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
Condition (EU core) - HL7 Europe Base and Core FHIR IG v2.0.0-recon
| ID | Min | Max | Producer obligations | Type(s) | Short | Definition | Requirements | Binding Strength | Binding Description |
| EHDSCondition | 0 | * | Condition model | Model for a clinical condition, problem, diagnosis, or other event, situation, or issue that has risen to a level of concern. | |||||
| EHDSCondition.header | 1 | 1 | SHALL:able-to-populate | Base | Basic metadata for this information | Basic metadata for this information | |||
| EHDSCondition.header.subject | 1 | 1 | SHALL:able-to-populate | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient | Patient/subject information | Patient/subject information | |||
| EHDSCondition.header.identifier | 0 | * | SHOULD:able-to-populate | Identifier | Business 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). | |||
| EHDSCondition.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 | The author of the condition information. | The author of the condition information. | ||||
| EHDSCondition.header.date | 0 | 1 | dateTime | Date and optionally time of authoring/issuing | Date and optionally time of authoring/issuing | ||||
| EHDSCondition.header.status | 1 | 1 | SHALL:able-to-populate | CodeableConcept | Status of the condition/problem (e.g. active, resolved, inactive, etc) | Status of the condition/problem (e.g. active, resolved, inactive, etc) | eHN Guideline HDR (v1.1): A.2.6.1.7; PS (v3.4) A.2.2.2.1 | preferred | HL7 Condition Clinical Status Codes |
| EHDSCondition.header.source | 0 | 1 | CodeableConcept | 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. | 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. | ||||
| EHDSCondition.header.language | 0 | 1 | CodeableConcept | Language 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. | preferred | BCP 47 | ||
| EHDSCondition.problem | 1 | 1 | SHALL:able-to-populate | CodeableConcept | Code identifying the condition, problem or diagnosis | Code identifying the condition, problem or diagnosis | eHN Guideline HDR (v1.1): A.2.6.1.2; PS (v3.4) A.2.2.2.1, A.2.3.1.1 | preferred | ICD-10, SNOMED CT, ICD-O, Orphacode if rare disease is diagnosed |
| EHDSCondition.onsetDate | 0 | 1 | SHOULD:able-to-populate | dateTime | Onset date of a problem/condition | Onset date of a problem/condition | eHN Guideline HDR (v1.1): A.2.6.1.3; PS (v3.4) A.2.2.2.2, A.2.3.1.2 | ||
| EHDSCondition.endDate | 0 | 1 | SHALL:able-to-populate | dateTime | The date or estimated date that the condition resolved or went into remission | The date or estimated date that the condition resolved or went into remission | eHN Guideline HDR (v1.1): A.2.6.1.4; PS (v3.4) A.2.2.2.3 | ||
| EHDSCondition.category | 0 | * | CodeableConcept | Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations). | Category or categories of the problem (e.g. POA - present on admission, HAC - hospital aquired condition, and other categorisations). | eHN Guideline HDR (v1.1): A.2.6.1.5 | |||
| EHDSCondition.resolutionCircumstances | 0 | 1 | string | Describes the reason for which the status of the problem changed from current to inactive (e.g. surgical procedure, medical treatment, etc.). | 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). | eHN Guideline HDR (v1.1): A.2.6.1.8; PS (v3.4) A.2.2.2.4 | |||
| EHDSCondition.severity | 0 | 1 | CodeableConcept | A subjective assessment of the severity of the condition as evaluated by the clinician. | A subjective assessment of the severity of the condition as evaluated by the clinician. | eHN Guideline HDR (v1.1): A.2.6.1.9 | preferred | HL7 Condition/Diagnosis Severity; SNOMED CT | |
| EHDSCondition.bodySite | 0 | * | SHOULD:able-to-populate | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSBodyStructure | The anatomical location including laterality where this condition manifests itself. | The anatomical location including laterality where this condition manifests itself. | eHN Guideline HDR (v1.1): A.2.6.1.2 | ||
| EHDSCondition.stage | 0 | * | CodeableConcept | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used. | Stage/grade usually assessed formally using a specific staging/grading system. Multiple assessment systems could be used. | eHN Guideline HDR (v1.1): A.2.6.1.10 | preferred | e.g. TNM, ICD-O-3, Bi-Rads, Li-Rads, … | |
| EHDSCondition.diagnosisAssertionStatus | 0 | 1 | CodeableConcept | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition. | Assertion about the certainty associated with a diagnosis. Diagnostic and/or clinical evidence of condition. | eHN Guideline PS (v3.4) A.2.3.1.3 | preferred | HL7 Condition Verification Status | |
| EHDSCondition.specialistContact | 0 | * | http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional | Health Professional who may be specifically related to the problem, as a preferred contact. | Health Professional who may be specifically related to the problem, as a preferred contact. | ISO IPS, MyHealth@EU | |||
| EHDSCondition.externalResource | 0 | * | uri | External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines. | External Resource which may be specifically related to the problem, for example a link between a rare disease problem and the corresponding guidelines. | MyHealth@EU | |||
| ID | Min | Max | Producer obligations | Type(s) | Short | Definition | Requirements | Binding Strength | Binding Description |
| EHDSBodyStructure | 0 | * | N/A | Body structure model | Model for body structure | ||||
| EHDSBodyStructure.morphology | 0 | 1 | N/A | CodeableConcept | The kind of structure being represented by the body structure at BodyStructure.location. This can define both normal and abnormal morphologies. | The kind of structure being represented by the body structure at BodyStructure.location. This can define both normal and abnormal morphologies. | preferred | SNOMED CT | |
| EHDSBodyStructure.location | 0 | 1 | N/A | CodeableConcept | Body site | Body site | preferred | SNOMED CT | |
| EHDSBodyStructure.locationQualifier | 0 | * | N/A | CodeableConcept | Additional qualifier of the body structure (e.g. upper, lower, left side). | Additional qualifier of the body structure (e.g. upper, lower, left side). | preferred | SNOMED CT | |
| EHDSBodyStructure.laterality | 0 | 1 | N/A | CodeableConcept | Body structure laterality (e.g. left, right). | Body structure laterality (e.g. left, right). | preferred | SNOMED CT | |
| EHDSBodyStructure.description | 0 | 1 | N/A | string | Textual description of the body structure | Textual description of the body structure |
Procedure
Proceduremodel - EHDS Logical Information Models v0.4.0
Procedure obligations - EHDS Logical Information Models v0.4.0
Procedure (EU core) - HL7 EuropeBase and Core FHIR IG v2.0.0-recon