | 1..1 | Base | Document header elements | |
|     subject | 1..1 | EHDSPatient | Subject | |
|     identifier | 1..* | Identifier | Document ID | |
|     authorship | 1..* | Base | Authorship | |
|      author[x] | 1..1 | Author | ||
|       authorEHDSHealthProfessional | EHDSHealthProfessional | |||
|       authorEHDSOrganisation | EHDSOrganisation | |||
|       authorEHDSDevice | EHDSDevice | |||
|      datetime | 1..1 | dateTime | Date and time of authoring/issuing | |
|     lastUpdate | 0..1 | dateTime | Date and time of the last update to the resource | |
|     status | 1..1 | CodeableConcept | Status of the resource | |
|     statusReason[x] | 0..1 | Reason for the current status of the resource. | ||
|      statusReasonCodeableConcept | CodeableConcept | |||
|      statusReasonString | string | |||
|     language | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47 | |
|     version | 0..1 | string | Version | |
|     documentType | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC | |
|     documentTitle | 1..1 | string | Document title | |
|     documentStatus | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus | |
|     period | 0..1 | Period | Period | |
|     attestation | 0..* | Base | Attestation | |
|      attester | 1..1 | EHDSHealthProfessional | Attester | |
|      datetime | 1..1 | dateTime | DateTime | |
|     legalAuthentication | 0..1 | Base | Legal authentication | |
|      legalAuthenticator | 1..1 | EHDSHealthProfessional | Legal authenticator | |
|      datetime | 1..1 | dateTime | DateTime | |
|     eventType | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |
|     authorSpecialty | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT | |
|     custodian | 1..1 | EHDSOrganisation | Document custodian | |
|     documentFormat | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes | |
|     confidentiality | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality | |
|    presentedForm | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | |
|    knowledgeResources | 0..* | Base | Related documents and information sources | |
|     externalReference | 0..* | RelatedArtifact | ... | |
|     relatedTo | 0..* | Reference() | ... | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| EHDSDocument.header.language | preferred | ||
| EHDSDocument.header.documentType | preferred | ||
| EHDSDocument.header.documentStatus | preferred | ||
| EHDSDocument.header.eventType | preferred | ||
| EHDSDocument.header.authorSpecialty | preferred | ||
| EHDSDocument.header.documentFormat | preferred | ||
| EHDSDocument.header.confidentiality | preferred | 
This structure is derived from EHDSDataSet
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   EHDSDocument | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Document model Instances of this logical model can be the target of a Reference | |
|    header | 1..1 | Base | Document header elements | |
|     identifier | 1..* | Identifier | Document ID | |
|     documentType | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC | |
|     documentTitle | 1..1 | string | Document title | |
|     documentStatus | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus | |
|     period | 0..1 | Period | Period | |
|     attestation | 0..* | Base | Attestation | |
|      attester | 1..1 | EHDSHealthProfessional | Attester | |
|      datetime | 1..1 | dateTime | DateTime | |
|     legalAuthentication | 0..1 | Base | Legal authentication | |
|      legalAuthenticator | 1..1 | EHDSHealthProfessional | Legal authenticator | |
|      datetime | 1..1 | dateTime | DateTime | |
|     eventType | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |
|     authorSpecialty | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT | |
|     custodian | 1..1 | EHDSOrganisation | Document custodian | |
|     documentFormat | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes | |
|     confidentiality | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality | |
|    knowledgeResources | 0..* | Base | Related documents and information sources | |
|     externalReference | 0..* | RelatedArtifact | ... | |
|     relatedTo | 0..* | Reference() | ... | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| EHDSDocument.header.documentType | preferred | ||
| EHDSDocument.header.documentStatus | preferred | ||
| EHDSDocument.header.eventType | preferred | ||
| EHDSDocument.header.authorSpecialty | preferred | ||
| EHDSDocument.header.documentFormat | preferred | ||
| EHDSDocument.header.confidentiality | preferred | 
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   EHDSDocument | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Document model Instances of this logical model can be the target of a Reference | |
|    header | 1..1 | Base | Document header elements | |
|     subject | 1..1 | EHDSPatient | Subject | |
|     identifier | 1..* | Identifier | Document ID | |
|     authorship | 1..* | Base | Authorship | |
|      author[x] | 1..1 | Author | ||
|       authorEHDSHealthProfessional | EHDSHealthProfessional | |||
|       authorEHDSOrganisation | EHDSOrganisation | |||
