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: Procedure model

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

C.16 - EHDS refined base model for An action that is or was performed on or for a patient

Usage:

- Use this Logical Model Profile: Device use model, Hospital Discharge Report body model, Imaging report body model, Patient summary model and Procedure model
- Refer to this Logical Model Profile: Encounter model, Episode of care model, Hospital Discharge Report header model, Observation 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
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | Base | Procedure model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the procedure
subject |  | 1..1 | EHDSPatient | On whom the procedure was performed.
code |  | 0..1 | CodeableConcept | Code identifying the procedure Binding Description (No ValueSet): (preferred): SNOMED CT
date[x] |  | 0..1 |  | Date and time of the procedure or interval of its performance
dateDateTime |  |  | dateTime |
datePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | An actor who performed the procedure
bodySite |  | 0..* | EHDSBodyStructure | Anatomic location and laterality where the procedure was performed. This is the target site.
reason[x] |  | 0..* |  | The reason why the procedure was performed.
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The outcome of the procedure - did it resolve the reasons for the procedure being performed? Binding Description (No ValueSet): (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
location |  | 0..* | EHDSLocation | Location where the procedure was performed
note |  | 0..1 | string | Additional information about the procedure
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSProcedure.code | preferred |
EHDSProcedure.outcome | preferred |
EHDSProcedure.complication | preferred |

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | Base | Procedure model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the procedure
subject |  | 1..1 | EHDSPatient | On whom the procedure was performed.
code |  | 0..1 | CodeableConcept | Code identifying the procedure Binding Description (No ValueSet): (preferred): SNOMED CT
date[x] |  | 0..1 |  | Date and time of the procedure or interval of its performance
dateDateTime |  |  | dateTime |
datePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | An actor who performed the procedure
bodySite |  | 0..* | EHDSBodyStructure | Anatomic location and laterality where the procedure was performed. This is the target site.
reason[x] |  | 0..* |  | The reason why the procedure was performed.
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The outcome of the procedure - did it resolve the reasons for the procedure being performed? Binding Description (No ValueSet): (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
location |  | 0..* | EHDSLocation | Location where the procedure was performed
note |  | 0..1 | string | Additional information about the procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSProcedure.code | preferred |
EHDSProcedure.outcome | preferred |
EHDSProcedure.complication | preferred |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | Base | Procedure model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the procedure
subject |  | 1..1 | EHDSPatient | On whom the procedure was performed.
code |  | 0..1 | CodeableConcept | Code identifying the procedure Binding Description (No ValueSet): (preferred): SNOMED CT
date[x] |  | 0..1 |  | Date and time of the procedure or interval of its performance
dateDateTime |  |  | dateTime |
datePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | An actor who performed the procedure
bodySite |  | 0..* | EHDSBodyStructure | Anatomic location and laterality where the procedure was performed. This is the target site.
reason[x] |  | 0..* |  | The reason why the procedure was performed.
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The outcome of the procedure - did it resolve the reasons for the procedure being performed? Binding Description (No ValueSet): (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
location |  | 0..* | EHDSLocation | Location where the procedure was performed
note |  | 0..1 | string | Additional information about the procedure
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSProcedure.code | preferred |
EHDSProcedure.outcome | preferred |
EHDSProcedure.complication | preferred |

This structure is derived from Base

Summary

Mandatory: 0 element(1 nested mandatory element)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | Base | Procedure model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the procedure
subject |  | 1..1 | EHDSPatient | On whom the procedure was performed.
code |  | 0..1 | CodeableConcept | Code identifying the procedure Binding Description (No ValueSet): (preferred): SNOMED CT
date[x] |  | 0..1 |  | Date and time of the procedure or interval of its performance
dateDateTime |  |  | dateTime |
datePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | An actor who performed the procedure
bodySite |  | 0..* | EHDSBodyStructure | Anatomic location and laterality where the procedure was performed. This is the target site.
reason[x] |  | 0..* |  | The reason why the procedure was performed.
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The outcome of the procedure - did it resolve the reasons for the procedure being performed? Binding Description (No ValueSet): (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
location |  | 0..* | EHDSLocation | Location where the procedure was performed
note |  | 0..1 | string | Additional information about the procedure
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSProcedure.code | preferred |
EHDSProcedure.outcome | preferred |
EHDSProcedure.complication | preferred |

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | Base | Procedure model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the procedure
subject |  | 1..1 | EHDSPatient | On whom the procedure was performed.
code |  | 0..1 | CodeableConcept | Code identifying the procedure Binding Description (No ValueSet): (preferred): SNOMED CT
date[x] |  | 0..1 |  | Date and time of the procedure or interval of its performance
dateDateTime |  |  | dateTime |
datePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | An actor who performed the procedure
bodySite |  | 0..* | EHDSBodyStructure | Anatomic location and laterality where the procedure was performed. This is the target site.
reason[x] |  | 0..* |  | The reason why the procedure was performed.
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The outcome of the procedure - did it resolve the reasons for the procedure being performed? Binding Description (No ValueSet): (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
location |  | 0..* | EHDSLocation | Location where the procedure was performed
note |  | 0..1 | string | Additional information about the procedure
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSProcedure.code | preferred |
EHDSProcedure.outcome | preferred |
EHDSProcedure.complication | preferred |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
EHDSProcedure |  | 0..* | Base | Procedure model Instances of this logical model can be the target of a Reference
identifier |  | 0..* | Identifier | Identifier for the procedure
subject |  | 1..1 | EHDSPatient | On whom the procedure was performed.
code |  | 0..1 | CodeableConcept | Code identifying the procedure Binding Description (No ValueSet): (preferred): SNOMED CT
date[x] |  | 0..1 |  | Date and time of the procedure or interval of its performance
dateDateTime |  |  | dateTime |
datePeriod |  |  | Period |
performer |  | 0..* | EHDSHealthProfessional | An actor who performed the procedure
bodySite |  | 0..* | EHDSBodyStructure | Anatomic location and laterality where the procedure was performed. This is the target site.
reason[x] |  | 0..* |  | The reason why the procedure was performed.
reasonEHDSCondition |  |  | EHDSCondition |
reasonEHDSObservation |  |  | EHDSObservation |
reasonEHDSProcedure |  |  | EHDSProcedure |
outcome |  | 0..1 | CodeableConcept | The outcome of the procedure - did it resolve the reasons for the procedure being performed? Binding Description (No ValueSet): (preferred): SNOMED CT
complication |  | 0..* | CodeableConcept | Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues. Binding Description (No ValueSet): (preferred): ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
deviceUsed |  | 0..* | EHDSDevice | Device used to perform the procedure
focalDevice |  | 0..* | EHDSDevice | Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
location |  | 0..* | EHDSLocation | Location where the procedure was performed
note |  | 0..1 | string | Additional information about the procedure
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSProcedure.code | preferred |
EHDSProcedure.outcome | preferred |
EHDSProcedure.complication | preferred |

This structure is derived from Base

Summary

Mandatory: 0 element(1 nested mandatory element)

Other representations of profile: CSV, Excel