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: EHDSCondition - Detailed Descriptions

Draft as of 2025-05-26

Definitions for the EHDSCondition logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. EHDSCondition
Definition | 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. Base definition for all types defined in FHIR type system.
Short | Condition modelBase for all types and resources
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.identifier
Definition | Condition identifier
Short | Condition identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. EHDSCondition.subject
Definition | Indicates the patient or group who the condition record is associated with.
Short | Indicates the patient or group who the condition record is associated with.
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSCondition.description
Definition | Condition specification in narrative form
Short | Condition specification in narrative form
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. EHDSCondition.code
Definition | Code identifying the condition, problem or diagnosis
Short | Code identifying the condition, problem or diagnosis
Control | 0..1
Binding | ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
Type | CodeableConcept
10. EHDSCondition.onsetDate
Definition | Onset date of a problem/condition
Short | Onset date of a problem/condition
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. EHDSCondition.endDate
Definition | The date or estimated date that the condition resolved or went into remission.
Short | The date or estimated date that the condition resolved or went into remission.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSCondition.category
Definition | Category or categories of the problem.
Short | Category or categories of the problem.
Control | 0..*
Type | CodeableConcept
16. EHDSCondition.clinicalStatus
Definition | Status of the condition/problem (active, resolved, inactive, ...)
Short | Status of the condition/problem (active, resolved, inactive, ...)
Control | 0..1
Binding | HL7 Condition-clinical
Type | CodeableConcept
18. EHDSCondition.resolutionCircumstances[x]
Definition | This field includes free text if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).
Short | Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
Control | 0..*
Type | Choice of: CodeableConcept, string, Reference
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSCondition.severity
Definition | A subjective assessment of the severity of the condition as evaluated by the clinician.
Short | A subjective assessment of the severity of the condition as evaluated by the clinician.
Control | 0..1
Binding | HL7 Condition-severity
Type | CodeableConcept
22. EHDSCondition.anatomicLocation[x]
Definition | The anatomical location including laterality where this condition manifests itself.
Short | The anatomical location including laterality where this condition manifests itself.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
24. EHDSCondition.stage
Definition | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Short | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Control | 0..*
Binding | e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …
Type | CodeableConcept
26. EHDSCondition.diagnosisAssertionStatus
Definition | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Short | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Control | 0..1
Binding | HL7 Condition-ver-status
Type | CodeableConcept
28. EHDSCondition.asserter
Definition | The asserter of the condition
Short | The asserter of the condition
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
30. EHDSCondition.assertedDate
Definition | Date and time of the diagnosis assertion
Short | Date and time of the diagnosis assertion
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. EHDSCondition
Definition | 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.
Short | Condition model
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.identifier
Definition | Condition identifier
Short | Condition identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. EHDSCondition.subject
Definition | Indicates the patient or group who the condition record is associated with.
Short | Indicates the patient or group who the condition record is associated with.
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSCondition.description
Definition | Condition specification in narrative form
Short | Condition specification in narrative form
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. EHDSCondition.code
Definition | Code identifying the condition, problem or diagnosis
Short | Code identifying the condition, problem or diagnosis
Control | 0..1
Binding | ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
Type | CodeableConcept
10. EHDSCondition.onsetDate
Definition | Onset date of a problem/condition
Short | Onset date of a problem/condition
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. EHDSCondition.endDate
Definition | The date or estimated date that the condition resolved or went into remission.
Short | The date or estimated date that the condition resolved or went into remission.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSCondition.category
Definition | Category or categories of the problem.
Short | Category or categories of the problem.
Control | 0..*
Type | CodeableConcept
16. EHDSCondition.clinicalStatus
Definition | Status of the condition/problem (active, resolved, inactive, ...)
Short | Status of the condition/problem (active, resolved, inactive, ...)
Control | 0..1
Binding | HL7 Condition-clinical
Type | CodeableConcept
18. EHDSCondition.resolutionCircumstances[x]
Definition | This field includes free text if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).
Short | Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
Control | 0..*
Type | Choice of: CodeableConcept, string, Reference
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSCondition.severity
Definition | A subjective assessment of the severity of the condition as evaluated by the clinician.
Short | A subjective assessment of the severity of the condition as evaluated by the clinician.
Control | 0..1
Binding | HL7 Condition-severity
Type | CodeableConcept
22. EHDSCondition.anatomicLocation[x]
Definition | The anatomical location including laterality where this condition manifests itself.
Short | The anatomical location including laterality where this condition manifests itself.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
24. EHDSCondition.stage
Definition | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Short | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Control | 0..*
Binding | e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …
Type | CodeableConcept
26. EHDSCondition.diagnosisAssertionStatus
Definition | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Short | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Control | 0..1
Binding | HL7 Condition-ver-status
Type | CodeableConcept
28. EHDSCondition.asserter
Definition | The asserter of the condition
Short | The asserter of the condition
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
30. EHDSCondition.assertedDate
Definition | Date and time of the diagnosis assertion
Short | Date and time of the diagnosis assertion
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be found here