|       authorEHDSDevice | EHDSDevice | |||
|      datetime | 1..1 | dateTime | Date and time of authoring/issuing | |
|     lastUpdate | 0..1 | dateTime | Date and time of the last update to the resource | |
|     status | 1..1 | CodeableConcept | Status of the resource | |
|     statusReason[x] | 0..1 | Reason for the current status of the resource. | ||
|      statusReasonCodeableConcept | CodeableConcept | |||
|      statusReasonString | string | |||
|     language | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47 | |
|     version | 0..1 | string | Version | |
|     documentType | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC | |
|     documentTitle | 1..1 | string | Document title | |
|     documentStatus | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus | |
|     period | 0..1 | Period | Period | |
|     attestation | 0..* | Base | Attestation | |
|      attester | 1..1 | EHDSHealthProfessional | Attester | |
|      datetime | 1..1 | dateTime | DateTime | |
|     legalAuthentication | 0..1 | Base | Legal authentication | |
|      legalAuthenticator | 1..1 | EHDSHealthProfessional | Legal authenticator | |
|      datetime | 1..1 | dateTime | DateTime | |
|     eventType | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |
|     authorSpecialty | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT | |
|     custodian | 1..1 | EHDSOrganisation | Document custodian | |
|     documentFormat | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes | |
|     confidentiality | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality | |
|    presentedForm | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | |
|    knowledgeResources | 0..* | Base | Related documents and information sources | |
|     externalReference | 0..* | RelatedArtifact | ... | |
|     relatedTo | 0..* | Reference() | ... | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| EHDSDocument.header.language | preferred | ||
| EHDSDocument.header.documentType | preferred | ||
| EHDSDocument.header.documentStatus | preferred | ||
| EHDSDocument.header.eventType | preferred | ||
| EHDSDocument.header.authorSpecialty | preferred | ||
| EHDSDocument.header.documentFormat | preferred | ||
| EHDSDocument.header.confidentiality | preferred | 
This structure is derived from EHDSDataSet
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   EHDSDocument | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Document model Instances of this logical model can be the target of a Reference | |
|    header | 1..1 | Base | Document header elements | |
|     subject | 1..1 | EHDSPatient | Subject | |
|     identifier | 1..* | Identifier | Document ID | |
|     authorship | 1..* | Base | Authorship | |
|      author[x] | 1..1 | Author | ||
|       authorEHDSHealthProfessional | EHDSHealthProfessional | |||
|       authorEHDSOrganisation | EHDSOrganisation | |||
|       authorEHDSDevice | EHDSDevice | |||
|      datetime | 1..1 | dateTime | Date and time of authoring/issuing | |
|     lastUpdate | 0..1 | dateTime | Date and time of the last update to the resource | |
|     status | 1..1 | CodeableConcept | Status of the resource | |
|     statusReason[x] | 0..1 | Reason for the current status of the resource. | ||
|      statusReasonCodeableConcept | CodeableConcept | |||
|      statusReasonString | string | |||
|     language | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47 | |
|     version | 0..1 | string | Version | |
|     documentType | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC | |
|     documentTitle | 1..1 | string | Document title | |
|     documentStatus | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus | |
|     period | 0..1 | Period | Period | |
|     attestation | 0..* | Base | Attestation | |
|      attester | 1..1 | EHDSHealthProfessional | Attester | |
|      datetime | 1..1 | dateTime | DateTime | |
|     legalAuthentication | 0..1 | Base | Legal authentication | |
|      legalAuthenticator | 1..1 | EHDSHealthProfessional | Legal authenticator | |
|      datetime | 1..1 | dateTime | DateTime | |
|     eventType | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |
|     authorSpecialty | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT | |
|     custodian | 1..1 | EHDSOrganisation | Document custodian | |
|     documentFormat | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes | |
|     confidentiality | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality | |
|    presentedForm | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | |
|    knowledgeResources | 0..* | Base | Related documents and information sources | |
|     externalReference | 0..* | RelatedArtifact | ... | |
|     relatedTo | 0..* | Reference() | ... | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| EHDSDocument.header.language | preferred | ||
| EHDSDocument.header.documentType | preferred | ||
| EHDSDocument.header.documentStatus | preferred | ||
| EHDSDocument.header.eventType | preferred | ||
| EHDSDocument.header.authorSpecialty | preferred | ||
| EHDSDocument.header.documentFormat | preferred | ||
| EHDSDocument.header.confidentiality | preferred | 
