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EHDSAddress; ; 0..*; EHDS refined base model for Address structure; ; ; Address model
EHDSAddress; use; 0..1; Purpose of the address; CodeableConcept; HL7 AddressUse (preferred) ; Purpose of the address
EHDSAddress; type; 0..1; Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.; CodeableConcept; HL7 AddressType (preferred) ; Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.
EHDSAddress; text; 0..1; Text representation of the address; string; ; Text representation of the address
EHDSAddress; street; 0..1; Name of the street; string; ; Name of the street
EHDSAddress; houseNumber; 0..1; House number; string; ; House number
EHDSAddress; postBox; 0..1; Post box; string; ; Post box
EHDSAddress; city; 0..1; City; string; ; City
EHDSAddress; postalCode; 0..1; Postal code; string; ; Postal code
EHDSAddress; country; 0..1; Country name and country code; CodeableConcept; ISO 3166-1 alpha-2 (preferred) ; Country name and country code
EHDSAdvanceDirective; ; 0..*; Healthcare directives concerning life or after life wishes of the patient; ; ; Advance directive model
EHDSAdvanceDirective; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSAdvanceDirective; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSAdvanceDirective; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSAdvanceDirective; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSAdvanceDirective; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSAdvanceDirective; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSAdvanceDirective; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSAdvanceDirective; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSAdvanceDirective; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSAdvanceDirective; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSAdvanceDirective; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSAdvanceDirective; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSAdvanceDirective; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSAdvanceDirective; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSAdvanceDirective; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSAdvanceDirective; category; 0..*; Categories of Directives related to decisions prior and after death; CodeableConcept; SNOMED CT (preferred) ; Categories of Directives related to decisions prior and after death
EHDSAdvanceDirective; narrative; 0..1; Textual description of the directive; string; ; Textual description of the directive
EHDSAdvanceDirective; effectivePeriod; 0..1; Time period during which the directive is effective; Period; ; Time period during which the directive is effective
EHDSAdvanceDirective; authorisingEntity[x]; 0..1; Person or organisation that authorizes the directive; EHDSPatient; ; Person or organisation that authorizes the directive
EHDSAdvanceDirective; authorisingEntity[x]; 0..1; Person or organisation that authorizes the directive; EHDSHealthProfessional; ; Person or organisation that authorizes the directive
EHDSAdvanceDirective; authorisingEntity[x]; 0..1; Person or organisation that authorizes the directive; EHDSRelatedPerson; ; Person or organisation that authorizes the directive
EHDSAdvanceDirective; authorisingEntity[x]; 0..1; Person or organisation that authorizes the directive; EHDSOrganisation; ; Person or organisation that authorizes the directive
EHDSAdvanceDirective; relatedConditions[x]; 0..*; The problem or disorder to which the living will applies. Multiple fields could be provided.; CodeableConcept; ICD-10, SNOMED CT, Orphacode (preferred) ; The problem or disorder to which the living will applies. Multiple fields could be provided.
EHDSAdvanceDirective; advanceDirectiveDocument; 0..1; Scanned source document with the living will and the patient's signature, such as a PDF.; EHDSAttachment; ; Scanned source document with the living will and the patient's signature, such as a PDF.
EHDSAlert; ; 0..*; Alert flag; ; ; Alert model
EHDSAlert; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSAlert; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSAlert; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSAlert; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSAlert; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSAlert; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSAlert; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSAlert; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSAlert; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSAlert; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSAlert; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSAlert; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSAlert; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSAlert; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSAlert; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSAlert; text; 0..1; A human-readable narrative that contains a summary of the flag and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.
Example 1: intolerance to aspirin due to gastrointestinal bleeding.
Example 2: intolerance to captopril because of cough (the patient is not allergic but can't tolerate it because of persistent cough)
Example 3: the patient has a rare disease that requires special treatment
Example 4: Airway Alert / Difficult Intubation
Example 5: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders, special treatments like anticoagulants or immunosuppressants, implanted devices.
Example 6: transplanted organs illustrate other information that has to be taken into account in a healthcare contact.
Example 7: participation in a clinical trial that has to be taken into account in a healthcare contact.; string; ; Text
EHDSAlert; priority; 0..*; A code that identifies the priority of the alert.; CodeableConcept; hl7:Flag-priority-code (preferred) ; Priority
EHDSAlert; status; 0..1; Current status of the flag, Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.; CodeableConcept; hl7:Flag-status (preferred) ; Status
EHDSAlert; code; 1..1; A coded or textual representation of the flag.; CodeableConcept; SNOMED CT (preferred) ; Code
EHDSAlert; period; 0..1; Time period when flag is active. The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified.; Period; ; Period
EHDSAllergyIntolerance; ; 0..*; EHDS refined base model for allergy/intolerance; ; ; Allergy intolerance model
EHDSAllergyIntolerance; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSAllergyIntolerance; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSAllergyIntolerance; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSAllergyIntolerance; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSAllergyIntolerance; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSAllergyIntolerance; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSAllergyIntolerance; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSAllergyIntolerance; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSAllergyIntolerance; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSAllergyIntolerance; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSAllergyIntolerance; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSAllergyIntolerance; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSAllergyIntolerance; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSAllergyIntolerance; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSAllergyIntolerance; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSAllergyIntolerance; agentOrAllergen; 1..1; A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.; CodeableConcept; 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 **eHDSIActiveIngredient** (ATC, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.61 eHDSISubstance (EMA SMS, used in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.19 eHDSIAllergenNoDrug (SCT, used in MH@EU); ICD-11 Allergens (preferred) ; A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.
EHDSAllergyIntolerance; typeOfPropensity; 0..1; This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance); CodeableConcept; 1.3.6.1.4.1.12559.11.10.1.3.1.42.18 eHDSIAdverseEventType (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-type (HL7, required in HL7 FHIR) (preferred) ; This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)
EHDSAllergyIntolerance; description; 0..1; Textual description of the allergy or intolerance; string; ; Textual description of the allergy or intolerance
EHDSAllergyIntolerance; criticality; 0..1; Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.; CodeableConcept; 1.3.6.1.4.1.12559.11.10.1.3.1.42.57 eHDSICriticality (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality (HL7, required in HL7 FHIR) (preferred) ; Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
EHDSAllergyIntolerance; certainty; 0..1; Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition; CodeableConcept; 1.3.6.1.4.1.12559.11.10.1.3.1.42.58 eHDSIAllergyCertainty (HL7, used in MH@EU) ; http://hl7.org/fhir/ValueSet/allergyintolerance-verification (HL7, required in HL7 FHIR) (preferred) ; Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and /or clinical evidence of condition
EHDSAllergyIntolerance; status; 0..1; Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.; CodeableConcept; 1.3.6.1.4.1.12559.11.10.1.3.1.42.59 eHDSIAllergyStatus (HL7, used in MH@EU); http://hl7.org/fhir/ValueSet/allergyintolerance-clinical (HL7, required in HL7 FHIR) (preferred) ; Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, etc.
EHDSAllergyIntolerance; onsetDate; 0..1; When allergy or intolerance was identified; dateTime; ; When allergy or intolerance was identified
EHDSAllergyIntolerance; endDate; 0..1; Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition); dateTime; ; Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
EHDSAllergyIntolerance; reaction; 0..*; Adverse Reaction Events linked to exposure to substance.; Base; ; Adverse Reaction Events linked to exposure to substance.
EHDSAllergyIntolerance; reaction.manifestation; 0..*; Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).; CodeableConcept; 1.3.6.1.4.1.12559.11.10.1.3.1.42.5 eHDSIIllnessandDisorder (ICD-10, alternative in MH@EU); 1.3.6.1.4.1.12559.11.10.1.3.1.42.11 eHDSIReactionAllergy (SCT, alternative in MH@EU); ICD-11 MMS (preferred) ; Description of the clinical manifestation of the allergic reaction. Example: anaphylactic shock, angioedema. (the clinical manifestation also gives information about the severity of the observed reaction).
EHDSAllergyIntolerance; reaction.date; 0..1; Date and time of allergy manifestation; dateTime; ; Date and time of allergy manifestation
EHDSAllergyIntolerance; reaction.severity; 0..1; Severity of the clinical manifestation of the allergic reaction.; CodeableConcept; 1.3.6.1.4.1.12559.11.10.1.3.1.42.13 eHDSISeverity (SCT, used in MH@EU); http://hl7.org/fhir/ValueSet/reaction-event-severity (HL7, Required in HL7 FHIR) (preferred) ; Severity of the clinical manifestation of the allergic reaction.
EHDSAllergyIntolerance; reaction.onsetDate; 0..1; Date of the observation of the reaction; dateTime; ; Date of the observation of the reaction
EHDSAppointment; ; 0..*; EHDS refined base model for Appointment. This is a simplified model with minimal information - it is not intended to cover the full functionality of booking systems.; ; ; Appointment model
EHDSAppointment; identifier; 0..*; Appointment identifier; Identifier; ; Appointment identifier
EHDSAppointment; subject; 0..1; The patient associated with the appointment.; EHDSPatient; ; The patient associated with the appointment.
EHDSAppointment; status; 1..1; The overall status of the Appointment.; CodeableConcept; HL7 Appointment status (preferred) ; The overall status of the Appointment.
EHDSAppointment; class; 0..*; Classification of patient encounter (e.g. inpatient, outpatient, emergency).; CodeableConcept; HL7 Encounter class (preferred) ; Classification of patient encounter (e.g. inpatient, outpatient, emergency).
EHDSAppointment; serviceType; 0..*; The specific service that is to be performed during this appointment.; CodeableConcept; SNOMED CT (preferred) ; The specific service that is to be performed during this appointment.
EHDSAppointment; specialty; 0..*; The specialty of a practitioner that would be required to perform the service requested in this appointment; CodeableConcept; SNOMED CT (preferred) ; The specialty of a practitioner that would be required to perform the service requested in this appointment
EHDSAppointment; start; 0..1; Date and time that the appointment is to take place.; dateTime; ; Date and time that the appointment is to take place.
EHDSAppointment; end; 0..1; Date and time that the appointment is to conclude.; dateTime; ; Date and time that the appointment is to conclude.
EHDSAppointment; note; 0..*; Additional notes/comments about the appointment.; string; ; Additional notes/comments about the appointment.
EHDSAttachment; ; 0..*; EHDS refined base model for This type is for containing or referencing attachments - additional data content defined in other formats. The most common use of this type is to include images or reports in some report format such as PDF. However, it can be used for any data that has a MIME type.; ; ; Attachment model
EHDSAttachment; contentType; 0..1; Mime type of the content, with charset etc.; CodeableConcept; BCP-13 (preferred) ; Mime type of the content, with charset etc.
EHDSAttachment; language; 0..1; Human language of the content; CodeableConcept; BCP 47 (preferred) ; Human language of the content
EHDSAttachment; data; 0..1; The actual data of the attachment - a sequence of bytes, base64 encoded.; base64Binary; ; The actual data of the attachment - a sequence of bytes, base64 encoded.
EHDSAttachment; url; 0..1; A location where the data can be accessed.; uri; ; A location where the data can be accessed.
EHDSAttachment; size; 0..1; The number of bytes of data that make up this attachment (before base64 encoding).; integer64; ; The number of bytes of data that make up this attachment (before base64 encoding).
EHDSAttachment; title; 0..1; A label or set of text to display in place of the data.; string; ; A label or set of text to display in place of the data.
EHDSBodyStructure; ; 0..*; EHDS refined base model for Body structure; ; ; Body structure model
EHDSBodyStructure; identifier; 0..*; Identifier for this instance of the anatomical structure.; Identifier; ; Identifier for this instance of the anatomical structure.
EHDSBodyStructure; morphology; 0..1; The kind of structure being represented by the body structure at BodyStructure.location. This can define both normal and abnormal morphologies.; CodeableConcept; SNOMED CT (preferred) ; The kind of structure being represented by the body structure at BodyStructure.location. This can define both normal and abnormal morphologies.
EHDSBodyStructure; location; 0..1; Body site; CodeableConcept; SNOMED CT (preferred) ; Body site
EHDSBodyStructure; locationQualifier; 0..*; Additional qualifier of the body structure (e.g. upper, lower, left side).; CodeableConcept; SNOMED CT (preferred) ; Additional qualifier of the body structure (e.g. upper, lower, left side).
EHDSBodyStructure; laterality; 0..1; Body structure laterality (e.g. left, right).; CodeableConcept; SNOMED CT (preferred) ; Body structure laterality (e.g. left, right).
EHDSBodyStructure; description; 0..1; Textual description of the body structure; string; ; Textual description of the body structure
EHDSCarePlan; ; 0..*; EHDS simplified model for care plan. The model includes very minimal information and is not designed to cover the full functionality of care plans.; ; ; Care plan model
EHDSCarePlan; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSCarePlan; header.subject; 1..1; Patient/subject information; EHDSPatient; ; The patient whose intended care is described by the plan.
EHDSCarePlan; header.identifier; 0..*; Business identifier for the object; Identifier; ; Identifier for the care plan
EHDSCarePlan; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSCarePlan; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSCarePlan; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSCarePlan; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSCarePlan; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSCarePlan; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSCarePlan; header.status; 1..1; Status of the resource; CodeableConcept; HL7 Request status (preferred) ; Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.
EHDSCarePlan; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSCarePlan; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSCarePlan; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSCarePlan; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSCarePlan; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSCarePlan; title; 0..1; Human-friendly name for the care plan; string; ; Human-friendly name for the care plan
EHDSCarePlan; description; 0..1; A description of the scope and nature of the plan.; string; ; A description of the scope and nature of the plan.
EHDSCarePlan; period; 0..1; Indicates when the plan did (or is intended to) come into effect and end.; Period; ; Indicates when the plan did (or is intended to) come into effect and end.
EHDSCarePlan; addresses; 0..*; Conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.; CodeableConcept; ICD-10, SNOMED CT, Orphacode (preferred) ; Conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.
EHDSCarePlan; activity[x]; 0..1; The details of the proposed activity represented in a specific resource.; string; ; The details of the proposed activity represented in a specific resource.
EHDSCarePlan; activity[x]; 0..1; The details of the proposed activity represented in a specific resource.; Reference; ; The details of the proposed activity represented in a specific resource.
EHDSCondition; ; 0..*; 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.; ; ; Condition model
EHDSCondition; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSCondition; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSCondition; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSCondition; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSCondition; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSCondition; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSCondition; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSCondition; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSCondition; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSCondition; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSCondition; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSCondition; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSCondition; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSCondition; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSCondition; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSCondition; problem; 1..1; Code identifying the condition, problem or diagnosis; CodeableConcept; ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed (preferred) ; Code identifying the condition, problem or diagnosis
EHDSCondition; onsetDate; 0..1; Onset date of a problem/condition; dateTime; ; Onset date of a problem/condition
EHDSCondition; endDate; 0..1; The date or estimated date that the condition resolved or went into remission; dateTime; ; The date or estimated date that the condition resolved or went into remission
EHDSCondition; category; 0..*; Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).; CodeableConcept; ; Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations).
EHDSCondition; problemStatus; 0..1; Status of the condition/problem (active, resolved, inactive, ...); CodeableConcept; HL7 Condition Clinical Status Codes (preferred) ; Status of the condition/problem (active, resolved, inactive, ...)
EHDSCondition; resolutionCircumstances; 0..*; 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).; string; ; Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.).
