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: Condition HDR model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSConditionHdr Version: 0.1.0
Draft as of 2025-06-10 Computable Name: EHDSConditionHdr

C.38 - EHDS refined base model for Condition HDR

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSConditionHdr 0..* EHDSCondition
Elements defined in Ancestors:identifier, subject, description, code, onsetDate, endDate, category, clinicalStatus, resolutionCircumstances[x], severity, anatomicLocation[x], stage, diagnosisAssertionStatus, asserter, assertedDate
Condition HDR model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Condition identifier
... subject 1..1 EHDSPatient Indicates the patient or group who the condition record is associated with.
... description 0..1 string Condition specification in narrative form
... onsetDate 0..1 dateTime Onset date of a problem/condition
... endDate 0..1 dateTime The date or estimated date that the condition resolved or went into remission.
... category 0..* CodeableConcept Category or categories of the problem.
... clinicalStatus 0..1 CodeableConcept Status of the condition/problem (active, resolved, inactive, ...)
Binding Description: (preferred): HL7 Condition-clinical
... resolutionCircumstances[x] 0..* Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
.... resolutionCircumstancesCodeableConcept CodeableConcept
.... resolutionCircumstancesString string
.... resolutionCircumstancesReference Reference(Any)
... severity 0..1 CodeableConcept A subjective assessment of the severity of the condition as evaluated by the clinician.
Binding Description: (preferred): HL7 Condition-severity
... anatomicLocation[x] 0..* The anatomical location including laterality where this condition manifests itself.
Binding Description: (preferred): SNOMED CT
.... anatomicLocationCodeableConcept CodeableConcept
.... anatomicLocationEHDSBodyStructure EHDSBodyStructure
... stage 0..* CodeableConcept Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Binding Description: (preferred): e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …
... diagnosisAssertionStatus 0..1 CodeableConcept Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Binding Description: (preferred): HL7 Condition-ver-status
... asserter 0..1 EHDSHealthProfessional The asserter of the condition
... assertedDate 0..1 dateTime Date and time of the diagnosis assertion
... POA 1..1 CodeableConcept C.38.1 - Category
... treatmentClass 1..1 CodeableConcept C.38.2 - Treatment class

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSConditionHdr.codepreferred
EHDSConditionHdr.clinicalStatuspreferred
EHDSConditionHdr.severitypreferred
EHDSConditionHdr.anatomicLocation[x]preferred
EHDSConditionHdr.stagepreferred
EHDSConditionHdr.diagnosisAssertionStatuspreferred

This structure is derived from EHDSCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSConditionHdr 0..* EHDSCondition
Elements defined in Ancestors:identifier, subject, description, code, onsetDate, endDate, category, clinicalStatus, resolutionCircumstances[x], severity, anatomicLocation[x], stage, diagnosisAssertionStatus, asserter, assertedDate
Condition HDR model
Instances of this logical model can be the target of a Reference
... POA 1..1 CodeableConcept C.38.1 - Category
... treatmentClass 1..1 CodeableConcept C.38.2 - Treatment class

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSConditionHdr 0..* EHDSCondition
Elements defined in Ancestors:identifier, subject, description, code, onsetDate, endDate, category, clinicalStatus, resolutionCircumstances[x], severity, anatomicLocation[x], stage, diagnosisAssertionStatus, asserter, assertedDate
Condition HDR model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Condition identifier
... subject 1..1 EHDSPatient Indicates the patient or group who the condition record is associated with.
... description 0..1 string Condition specification in narrative form
... onsetDate 0..1 dateTime Onset date of a problem/condition
... endDate 0..1 dateTime The date or estimated date that the condition resolved or went into remission.
... category 0..* CodeableConcept Category or categories of the problem.
... clinicalStatus 0..1 CodeableConcept Status of the condition/problem (active, resolved, inactive, ...)
Binding Description: (preferred): HL7 Condition-clinical
... resolutionCircumstances[x] 0..* Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
.... resolutionCircumstancesCodeableConcept CodeableConcept
.... resolutionCircumstancesString string
.... resolutionCircumstancesReference Reference(Any)
... severity 0..1 CodeableConcept A subjective assessment of the severity of the condition as evaluated by the clinician.
Binding Description: (preferred): HL7 Condition-severity
... anatomicLocation[x] 0..* The anatomical location including laterality where this condition manifests itself.
Binding Description: (preferred): SNOMED CT
.... anatomicLocationCodeableConcept CodeableConcept
.... anatomicLocationEHDSBodyStructure EHDSBodyStructure
... stage 0..* CodeableConcept Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Binding Description: (preferred): e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …
... diagnosisAssertionStatus 0..1 CodeableConcept Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Binding Description: (preferred): HL7 Condition-ver-status
... asserter 0..1 EHDSHealthProfessional The asserter of the condition
... assertedDate 0..1 dateTime Date and time of the diagnosis assertion
... POA 1..1 CodeableConcept C.38.1 - Category
... treatmentClass 1..1 CodeableConcept C.38.2 - Treatment class

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSConditionHdr.codepreferred
EHDSConditionHdr.clinicalStatuspreferred
EHDSConditionHdr.severitypreferred
EHDSConditionHdr.anatomicLocation[x]preferred
EHDSConditionHdr.stagepreferred
EHDSConditionHdr.diagnosisAssertionStatuspreferred