Differential View
This structure is derived from EHDSDataSet
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   EHDSDocument | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Document model Instances of this logical model can be the target of a Reference | |
|    header | 1..1 | Base | Document header elements | |
|     identifier | 1..* | Identifier | Document ID | |
|     documentType | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC | |
|     documentTitle | 1..1 | string | Document title | |
|     documentStatus | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus | |
|     period | 0..1 | Period | Period | |
|     attestation | 0..* | Base | Attestation | |
|      attester | 1..1 | EHDSHealthProfessional | Attester | |
|      datetime | 1..1 | dateTime | DateTime | |
|     legalAuthentication | 0..1 | Base | Legal authentication | |
|      legalAuthenticator | 1..1 | EHDSHealthProfessional | Legal authenticator | |
|      datetime | 1..1 | dateTime | DateTime | |
|     eventType | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |
|     authorSpecialty | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT | |
|     custodian | 1..1 | EHDSOrganisation | Document custodian | |
|     documentFormat | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes | |
|     confidentiality | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality | |
|    knowledgeResources | 0..* | Base | Related documents and information sources | |
|     externalReference | 0..* | RelatedArtifact | ... | |
|     relatedTo | 0..* | Reference() | ... | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| EHDSDocument.header.documentType | preferred | ||
| EHDSDocument.header.documentStatus | preferred | ||
| EHDSDocument.header.eventType | preferred | ||
| EHDSDocument.header.authorSpecialty | preferred | ||
| EHDSDocument.header.documentFormat | preferred | ||
| EHDSDocument.header.confidentiality | preferred | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:   | 
|---|---|---|---|---|
|   EHDSDocument | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Document model Instances of this logical model can be the target of a Reference | |
|    header | 1..1 | Base | Document header elements | |
|     subject | 1..1 | EHDSPatient | Subject | |
|     identifier | 1..* | Identifier | Document ID | |
|     authorship | 1..* | Base | Authorship | |
|      author[x] | 1..1 | Author | ||
|       authorEHDSHealthProfessional | EHDSHealthProfessional | |||
|       authorEHDSOrganisation | EHDSOrganisation | |||
|       authorEHDSDevice | EHDSDevice | |||
|      datetime | 1..1 | dateTime | Date and time of authoring/issuing | |
|     lastUpdate | 0..1 | dateTime | Date and time of the last update to the resource | |
|     status | 1..1 | CodeableConcept | Status of the resource | |
|     statusReason[x] | 0..1 | Reason for the current status of the resource. | ||
|      statusReasonCodeableConcept | CodeableConcept | |||
|      statusReasonString | string | |||
|     language | 0..1 | CodeableConcept | Language Binding Description: (preferred): BCP 47 | |
|     version | 0..1 | string | Version | |
|     documentType | 1..1 | CodeableConcept | Document type Binding Description: (preferred): LOINC | |
|     documentTitle | 1..1 | string | Document title | |
|     documentStatus | 1..1 | CodeableConcept | Document status Binding Description: (preferred): hl7:CompositionStatus | |
|     period | 0..1 | Period | Period | |
|     attestation | 0..* | Base | Attestation | |
|      attester | 1..1 | EHDSHealthProfessional | Attester | |
|      datetime | 1..1 | dateTime | DateTime | |
|     legalAuthentication | 0..1 | Base | Legal authentication | |
|      legalAuthenticator | 1..1 | EHDSHealthProfessional | Legal authenticator | |
|      datetime | 1..1 | dateTime | DateTime | |
|     eventType | 0..* | CodeableConcept | Event type Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |
|     authorSpecialty | 0..* | CodeableConcept | Specialty Binding Description: (preferred): SNOMED CT | |
|     custodian | 1..1 | EHDSOrganisation | Document custodian | |
|     documentFormat | 0..1 | CodeableConcept | Document format Binding Description: (preferred): HL7 Document Format Codes | |
|     confidentiality | 0..1 | CodeableConcept | Confidentiality Binding Description: (preferred): hl7:Confidentiality | |
|    presentedForm | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document | |
|    knowledgeResources | 0..* | Base | Related documents and information sources | |
|     externalReference | 0..* | RelatedArtifact | ... | |
|     relatedTo | 0..* | Reference() | ... | |
|  Documentation for this format | ||||
| Path | Conformance | ValueSet | URI | 
| EHDSDocument.header.language | preferred | ||
| EHDSDocument.header.documentType | preferred | ||
| EHDSDocument.header.documentStatus | preferred | ||
| EHDSDocument.header.eventType | preferred | ||
| EHDSDocument.header.authorSpecialty | preferred | ||
| EHDSDocument.header.documentFormat | preferred | ||
| EHDSDocument.header.confidentiality | preferred | 
This structure is derived from EHDSDataSet