EHDSCondition; severity; 0..1; A subjective assessment of the severity of the condition as evaluated by the clinician.; CodeableConcept; HL7 Condition/Diagnosis Severity; SNOMED CT (preferred) ; A subjective assessment of the severity of the condition as evaluated by the clinician.
EHDSCondition; anatomicLocation; 0..*; The anatomical location including laterality where this condition manifests itself.; EHDSBodyStructure; ; The anatomical location including laterality where this condition manifests itself.
EHDSCondition; stage; 0..*; Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.; CodeableConcept; e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, … (preferred) ; Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used.
EHDSCondition; diagnosisAssertionStatus; 0..1; Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.; CodeableConcept; HL7 Condition Verification Status (preferred) ; Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition.
EHDSCondition; asserter; 0..1; The asserter of the condition; EHDSHealthProfessional; ; The asserter of the condition
EHDSCondition; assertedDate; 0..1; Date and time of the diagnosis assertion; dateTime; ; Date and time of the diagnosis assertion
EHDSCondition; specialistContact; 0..*; Health Professional who may be specifically related to the problem, as a preferred contact.; EHDSHealthProfessional; ; Health Professional who may be specifically related to the problem, as a preferred contact.
EHDSCondition; externalResource; 0..*; External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.; uri; ; External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines.
EHDSCoverage; ; 0..*; EHDS refined base model for Coverage; ; ; Coverage model
EHDSCoverage; identifier; 0..*; Business Identifier for the coverage; Identifier; ; Business Identifier for the coverage
EHDSCoverage; type; 0..1; Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organisation.; CodeableConcept; hl7:coverage-selfpay, hl7:v3-ActCoverageTypeCode (preferred) ; Type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organisation.
EHDSCoverage; patient; 1..1; Patient who benefits from the insurance coverage when products and/or services are provided.; EHDSPatient; ; Patient who benefits from the insurance coverage when products and/or services are provided.
EHDSCoverage; payor; 1..*; Payor including both insurance and non-insurance agreements, such as patient-pay agreements.; Base; ; Payor including both insurance and non-insurance agreements, such as patient-pay agreements.
EHDSCoverage; payor.payorEntity[x]; 1..1; Payor entity; EHDSOrganisation; ; Payor entity
EHDSCoverage; payor.payorEntity[x]; 1..1; Payor entity; EHDSPatient; ; Payor entity
EHDSCoverage; payor.subscriberId; 0..1; Number or code under which the insured person is registered at the insurance provider.; Identifier; ; Number or code under which the insured person is registered at the insurance provider.
EHDSCurrentPregnancy; ; 0..*; Current pregnancy status; ; ; Current pregnancy status model
EHDSCurrentPregnancy; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSCurrentPregnancy; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSCurrentPregnancy; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSCurrentPregnancy; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSCurrentPregnancy; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSCurrentPregnancy; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSCurrentPregnancy; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSCurrentPregnancy; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSCurrentPregnancy; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSCurrentPregnancy; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSCurrentPregnancy; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSCurrentPregnancy; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSCurrentPregnancy; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSCurrentPregnancy; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSCurrentPregnancy; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSCurrentPregnancy; narrative; 0..1; Narrative description describing the status of the current pregnancy.; string; ; Textual description of current pregnancy status
EHDSCurrentPregnancy; currentPregnancyStatus; 1..1; Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.; CodeableConcept; SNOMED CT (preferred) ; Current pregnancy status
EHDSCurrentPregnancy; dateOfStatus; 0..1; Effective date of the current pregnancy status.; dateTime; ; Effective date of the current pregnancy status.
EHDSCurrentPregnancy; expectedDateOfDelivery; 0..1; Date in which the woman is due to give birth. Year, day and month are required.; date; ; Date in which the woman is due to give birth. Year, day and month are required.
EHDSCurrentPregnancy; gestationalAge; 0..1; Gestational age - duration of the pregnancy on the day on which the patient was asked or at the delivery. The duration can be given in weeks and/or days.; Quantity; ; Duration of the pregnancy at this day
EHDSDataSet; ; 0..*; Common elements (including header) for all documents and their independently functioning parts, e.g FHIR resources.; ; ; DataSet model
EHDSDataSet; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSDataSet; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSDataSet; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSDataSet; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSDataSet; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSDataSet; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSDataSet; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSDataSet; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSDataSet; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSDataSet; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSDataSet; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSDataSet; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSDataSet; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSDataSet; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSDataSet; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSDevice; ; 0..*; EHDS refined base model for Device information; ; ; Device model
EHDSDevice; identifier; 1..*; Normalised identifier of the device instance, such as UDI according to REGULATION (EU) 2017/745. Multiple identifiers can be used.; Identifier; ; Normalised identifier of the device instance, such as UDI according to REGULATION (EU) 2017/745. Multiple identifiers can be used.
EHDSDevice; manufacturer; 0..1; Name of device manufacturer; string; ; Name of device manufacturer
EHDSDevice; manufactureDate; 0..1; The date and time when the device was manufactured; dateTime; ; The date and time when the device was manufactured
EHDSDevice; expiryDate; 0..1; The date and time beyond which this device is no longer valid or should not be used (if applicable).; dateTime; ; The date and time beyond which this device is no longer valid or should not be used (if applicable).
EHDSDevice; lotNumber; 0..1; Lot number of manufacture; string; ; Lot number of manufacture
EHDSDevice; serialNumber; 0..1; Serial number assigned by the manufacturer; string; ; Serial number assigned by the manufacturer
EHDSDevice; name; 0..*; The name and name type of the device as known to the manufacturer and/or patient; string; ; The name and name type of the device as known to the manufacturer and/or patient
EHDSDevice; modelNumber; 0..1; The manufacturer's model number for the device; string; ; The manufacturer's model number for the device
EHDSDevice; version; 0..1; The actual design of the device or software version running on the device; string; ; The actual design of the device or software version running on the device
EHDSDevice; type; 0..*; Device type; CodeableConcept; SNOMED CT, EMDN (preferred) ; Device type
EHDSDevice; note; 0..*; Device notes and comments; string; ; Device notes and comments
EHDSDeviceUse; ; 0..*; EHDS refined base model for device use information; ; ; Device use model
EHDSDeviceUse; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSDeviceUse; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSDeviceUse; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSDeviceUse; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSDeviceUse; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSDeviceUse; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSDeviceUse; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSDeviceUse; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSDeviceUse; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSDeviceUse; header.status; 1..1; Status of the resource; CodeableConcept; HL7 device-statement-status (preferred) ; Current status of the device usage.
EHDSDeviceUse; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSDeviceUse; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSDeviceUse; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSDeviceUse; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSDeviceUse; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSDeviceUse; startDate; 0..1; Date when the device was implantable to the patient or the external device was first in use.; dateTime; ; Date when the device was implantable to the patient or the external device was first in use.
EHDSDeviceUse; endDate; 0..1; Date when the device was explanted from the patient or the external device was no longer in use.; dateTime; ; Date when the device was explanted from the patient or the external device was no longer in use.
EHDSDeviceUse; device[x]; 1..1; The details of the device used.; CodeableConcept; ; The details of the device used.
EHDSDeviceUse; device[x]; 1..1; The details of the device used.; EHDSDevice; ; The details of the device used.
EHDSDeviceUse; bodySite; 0..1; Anatomical location of the device. May include laterality.; EHDSBodyStructure; ; Anatomical location of the device. May include laterality.
EHDSDeviceUse; reason[x]; 0..*; Reason or justification for the use of the device.; CodeableConcept; ; Reason or justification for the use of the device.
EHDSDeviceUse; reason[x]; 0..*; Reason or justification for the use of the device.; EHDSCondition; ; Reason or justification for the use of the device.
EHDSDeviceUse; reason[x]; 0..*; Reason or justification for the use of the device.; EHDSObservation; ; Reason or justification for the use of the device.
EHDSDeviceUse; reason[x]; 0..*; Reason or justification for the use of the device.; EHDSProcedure; ; Reason or justification for the use of the device.
EHDSDeviceUse; source[x]; 0..1; Who reported the device was being used by the patient.; EHDSPatient; ; Who reported the device was being used by the patient.
EHDSDeviceUse; source[x]; 0..1; Who reported the device was being used by the patient.; EHDSHealthProfessional; ; Who reported the device was being used by the patient.
EHDSDeviceUse; source[x]; 0..1; Who reported the device was being used by the patient.; EHDSRelatedPerson; ; Who reported the device was being used by the patient.
EHDSDeviceUse; note; 0..*; Note about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.; string; ; Note about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.
EHDSDischargeReport; ; 0..*; EHDS refined base model for Discharge Report; ; ; Discharge Report model
EHDSDischargeReport; header; 1..1; Common header for all patient-related data; Base; ; Document header elements
EHDSDischargeReport; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSDischargeReport; header.identifier; 1..*; Unique identifier of the document; Identifier; ; Document ID
EHDSDischargeReport; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSDischargeReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSDischargeReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSDischargeReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSDischargeReport; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSDischargeReport; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSDischargeReport; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSDischargeReport; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSDischargeReport; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSDischargeReport; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSDischargeReport; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSDischargeReport; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSDischargeReport; header.documentType; 1..1; Identifies the type of document at hand, e.g. Discharge report.; CodeableConcept; LOINC (preferred) ; Document type
EHDSDischargeReport; header.documentTitle; 1..1; Document title, such as Discharge Report, Laboratory Result Report, etc.; string; ; Document title
EHDSDischargeReport; header.documentStatus; 1..1; The status of the Discharge report. E.g., preliminary, final.; CodeableConcept; hl7:CompositionStatus (preferred) ; Document status
EHDSDischargeReport; header.period; 0..1; Time of service that is being documented; Period; ; Period
EHDSDischargeReport; header.attestation; 0..*; Document attestation details; Base; ; Attestation
EHDSDischargeReport; header.attestation.attester; 1..1; Attester who validated the document. Mulitple attesters could be provided.; EHDSHealthProfessional; ; Attester
EHDSDischargeReport; header.attestation.datetime; 1..1; Date and time of the approval of the document by Attester.; dateTime; ; DateTime
EHDSDischargeReport; header.legalAuthentication; 0..1; Document legal authentication; Base; ; Legal authentication
EHDSDischargeReport; header.legalAuthentication.legalAuthenticator; 1..1; The person taking responsibility for the medical content of the document; EHDSHealthProfessional; ; Legal authenticator
EHDSDischargeReport; header.legalAuthentication.datetime; 1..1; Date and time when the document was authorized.; dateTime; ; DateTime
EHDSDischargeReport; header.eventType; 0..*; Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.; CodeableConcept; LOINC, SNOMED CT, dicom-cid-33-Modality (preferred) ; Event type
EHDSDischargeReport; header.authorSpecialty; 0..*; Additional details about where the content was created (e.g. clinical specialty); CodeableConcept; SNOMED CT (preferred) ; Specialty
EHDSDischargeReport; header.custodian; 1..1; Organisation that is in charge of maintaining the document/report.; EHDSOrganisation; ; Document custodian
EHDSDischargeReport; header.documentFormat; 0..1; An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.; CodeableConcept; HL7 Document Format Codes (preferred) ; Document format
EHDSDischargeReport; header.confidentiality; 0..1; Level of confidentiality of the document. Implicit value is normal.; CodeableConcept; hl7:Confidentiality (preferred) ; Confidentiality
EHDSDischargeReport; knowledgeResources; 0..0; Related documents and information sources; Base; ; Related documents and information sources
EHDSDischargeReport; knowledgeResources.externalReference; 0..*; ...; RelatedArtifact; ; ...
EHDSDischargeReport; knowledgeResources.relatedTo; 0..*; ...; Reference; ; ...
EHDSDischargeReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSPatient; ; Intended recipient
EHDSDischargeReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSRelatedPerson; ; Intended recipient
EHDSDischargeReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSHealthProfessional; ; Intended recipient
EHDSDischargeReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSOrganisation; ; Intended recipient
EHDSDischargeReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSDevice; ; Intended recipient
EHDSDischargeReport; header.healthInsuranceAndPaymentInformation; 0..*; Health insurance and payment information; EHDSCoverage; ; Health insurance and payment information
EHDSDischargeReport; body; 0..1; Structured body of the discharge report document; Base; ; Structured body of the discharge report document
EHDSDischargeReport; body.advanceDirectives; 0..1; Provision for healthcare decisions if, in the future, a person is unable to make those decisions.; Base; ; Section: Advance Directives.
EHDSDischargeReport; body.advanceDirectives.narrative; 0..1; Narrative, potentially formatted, content of the section; string; ; Narrative, potentially formatted, content of the section
EHDSDischargeReport; body.advanceDirectives.advanceDirective; 0..*; Provision for healthcare decisions if, in the future, a person is unable to make those decisions; EHDSAdvanceDirective; ; Provision for healthcare decisions if, in the future, a person is unable to make those decisions
EHDSDischargeReport; body.alerts; 0..1; Information about substantial alerts or warnings that health professionals should be aware of.; Base; ; Section: Alerts.
EHDSDischargeReport; body.alerts.narrative; 0..1; Narrative, potentially formatted, content of the section; string; ; Narrative, potentially formatted, content of the section
EHDSDischargeReport; body.alerts.medicalAlert; 0..*; Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.; EHDSAlert; ; Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
EHDSDischargeReport; body.alerts.allergyAndIntolerance; 0..*; Allergy and Intolerance. A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the encounter).; EHDSAllergyIntolerance; ; Allergy and Intolerance. A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the encounter).
EHDSDischargeReport; body.encounterInformation; 1..1; Section: Encounter information.; Base; ; Section: Encounter information.
EHDSDischargeReport; body.encounterInformation.narrative; 1..1; Narrative, potentially formatted, content of the section; string; ; Narrative, potentially formatted, content of the section
EHDSDischargeReport; body.encounterInformation.encounter; 0..1; Encounter information; EHDSEncounter; ; Encounter information
EHDSDischargeReport; body.admissionEvaluation; 0..1; Admission evaluation section should be reported exceptionally only if it is relevant to ensure continuity of care.; Base; ; Section: Admission evaluation
EHDSDischargeReport; body.admissionEvaluation.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
EHDSDischargeReport; body.admissionEvaluation.objectiveFindings; 0..1; Sub-section with objective findings.; Base; ; Objective findings
EHDSDischargeReport; body.admissionEvaluation.objectiveFindings.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
EHDSDischargeReport; body.admissionEvaluation.objectiveFindings.time; 0..1; Date and time of the admission evaluation examination; dateTime; ; Date and time of the admission evaluation examination
EHDSDischargeReport; body.admissionEvaluation.objectiveFindings.performer; 0..*; Health professional(s) responsible for the admission evaluation examination.; EHDSHealthProfessional; ; Health professional(s) responsible for the admission evaluation examination.
EHDSDischargeReport; body.admissionEvaluation.objectiveFindings.anthropometricObservations; 0..*; Anthropometric observations, such as body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.; EHDSObservation; ; Anthropometric observations, such as body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.
EHDSDischargeReport; body.admissionEvaluation.objectiveFindings.vitalSigns; 0..*; Vital signs observations. Mandatory: pulse rate, respiratory rate, systolic and diastolic blood pressure with site information, optional: 02 saturation; EHDSObservation; ; Vital signs observations. Mandatory: pulse rate, respiratory rate, systolic and diastolic blood pressure with site information, optional: 02 saturation
EHDSDischargeReport; body.admissionEvaluation.objectiveFindings.physicalExamination; 0..*; Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.; EHDSObservation; ; Physical examination
EHDSDischargeReport; body.admissionEvaluation.functionalStatus; 0..1; Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs.For details see: https://paciowg.github.io/functional-status-ig/; Base; ; Section: Functional status
EHDSDischargeReport; body.admissionEvaluation.functionalStatus.narrative; 0..1; Narrative, potentially formatted, content of the section; string; ; Narrative, potentially formatted, content of the section
EHDSDischargeReport; body.admissionEvaluation.functionalStatus.functionalStatusAssessment; 0..*; An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being; EHDSFunctionalStatus; ; An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
EHDSDischargeReport; body.patientHistory; 0..1; Section: Patient health history (anamnesis).; Base; ; Section: Patient health history (anamnesis).
EHDSDischargeReport; body.patientHistory.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.patientHistory.medicalHistory; 1..1; Medical history subsection.; Base; ; Medical history subsection.
EHDSDischargeReport; body.patientHistory.medicalHistory.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.patientHistory.medicalHistory.pastProblems; 1..*; A list of conditions of a patient that the patient suffered in the past or still suffers. Unlike diagnostic summary, medical history is not only a list of problems, but could contain broader description of the condition and its progress, details about treatment including medication and patient response to treatment. Past problem section (unlike the same section of the patient summary) should include only conditions that are important for continuity of care. This section, if provided, complements the diagnostic summary section of the discharge report.; EHDSCondition; ; Past problems
EHDSDischargeReport; body.patientHistory.medicalHistory.devicesAndImplants; 1..*; Devices and implants in patient anamnesis. Negative statement must be explicitly stated.; EHDSDeviceUse; ; Devices and Implants
EHDSDischargeReport; body.patientHistory.medicalHistory.historyOfProcedures; 0..*; Historical procedures performed on or for a patient, relevant for the current encounter.Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counselling, physiotherapy, personal support services, adult day care services, etc.; EHDSProcedure; ; History of procedures
EHDSDischargeReport; body.patientHistory.medicalHistory.vaccination; 0..*; Vaccination history of the patient.; EHDSImmunisation; ; Vaccination history of the patient.
EHDSDischargeReport; body.patientHistory.medicalHistory.epidemiologicalHistory; 0..1; Travel history and infectious contacts; Base; ; Epidemiological history
EHDSDischargeReport; body.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts; 0..*; Infectious contacts of the patient; EHDSInfectiousContact; ; Infectious contacts of the patient
EHDSDischargeReport; body.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory; 0..*; Travel history reported by the patient. Multiple records could be provided.; EHDSTravelHistory; ; Travel history reported by the patient. Multiple records could be provided.
EHDSDischargeReport; body.patientHistory.medicalHistory.pregnancyHistory; 0..1; To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.; Base; ; Section: Pregnancy history
EHDSDischargeReport; body.patientHistory.medicalHistory.pregnancyHistory.currentPregnancyStatus; 0..1; Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.; EHDSCurrentPregnancy; ; Current pregnancy status
EHDSDischargeReport; body.patientHistory.medicalHistory.pregnancyHistory.previousPregnanciesStatus; 0..1; Overall status of previous pregnancies, including
— Yes, previous pregnancies
— No, previous pregnancies
— Unknown; CodeableConcept; ; Overall status of previous pregnancies
EHDSDischargeReport; body.patientHistory.medicalHistory.pregnancyHistory.previousPregnancies; 0..*; Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.; EHDSPregnancyHistory; ; History of previous pregnancies
EHDSDischargeReport; body.patientHistory.familyHistorySection; 0..1; Relevant family history section.; Base; ; Family history section
EHDSDischargeReport; body.patientHistory.familyHistorySection.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.patientHistory.familyHistorySection.familyHistory; 0..*; Information about serious illnesses in close blood relatives with known or suspected genetic potential or with possible impact on patient care.; EHDSFamilyMemberHistory; ; Family history
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth; 0..1; Information about social determinants of health.; Base; ; Social determinants of health
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Sub-section narrative
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.participationInSociety; 0..1; Participation in society details.; Base; ; Participation in society
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.participationInSociety.workSituation; 0..1; Work Situation describes the extent to which and in what way the patient participates in the workforce. Work is meant in the broadest sense of the word: activities that contribute to the person themselves, their environment or society. This includes both paid and unpaid work.; string; ; Work situation
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.participationInSociety.hobby; 0..1; An activity the patient enjoys doing in their free time.; string; ; An activity the patient enjoys doing in their free time.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.participationInSociety.socialNetwork; 0..1; A description of the patient’s social network, such as family, neighbours and friends.; string; ; Social network
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.educationSection; 0..1; Information about patient education level.; Base; ; Education section
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.educationSection.educationLevel; 0..1; Indication of the highest level of education achieved.; CodeableConcept; hl7:v3.EducationLevel (preferred) ; Education level
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.educationSection.comment; 0..1; If deemed relevant, a specification of the degree program can be provided by means of an explanation (e.g.: patient is in medical school).; string; ; If deemed relevant, a specification of the degree program can be provided by means of an explanation (e.g.: patient is in medical school).
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.livingSituation; 0..1; Living situation - household type and other related living situation information.; Base; ; Living situation - household type and other related living situation information.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.livingSituation.houseType; 0..1; Type of home the patient lives in.; CodeableConcept; SNOMED CT (preferred) ; Type of home the patient lives in.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.livingSituation.homeAdaption; 0..*; Home adaptions present in the home that have been made in the context of the illness or disability to make the functioning of the patient safer and more comfortable and to enable independent living. Multiple data elements could be provided.; CodeableConcept; SNOMED CT (preferred) ; Home adaptions present in the home that have been made in the context of the illness or disability to make the functioning of the patient safer and more comfortable and to enable independent living. Multiple data elements could be provided.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.livingSituation.livingConditions; 0..*; Living conditions that affect the accessibility of the home or the stay in the home.; CodeableConcept; SNOMED CT (preferred) ; Living conditions that affect the accessibility of the home or the stay in the home.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation; 0..1; Family situation; Base; ; Family situation
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.comment; 0..1; Comment on the family situation.; string; ; Comment on the family situation.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.familyComposition; 0..1; The family composition describes the patient’s home situation and the form of cohabitation. A family can consist of one or more people.; CodeableConcept; SNOMED CT (preferred) ; Family composition
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.maritalStatus; 0..1; Person’s marital status according to the terms and definition in the national civil code.; CodeableConcept; hl7:marital-status (preferred) ; Person’s marital status according to the terms and definition in the national civil code.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.numberOfChildren; 0..1; The number of children the patient has. Children in the context of this information model include step children, foster children, biological and adopted children.; Quantity; ; Number of children
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.numberOfChildrenAtHome; 0..1; Number of children living at home with the patient.; Quantity; ; Number of children living at home with the patient.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.childDetails; 0..*; Child details (age, co-living status and comment).; Base; ; Child details (age, co-living status and comment).
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.childDetails.livingAtHome; 0..1; Living at home. An indication stating whether the child lives at home.; boolean; ; Living at home. An indication stating whether the child lives at home.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.childDetails.dateOfBirth; 0..1; Child’s date of birth.; date; ; Child’s date of birth.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.childDetails.comment; 0..1; A comment on the child's family situation.; string; ; A comment on the child's family situation.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.familySituation.careResponsibility; 0..*; Care responsibility. The activities the patient carries out to care for a dependent family member.; CodeableConcept; SNOMED CT (preferred) ; Care responsibility. The activities the patient carries out to care for a dependent family member.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.useOfSubstances; 0..1; Information about use and/or abuse of specific substances.; Base; ; Use of substances
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.useOfSubstances.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.useOfSubstances.alcoholUse; 0..*; Alcohol consumption by the patient. Multiple records on alcohol use could be provided.; EHDSSubstanceUse; ; Alcohol consumption by the patient. Multiple records on alcohol use could be provided.
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.useOfSubstances.tobaccoUse; 0..*; Represent smoking or tobacco habits. Multiple records on tobacco use could be provided.; EHDSSubstanceUse; ; Tobacco use
EHDSDischargeReport; body.patientHistory.socialDeterminantsOfHealth.useOfSubstances.drugConsumption; 0..*; Consumption of drugs and other substances (in terms of abuse).; EHDSSubstanceUse; ; Consumption of drugs and other substances (in terms of abuse).
EHDSDischargeReport; body.courseOfEncounter; 1..1; Course of inpatient or outpatient encounter.; Base; ; Course of inpatient or outpatient encounter.
EHDSDischargeReport; body.courseOfEncounter.diagnosticSummary; 1..1; The diagnostic summary differentiates, in accordance with the international recommendation, between problems treated during hospital stay and other (untreated) problems. Treated problems are problems that were the subject of diagnostics, therapy, nursing, or (continuous) monitoring during the hospitalisation. Furthermore problems could be divided into three categories: problems present on admission (POA), conditions acquired during hospital stay (HAC) and problems that cannot be classified as being of any of the two (N/A). The diagnostic summary contains all conditions as they were recognised at the end of hospitalisation, after all examinations. This section contains concise, well specified, codeable, summary of problems. Problems are ordered by importance (main problems first) during hospital stay. Description of the problem might be completed with additional details in the medical history section and/or in the Synthesis section.; Base; ; Diagnostic summary. All problems/diagnoses that affect care during the inpatient case or are important to be recorded to ensure continuity of care.
EHDSDischargeReport; body.courseOfEncounter.diagnosticSummary.narrative; 0..1; Problem specification in narrative form.; string; ; Problem specification in narrative form.
EHDSDischargeReport; body.courseOfEncounter.diagnosticSummary.problemDetails; 0..*; Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one problem should be marked as treated. Other problems are recorded only if they are important for continuity of care (after discharge).; Base; ; Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one problem should be marked as treated. Other problems are recorded only if they are important for continuity of care (after discharge).
EHDSDischargeReport; body.courseOfEncounter.diagnosticSummary.problemDetails.presentOnAdmission; 1..1; Category of the problem allows flagging for conditions acquired during encounter.; CodeableConcept; ; Whether the condition was present on admission or acquired during encounter
EHDSDischargeReport; body.courseOfEncounter.diagnosticSummary.problemDetails.treatmentClass; 1..1; Class of the problem (treated, other) in relation to the encounter.; CodeableConcept; ; Class of the problem (treated, other) in relation to the encounter.
EHDSDischargeReport; body.courseOfEncounter.diagnosticSummary.problemDetails.problem; 1..1; Problem details include code that identifies problem, specification of the body structure, laterality, and other aspects of the problem.; EHDSCondition; ; Problem details include code that identifies problem, specification of the body structure, laterality, and other aspects of the problem.
EHDSDischargeReport; body.courseOfEncounter.significantProcedures; 0..1; Significant surgical and non-surgical procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. This section does not include purely diagnostic procedures (MRI, CT, etc.). If no significant performance has been performed, this fact must be explicitly stated using the IPS Absent and Unknown Data.; Base; ; Significant procedures section
EHDSDischargeReport; body.courseOfEncounter.significantProcedures.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.courseOfEncounter.significantProcedures.procedureEntry; 0..*; Structured procedure entry.; EHDSProcedure; ; Structured procedure entry.
EHDSDischargeReport; body.courseOfEncounter.medicalDevicesAndImplants; 1..1; Implants and used medical devices that affected or may affect the provision of health services (diagnosis and treatment). Also medical devices explanted, or its use was stopped during encounter. If the section is blank, the reason must be explicitly stated using the IPS Absent and Unknown Data coding system; Base; ; Medical devices and implants section
EHDSDischargeReport; body.courseOfEncounter.medicalDevicesAndImplants.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.courseOfEncounter.medicalDevicesAndImplants.medicalDevicesAndImplants; 1..*; Medical devices and implants; EHDSDeviceUse; ; Medical devices and implants
EHDSDischargeReport; body.courseOfEncounter.pharmacotherapy; 0..1; Selected drug treatment during encounter. Medicinal products that were administered during encounter and whose administration has already been discontinued before discharge. Only products which are important for continuity of care (antibiotics other than completely routine, corticosteroids in high doses, etc.) will be listed. Products which administration will continue after discharge will be also recorder in the Medication summary section. Medicinal products, the administration of which was started during encounter, but is also recommended after discharge, will be listed in the summary table in the recommendation section.; Base; ; Pharmacotherapy section
EHDSDischargeReport; body.courseOfEncounter.pharmacotherapy.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.courseOfEncounter.pharmacotherapy.pharmacotherapy; 0..*; Pharmacotherapy structured entry.; EHDSMedicationStatement; ; Pharmacotherapy structured entry.
EHDSDischargeReport; body.courseOfEncounter.significantObservationResults; 0..1; Results of significant functional, diagnostic, and imaging examinations to ensure continuity of care, performed during encounter. Results of examinations ordered but not yet delivered should be presented separately from results already delivered.; Base; ; Significant Observation Results
EHDSDischargeReport; body.courseOfEncounter.significantObservationResults.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
EHDSDischargeReport; body.courseOfEncounter.significantObservationResults.significantObservationResult[x]; 0..*; Structured significant observation entry.; EHDSObservation; ; Significant Observation Result
EHDSDischargeReport; body.courseOfEncounter.significantObservationResults.significantObservationResult[x]; 0..*; Structured significant observation entry.; EHDSLaboratoryObservation; ; Significant Observation Result
EHDSDischargeReport; body.courseOfEncounter.synthesis; 1..1; This section provides clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions, Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.; Base; ; Synthesis
EHDSDischargeReport; body.courseOfEncounter.synthesis.problemSynthesis; 1..*; Summary description of the reason and course of hospitalisation for a specific problem.; string; ; Summary description of the reason and course of hospitalisation for a specific problem.
EHDSDischargeReport; body.courseOfEncounter.synthesis.clinicalReasoning; 0..1; The clinical summary can be concluded with a clinical consideration (diff. diagnosis, explanation of context, etc.) for clinically complex conditions.; string; ; Clinical reasoning
EHDSDischargeReport; body.dischargeDetails; 1..1; Structured information should be provided, however if not available, at least a section narrative should be present.; Base; ; Discharge details
EHDSDischargeReport; body.dischargeDetails.narrative; 0..1; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.; string; ; Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
EHDSDischargeReport; body.dischargeDetails.objectiveFindings; 0..1; Sub-section with objective findings.; Base; ; Objective findings
EHDSDischargeReport; body.dischargeDetails.objectiveFindings.narrative; 0..1; Narrative content of the section.; string; ; Narrative content of the section.
EHDSDischargeReport; body.dischargeDetails.objectiveFindings.anthropometricObservations; 0..*; Anthropometric observations, such as body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.; EHDSObservation; ; Anthropometric observations, such as body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.
EHDSDischargeReport; body.dischargeDetails.objectiveFindings.vitalSigns; 0..*; Vital signs observations. Mandatory: pulse rate, respiratory rate, systolic and diastolic blood pressure with site information, optional: 02 saturation; EHDSObservation; ; Vital signs observations. Mandatory: pulse rate, respiratory rate, systolic and diastolic blood pressure with site information, optional: 02 saturation
EHDSDischargeReport; body.dischargeDetails.objectiveFindings.physicalExamination; 0..*; Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.; EHDSObservation; ; Physical examination
EHDSDischargeReport; body.dischargeDetails.functionalStatus; 0..1; Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs.For details see: https://paciowg.github.io/functional-status-ig/; Base; ; Section: Functional status
EHDSDischargeReport; body.dischargeDetails.functionalStatus.narrative; 0..1; Narrative, potentially formatted, content of the section; string; ; Narrative, potentially formatted, content of the section
EHDSDischargeReport; body.dischargeDetails.functionalStatus.functionalStatusAssessment; 0..*; An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being; EHDSFunctionalStatus; ; An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
EHDSDischargeReport; body.dischargeDetails.medicationSummary; 0..1; Medication summary. Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.; Base; ; Medication summary. Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
EHDSDischargeReport; body.dischargeDetails.medicationSummary.narrative; 0..1; Narrative content of the section.; string; ; Narrative content of the section.
EHDSDischargeReport; body.dischargeDetails.medicationSummary.entry; 0..*; Structured medication entry; Base; ; Structured medication entry
EHDSDischargeReport; body.dischargeDetails.medicationSummary.entry.medicationUse; 1..1; Details about medication and dosaging; EHDSMedicationStatement; ; Details about medication and dosaging
EHDSDischargeReport; body.dischargeDetails.medicationSummary.entry.daysSupplied; 0..1; Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug); Quantity; ; Number of days for which the patient was provided with the drug at the time of discharge
EHDSDischargeReport; body.dischargeDetails.carePlan; 0..*; Care plan and other recommendations after discharge section.; Base; ; Care plan and other recommendations after discharge.
EHDSDischargeReport; body.dischargeDetails.carePlan.narrative; 0..1; Narrative content of the section.; string; ; Narrative content of the section.
EHDSDischargeReport; body.dischargeDetails.carePlan.carePlan; 0..*; Structured care plan after discharge. Multiple care plans could be provided.; EHDSCarePlan; ; Structured care plan after discharge. Multiple care plans could be provided.
EHDSDischargeReport; body.dischargeDetails.carePlan.otherRecommendations; 0..1; Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.; string; ; Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
EHDSDischargeReport; attachments[x]; 0..*; Report attachments data elements; EHDSAttachment; ; Report attachments data elements
EHDSDischargeReport; attachments[x]; 0..*; Report attachments data elements; EHDSMedia; ; Report attachments data elements
EHDSDispenseDecline; ; 0..*; Explicit statement about declining the dispense request (prescription), usually recorded in order to communicate the issue back to the prescriber. Reasons for declining a dispense may vary, but typically this statement is only sent when a following action is expected on the prescriber’s side (cancelling or changing the problematic prescription or the whole treatment).; ; ; Medication dispense decline model
EHDSDispenseDecline; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSDispenseDecline; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSDispenseDecline; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSDispenseDecline; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSDispenseDecline; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSDispenseDecline; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSDispenseDecline; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSDispenseDecline; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSDispenseDecline; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSDispenseDecline; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSDispenseDecline; header.statusReason[x]; 1..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for not dispensing the medication
EHDSDispenseDecline; header.statusReason[x]; 1..1; Reason for the current status of the resource.; string; ; Reason for not dispensing the medication
EHDSDispenseDecline; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSDispenseDecline; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSDispenseDecline; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSDispenseDecline; relatedRequest; 1..*; The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching]; EHDSMedicationPrescription; ; The single-item prescription or prescription line item that was declined by the dispenser. [Used for searching]
EHDSDispenseDecline; comment; 0..1; Additional information about why the dispensation was declined.; string; ; Additional information about why the dispensation was declined.
EHDSDocument; ; 0..*; 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.; ; ; Document model
EHDSDocument; header; 1..1; Common header for all patient-related data; Base; ; Document header elements
EHDSDocument; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSDocument; header.identifier; 1..*; Unique identifier of the document; Identifier; ; Document ID
EHDSDocument; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSDocument; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSDocument; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSDocument; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSDocument; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSDocument; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSDocument; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSDocument; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSDocument; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSDocument; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSDocument; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSDocument; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSDocument; header.documentType; 1..1; Identifies the type of document at hand, e.g. Discharge report.; CodeableConcept; LOINC (preferred) ; Document type
EHDSDocument; header.documentTitle; 1..1; Document title, such as Discharge Report, Laboratory Result Report, etc.; string; ; Document title
EHDSDocument; header.documentStatus; 1..1; The status of the Discharge report. E.g., preliminary, final.; CodeableConcept; hl7:CompositionStatus (preferred) ; Document status
EHDSDocument; header.period; 0..1; Time of service that is being documented; Period; ; Period
EHDSDocument; header.attestation; 0..*; Document attestation details; Base; ; Attestation
EHDSDocument; header.attestation.attester; 1..1; Attester who validated the document. Mulitple attesters could be provided.; EHDSHealthProfessional; ; Attester
EHDSDocument; header.attestation.datetime; 1..1; Date and time of the approval of the document by Attester.; dateTime; ; DateTime
EHDSDocument; header.legalAuthentication; 0..1; Document legal authentication; Base; ; Legal authentication
EHDSDocument; header.legalAuthentication.legalAuthenticator; 1..1; The person taking responsibility for the medical content of the document; EHDSHealthProfessional; ; Legal authenticator
EHDSDocument; header.legalAuthentication.datetime; 1..1; Date and time when the document was authorized.; dateTime; ; DateTime
EHDSDocument; header.eventType; 0..*; Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.; CodeableConcept; LOINC, SNOMED CT, dicom-cid-33-Modality (preferred) ; Event type
EHDSDocument; header.authorSpecialty; 0..*; Additional details about where the content was created (e.g. clinical specialty); CodeableConcept; SNOMED CT (preferred) ; Specialty
EHDSDocument; header.custodian; 1..1; Organisation that is in charge of maintaining the document/report.; EHDSOrganisation; ; Document custodian
EHDSDocument; header.documentFormat; 0..1; An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.; CodeableConcept; HL7 Document Format Codes (preferred) ; Document format
EHDSDocument; header.confidentiality; 0..1; Level of confidentiality of the document. Implicit value is normal.; CodeableConcept; hl7:Confidentiality (preferred) ; Confidentiality
EHDSDocument; knowledgeResources; 0..*; Related documents and information sources; Base; ; Related documents and information sources
EHDSDocument; knowledgeResources.externalReference; 0..*; ...; RelatedArtifact; ; ...
EHDSDocument; knowledgeResources.relatedTo; 0..*; ...; Reference; ; ...
EHDSDosage; ; 0..*; EHDS refined base model for Dosage; ; ; Dosage model
EHDSDosage; dosageDescription; 0..1; Free text dosage instructions.; string; ; Dosage description
EHDSDosage; site; 0..1; Body site administered to.; CodeableConcept; ; Site
EHDSDosage; route; 0..1; Path of substance into body.; CodeableConcept; ; Route
EHDSDosage; method; 0..1; How drug was administered.; CodeableConcept; ; Method
EHDSDosage; dose; 0..1; Amount of medication per dose.; Quantity; ; Dose
EHDSDosage; rate[x]; 0..1; Dose quantity per unit of time.; Ratio; ; Rate
EHDSDosage; rate[x]; 0..1; Dose quantity per unit of time.; Quantity; ; Rate
EHDSDosaging; ; 0..*; Logical model for usage instructions for administring the requested product. Based on FHIR Dosage complex data type. When implemented, this model may be reduced significantly according to the specific use case.; ; ; Dosaging model
EHDSDosaging; sequence; 0..1; Order of the dosage instruction, in case one treatment consists of several dosaging schemes; integer; ; Order of the dosage instruction, in case one treatment consists of several dosaging schemes
EHDSDosaging; text; 0..1; Free text usage/dosage instructions when structured dosage information is not fully provided; string; ; Free text usage/dosage instructions when structured dosage information is not fully provided
EHDSDosaging; renderedDescription; 0..1; Text representation rendered from all dosaging data elements with a value; string; ; Text representation rendered from all dosaging data elements with a value
EHDSDosaging; additionalInstruction; 0..*; Coded instructions, e.g warnings to the patient, like 'may cause drowsiness' etc; CodeableConcept; ; Coded instructions, e.g warnings to the patient, like 'may cause drowsiness' etc
EHDSDosaging; patientInstruction; 0..1; Patient oriented instructions as free text; string; ; Patient oriented instructions as free text
EHDSDosaging; doseAndRate; 0..*; Amount of medication administered per one dose (= one timing); Base; ; Amount of medication administered per one dose (= one timing)
EHDSDosaging; doseAndRate.type; 0..1; The kind of dose or rate specified (e.g calculated, ordered, etc).; CodeableConcept; ; The kind of dose or rate specified (e.g calculated, ordered, etc).
EHDSDosaging; doseAndRate.dose[x]; 0..1; Amount of medication per one dose. (1 tablet, 2-3 tablets, 20ml); Quantity; ; Amount of medication per one dose. (1 tablet, 2-3 tablets, 20ml)
EHDSDosaging; doseAndRate.dose[x]; 0..1; Amount of medication per one dose. (1 tablet, 2-3 tablets, 20ml); Range; ; Amount of medication per one dose. (1 tablet, 2-3 tablets, 20ml)
EHDSDosaging; doseAndRate.rate[x]; 0..1; Time period during which one defined dose is administered (per 1 hour, per 5-10 minutes); Ratio; ; Time period during which one defined dose is administered (per 1 hour, per 5-10 minutes)
EHDSDosaging; doseAndRate.rate[x]; 0..1; Time period during which one defined dose is administered (per 1 hour, per 5-10 minutes); Quantity; ; Time period during which one defined dose is administered (per 1 hour, per 5-10 minutes)
EHDSDosaging; doseAndRate.rate[x]; 0..1; Time period during which one defined dose is administered (per 1 hour, per 5-10 minutes); Range; ; Time period during which one defined dose is administered (per 1 hour, per 5-10 minutes)
EHDSDosaging; timing; 0..1; When medication should be administered (period, time of day, frequency, etc); Base; ; When medication should be administered (period, time of day, frequency, etc)
EHDSDosaging; timing.event; 0..*; Exact date and/or time of the administration; dateTime; ; Exact date and/or time of the administration
EHDSDosaging; timing.code; 0..1; Timing abbreviation (AM - morning, Q4H - once in every 4 hours, BID - twice a day, etc); CodeableConcept; ; Timing abbreviation (AM - morning, Q4H - once in every 4 hours, BID - twice a day, etc)
EHDSDosaging; timing.repeat; 0..1; Repetition of the administration.; Base; ; Repetition of the administration.
EHDSDosaging; timing.repeat.bounds; 0..1; Time bounds for the treatment (current dosaging scheme). Only one of the following can exist.; Base; ; Time bounds for the treatment (current dosaging scheme). Only one of the following can exist.
EHDSDosaging; timing.repeat.bounds.duration; 0..1; Number of time units, e.g 10 days; Quantity; ; Number of time units, e.g 10 days
EHDSDosaging; timing.repeat.bounds.range; 0..1; A range of numbers of time units, 5-10 days; Range; ; A range of numbers of time units, 5-10 days
EHDSDosaging; timing.repeat.bounds.period; 0..1; Start and end date, 05.08.2023 - 10.08.2023; Period; ; Start and end date, 05.08.2023 - 10.08.2023
EHDSDosaging; timing.repeat.count; 0..1; Number of times to repeat, exact or range; Base; ; Number of times to repeat, exact or range
EHDSDosaging; timing.repeat.count.count; 0..1; Number of times (e.g 'once', '10 times'); integer; ; Number of times (e.g 'once', '10 times')
EHDSDosaging; timing.repeat.count.countMax; 0..1; Maximum number of times (e.g 'maximum 10 times'); integer; ; Maximum number of times (e.g 'maximum 10 times')
EHDSDosaging; timing.repeat.duration; 0..1; Duration of one administration, exact or range; Base; ; Duration of one administration, exact or range
EHDSDosaging; timing.repeat.duration.duration; 0..1; Duration of administration (e.g '5 minutes', '1 hour'); Quantity; ; Duration of administration (e.g '5 minutes', '1 hour')
EHDSDosaging; timing.repeat.duration.durationMax; 0..1; Maximum duration of administration (e.g 'maximum 1 hour'); Quantity; ; Maximum duration of administration (e.g 'maximum 1 hour')
EHDSDosaging; timing.repeat.frequency; 0..1; Frequency of intake/administration (e.g 'three times a day'); Base; ; Frequency of intake/administration (e.g 'three times a day')
EHDSDosaging; timing.repeat.frequency.numberOfTimes; 0..1; Number of times per period (e.g '3 times'); integer; ; Number of times per period (e.g '3 times')
EHDSDosaging; timing.repeat.frequency.maxNumberOfTimes; 0..1; Maximum number of times per period (e.g. 'maximum 3 times'); integer; ; Maximum number of times per period (e.g. 'maximum 3 times')
EHDSDosaging; timing.repeat.frequency.period; 0..1; Duration to which the frequency applies (e.g '... / 1 day'); Quantity; ; Duration to which the frequency applies (e.g '... / 1 day')
EHDSDosaging; timing.repeat.frequency.periodMax; 0..1; Upper limit of the period (e.g ... / 4-6 hours); Quantity; ; Upper limit of the period (e.g ... / 4-6 hours)
EHDSDosaging; timing.repeat.dayOfWeek; 0..*; The day of the week of administration, e.g Mon, Tue, etc; CodeableConcept; ; The day of the week of administration, e.g Mon, Tue, etc
EHDSDosaging; timing.repeat.timeOfDay; 0..*; Time of day of administration (e.g '10:00'); time; ; Time of day of administration (e.g '10:00')
EHDSDosaging; timing.repeat.eventTime; 0..*; An event the administration is bound to, e.g 'before meal', '30 min before meal'; Base; ; An event the administration is bound to, e.g 'before meal', '30 min before meal'
EHDSDosaging; timing.repeat.eventTime.when; 0..*; Time period or event ('before meal', 'immediately', 'morning'); CodeableConcept; ; Time period or event ('before meal', 'immediately', 'morning')
EHDSDosaging; timing.repeat.eventTime.offset; 0..1; minutes from event, before or after (?not sure how to show before/after with only positive integers); integer; ; minutes from event, before or after (?not sure how to show before/after with only positive integers)
EHDSDosaging; asNeeded; 0..1; Take as needed; boolean; ; Take as needed
EHDSDosaging; asNeededFor; 0..*; Take as needed for the coded reason; CodeableConcept; ; Take as needed for the coded reason
EHDSDosaging; bodySite; 0..1; Body site of administration; CodeableConcept; ; Body site of administration
EHDSDosaging; routeOfAdministration; 0..1; Route of administration; CodeableConcept; ; Route of administration
EHDSDosaging; methodOfAdministration; 0..1; Method of administration; CodeableConcept; ; Method of administration
EHDSDosaging; maxDose; 0..*; Maximum dose for the patient; Base; ; Maximum dose for the patient
EHDSDosaging; maxDose.maxDosePerPeriod; 0..*; Upper limit on medication per unit of time; Ratio; ; Upper limit on medication per unit of time
EHDSDosaging; maxDose.maxDosePerAdministration; 0..1; Upper limit on medication per one administration; Quantity; ; Upper limit on medication per one administration
EHDSDosaging; maxDose.maxDosePerLifetime; 0..1; Upper limit on medication per lifetime of the patient; Quantity; ; Upper limit on medication per lifetime of the patient
EHDSEncounter; ; 0..*; EHDS refined base model for Encounter; ; ; Encounter model
EHDSEncounter; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSEncounter; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSEncounter; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSEncounter; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSEncounter; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSEncounter; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSEncounter; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSEncounter; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSEncounter; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSEncounter; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSEncounter; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSEncounter; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSEncounter; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSEncounter; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSEncounter; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSEncounter; priority; 0..1; Indicates the urgency of the encounter.; CodeableConcept; hl7:v3-xEncounterAdmissionUrgency (preferred) ; Priority
EHDSEncounter; type; 1..1; The type of the encounter whether inpatient or short stay encounter.; CodeableConcept; hl7v3:ActEncounterCode (preferred) ; Encounter type
EHDSEncounter; note; 0..1; A narrative description of the encounter course.; string; ; A narrative description of the encounter course.
EHDSEncounter; episodeOfCare; 0..*; Reference to the episode(s) of care that this encounter should be recorded against; EHDSEpisodeOfCare; ; Reference to the episode(s) of care that this encounter should be recorded against
EHDSEncounter; basedOn[x]; 0..*; Reference to the request that initiated this encounter; EHDSCarePlan; ; Reference to the request that initiated this encounter
EHDSEncounter; basedOn[x]; 0..*; Reference to the request that initiated this encounter; EHDSServiceRequest; ; Reference to the request that initiated this encounter
EHDSEncounter; partOf; 0..1; Reference to another encounter this encounter is part of; EHDSEncounter; ; Reference to another encounter this encounter is part of
EHDSEncounter; serviceProvider; 0..1; The organisation (facility) responsible for this encounter; EHDSOrganisation; ; The organisation (facility) responsible for this encounter
EHDSEncounter; actualPeriod; 0..1; The actual start and end time of the encounter; Period; ; The actual start and end time of the encounter
EHDSEncounter; plannedStartDate; 0..1; The planned start date/time (or admission date) of the encounter; dateTime; ; The planned start date/time (or admission date) of the encounter
EHDSEncounter; plannedEndDate; 0..1; The planned end date/time (or discharge date) of the encounter; dateTime; ; The planned end date/time (or discharge date) of the encounter
EHDSEncounter; admission; 0..1; Details about the admission to a healthcare service; Base; ; Details about the admission to a healthcare service
EHDSEncounter; admission.admitter; 0..1; Admitting healthcare professional; EHDSHealthProfessional; ; Admitting healthcare professional
EHDSEncounter; admission.admitSource; 0..1; From where the patient was admitted (e.g. physician referral, transfer).; CodeableConcept; hl7:admit-source (preferred) ; From where the patient was admitted (e.g. physician referral, transfer).
EHDSEncounter; admission.referringProfessional; 0..1; Referring Healthcare Professional; EHDSHealthProfessional; ; Referring Healthcare Professional
EHDSEncounter; admission.reason[x]; 0..*; Reason(s) for admission, e.g. problem, procedure or finding.; CodeableConcept; ; Reason(s) for admission, e.g. problem, procedure or finding.
EHDSEncounter; admission.reason[x]; 0..*; Reason(s) for admission, e.g. problem, procedure or finding.; EHDSCondition; ; Reason(s) for admission, e.g. problem, procedure or finding.
EHDSEncounter; admission.reason[x]; 0..*; Reason(s) for admission, e.g. problem, procedure or finding.; EHDSProcedure; ; Reason(s) for admission, e.g. problem, procedure or finding.
EHDSEncounter; admission.reason[x]; 0..*; Reason(s) for admission, e.g. problem, procedure or finding.; EHDSObservation; ; Reason(s) for admission, e.g. problem, procedure or finding.
EHDSEncounter; admission.reasonComment; 0..1; Explanation of the reason for the encounter.; string; ; Explanation of the reason for the encounter.
EHDSEncounter; admission.legalStatus; 0..1; Legal status can be either voluntary or involuntary, however the legal status is always determined by a court. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority).; CodeableConcept; SNOMED CT (preferred) ; Legal status/situation at admission (indicates the basis on which the patient is staying in a healthcare organisation).
EHDSEncounter; discharge; 0..1; Discharge details; Base; ; Discharge details
EHDSEncounter; discharge.destinationType; 0..1; Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.; CodeableConcept; hl7.discharge-disposition (preferred) ; Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.
EHDSEncounter; discharge.destinationLocation[x]; 0..1; The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.; EHDSOrganisation; ; The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.
EHDSEncounter; discharge.destinationLocation[x]; 0..1; The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.; EHDSLocation; ; The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.
EHDSEncounter; location; 0..*; List of locations where the patient has been.; Base; ; List of locations where the patient has been.
EHDSEncounter; location.period; 0..1; Time period during which the patient was present at the location; Period; ; Time period during which the patient was present at the location
EHDSEncounter; location.organisationPart[x]; 1..1; Organisation or organisation part (department) where the patient was present.; EHDSOrganisation; ; Organisation or organisation part (department) where the patient was present.
EHDSEncounter; location.organisationPart[x]; 1..1; Organisation or organisation part (department) where the patient was present.; EHDSLocation; ; Organisation or organisation part (department) where the patient was present.
EHDSEndpoint; ; 0..*; EHDS refined base model for Endpoint; ; ; Endpoint model
EHDSEndpoint; identifier; 1..*; Identifier for the organisation that is used to identify the endpoint across multiple disparate systems.; Identifier; ; Identifier
EHDSEndpoint; status; 1..1; Status of the endpoint. The endpoint status represents whether the endpoint can currently be used for connections or why it can't be used.; CodeableConcept; hl7:EndpointStatus (preferred) ; Status
EHDSEndpoint; connectionType; 1..*; A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).; CodeableConcept; hl7:endpoint-connection-type (preferred) ; Connection type
EHDSEndpoint; name; 0..1; A friendly name that this endpoint can be referred to with.; string; ; Name
EHDSEndpoint; managingOrganisation; 0..1; The organisation that provides technical management services for this endpoint.; EHDSOrganisation; ; Managing organisation
EHDSEndpoint; payload; 0..*; The set of payloads that are provided/available at this endpoint.; Base; ; Payload
EHDSEndpoint; payload.type; 0..*; The type of content that may be used at this endpoint (e.g. XDS Discharge summaries).; CodeableConcept; hl7:endpoint-payload-type (preferred) ; Type
EHDSEndpoint; payload.mimeType; 0..*; The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json.; CodeableConcept; BCP-13 (preferred) ; Mime type
EHDSEndpoint; payload.profileCanonical; 0..*; The FHIR profile that is expected at this endpoint. It describes the resources that are handled, or even simply which resource types.; uri; ; Profile Canonical
EHDSEndpoint; payload.profileUri; 0..*; The profile (as a uri) that is expected at this endpoint when not represented using a FHIR profile.; uri; ; Profile uri
EHDSEndpoint; address; 1..1; The uri that describes the actual end-point to connect to.; uri; ; Address
EHDSEndpoint; header; 0..*; Additional headers / information to send as part of the notification. Usage depends on the channel type.; string; ; Header
EHDSEpisodeOfCare; ; 0..*; EHDS refined base model for Episode of care; ; ; Episode of care model
EHDSEpisodeOfCare; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSEpisodeOfCare; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSEpisodeOfCare; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifiers assigned to this episode of care.
EHDSEpisodeOfCare; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSEpisodeOfCare; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSEpisodeOfCare; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSEpisodeOfCare; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSEpisodeOfCare; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSEpisodeOfCare; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSEpisodeOfCare; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSEpisodeOfCare; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSEpisodeOfCare; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSEpisodeOfCare; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSEpisodeOfCare; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSEpisodeOfCare; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSEpisodeOfCare; type; 0..*; A classification of the type of episode of care, e.g. specialist referral, disease management.; CodeableConcept; ; A classification of the type of episode of care, e.g. specialist referral, disease management.
EHDSEpisodeOfCare; reasonText; 0..1; Textual descriptions of the medical reasons that are expected to be addressed during the episode of care.; string; ; Textual descriptions of the medical reasons that are expected to be addressed during the episode of care.
EHDSEpisodeOfCare; reason[x]; 0..*; Coded list of medical reasons that are expected to be addressed during the episode of care.; CodeableConcept; ; Coded list of medical reasons that are expected to be addressed during the episode of care.
EHDSEpisodeOfCare; reason[x]; 0..*; Coded list of medical reasons that are expected to be addressed during the episode of care.; EHDSCondition; ; Coded list of medical reasons that are expected to be addressed during the episode of care.
EHDSEpisodeOfCare; reason[x]; 0..*; Coded list of medical reasons that are expected to be addressed during the episode of care.; EHDSProcedure; ; Coded list of medical reasons that are expected to be addressed during the episode of care.
EHDSEpisodeOfCare; reason[x]; 0..*; Coded list of medical reasons that are expected to be addressed during the episode of care.; EHDSObservation; ; Coded list of medical reasons that are expected to be addressed during the episode of care.
EHDSEpisodeOfCare; diagnosis; 0..*; List of medical conditions that were addressed during the episode of care; Base; ; List of medical conditions that were addressed during the episode of care
EHDSEpisodeOfCare; diagnosis.description; 1..1; Textual description of the medical condition that was addressed during the episode of care; string; ; Textual description of the medical condition that was addressed during the episode of care
EHDSEpisodeOfCare; diagnosis.condition[x]; 0..1; The medical condition that was addressed during the episode of care; CodeableConcept; ; The medical condition that was addressed during the episode of care
EHDSEpisodeOfCare; diagnosis.condition[x]; 0..1; The medical condition that was addressed during the episode of care; EHDSCondition; ; The medical condition that was addressed during the episode of care
EHDSFamilyMemberHistory; ; 0..*; EHDS refined base model for family member history; ; ; Family member history model
EHDSFamilyMemberHistory; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSFamilyMemberHistory; header.subject; 1..1; Patient/subject information; EHDSPatient; ; The person whose family member's medical history is described.
EHDSFamilyMemberHistory; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSFamilyMemberHistory; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSFamilyMemberHistory; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSFamilyMemberHistory; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSFamilyMemberHistory; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSFamilyMemberHistory; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSFamilyMemberHistory; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSFamilyMemberHistory; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSFamilyMemberHistory; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSFamilyMemberHistory; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSFamilyMemberHistory; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSFamilyMemberHistory; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSFamilyMemberHistory; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSFamilyMemberHistory; patientRelationship; 0..1; The family relation between the related person and the patient.; CodeableConcept; hl7:v3-RoleCode (preferred) ; Patient relationship
EHDSFamilyMemberHistory; dateOfBirth; 0..1; Date of birth of the family member.; date; ; Date of birth of the family member.
EHDSFamilyMemberHistory; ageOrDateOfDeath[x]; 0..1; Age or date of the death of the family member.; date; ; Age or date of the death of the family member.
EHDSFamilyMemberHistory; ageOrDateOfDeath[x]; 0..1; Age or date of the death of the family member.; Quantity; ; Age or date of the death of the family member.
EHDSFamilyMemberHistory; condition; 0..*; Medical problems this person suffers or suffered.; CodeableConcept; ICD-10, SNOMED CT, Orphacode if rare disease is diagnosed (preferred) ; Medical problems this person suffers or suffered.
EHDSFamilyMemberHistory; causeOfDeath; 0..1; Information about disease or condition that was the main cause of death.; CodeableConcept; ICD-10, SNOMED CT, Orphacode if rare disease is diagnosed (preferred) ; Information about disease or condition that was the main cause of death.
EHDSFunctionalStatus; ; 0..*; EHDS refined base model for Functional status; ; ; Functional status
EHDSFunctionalStatus; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSFunctionalStatus; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSFunctionalStatus; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSFunctionalStatus; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSFunctionalStatus; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSFunctionalStatus; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSFunctionalStatus; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSFunctionalStatus; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSFunctionalStatus; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSFunctionalStatus; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSFunctionalStatus; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSFunctionalStatus; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSFunctionalStatus; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSFunctionalStatus; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSFunctionalStatus; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSFunctionalStatus; description; 0..1; Narrative description of the need for the patient to be continuously assessed by third parties, functional status may influence decisions about how to plan and administer treatments.; string; ; Narrative description of the functional status
EHDSFunctionalStatus; relatedConditions; 0..*; Conditions related to the functional status; Base; ; Conditions related to the functional status
EHDSFunctionalStatus; relatedConditions.condition; 0..1; Condition related to the functional status; CodeableConcept; ; Condition related to the functional status
EHDSFunctionalStatus; relatedConditions.conditionText; 0..1; Textual description of the condition; string; ; Textual description of the condition
EHDSFunctionalStatus; relatedConditions.onsetDate; 0..1; Onset date of a condition; dateTime; ; Onset date of a condition
EHDSFunctionalStatus; functionalStatusAssessment; 0..*; Functional status assessment of the patient according to a specific assessment scheme.; Base; ; Functional assessment of the patient
EHDSFunctionalStatus; functionalStatusAssessment.functionalAssessmentDescription; 0..1; Description of the functional assessment; string; ; Description of the functional assessment
EHDSFunctionalStatus; functionalStatusAssessment.functionalAssessmentCode; 0..1; Standardized code corresponding to the Functional assessment; CodeableConcept; ICF, SNOMED CT (preferred) ; Standardized code corresponding to the Functional assessment
EHDSFunctionalStatus; functionalStatusAssessment.functionalAssessmentDateTime; 0..1; Date and time of the functional assessment; dateTime; ; Date and time of the functional assessment
EHDSFunctionalStatus; functionalStatusAssessment.functionalAssessmentResult[x]; 0..1; Functional assessment result value; string; ICF, SNOMED CT (preferred) ; Functional assessment result value
EHDSFunctionalStatus; functionalStatusAssessment.functionalAssessmentResult[x]; 0..1; Functional assessment result value; Quantity; ICF, SNOMED CT (preferred) ; Functional assessment result value
EHDSFunctionalStatus; functionalStatusAssessment.functionalAssessmentResult[x]; 0..1; Functional assessment result value; CodeableConcept; ICF, SNOMED CT (preferred) ; Functional assessment result value
EHDSHealthProfessional; ; 0..*; EHDS refined base model for Health professional (HP); ; ; Health professional model
EHDSHealthProfessional; identifier; 0..*; An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.; Identifier; ; An identifier of the health professional that is unique within a defined scope. Example: National health professional ID. Multiple identifiers could be provided.
EHDSHealthProfessional; name; 0..1; Name of the health professional that has been treating or taking responsibility for the patient.; EHDSHumanName; ; Name of the health professional that has been treating or taking responsibility for the patient.
EHDSHealthProfessional; address; 0..1; Mailing and office or home addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code, if this attribute is not present it is assumed to be the default address useful for any purpose.; EHDSAddress; ; Mailing and office or home addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code, if this attribute is not present it is assumed to be the default address useful for any purpose.
EHDSHealthProfessional; telecom; 0..*; Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.; EHDSTelecom; ; Telecommunication contact information (addresses) associated with a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.
EHDSHealthProfessional; role; 0..*; Health professional role. Multiple roles could be provided.; CodeableConcept; ISCO, SNOMED CT (preferred) ; Health professional role. Multiple roles could be provided.
