EHDS Logical Information Models
0.1.0 - ci-build

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/tree/main and changes regularly. See the Directory of published versions

Logical Model: Advance directive model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective Version: 0.1.0
Draft as of 2025-07-25 Computable Name: EHDSAdvanceDirective

Healthcare directives concerning life or after life wishes of the patient

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSAdvanceDirective 0..* EHDSDataSet
Elements defined in Ancestors:header, presentedForm
Advance directive model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Common header for all patient-related data
.... subject 1..1 EHDSPatient Subject
.... identifier 0..* Identifier Business identifier for the object
.... 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
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... category 0..* CodeableConcept Categories of Directives related to decisions prior and after death
Binding Description: (preferred): SNOMED CT
... effectivePeriod 0..1 Period Time period during which the directive is effective
... authorisingEntity[x] 0..1 Person or organisation that authorizes the directive
.... authorisingEntityEHDSPatient EHDSPatient
.... authorisingEntityEHDSHealthProfessional EHDSHealthProfessional
.... authorisingEntityEHDSRelatedPerson EHDSRelatedPerson
.... authorisingEntityEHDSOrganisation EHDSOrganisation
... relatedConditions[x] 0..* CodeableConcept The problem or disorder to which the living will applies. Multiple fields could be provided.
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
... advanceDirectiveDocument 0..1 EHDSAttachment Scanned source document with the living will and the patient's signature, such as a PDF.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSAdvanceDirective.header.languagepreferred
EHDSAdvanceDirective.categorypreferred
EHDSAdvanceDirective.relatedConditions[x]preferred

This structure is derived from EHDSDataSet

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSAdvanceDirective 0..* EHDSDataSet
Elements defined in Ancestors:header, presentedForm
Advance directive model
Instances of this logical model can be the target of a Reference
... category 0..* CodeableConcept Categories of Directives related to decisions prior and after death
Binding Description: (preferred): SNOMED CT
... narrative 0..1 string Textual description of the directive
... effectivePeriod 0..1 Period Time period during which the directive is effective
.... authorisingEntityEHDSPatient EHDSPatient
.... authorisingEntityEHDSHealthProfessional EHDSHealthProfessional
.... authorisingEntityEHDSRelatedPerson EHDSRelatedPerson
.... authorisingEntityEHDSOrganisation EHDSOrganisation
... relatedConditions[x] 0..* CodeableConcept The problem or disorder to which the living will applies. Multiple fields could be provided.
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
... advanceDirectiveDocument 0..1 EHDSAttachment Scanned source document with the living will and the patient's signature, such as a PDF.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSAdvanceDirective.categorypreferred
EHDSAdvanceDirective.relatedConditions[x]preferred
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSAdvanceDirective 0..* EHDSDataSet
Elements defined in Ancestors:header, presentedForm
Advance directive model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Common header for all patient-related data
.... subject 1..1 EHDSPatient Subject
.... identifier 0..* Identifier Business identifier for the object
.... 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
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... category 0..* CodeableConcept Categories of Directives related to decisions prior and after death
Binding Description: (preferred): SNOMED CT
... effectivePeriod 0..1 Period Time period during which the directive is effective
... authorisingEntity[x] 0..1 Person or organisation that authorizes the directive
.... authorisingEntityEHDSPatient EHDSPatient
.... authorisingEntityEHDSHealthProfessional EHDSHealthProfessional
.... authorisingEntityEHDSRelatedPerson EHDSRelatedPerson
.... authorisingEntityEHDSOrganisation EHDSOrganisation
... relatedConditions[x] 0..* CodeableConcept The problem or disorder to which the living will applies. Multiple fields could be provided.
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
... advanceDirectiveDocument 0..1 EHDSAttachment Scanned source document with the living will and the patient's signature, such as a PDF.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSAdvanceDirective.header.languagepreferred
EHDSAdvanceDirective.categorypreferred
EHDSAdvanceDirective.relatedConditions[x]preferred

This structure is derived from EHDSDataSet

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSAdvanceDirective 0..* EHDSDataSet
Elements defined in Ancestors:header, presentedForm
Advance directive model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Common header for all patient-related data
.... subject 1..1 EHDSPatient Subject
.... identifier 0..* Identifier Business identifier for the object
.... 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
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... category 0..* CodeableConcept Categories of Directives related to decisions prior and after death
Binding Description: (preferred): SNOMED CT
... effectivePeriod 0..1 Period Time period during which the directive is effective
... authorisingEntity[x] 0..1 Person or organisation that authorizes the directive
.... authorisingEntityEHDSPatient EHDSPatient
.... authorisingEntityEHDSHealthProfessional EHDSHealthProfessional
.... authorisingEntityEHDSRelatedPerson EHDSRelatedPerson
.... authorisingEntityEHDSOrganisation EHDSOrganisation
... relatedConditions[x] 0..* CodeableConcept The problem or disorder to which the living will applies. Multiple fields could be provided.
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
... advanceDirectiveDocument 0..1 EHDSAttachment Scanned source document with the living will and the patient's signature, such as a PDF.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSAdvanceDirective.header.languagepreferred
EHDSAdvanceDirective.categorypreferred
EHDSAdvanceDirective.relatedConditions[x]preferred

Differential View

This structure is derived from EHDSDataSet

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSAdvanceDirective 0..* EHDSDataSet
Elements defined in Ancestors:header, presentedForm
Advance directive model
Instances of this logical model can be the target of a Reference
... category 0..* CodeableConcept Categories of Directives related to decisions prior and after death
Binding Description: (preferred): SNOMED CT
... narrative 0..1 string Textual description of the directive
... effectivePeriod 0..1 Period Time period during which the directive is effective
.... authorisingEntityEHDSPatient EHDSPatient
.... authorisingEntityEHDSHealthProfessional EHDSHealthProfessional
.... authorisingEntityEHDSRelatedPerson EHDSRelatedPerson
.... authorisingEntityEHDSOrganisation EHDSOrganisation
... relatedConditions[x] 0..* CodeableConcept The problem or disorder to which the living will applies. Multiple fields could be provided.
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
... advanceDirectiveDocument 0..1 EHDSAttachment Scanned source document with the living will and the patient's signature, such as a PDF.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSAdvanceDirective.categorypreferred
EHDSAdvanceDirective.relatedConditions[x]preferred

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSAdvanceDirective 0..* EHDSDataSet
Elements defined in Ancestors:header, presentedForm
Advance directive model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Common header for all patient-related data
.... subject 1..1 EHDSPatient Subject
.... identifier 0..* Identifier Business identifier for the object
.... 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
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... category 0..* CodeableConcept Categories of Directives related to decisions prior and after death
Binding Description: (preferred): SNOMED CT
... effectivePeriod 0..1 Period Time period during which the directive is effective
... authorisingEntity[x] 0..1 Person or organisation that authorizes the directive
.... authorisingEntityEHDSPatient EHDSPatient
.... authorisingEntityEHDSHealthProfessional EHDSHealthProfessional
.... authorisingEntityEHDSRelatedPerson EHDSRelatedPerson
.... authorisingEntityEHDSOrganisation EHDSOrganisation
... relatedConditions[x] 0..* CodeableConcept The problem or disorder to which the living will applies. Multiple fields could be provided.
Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode
... advanceDirectiveDocument 0..1 EHDSAttachment Scanned source document with the living will and the patient's signature, such as a PDF.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSAdvanceDirective.header.languagepreferred
EHDSAdvanceDirective.categorypreferred
EHDSAdvanceDirective.relatedConditions[x]preferred

This structure is derived from EHDSDataSet

Summary

 

Other representations of profile: CSV, Excel