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/stakeholder-consultation-D6-2 and changes regularly. See the Directory of published versions

## Logical Model: Condition model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition | Version: 0.1.0
Draft as of 2025-05-26 | Computable Name: EHDSCondition

EHDS refined base model for A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.

Usage:

- Derived from this Logical Model Profile: Condition HDR model
- Use this Logical Model Profile: Device use model, Hospital Discharge Report body model, Imaging report body model, Laboratory order body model... Show 5 more, Laboratory report body model, Medication administration model, Medication prescription model, Patient summary model and Procedure model
- Refer to this Logical Model Profile: Encounter model, Episode of care model, Hospital Discharge Report header model, Imaging report body model... Show 3 more, Laboratory order body model, Medication statement model and Service request model

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSCondition |  | 0..* | Base | Condition 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
code |  | 0..1 | CodeableConcept | Code identifying the condition, problem or diagnosis Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
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 (No ValueSet): (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 (No ValueSet): (preferred): HL7 Condition-severity
anatomicLocation[x] |  | 0..* |  | The anatomical location including laterality where this condition manifests itself. Binding Description (No ValueSet): (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 (No ValueSet): (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 (No ValueSet): (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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSCondition.code | preferred |
EHDSCondition.clinicalStatus | preferred |
EHDSCondition.severity | preferred |
EHDSCondition.anatomicLocation[x] | preferred |
EHDSCondition.stage | preferred |
EHDSCondition.diagnosisAssertionStatus | preferred |

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSCondition |  | 0..* | Base | Condition 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
code |  | 0..1 | CodeableConcept | Code identifying the condition, problem or diagnosis Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
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 (No ValueSet): (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 (No ValueSet): (preferred): HL7 Condition-severity
anatomicLocation[x] |  | 0..* |  | The anatomical location including laterality where this condition manifests itself. Binding Description (No ValueSet): (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 (No ValueSet): (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 (No ValueSet): (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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSCondition.code | preferred |
EHDSCondition.clinicalStatus | preferred |
EHDSCondition.severity | preferred |
EHDSCondition.anatomicLocation[x] | preferred |
EHDSCondition.stage | preferred |
EHDSCondition.diagnosisAssertionStatus | preferred |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSCondition |  | 0..* | Base | Condition 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
code |  | 0..1 | CodeableConcept | Code identifying the condition, problem or diagnosis Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
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 (No ValueSet): (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 (No ValueSet): (preferred): HL7 Condition-severity
anatomicLocation[x] |  | 0..* |  | The anatomical location including laterality where this condition manifests itself. Binding Description (No ValueSet): (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 (No ValueSet): (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 (No ValueSet): (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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSCondition.code | preferred |
EHDSCondition.clinicalStatus | preferred |
EHDSCondition.severity | preferred |
EHDSCondition.anatomicLocation[x] | preferred |
EHDSCondition.stage | preferred |
EHDSCondition.diagnosisAssertionStatus | preferred |

This structure is derived from Base

Summary

Mandatory: 0 element(1 nested mandatory element)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSCondition |  | 0..* | Base | Condition 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
code |  | 0..1 | CodeableConcept | Code identifying the condition, problem or diagnosis Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
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 (No ValueSet): (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 (No ValueSet): (preferred): HL7 Condition-severity
anatomicLocation[x] |  | 0..* |  | The anatomical location including laterality where this condition manifests itself. Binding Description (No ValueSet): (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 (No ValueSet): (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 (No ValueSet): (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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSCondition.code | preferred |
EHDSCondition.clinicalStatus | preferred |
EHDSCondition.severity | preferred |
EHDSCondition.anatomicLocation[x] | preferred |
EHDSCondition.stage | preferred |
EHDSCondition.diagnosisAssertionStatus | preferred |

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSCondition |  | 0..* | Base | Condition 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
code |  | 0..1 | CodeableConcept | Code identifying the condition, problem or diagnosis Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
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 (No ValueSet): (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 (No ValueSet): (preferred): HL7 Condition-severity
anatomicLocation[x] |  | 0..* |  | The anatomical location including laterality where this condition manifests itself. Binding Description (No ValueSet): (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 (No ValueSet): (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 (No ValueSet): (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
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSCondition.code | preferred |
EHDSCondition.clinicalStatus | preferred |
EHDSCondition.severity | preferred |
EHDSCondition.anatomicLocation[x] | preferred |
EHDSCondition.stage | preferred |
EHDSCondition.diagnosisAssertionStatus | preferred |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSCondition |  | 0..* | Base | Condition 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
code |  | 0..1 | CodeableConcept | Code identifying the condition, problem or diagnosis Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
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 (No ValueSet): (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 (No ValueSet): (preferred): HL7 Condition-severity
anatomicLocation[x] |  | 0..* |  | The anatomical location including laterality where this condition manifests itself. Binding Description (No ValueSet): (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 (No ValueSet): (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 (No ValueSet): (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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSCondition.code | preferred |
EHDSCondition.clinicalStatus | preferred |
EHDSCondition.severity | preferred |
EHDSCondition.anatomicLocation[x] | preferred |
EHDSCondition.stage | preferred |
EHDSCondition.diagnosisAssertionStatus | preferred |

This structure is derived from Base

Summary

Mandatory: 0 element(1 nested mandatory element)

Other representations of profile: CSV, Excel