EHDSHealthProfessional; organisation; 0..1; The organisation where this role is available; EHDSOrganisation; ; The organisation where this role is available
EHDSHealthProfessional; specialty; 0..*; The specialty of a practitioner that describes the functional role they are practicing at a given organisation; CodeableConcept; ; The specialty of a practitioner that describes the functional role they are practicing at a given organisation
EHDSHumanName; ; 0..*; EHDS refined base model for Human name; ; ; Human name model
EHDSHumanName; use; 0..1; Identifies the purpose for this name.; CodeableConcept; hl7:NameUse (preferred) ; Use
EHDSHumanName; text; 0..1; Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.; string; ; Text
EHDSHumanName; family; 0..*; The family name/surname/last name of the patient. This field can contain more than one element or multiple fields could be present.; string; ; Family
EHDSHumanName; given; 0..*; The given name/first name (also known as forename or first name).; string; ; Given
EHDSHumanName; prefix; 0..*; Name parts that come before the name. Prefixes appear in the correct order for presenting the name.; string; ; Prefix
EHDSHumanName; suffix; 0..*; Name parts that come after the name. Suffixes appear in the correct order for presenting the name.; string; ; Suffix
EHDSImagingReport; ; 0..*; EHDS refined base model for Medical Imaging Result Report; ; ; Imaging report model
EHDSImagingReport; header; 1..1; Common header for all patient-related data; Base; ; Imaging Report header
EHDSImagingReport; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSImagingReport; header.identifier; 1..*; Unique identifier of the document; Identifier; ; Document ID
EHDSImagingReport; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSImagingReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSImagingReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSImagingReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSImagingReport; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSImagingReport; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSImagingReport; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSImagingReport; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSImagingReport; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSImagingReport; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSImagingReport; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSImagingReport; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSImagingReport; header.documentType; 1..1; Identifies the type of document at hand, e.g. Discharge report.; CodeableConcept; LOINC (preferred) ; Document type
EHDSImagingReport; header.documentTitle; 1..1; Document title, such as Discharge Report, Laboratory Result Report, etc.; string; ; Document title
EHDSImagingReport; header.documentStatus; 1..1; The status of the Discharge report. E.g., preliminary, final.; CodeableConcept; hl7:CompositionStatus (preferred) ; Document status
EHDSImagingReport; header.period; 0..1; Time of service that is being documented; Period; ; Period
EHDSImagingReport; header.attestation; 0..*; Document attestation details; Base; ; Attestation
EHDSImagingReport; header.attestation.attester; 1..1; Attester who validated the document. Mulitple attesters could be provided.; EHDSHealthProfessional; ; Attester
EHDSImagingReport; header.attestation.datetime; 1..1; Date and time of the approval of the document by Attester.; dateTime; ; DateTime
EHDSImagingReport; header.legalAuthentication; 0..1; Document legal authentication; Base; ; Legal authentication
EHDSImagingReport; header.legalAuthentication.legalAuthenticator; 1..1; The person taking responsibility for the medical content of the document; EHDSHealthProfessional; ; Legal authenticator
EHDSImagingReport; header.legalAuthentication.datetime; 1..1; Date and time when the document was authorized.; dateTime; ; DateTime
EHDSImagingReport; header.eventType; 0..*; Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.; CodeableConcept; LOINC, SNOMED CT, dicom-cid-33-Modality (preferred) ; Event type
EHDSImagingReport; header.authorSpecialty; 0..*; Additional details about where the content was created (e.g. clinical specialty); CodeableConcept; SNOMED CT (preferred) ; Specialty
EHDSImagingReport; header.custodian; 1..1; Organisation that is in charge of maintaining the document/report.; EHDSOrganisation; ; Document custodian
EHDSImagingReport; header.documentFormat; 0..1; An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.; CodeableConcept; HL7 Document Format Codes (preferred) ; Document format
EHDSImagingReport; header.confidentiality; 0..1; Level of confidentiality of the document. Implicit value is normal.; CodeableConcept; hl7:Confidentiality (preferred) ; Confidentiality
EHDSImagingReport; knowledgeResources; 0..0; Related documents and information sources; Base; ; Related documents and information sources
EHDSImagingReport; knowledgeResources.externalReference; 0..*; ...; RelatedArtifact; ; ...
EHDSImagingReport; knowledgeResources.relatedTo; 0..*; ...; Reference; ; ...
EHDSImagingReport; header.accessionNumber; 0..1; Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.; string; ; Accession number - an identifier, managed by the RIS at the local level, which usually uniquely identifies an imaging procedure request, and links it to imaging study(ies) and related imaging report(s). As it is prefixed by the registration authority it is a globally unique ID, usable both nationally and cross-border.
EHDSImagingReport; header.healthInsuranceAndPaymentInformation; 0..*; Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.; EHDSCoverage; ; Health insurance and payment information
EHDSImagingReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSPatient; ; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
EHDSImagingReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSRelatedPerson; ; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
EHDSImagingReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSHealthProfessional; ; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
EHDSImagingReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSOrganisation; ; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
EHDSImagingReport; header.intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSDevice; ; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable
EHDSImagingReport; body; 0..1; Imaging Report structured body; Base; ; Imaging Report structured body
EHDSImagingReport; body.orderInformation; 0..*; Order Information (Imaging Result Report could respond to multiple orders).; Base; ; Order Information (Imaging Result Report could respond to multiple orders).
EHDSImagingReport; body.orderInformation.orderId; 1..*; Identifier(s) of the imaging service order.; Identifier; ; Identifier(s) of the imaging service order.
EHDSImagingReport; body.orderInformation.orderDateAndTime; 0..1; Date and time of the order placement.; dateTime; ; Date and time of the order placement.
EHDSImagingReport; body.orderInformation.orderPlacer[x]; 0..1; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.; EHDSHealthProfessional; ; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
EHDSImagingReport; body.orderInformation.orderPlacer[x]; 0..1; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.; EHDSOrganisation; ; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
EHDSImagingReport; body.orderInformation.orderPlacer[x]; 0..1; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.; EHDSPatient; ; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
EHDSImagingReport; body.orderInformation.orderReasonText; 0..*; An explanation or justification for why this service is being requested in textual form.; string; ; An explanation or justification for why this service is being requested in textual form.
EHDSImagingReport; body.orderInformation.orderReason[x]; 0..*; An explanation or justification for why this service is being requested in coded or structured form.; CodeableConcept; SNOMED CT (preferred) ; An explanation or justification for why this service is being requested in coded or structured form.
EHDSImagingReport; body.orderInformation.orderReason[x]; 0..*; An explanation or justification for why this service is being requested in coded or structured form.; EHDSCondition; SNOMED CT (preferred) ; An explanation or justification for why this service is being requested in coded or structured form.
EHDSImagingReport; body.orderInformation.orderReason[x]; 0..*; An explanation or justification for why this service is being requested in coded or structured form.; EHDSObservation; SNOMED CT (preferred) ; An explanation or justification for why this service is being requested in coded or structured form.
EHDSImagingReport; body.orderInformation.clinicalQuestion; 0..1; Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.; string; ; Specification of clinical question (goal of the investigation) to be answered by the imaging investigation.
EHDSImagingReport; body.orderInformation.supportingInformation; 0..1; This information includes diagnosis, clinical findings and other observations. This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the metal implants present in patient's body.; Base; ; Additional clinical information about the patient or specimen that may affect service delivery or interpretation.
EHDSImagingReport; body.orderInformation.supportingInformation.observation; 0..*; Clinical findings and other observations (e.g., height and weights of the patient).; EHDSObservation; ; Clinical findings and other observations (e.g., height and weights of the patient).
EHDSImagingReport; body.orderInformation.supportingInformation.condition; 0..*; Conditions that may influence the service or result interpretation.; EHDSCondition; ; Conditions that may influence the service or result interpretation.
EHDSImagingReport; body.orderInformation.supportingInformation.medicationAdministration; 0..*; Medication administered before ordering the service.; EHDSMedicationAdministration; ; Medication administered before ordering the service.
EHDSImagingReport; body.orderInformation.supportingInformation.devices; 0..*; List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).; EHDSDevice; ; List of implants or devices that affect the course of the examination or its interpretation (e.g. metal implants).
EHDSImagingReport; body.orderInformation.supportingInformation.pregnancyStatus; 0..1; Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).; EHDSCurrentPregnancy; ; Pregnancy status when the imaging examination was performed (e.g., pregnant, not pregnant, unknown).
EHDSImagingReport; body.orderInformation.supportingInformation.sexForClinicalUse; 0..*; Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.; CodeableConcept; HL7 sex-parameter-for-clinical-use (preferred) ; Sex parameter for clinical use - provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.
EHDSImagingReport; body.orderInformation.supportingInformation.otherSupportingInformation; 0..*; Any other type of relevant supporting information; Resource; ; Any other type of relevant supporting information
EHDSImagingReport; body.specimen; 0..*; Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.; EHDSSpecimen; ; Specimen information. Note: A specimen (not attached to a body) can be used for diagnostic, forensic and medical research purposes.
EHDSImagingReport; body.serviceRequest; 0..*; Specification of requested service(s).; EHDSServiceRequest; ; Specification of requested service(s).
EHDSImagingReport; body.exposureInformation; 0..1; Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.; Base; ; Information on total exposure to ionising radiation. This information is required by regulations in several EU countries.
EHDSImagingReport; body.exposureInformation.effectiveDose; 0..*; Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]; Quantity; UCUM (for units) (preferred) ; Effective dose - sum of equivalent doses to all organs, from external and/or internal exposures, each adjusted to account for the sensitivity of the organ to radiation. [mSv]
EHDSImagingReport; body.exposureInformation.equivalentDoseInformation; 1..1; Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].; Base; ; Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
EHDSImagingReport; body.exposureInformation.equivalentDoseInformation.equivalentDose; 1..1; Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].; Quantity; UCUM (for units) (preferred) ; Equivalent dose is a measure of the radiation dose to tissue where an attempt has been made to allow for the different relative biological effects of different types of ionizing radiation. Equivalent dose is based on the absorbed dose per organ, adjusted to account for the effectiveness of the type of radiation [mSv].
EHDSImagingReport; body.exposureInformation.equivalentDoseInformation.tissueType; 1..1; Type of the tissue for which do dosage was enumerated.; CodeableConcept; SNOMED CT (preferred) ; Type of the tissue for which do dosage was enumerated.
EHDSImagingReport; body.examinationReport; 1..1; Examination report content.; Base; ; Examination report content.
EHDSImagingReport; body.examinationReport.modality; 1..*; Imaging modality (or modalities) used during imaging investigation (DICOM CID029).; CodeableConcept; DICOM Modality (preferred) ; Imaging modality (or modalities) used during imaging investigation (DICOM CID029).
EHDSImagingReport; body.examinationReport.bodyPart; 0..*; All body parts investigated; EHDSBodyStructure; ; All body parts investigated
EHDSImagingReport; body.examinationReport.imagingProcedures; 0..*; Imaging procedure performed during imaging study.; EHDSProcedure; ; Imaging procedure performed during imaging study.
EHDSImagingReport; body.examinationReport.medication; 0..*; Information about medication administered (contrast, sedation, stress agents), etc.; EHDSMedicationAdministration; ; Information about medication administered (contrast, sedation, stress agents), etc.
EHDSImagingReport; body.examinationReport.adverseReaction; 0..*; Adverse reactions manifested during imaging investigation.; EHDSAllergyIntolerance; ; Adverse reactions manifested during imaging investigation.
EHDSImagingReport; body.examinationReport.resultData; 0..1; Imaging report result data; Base; ; Imaging report result data
EHDSImagingReport; body.examinationReport.resultData.resultText; 1..1; Comments and narrative representation of the observation results and findings.; string; ; Comments and narrative representation of the observation results and findings.
EHDSImagingReport; body.examinationReport.resultData.observationResults; 0..*; Observation details (report could consist of multiple observations); EHDSObservation; ; Observation details (report could consist of multiple observations)
EHDSImagingReport; body.examinationReport.conclusion; 1..1; A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.; Base; ; A concise and clinically contextualised summary including interpretation/impression of the diagnostic report.
EHDSImagingReport; body.examinationReport.conclusion.impression; 1..1; Narrative description of the clinical conclusion (impression).; string; ; Narrative description of the clinical conclusion (impression).
EHDSImagingReport; body.examinationReport.conclusion.conditionOrFinding[x]; 0..*; Condition or finding from imaging investigation.; EHDSCondition; ; Condition or finding from imaging investigation.
EHDSImagingReport; body.examinationReport.conclusion.conditionOrFinding[x]; 0..*; Condition or finding from imaging investigation.; EHDSObservation; ; Condition or finding from imaging investigation.
EHDSImagingReport; body.recommendation; 0..1; Recommendations for additional imaging tests or other actions; Base; ; Recommendations for additional imaging tests or other actions
EHDSImagingReport; body.recommendation.description; 1..1; Narrative description of the recommended activities including additional test, medication etc.; string; ; Narrative description of the recommended activities including additional test, medication etc.
EHDSImagingReport; body.recommendation.carePlan; 0..*; A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.; EHDSCarePlan; ; A complex and structured information about recommended goals, activities and objectives in the form of one or more formal care plan.
EHDSImagingReport; body.comparisonStudy; 0..*; Documentation (reference) of a prior Imaging Report to which the current images were compared.; EHDSImagingReport; ; Documentation (reference) of a prior Imaging Report to which the current images were compared.
EHDSImagingReport; dicomStudyMetadata; 0..*; Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.; EHDSImagingStudy; ; Metadata of the DICOM study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.
EHDSImagingReport; attachments[x]; 0..*; Report attachments data elements; EHDSAttachment; ; Report attachments data elements
EHDSImagingReport; attachments[x]; 0..*; Report attachments data elements; EHDSMedia; ; Report attachments data elements
EHDSImagingStudy; ; 0..*; EHDS refined base model for Imaging study; ; ; Imaging study model
EHDSImagingStudy; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSImagingStudy; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSImagingStudy; header.identifier; 1..*; Business identifier for the object; Identifier; ; Identifiers for the Imaging Study such as DICOM Study Instance UID. If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier.
EHDSImagingStudy; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSImagingStudy; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSImagingStudy; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSImagingStudy; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSImagingStudy; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSImagingStudy; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSImagingStudy; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSImagingStudy; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSImagingStudy; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSImagingStudy; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSImagingStudy; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSImagingStudy; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSImagingStudy; modality; 0..*; All of the distinct values for series' modalities; CodeableConcept; DICOM CID029 (preferred) ; All of the distinct values for series' modalities
EHDSImagingStudy; encounter; 0..1; Reference to the encounter with which this imaging study is associated; EHDSEncounter; ; Reference to the encounter with which this imaging study is associated
EHDSImagingStudy; started; 0..1; Date and time the study started.; dateTime; ; Date and time the study started.
EHDSImagingStudy; basedOn; 0..*; References to the diagnostic requests that resulted in this imaging study being performed.; EHDSServiceRequest; ; References to the diagnostic requests that resulted in this imaging study being performed.
EHDSImagingStudy; numberOfSeries; 0..1; Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.; integer; ; Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.
EHDSImagingStudy; numberOfInstances; 0..1; Number of Service-Object Pairs (SOP) Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.; integer; ; Number of Service-Object Pairs (SOP) Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.
EHDSImagingStudy; description; 0..1; The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.; string; ; The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.
EHDSImagingStudy; studyCustodian; 0..1; Organisation name, address, contact information.; EHDSOrganisation; ; Organisation name, address, contact information.
EHDSImagingStudy; studyEndpoint; 0..1; Study endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.; EHDSEndpoint; ; Study endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.