This structure is derived from EHDSCondition

Summary

Mandatory: 0 element(2 nested mandatory elements)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSConditionHdr 0..* EHDSCondition
Elements defined in Ancestors:identifier, subject, description, code, onsetDate, endDate, category, clinicalStatus, resolutionCircumstances[x], severity, anatomicLocation[x], stage, diagnosisAssertionStatus, asserter, assertedDate
Condition HDR model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Condition identifier
... subject 1..1 EHDSPatient Indicates the patient or group who the condition record is associated with.
... description 0..1 string Condition specification in narrative form
... onsetDate 0..1 dateTime Onset date of a problem/condition
... endDate 0..1 dateTime The date or estimated date that the condition resolved or went into remission.
... category 0..* CodeableConcept Category or categories of the problem.
... clinicalStatus 0..1 CodeableConcept Status of the condition/problem (active, resolved, inactive, ...)
Binding Description: (preferred): HL7 Condition-clinical
... resolutionCircumstances[x] 0..* Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
.... resolutionCircumstancesCodeableConcept CodeableConcept
.... resolutionCircumstancesString string
.... resolutionCircumstancesReference Reference(Any)
... severity 0..1 CodeableConcept A subjective assessment of the severity of the condition as evaluated by the clinician.
Binding Description: (preferred): HL7 Condition-severity
... anatomicLocation[x] 0..* The anatomical location including laterality where this condition manifests itself.
Binding Description: (preferred): SNOMED CT
.... anatomicLocationCodeableConcept CodeableConcept
.... anatomicLocationEHDSBodyStructure EHDSBodyStructure
... stage 0..* CodeableConcept Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Binding Description: (preferred): e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …
... diagnosisAssertionStatus 0..1 CodeableConcept Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Binding Description: (preferred): HL7 Condition-ver-status
... asserter 0..1 EHDSHealthProfessional The asserter of the condition
... assertedDate 0..1 dateTime Date and time of the diagnosis assertion
... POA 1..1 CodeableConcept C.38.1 - Category
... treatmentClass 1..1 CodeableConcept C.38.2 - Treatment class

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSConditionHdr.codepreferred
EHDSConditionHdr.clinicalStatuspreferred
EHDSConditionHdr.severitypreferred
EHDSConditionHdr.anatomicLocation[x]preferred
EHDSConditionHdr.stagepreferred
EHDSConditionHdr.diagnosisAssertionStatuspreferred

Differential View

This structure is derived from EHDSCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSConditionHdr 0..* EHDSCondition
Elements defined in Ancestors:identifier, subject, description, code, onsetDate, endDate, category, clinicalStatus, resolutionCircumstances[x], severity, anatomicLocation[x], stage, diagnosisAssertionStatus, asserter, assertedDate
Condition HDR model
Instances of this logical model can be the target of a Reference
... POA 1..1 CodeableConcept C.38.1 - Category
... treatmentClass 1..1 CodeableConcept C.38.2 - Treatment class

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSConditionHdr 0..* EHDSCondition
Elements defined in Ancestors:identifier, subject, description, code, onsetDate, endDate, category, clinicalStatus, resolutionCircumstances[x], severity, anatomicLocation[x], stage, diagnosisAssertionStatus, asserter, assertedDate
Condition HDR model
Instances of this logical model can be the target of a Reference
... identifier 0..* Identifier Condition identifier
... subject 1..1 EHDSPatient Indicates the patient or group who the condition record is associated with.
... description 0..1 string Condition specification in narrative form
... onsetDate 0..1 dateTime Onset date of a problem/condition
... endDate 0..1 dateTime The date or estimated date that the condition resolved or went into remission.
... category 0..* CodeableConcept Category or categories of the problem.
... clinicalStatus 0..1 CodeableConcept Status of the condition/problem (active, resolved, inactive, ...)
Binding Description: (preferred): HL7 Condition-clinical
... resolutionCircumstances[x] 0..* Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
.... resolutionCircumstancesCodeableConcept CodeableConcept
.... resolutionCircumstancesString string
.... resolutionCircumstancesReference Reference(Any)
... severity 0..1 CodeableConcept A subjective assessment of the severity of the condition as evaluated by the clinician.
Binding Description: (preferred): HL7 Condition-severity
... anatomicLocation[x] 0..* The anatomical location including laterality where this condition manifests itself.
Binding Description: (preferred): SNOMED CT
.... anatomicLocationCodeableConcept CodeableConcept
.... anatomicLocationEHDSBodyStructure EHDSBodyStructure
... stage 0..* CodeableConcept Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Binding Description: (preferred): e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …
... diagnosisAssertionStatus 0..1 CodeableConcept Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Binding Description: (preferred): HL7 Condition-ver-status
... asserter 0..1 EHDSHealthProfessional The asserter of the condition
... assertedDate 0..1 dateTime Date and time of the diagnosis assertion
... POA 1..1 CodeableConcept C.38.1 - Category
... treatmentClass 1..1 CodeableConcept C.38.2 - Treatment class

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSConditionHdr.codepreferred
EHDSConditionHdr.clinicalStatuspreferred
EHDSConditionHdr.severitypreferred
EHDSConditionHdr.anatomicLocation[x]preferred
EHDSConditionHdr.stagepreferred
EHDSConditionHdr.diagnosisAssertionStatuspreferred

This structure is derived from EHDSCondition

Summary

Mandatory: 0 element(2 nested mandatory elements)

 

Other representations of profile: CSV, Excel