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: Document model

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

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:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* 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
...... authorEHDSOrganization EHDSOrganization
...... 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 EHDSOrganization 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() ...

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSDocument.header.languagepreferred
EHDSDocument.header.documentTypepreferred
EHDSDocument.header.documentStatuspreferred
EHDSDocument.header.eventTypepreferred
EHDSDocument.header.authorSpecialtypreferred
EHDSDocument.header.documentFormatpreferred
EHDSDocument.header.confidentialitypreferred

This structure is derived from EHDSDataSet

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* 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 EHDSOrganization 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() ...

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSDocument.header.documentTypepreferred
EHDSDocument.header.documentStatuspreferred
EHDSDocument.header.eventTypepreferred
EHDSDocument.header.authorSpecialtypreferred
EHDSDocument.header.documentFormatpreferred
EHDSDocument.header.confidentialitypreferred
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* 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
...... authorEHDSOrganization EHDSOrganization
...... 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 EHDSOrganization 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() ...

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSDocument.header.languagepreferred
EHDSDocument.header.documentTypepreferred
EHDSDocument.header.documentStatuspreferred
EHDSDocument.header.eventTypepreferred
EHDSDocument.header.authorSpecialtypreferred
EHDSDocument.header.documentFormatpreferred
EHDSDocument.header.confidentialitypreferred

This structure is derived from EHDSDataSet

Summary

Mandatory: 1 element(8 nested mandatory elements)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* 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
...... authorEHDSOrganization EHDSOrganization
...... 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 EHDSOrganization 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() ...

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSDocument.header.languagepreferred
EHDSDocument.header.documentTypepreferred
EHDSDocument.header.documentStatuspreferred
EHDSDocument.header.eventTypepreferred
EHDSDocument.header.authorSpecialtypreferred
EHDSDocument.header.documentFormatpreferred
EHDSDocument.header.confidentialitypreferred

Differential View

This structure is derived from EHDSDataSet

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* 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 EHDSOrganization 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() ...

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSDocument.header.documentTypepreferred
EHDSDocument.header.documentStatuspreferred
EHDSDocument.header.eventTypepreferred
EHDSDocument.header.authorSpecialtypreferred
EHDSDocument.header.documentFormatpreferred
EHDSDocument.header.confidentialitypreferred

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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..* 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
...... authorEHDSOrganization EHDSOrganization
...... 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 EHDSOrganization 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() ...

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSDocument.header.languagepreferred
EHDSDocument.header.documentTypepreferred
EHDSDocument.header.documentStatuspreferred
EHDSDocument.header.eventTypepreferred
EHDSDocument.header.authorSpecialtypreferred
EHDSDocument.header.documentFormatpreferred
EHDSDocument.header.confidentialitypreferred

This structure is derived from EHDSDataSet

Summary

Mandatory: 1 element(8 nested mandatory elements)

 

Other representations of profile: CSV, Excel