0. EHDSCondition
Definition | 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.
Short | Condition model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSCondition.identifier
Definition | Condition identifier
Short | Condition identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. EHDSCondition.subject
Definition | Indicates the patient or group who the condition record is associated with.
Short | Indicates the patient or group who the condition record is associated with.
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSCondition.description
Definition | Condition specification in narrative form
Short | Condition specification in narrative form
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. EHDSCondition.code
Definition | Code identifying the condition, problem or diagnosis
Short | Code identifying the condition, problem or diagnosis
Control | 0..1
Binding | ICD-10*, SNOMED CT, Orphacode if rare disease is diagnosed
Type | CodeableConcept
10. EHDSCondition.onsetDate
Definition | Onset date of a problem/condition
Short | Onset date of a problem/condition
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. EHDSCondition.endDate
Definition | The date or estimated date that the condition resolved or went into remission.
Short | The date or estimated date that the condition resolved or went into remission.
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSCondition.category
Definition | Category or categories of the problem.
Short | Category or categories of the problem.
Control | 0..*
Type | CodeableConcept
16. EHDSCondition.clinicalStatus
Definition | Status of the condition/problem (active, resolved, inactive, ...)
Short | Status of the condition/problem (active, resolved, inactive, ...)
Control | 0..1
Binding | HL7 Condition-clinical
Type | CodeableConcept
18. EHDSCondition.resolutionCircumstances[x]
Definition | This field includes free text if the resolution circumstances are not already included in other fields such as surgical procedure, medical device, etc., e.g. hepatic cystectomy (this will be the resolution circumstances for the problem "hepatic cyst" and will be included in surgical procedures).
Short | Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
Control | 0..*
Type | Choice of: CodeableConcept, string, Reference
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSCondition.severity
Definition | A subjective assessment of the severity of the condition as evaluated by the clinician.
Short | A subjective assessment of the severity of the condition as evaluated by the clinician.
Control | 0..1
Binding | HL7 Condition-severity
Type | CodeableConcept
22. EHDSCondition.anatomicLocation[x]
Definition | The anatomical location including laterality where this condition manifests itself.
Short | The anatomical location including laterality where this condition manifests itself.
Control | 0..*
Binding | SNOMED CT
Type | Choice of: CodeableConcept, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSBodyStructure
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
24. EHDSCondition.stage
Definition | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Short | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
Control | 0..*
Binding | e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, …
Type | CodeableConcept
26. EHDSCondition.diagnosisAssertionStatus
Definition | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Short | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
Control | 0..1
Binding | HL7 Condition-ver-status
Type | CodeableConcept
28. EHDSCondition.asserter
Definition | The asserter of the condition
Short | The asserter of the condition
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
30. EHDSCondition.assertedDate
Definition | Date and time of the diagnosis assertion
Short | Date and time of the diagnosis assertion
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension