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: Document model

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

Usage:

- Derived from this Logical Model Profile: Laboratory report header model and Patient summary 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
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (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 (No ValueSet): (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description (No ValueSet): (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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

#### Terminology Bindings

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
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (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 (No ValueSet): (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description (No ValueSet): (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (preferred): hl7:Confidentiality
knowledgeResources |  | 0..* | Base | Related documents and information sources
externalReference |  | 0..* | RelatedArtifact | ...
relatedTo |  | 0..* | Reference() | ...
Documentation for this format

#### Terminology Bindings (Differential)

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
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (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 (No ValueSet): (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description (No ValueSet): (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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

#### Terminology Bindings

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

Summary

Mandatory: 1 element(8 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (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 (No ValueSet): (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description (No ValueSet): (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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

#### Terminology Bindings

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
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (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 (No ValueSet): (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description (No ValueSet): (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (preferred): hl7:Confidentiality
knowledgeResources |  | 0..* | Base | Related documents and information sources
externalReference |  | 0..* | RelatedArtifact | ...
relatedTo |  | 0..* | Reference() | ...
Documentation for this format

#### Terminology Bindings (Differential)

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
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (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 (No ValueSet): (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
authorSpecialty |  | 0..* | CodeableConcept | Specialty Binding Description (No ValueSet): (preferred): SNOMED CT
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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

#### Terminology Bindings

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

Summary

Mandatory: 1 element(8 nested mandatory elements)

Other representations of profile: CSV, Excel