EHDSImagingStudy; series; 0..*; Series. Each study has one or more series of instances, but they may be absent when no series information needs to be conveyed; Base; ; Series. Each study has one or more series of instances, but they may be absent when no series information needs to be conveyed
EHDSImagingStudy; series.seriesUid; 1..1; DICOM Series Instance UID for the series; Identifier; ; DICOM Series Instance UID for the series
EHDSImagingStudy; series.number; 0..1; Numeric identifier of this series; integer; ; Numeric identifier of this series
EHDSImagingStudy; series.acquisitionModality; 1..1; Acquisition modality - the modality used for this series; CodeableConcept; DICOM CID029 (preferred) ; Acquisition modality - the modality used for this series
EHDSImagingStudy; series.description; 0..1; A short human readable summary of the series; string; ; A short human readable summary of the series
EHDSImagingStudy; series.numberOfInstances; 0..1; Number of Series Related Instances; integer; ; Number of Series Related Instances
EHDSImagingStudy; series.seriesEndpoint; 0..1; Series endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.; EHDSEndpoint; ; Series endpoint describing the technical details of a location that can be connected to for the delivery/retrieval of information. Sufficient information is required to ensure that a connection can be made securely, and appropriate data transmitted as defined by the endpoint owner. These may be locally hosted services, regional services, or national service.
EHDSImagingStudy; series.bodySite; 0..1; Body part (with laterality) examined; EHDSBodyStructure; ; Body part (with laterality) examined
EHDSImagingStudy; series.specimen; 0..*; Specimen imaged; EHDSSpecimen; ; Specimen imaged
EHDSImagingStudy; series.started; 0..1; When the series started; dateTime; ; When the series started
EHDSImagingStudy; series.instancesInTheSeries; 0..*; Each series has one or more instances, but they may be absent when no instance information needs to be conveyed; Base; ; Each series has one or more instances, but they may be absent when no instance information needs to be conveyed
EHDSImagingStudy; series.instancesInTheSeries.instanceTitle; 0..1; Instance title that is the description of the instance.; string; ; Instance title that is the description of the instance.
EHDSImagingStudy; series.instancesInTheSeries.instanceUid; 1..1; DICOM SOP Instance UID; Identifier; ; DICOM SOP Instance UID
EHDSImagingStudy; series.instancesInTheSeries.sopClass; 1..1; SOP class - DICOM class type; uri; ; SOP class - DICOM class type
EHDSImagingStudy; series.instancesInTheSeries.instanceNumber; 0..1; The number of this instance in the series; integer; ; The number of this instance in the series
EHDSImagingStudy; series.instancesInTheSeries.numberOfFrames; 0..1; The number of frames in a multiframe instance; integer; ; The number of frames in a multiframe instance
EHDSImmunisation; ; 0..*; EHDS refined base model for Immunisation; ; ; Immunisation model
EHDSImmunisation; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSImmunisation; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSImmunisation; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSImmunisation; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSImmunisation; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSImmunisation; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSImmunisation; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSImmunisation; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSImmunisation; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSImmunisation; header.status; 1..1; Indicates the current status of the immunisation event (completed, not-done).; CodeableConcept; ; Status of the resource
EHDSImmunisation; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSImmunisation; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSImmunisation; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSImmunisation; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSImmunisation; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSImmunisation; diseaseOrAgentTargeted; 0..*; Disease or agent that the vaccination provides protection against.; CodeableConcept; ICD-10, SNOMED CT (preferred) ; Disease or agent targeted
EHDSImmunisation; vaccine; 1..1; Generic description of the vaccine/prophylaxis or its component(s).; CodeableConcept; SNOMED CT, ATC (preferred) ; Type of vaccine
EHDSImmunisation; administeredProduct; 0..1; Administered medicinal product; EHDSMedication; ; Administered medicinal product
EHDSImmunisation; doseNumber; 0..1; Order in the vaccination course.; integer; ; Number in a series of vaccinations / doses
EHDSImmunisation; dateOfVaccination; 1..1; The date and time when the vaccination was administered; date; ; Date of vaccination
EHDSImmunisation; administeringCentre; 0..*; Name/code of administering centre or a health authority responsible for the vaccination event; EHDSOrganisation; ; Administering centre
EHDSImmunisation; vaccineAdministrator; 0..*; Health professional responsible for administering the vaccine or prophylaxis; EHDSHealthProfessional; ; Administrator of vaccine
EHDSImmunisation; nextVaccinationDate; 0..1; The date when the vaccination is planned to be given/repeated (e.g. next dose); date; ; Next vaccination date
EHDSInfectiousContact; ; 0..*; EHDS refined base model for an infectious contact; ; ; Infectious contact model
EHDSInfectiousContact; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSInfectiousContact; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSInfectiousContact; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSInfectiousContact; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSInfectiousContact; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSInfectiousContact; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSInfectiousContact; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSInfectiousContact; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSInfectiousContact; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSInfectiousContact; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSInfectiousContact; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSInfectiousContact; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSInfectiousContact; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSInfectiousContact; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSInfectiousContact; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSInfectiousContact; infectiousAgent; 0..*; Information about a suspected infectious agent or agents the person was exposed to.; CodeableConcept; ICD-10, SNOMED CT (preferred) ; Information about a suspected infectious agent or agents the person was exposed to.
EHDSInfectiousContact; timePeriod[x]; 0..1; A date and duration or date time interval of contact. Partial dates are allowed.; dateTime; ; A date and duration or date time interval of contact. Partial dates are allowed.
EHDSInfectiousContact; timePeriod[x]; 0..1; A date and duration or date time interval of contact. Partial dates are allowed.; Period; ; A date and duration or date time interval of contact. Partial dates are allowed.
EHDSInfectiousContact; proximity[x]; 0..1; Proximity to the source/carrier of the infectious agent during exposure. Proximity could be expressed by text, code (direct, indirect) or value specifying distance from the infectious agent carrier.; CodeableConcept; ; Proximity to the source/carrier of the infectious agent during exposure. Proximity could be expressed by text, code (direct, indirect) or value specifying distance from the infectious agent carrier.
EHDSInfectiousContact; proximity[x]; 0..1; Proximity to the source/carrier of the infectious agent during exposure. Proximity could be expressed by text, code (direct, indirect) or value specifying distance from the infectious agent carrier.; Quantity; ; Proximity to the source/carrier of the infectious agent during exposure. Proximity could be expressed by text, code (direct, indirect) or value specifying distance from the infectious agent carrier.
EHDSInfectiousContact; country; 0..1; Country in which the person was potentially exposed to an infectious agent.; CodeableConcept; ISO 3166-1 alpha-2 (preferred) ; Country in which the person was potentially exposed to an infectious agent.
EHDSInfectiousContact; note; 0..1; A textual note with additional information about infectious contact.; string; ; A textual note with additional information about infectious contact.
EHDSLaboratoryObservation; ; 0..*; EHDS refined base model for Observation performed by laboratory; ; ; Laboratory observation model
EHDSLaboratoryObservation; header; 1..1; Common header for all patient-related data; Base; ; Common header for all patient-related data
EHDSLaboratoryObservation; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Patient who is receiving health care. This patient might be different from the direct subject of the observation.
EHDSLaboratoryObservation; header.identifier; 0..*; Business identifier for the object; Identifier; ; Business identifier for the object
EHDSLaboratoryObservation; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSLaboratoryObservation; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSLaboratoryObservation; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSLaboratoryObservation; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSLaboratoryObservation; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSLaboratoryObservation; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSLaboratoryObservation; header.status; 1..1; Status of the resource; CodeableConcept; HL7 Observation status (preferred) ; Status of the resource
EHDSLaboratoryObservation; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSLaboratoryObservation; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSLaboratoryObservation; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSLaboratoryObservation; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSLaboratoryObservation; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSLaboratoryObservation; header.directSubject[x]; 0..1; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device; EHDSPatient; ; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device
EHDSLaboratoryObservation; header.directSubject[x]; 0..1; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device; EHDSPatientAnimal; ; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device
EHDSLaboratoryObservation; header.directSubject[x]; 0..1; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device; EHDSLocation; ; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device
EHDSLaboratoryObservation; header.directSubject[x]; 0..1; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device; EHDSDevice; ; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device
EHDSLaboratoryObservation; header.directSubject[x]; 0..1; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device; EHDSHealthProfessional; ; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device
EHDSLaboratoryObservation; header.directSubject[x]; 0..1; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device; EHDSOrganisation; ; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device
EHDSLaboratoryObservation; header.directSubject[x]; 0..1; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device; EHDSProcedure; ; The direct subject of the observation if different from the patient (subject of care), e.g. an observation of an implanted device
EHDSLaboratoryObservation; observationDate[x]; 1..1; Clinically relevant time or time period for the observation; dateTime; ; Clinically relevant time or time period for the observation
EHDSLaboratoryObservation; observationDate[x]; 1..1; Clinically relevant time or time period for the observation; Period; ; Clinically relevant time or time period for the observation
EHDSLaboratoryObservation; code; 1..1; Code representing the observation using the agreed code systems.; CodeableConcept; LOINC, NPU (preferred) ; Observation code
EHDSLaboratoryObservation; originalName; 0..1; Original (conventional) name of the observation; string; ; Original (conventional) name of the observation
EHDSLaboratoryObservation; method; 0..1; Observation method (measurement principle) to obtain the result.; CodeableConcept; SNOMED CT (preferred) ; Observation method
EHDSLaboratoryObservation; order; 0..1; Identifies order and order placer this observation belongs to; EHDSServiceRequest; ; Identifies order and order placer this observation belongs to
EHDSLaboratoryObservation; performer; 0..1; Performer; EHDSHealthProfessional; ; Performer
EHDSLaboratoryObservation; anatomicLocation; 0..1; Anatomic location and laterality where the observation was performed.; EHDSBodyStructure; ; Anatomic location and laterality where the observation was performed.
EHDSLaboratoryObservation; result; 0..1; Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.; Base; ; Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.
EHDSLaboratoryObservation; result.value[x]; 1..1; Observation result value according to the type of observation; string; UCUM for units, SNOMED CT for coded results (preferred) ; Observation result value according to the type of observation
EHDSLaboratoryObservation; result.value[x]; 1..1; Observation result value according to the type of observation; Quantity; UCUM for units, SNOMED CT for coded results (preferred) ; Observation result value according to the type of observation
EHDSLaboratoryObservation; result.value[x]; 1..1; Observation result value according to the type of observation; Range; UCUM for units, SNOMED CT for coded results (preferred) ; Observation result value according to the type of observation
EHDSLaboratoryObservation; result.value[x]; 1..1; Observation result value according to the type of observation; CodeableConcept; UCUM for units, SNOMED CT for coded results (preferred) ; Observation result value according to the type of observation
EHDSLaboratoryObservation; result.uncertainty; 0..1; Measurement uncertainty type and interval if needed.; Base; ; Measurement uncertainty type and interval if needed.
EHDSLaboratoryObservation; dataAbsentReason; 0..1; Provides a reason why the expected value in the element Observation.value[x] is missing.; CodeableConcept; HL7 Data absent reason (preferred) ; Provides a reason why the expected value in the element Observation.value[x] is missing.
EHDSLaboratoryObservation; referenceRange; 0..*; Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.; Base; ; Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.
EHDSLaboratoryObservation; interpretation; 0..*; Information about reference intervals and result interpretation.; CodeableConcept; SNOMED CT, HL7 ObservationInterpretation (preferred) ; Information about reference intervals and result interpretation.
EHDSLaboratoryObservation; resultDescription; 0..1; Comments and narrative representation of the observation result and findings.; string; ; Comments and narrative representation of the observation result and findings.
EHDSLaboratoryObservation; component; 0..*; Component in case the observation consists of multiple sub-observations (e.g. blood pressure).; Base; ; Component in case the observation consists of multiple sub-observations (e.g. blood pressure).
EHDSLaboratoryObservation; component.code; 1..1; Code representing the observation using the agreed code systems.; CodeableConcept; LOINC, NPU, SNOMED CT (preferred) ; Code representing the observation using the agreed code systems.
EHDSLaboratoryObservation; component.result; 0..1; Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.; Base; ; Result of the observation including text, numeric and coded results of the measurement and measurement uncertainty. Content of the observation result will vary according to the type of the observation.
EHDSLaboratoryObservation; component.result.value[x]; 1..1; Observation result value according to the type of observation; string; ; Observation result value according to the type of observation
EHDSLaboratoryObservation; component.result.value[x]; 1..1; Observation result value according to the type of observation; Quantity; ; Observation result value according to the type of observation
EHDSLaboratoryObservation; component.result.value[x]; 1..1; Observation result value according to the type of observation; Range; ; Observation result value according to the type of observation
EHDSLaboratoryObservation; component.result.value[x]; 1..1; Observation result value according to the type of observation; CodeableConcept; ; Observation result value according to the type of observation
EHDSLaboratoryObservation; component.result.uncertainty; 0..1; Measurement uncertainty type and interval if needed.; Base; ; Measurement uncertainty type and interval if needed.
EHDSLaboratoryObservation; component.dataAbsentReason; 0..1; Provides a reason why the expected value in the element Observation.value[x] is missing.; CodeableConcept; HL7 Data absent reason (preferred) ; Provides a reason why the expected value in the element Observation.value[x] is missing.
EHDSLaboratoryObservation; component.referenceRange; 0..*; Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.; Base; ; Reference range, multiple reference ranges of different types culd by provided. Provides guide for interpretation of result.
EHDSLaboratoryObservation; component.interpretation; 0..*; Information about reference intervals and result interpretation.; CodeableConcept; SNOMED CT, HL7 ObservationInterpretation (preferred) ; Information about reference intervals and result interpretation.
EHDSLaboratoryObservation; derivedFrom[x]; 0..*; Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.; EHDSObservation; ; Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.
EHDSLaboratoryObservation; derivedFrom[x]; 0..*; Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.; EHDSLaboratoryObservation; ; Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.
EHDSLaboratoryObservation; derivedFrom[x]; 0..*; Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.; EHDSImagingStudy; ; Reference to the related resource from which the observation has been made. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.
EHDSLaboratoryObservation; triggeredBy[x]; 0..*; References to the observation(s) that triggered the performance of this observation.; EHDSLaboratoryObservation; ; References to the observation(s) that triggered the performance of this observation.
EHDSLaboratoryObservation; triggeredBy[x]; 0..*; References to the observation(s) that triggered the performance of this observation.; EHDSObservation; ; References to the observation(s) that triggered the performance of this observation.
EHDSLaboratoryObservation; hasMember[x]; 0..*; This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.; EHDSLaboratoryObservation; ; This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.
EHDSLaboratoryObservation; hasMember[x]; 0..*; This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.; EHDSObservation; ; This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.
