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Arbetet tar utgångspunkt i EHDS specifikationer EHDSCondition (tillstånd/problem/diagnos) och EHDSProcedure (åtgärder), samt från slutrapport från arbetsgrupp under Rådet som under 2025 arbetat med gapanalys av den europeiska patientöversikten (se referenser).


Möten delgrupp problem, diagnos och åtgärd

TillfälleAgendaFörberedelserPresentationsmaterialMötesanteckningar

Arbetsgruppsmöte 3
27/5 kl 10.30-12.00
(digitalt)





Arbetsgruppsmöte 2
13/5 kl 10.30-12.00
(digitalt)





Arbetsgruppsmöte 1
29/4 kl 10.30-12.00
(digitalt)

Diagnoser och åtgärder (EHDSCondition, EHDSProcedure)

EHDS-specifikationer

Logisk modell/obligations från Xt-EHR - version som utgör underlag till genomförandeakter (aktuella versioner - kan komma att ändras).

EHDSPatientSummary:

Patient summary model - EHDS Logical Information Models v0.4.0

Patient summary obligations - EHDS Logical Information Models v0.4.0

EHDSCondition:

Condition model - EHDS Logical Information Models v0.4.0

Condition obligations - EHDS Logical Information Models v0.4.0

EHDSProcedure:

...

Procedure obligations - EHDS Logical Information Models v0.4.0

EHDSBodyStructure:

Body structure model - EHDS Logical Information Models v0.4.0

FHIR profiler (aktuella versoiner - kan komma att ändras)

Condition (EU core) - HL7 Europe Base and Core FHIR IG v2.0.0-recon

...

EHDSCondition, EHDSBodyStructure 2026-03-20 (utifrån Condition model - EHDS Logical Information Models v0.4.0 , Condition obligations - EHDS Logical Information Models v0.4.0, Body structure model - EHDS Logical Information Models v0.4.0)

...

Additional information about the procedure
IDMinMaxProducer obligationsType(s)ShortDefinitionRequirementsBinding StrengthBinding Description
EHDSProcedure0*Procedure modelThe model provides basic information about a procedure performed on or for a patient. This includes surgical, therapeutic, and diagnostic procedures, as well as specimen collection. The model does not cover procedures in the planning stage.EHDSProcedure.header11BaseBasic metadata for this informationBasic metadata for this informationEHDSProcedure.header.subject11SHALL:able-to-populatehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatientPatient/subject informationPatient/subject informationEHDSProcedure.header.identifier0*SHOULD:able-to-populateIdentifierBusiness identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).EHDSProcedure.header.author[x]0*http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisationhttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
Author responsible for the provided information.Author responsible for the provided information.EHDSProcedure.header.date01dateTimeDate and optionally time of authoring/issuingDate and optionally time of authoring/issuingEHDSProcedure.header.status11SHALL:able-to-populateCodeableConceptStatus of the procedure (e.g. completed, on hold, stopped)Status of the procedure (e.g. completed, on hold, stopped)preferredHL7 Event StatusEHDSProcedure.header.source01CodeableConceptSource of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.EHDSProcedure.header.language01CodeableConceptLanguage in which the resource is written. Language is expressed by the IETF language tag.Language in which the resource is written. Language is expressed by the IETF language tag.preferredBCP 47EHDSProcedure.code11SHALL:able-to-populateCodeableConceptConcept code and display name identifying the type of procedureConcept code and display name identifying the type of procedurepreferredSNOMED CTEHDSProcedure.procedureDate[x]01SHALL:able-to-populatedateTime
Period
Date and time of the procedure or interval of its performanceDate and time of the procedure or interval of its performanceEHDSProcedure.performer0*http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessionalActors who performed the procedure (only main responsible actors expected)Actors who performed the procedure (only main responsible actors expected)EHDSProcedure.bodySite0*SHOULD:able-to-populatehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructureTarget body site of the procedure. Laterality may be included as a qualifier of the body site.Target body site of the procedure. Laterality may be included as a qualifier of the body site.EHDSProcedure.reason[x]0*CodeableConcept
http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSConditionhttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservationhttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure
The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason.The reason the procedure was performed. This may be a concept from a terminology or a reference to a specific instance that describes the reason.preferredSNOMED CT, ICD-10, OrphacodeEHDSProcedure.outcome01CodeableConceptThe immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time.The immediate result of the procedure (e.g. successful, unsuccessful). This does not include assessment over a longer period of time.preferredSNOMED CTEHDSProcedure.complication0*CodeableConceptAny complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues.Any complications that occurred during the procedure, or in the immediate post-procedure period. These are generally tracked separately from the procedure description, which will typically describe the procedure itself rather than any 'post procedure' issues.preferredICD-10, SNOMED CTEHDSProcedure.deviceUsed0*http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceDevice used to perform the procedureDevice used to perform the procedureEHDSProcedure.focalDevice0*http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceDevice(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.Device(s) that is/are implanted, removed, or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.EHDSProcedure.note01SHOULD:able-to-populatestringAdditional information about the procedure