EHDSLaboratoryObservation; testKit; 0..1; Laboratory test kit used during measurement.; EHDSDevice; ; Test kit
EHDSLaboratoryObservation; calibrator; 0..1; Information about which end-user calibrator the laboratory used for the measurement to indicate the metrological traceability chain. ; Identifier; ; Calibrator
EHDSLaboratoryObservation; accreditationStatus; 0..1; Accreditation status of the laboratory for the particular observation.; CodeableConcept; Code system to be specified (preferred) ; Accreditation status
EHDSLaboratoryObservation; previousResults; 0..*; Previous results of the same observation; EHDSLaboratoryObservation; ; Previous results
EHDSLaboratoryOrder; ; 0..*; A - EHDS refined base model for Laboratory order; ; ; Laboratory order
EHDSLaboratoryOrder; laboratoryOrderHeader; 1..1; Laboratory Order header; EHDSLaboratoryOrderHeader; ; A.1 - Laboratory Order header
EHDSLaboratoryOrder; laboratoryOrderStructuredBody; 0..1; Laboratory order body; EHDSLaboratoryOrderBody; ; A.2 - Laboratory order structured body
EHDSLaboratoryOrder; presentedForms; 0..*; Entire report as issued. Various formats could be provided, pdf format is recommended.; EHDSAttachment; ; A.3 - Attachment
EHDSLaboratoryOrder; laboratoryOrderAttachments[x]; 0..*; Document attachments; EHDSAttachment; ; A.4 - Attachment, Media
EHDSLaboratoryOrder; laboratoryOrderAttachments[x]; 0..*; Document attachments; EHDSMedia; ; A.4 - Attachment, Media
EHDSLaboratoryOrderBody; ; 0..*; B.1 - EHDS refined base model for Laboratory order body; ; ; Laboratory order body model
EHDSLaboratoryOrderBody; orderInformation; 0..*; Order Information; Base; ; Order Information
EHDSLaboratoryOrderBody; orderInformation.orderId; 1..*; An identifier of the laboratory test order.; Identifier; ; An identifier of the laboratory test order.
EHDSLaboratoryOrderBody; orderInformation.orderDateAndTime; 0..1; Date and time of the order placement.; dateTime; ; Date and time of the order placement.
EHDSLaboratoryOrderBody; orderInformation.orderText; 0..1; A verbal description of the order or any supplementary requirements specific to each type of order, if they cannot be expressed formally.; string; ; A verbal description of the order or any supplementary requirements specific to each type of order, if they cannot be expressed formally.
EHDSLaboratoryOrderBody; orderInformation.orderPlacer[x]; 0..1; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.; EHDSHealthProfessional; ; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
EHDSLaboratoryOrderBody; orderInformation.orderPlacer[x]; 0..1; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.; EHDSOrganisation; ; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
EHDSLaboratoryOrderBody; orderInformation.orderPlacer[x]; 0..1; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.; EHDSPatient; ; The person/organisation "authorised" to place the order. Order placer could be either a health professional, health professional organisation or the patient himself.
EHDSLaboratoryOrderBody; orderInformation.orderReasonText; 0..*; An explanation or justification for why this service is being requested in textual form.; string; ; An explanation or justification for why this service is being requested in textual form.
EHDSLaboratoryOrderBody; orderInformation.orderReason[x]; 0..*; An explanation or justification for why this service is being requested in coded or structured form.; CodeableConcept; SNOMED CT (preferred) ; An explanation or justification for why this service is being requested in coded or structured form.
EHDSLaboratoryOrderBody; orderInformation.orderReason[x]; 0..*; An explanation or justification for why this service is being requested in coded or structured form.; EHDSCondition; SNOMED CT (preferred) ; An explanation or justification for why this service is being requested in coded or structured form.
EHDSLaboratoryOrderBody; orderInformation.orderReason[x]; 0..*; An explanation or justification for why this service is being requested in coded or structured form.; EHDSObservation; SNOMED CT (preferred) ; An explanation or justification for why this service is being requested in coded or structured form.
EHDSLaboratoryOrderBody; orderInformation.clinicalQuestion; 0..1; Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.; string; ; Specification of clinical question (goal of the investigation) to be answered by the laboratory investigation.
EHDSLaboratoryOrderBody; encounter; 0..1; An encounter that provides additional information about the healthcare context in which this order is made.; Reference; ; An encounter that provides additional information about the healthcare context in which this order is made.
EHDSLaboratoryOrderBody; supportingInformation; 0..1; Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.; Base; ; Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as 'ask at order entry questions (AOEs).' This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements.
EHDSLaboratoryOrderBody; supportingInformation.observation; 0..*; Clinical findings and other observations.; EHDSObservation; ; Clinical findings and other observations.
EHDSLaboratoryOrderBody; supportingInformation.condition; 0..*; Condition that may influence the service or result interpretation.; EHDSCondition; ; Condition that may influence the service or result interpretation.
EHDSLaboratoryOrderBody; supportingInformation.medicationAdministration; 0..*; Medication administered before ordering the service.; EHDSMedicationAdministration; ; Medication administered before ordering the service.
EHDSLaboratoryOrderBody; supportingInformation.sexForClinicalUse; 0..*; A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population; CodeableConcept; HL7 sex-parameter-for-clinical-use (preferred) ; A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population
EHDSLaboratoryOrderBody; supportingInformation.vaccination; 0..*; Vaccination history of the patient.; EHDSImmunisation; ; Vaccination history of the patient.
EHDSLaboratoryOrderBody; supportingInformation.otherSupportingInformation; 0..*; Any other type of relevant supporting information; Resource; ; Any other type of relevant supporting information
EHDSLaboratoryOrderBody; specimen; 0..*; Specimen information; EHDSSpecimen; ; Specimen information
EHDSLaboratoryOrderBody; serviceRequests; 0..*; Specification of requested service or services; EHDSServiceRequest; ; Specification of requested service or services
EHDSLaboratoryOrderBody; allergy; 0..*; Allergies and intolerances that may affect order execution or interpretation of results; EHDSAllergyIntolerance; ; Allergies and intolerances that may affect order execution or interpretation of results
EHDSLaboratoryOrderBody; alerts; 0..*; Alerts and warnings that may affect order execution or interpretation of results; EHDSAlert; ; Alerts and warnings that may affect order execution or interpretation of results
EHDSLaboratoryOrderBody; appointment; 0..1; Information about the appointment (if the appointment has been booked); EHDSAppointment; ; Information about the appointment (if the appointment has been booked)
EHDSLaboratoryOrderHeader; ; 0..*; A.1 - EHDS refined base model for Laboratory order header data elements; ; ; Laboratory order header model
EHDSLaboratoryOrderHeader; subject; 1..1; Patient/subject information; EHDSPatient; ; A.1.1 - Subject
EHDSLaboratoryOrderHeader; healthInsuranceAndPaymentInformation; 0..*; Health insurance information (Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.); EHDSCoverage; ; A.1.4 - Health insurance and payment information
EHDSLaboratoryOrderHeader; intendedRecipient; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; Reference; ; A.1.5 - Intended recipient
EHDSLaboratoryOrderHeader; authorship; 1..*; Information about author or authors of the document; Base; ; A.1.6 - Authorship
EHDSLaboratoryOrderHeader; authorship.author; 1..1; Author by whom the document was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; A.1.6.1 - Author
EHDSLaboratoryOrderHeader; authorship.datetime; 1..1; Date and time of the last modification of the document by its Author.; dateTime; ; A.1.6.2 - DateTime
EHDSLaboratoryOrderHeader; attestation; 0..*; Document attestation details; Base; ; A.1.7 - Attestation
EHDSLaboratoryOrderHeader; attestation.attester; 1..1; Attester who validated the document. Mulitple attesters could be provided.; EHDSHealthProfessional; ; A.1.7.1 - Attester
EHDSLaboratoryOrderHeader; attestation.datetime; 1..1; Date and time of the approval of the document by Attester.; dateTime; ; A.1.7.2 - DateTime
EHDSLaboratoryOrderHeader; legalAuthentication; 0..1; Document legal authentication; Base; ; A.1.8 - Legal authentication
EHDSLaboratoryOrderHeader; legalAuthentication.legalAuthenticator; 1..1; The person taking responsibility for the medical content of the document; EHDSHealthProfessional; ; A.1.8.1 - Legal authenticator
EHDSLaboratoryOrderHeader; legalAuthentication.datetime; 1..1; Date and time when the document was authorized.; dateTime; ; A.1.8.2 - DateTime
EHDSLaboratoryOrderHeader; documentMetadata; 1..1; Data relevant to document type and its content for administrative and searching purposes.; Base; ; A.1.9 - Document metadata
EHDSLaboratoryOrderHeader; documentMetadata.documentId; 1..1; Unique identifier of the document; Identifier; ; A.1.9.1 - Document ID
EHDSLaboratoryOrderHeader; documentMetadata.documentType; 1..1; Identifies the type of document at hand, e.g. Discharge report.; CodeableConcept; LOINC (preferred) ; A.1.9.2 - Document type
EHDSLaboratoryOrderHeader; documentMetadata.documentStatus; 1..1; The status of the document/report. E.g., preliminary, final.; CodeableConcept; hl7:DiagnosticReportStatus (preferred) ; A.1.9.3 - Document status
EHDSLaboratoryOrderHeader; documentMetadata.period; 0..1; Documented period service. Typically used for searching purposes.; Period; ; A.1.9.4 - Period
EHDSLaboratoryOrderHeader; documentMetadata.reportDateAndTime; 1..1; Date and time of the report creation.; dateTime; ; A.1.9.5 - Report date and time
EHDSLaboratoryOrderHeader; documentMetadata.documentTitle; 1..1; Document title, such as "Discharge report", "Laboratory Result Report" etc..; string; ; A.1.9.6 - Document title
EHDSLaboratoryOrderHeader; documentMetadata.eventType; 0..*; Categorization of an "event" covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of event types depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.; CodeableConcept; LOINC, SNOMED CT, dicom-cid-33-Modality (preferred) ; A.1.9.7 - Event type
EHDSLaboratoryOrderHeader; documentMetadata.specialty; 0..*; Additional details about where the content was created (e.g. clinical specialty); CodeableConcept; SNOMED CT (preferred) ; A.1.9.8 - Specialty
EHDSLaboratoryOrderHeader; documentMetadata.reportCustodian; 1..1; Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].; EHDSOrganisation; ; A.1.9.9 - Report custodian
EHDSLaboratoryOrderHeader; documentMetadata.documentFormat; 0..1; An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.; CodeableConcept; HL7 Document Format Codes (preferred) ; A.1.9.10 - Document format
EHDSLaboratoryOrderHeader; documentMetadata.confidentiality; 0..1; Level of confidentiality of the document. Implicit value is normal.; CodeableConcept; hl7:Confidentiality (preferred) ; A.1.9.11 - Confidentiality
EHDSLaboratoryOrderHeader; documentMetadata.language; 0..1; Language in which the document is written. Language is expressed by the ISO language code.; CodeableConcept; BCP 47 (preferred) ; A.1.9.12 - Language
EHDSLaboratoryOrderHeader; documentMetadata.version; 0..1; Version of the document; string; ; A.1.9.13 - Version
EHDSLaboratoryReport; ; 0..*; EHDS refined base model for Laboratory result report; ; ; Laboratory report model
EHDSLaboratoryReport; header; 1..1; Common header for all patient-related data; Base; ; Laboratory Report header
EHDSLaboratoryReport; header.subject; 1..1; Patient/subject information; EHDSPatient; ; Subject
EHDSLaboratoryReport; header.identifier; 1..*; Unique identifier of the document; Identifier; ; Document ID
EHDSLaboratoryReport; header.authorship; 1..*; Resource authoring details; Base; ; Authorship
EHDSLaboratoryReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSHealthProfessional; ; Author
EHDSLaboratoryReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSOrganisation; ; Author
EHDSLaboratoryReport; header.authorship.author[x]; 1..1; Author(s) by whom the resource was/were authored. Multiple authors could be provided.; EHDSDevice; ; Author
EHDSLaboratoryReport; header.authorship.datetime; 1..1; Date and time of the issuing the document/resource by its author.; dateTime; ; Date and time of authoring/issuing
EHDSLaboratoryReport; header.lastUpdate; 0..1; Date and time of the last update to the document/information; dateTime; ; Date and time of the last update to the resource
EHDSLaboratoryReport; header.status; 1..1; Status of the resource; CodeableConcept; ; Status of the resource
EHDSLaboratoryReport; header.statusReason[x]; 0..1; Reason for the current status of the resource.; CodeableConcept; ; Reason for the current status of the resource.
EHDSLaboratoryReport; header.statusReason[x]; 0..1; Reason for the current status of the resource.; string; ; Reason for the current status of the resource.
EHDSLaboratoryReport; header.language; 0..1; Language in which the resource is written. Language is expressed by the IETF language tag.; CodeableConcept; BCP 47 (preferred) ; Language
EHDSLaboratoryReport; header.version; 0..1; Business version of the resource.; string; ; Version
EHDSLaboratoryReport; presentedForm; 0..*; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document; EHDSAttachment; ; A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
EHDSLaboratoryReport; header.documentType; 1..1; Identifies the type of document at hand, e.g. Discharge report.; CodeableConcept; LOINC (preferred) ; Document type
EHDSLaboratoryReport; header.documentTitle; 1..1; Document title, such as Discharge Report, Laboratory Result Report, etc.; string; ; Document title
EHDSLaboratoryReport; header.documentStatus; 1..1; The status of the Discharge report. E.g., preliminary, final.; CodeableConcept; hl7:CompositionStatus (preferred) ; Document status
EHDSLaboratoryReport; header.period; 0..1; Time of service that is being documented; Period; ; Period
EHDSLaboratoryReport; header.attestation; 0..*; Document attestation details; Base; ; Attestation
EHDSLaboratoryReport; header.attestation.attester; 1..1; Attester who validated the document. Mulitple attesters could be provided.; EHDSHealthProfessional; ; Attester
EHDSLaboratoryReport; header.attestation.datetime; 1..1; Date and time of the approval of the document by Attester.; dateTime; ; DateTime
EHDSLaboratoryReport; header.legalAuthentication; 0..1; Document legal authentication; Base; ; Legal authentication
EHDSLaboratoryReport; header.legalAuthentication.legalAuthenticator; 1..1; The person taking responsibility for the medical content of the document; EHDSHealthProfessional; ; Legal authenticator
EHDSLaboratoryReport; header.legalAuthentication.datetime; 1..1; Date and time when the document was authorized.; dateTime; ; DateTime
EHDSLaboratoryReport; header.eventType; 0..*; Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.; CodeableConcept; SNOMED CT (preferred) ; Event type
EHDSLaboratoryReport; header.authorSpecialty; 0..*; Additional details about where the content was created (e.g. clinical specialty); CodeableConcept; SNOMED CT (preferred) ; Specialty
EHDSLaboratoryReport; header.custodian; 1..1; Organisation that is in charge of maintaining the document/report.; EHDSOrganisation; ; Document custodian
EHDSLaboratoryReport; header.documentFormat; 0..1; An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.; CodeableConcept; HL7 Document Format Codes (preferred) ; Document format
EHDSLaboratoryReport; header.confidentiality; 0..1; Level of confidentiality of the document. Implicit value is normal.; CodeableConcept; hl7:Confidentiality (preferred) ; Confidentiality
EHDSLaboratoryReport; knowledgeResources; 0..0; Related documents and information sources; Base; ; Related documents and information sources
EHDSLaboratoryReport; knowledgeResources.externalReference; 0..*; ...; RelatedArtifact; ; ...
EHDSLaboratoryReport; knowledgeResources.relatedTo; 0..*; ...; Reference; ; ...
EHDSLaboratoryReport; healthInsuranceAndPaymentInformation; 0..*; Health insurance and payment information; EHDSCoverage; ; Health insurance and payment information
EHDSLaboratoryReport; intendedRecipient[x]; 0..*; Information recipient (intended recipient or recipients of the report, additional recipients might be identified by the ordering party, e.g. GP, other specialist), if applicable; EHDSPatient; ; Intended recipient