| Package | eu.ehds.models |
| Resource Type | StructureDefinition |
| Id | EHDSAdvanceDirective |
| FHIR Version | R5 |
| Source | https://www.xt-ehr.eu/specifications/fhir/https://build.fhir.org/ig/Xt-EHR/xt-ehr-common/StructureDefinition-EHDSAdvanceDirective.html |
| URL | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective |
| Version | 0.1.0 |
| Status | draft |
| Date | 2025-07-25T08:06:37+00:00 |
| Name | EHDSAdvanceDirective |
| Title | Advance directive model |
| Description | Healthcare directives concerning life or after life wishes of the patient |
| Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective |
| Kind | logical |
| StructureDefinition | |
| EHDSDischargeReport | Discharge Report model |
| StructureDefinition | |
| EHDSAttachment | Attachment model |
| EHDSHealthProfessional | Health professional model |
| EHDSPatient | Patient model |
| EHDSRelatedPerson | Related person model |
| EHDSDataSet | DataSet model |
| EHDSOrganisation | Organisation model |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition EHDSAdvanceDirective
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  EHDSAdvanceDirective | 0..* | EHDSDataSet | Elements defined in Ancestors:header, presentedForm Advance directive model Instances of this logical model can be the target of a Reference | |
  category | 0..* | CodeableConcept | Categories of Directives related to decisions prior and after death Binding Description: (preferred): SNOMED CT | |
 narrative | 0..1 | string | Textual description of the directive | |
| effectivePeriod | 0..1 | Period | Time period during which the directive is effective | |
 authorisingEntity[x] | 0..1 | Person or organisation that authorizes the directive | ||
 authorisingEntityEHDSPatient | EHDSPatient | |||
| authorisingEntityEHDSHealthProfessional | EHDSHealthProfessional | |||
| authorisingEntityEHDSRelatedPerson | EHDSRelatedPerson | |||
 authorisingEntityEHDSOrganisation | EHDSOrganisation | |||
| relatedConditions[x] | 0..* | CodeableConcept | The problem or disorder to which the living will applies. Multiple fields could be provided. Binding Description: (preferred): ICD-10, SNOMED CT, Orphacode | |
 advanceDirectiveDocument | 0..1 | EHDSAttachment | Scanned source document with the living will and the patient's signature, such as a PDF. | |
| Documentation for this format | ||||
FHIR{
"resourceType": "StructureDefinition",
"id": "EHDSAdvanceDirective",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-be-target"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-be-target"
}
],
"url": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective",
"version": "0.1.0",
"name": "EHDSAdvanceDirective",
"title": "Advance directive model",
"status": "draft",
"date": "2025-07-25T08:06:37+00:00",
"publisher": "Xt-EHR",
"contact": [
{
"name": "Xt-EHR",
"telecom": [
{
"system": "url",
"value": "http://Xt-EHR.eu"
}
]
}
],
"description": "Healthcare directives concerning life or after life wishes of the patient",
"fhirVersion": "5.0.0",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "logical",
"abstract": false,
"type": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective",
"baseDefinition": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDataSet",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "0.1.0"
}
],
"element": [
{
"id": "EHDSAdvanceDirective",
"path": "EHDSAdvanceDirective",
"short": "Advance directive model",
"definition": "Healthcare directives concerning life or after life wishes of the patient",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EHDSAdvanceDirective.header",
"path": "EHDSAdvanceDirective.header",
"short": "Common header for all patient-related data",
"definition": "Common header for all patient-related data",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSAdvanceDirective.header.subject",
"path": "EHDSAdvanceDirective.header.subject",
"short": "Subject",
"definition": "Patient/subject information",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient"
}
]
},
{
"id": "EHDSAdvanceDirective.header.identifier",
"path": "EHDSAdvanceDirective.header.identifier",
"short": "Business identifier for the object",
"definition": "Business identifier for the object",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDataSet.header.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
]
},
{
"id": "EHDSAdvanceDirective.header.authorship",
"path": "EHDSAdvanceDirective.header.authorship",
"short": "Authorship",
"definition": "Resource authoring details",
"min": 1,
"max": "*",
"base": {
"path": "EHDSDataSet.header.authorship",
"min": 1,
"max": "*"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSAdvanceDirective.header.authorship.author[x]",
"path": "EHDSAdvanceDirective.header.authorship.author[x]",
"short": "Author",
"definition": "Author(s) by whom the resource was/were authored. Multiple authors could be provided.",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header.authorship.author[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice"
}
]
},
{
"id": "EHDSAdvanceDirective.header.authorship.datetime",
"path": "EHDSAdvanceDirective.header.authorship.datetime",
"short": "Date and time of authoring/issuing",
"definition": "Date and time of the issuing the document/resource by its author.",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header.authorship.datetime",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "EHDSAdvanceDirective.header.lastUpdate",
"path": "EHDSAdvanceDirective.header.lastUpdate",
"short": "Date and time of the last update to the resource",
"definition": "Date and time of the last update to the document/information",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDataSet.header.lastUpdate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "EHDSAdvanceDirective.header.status",
"path": "EHDSAdvanceDirective.header.status",
"short": "Status of the resource",
"definition": "Status of the resource",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "EHDSAdvanceDirective.header.statusReason[x]",
"path": "EHDSAdvanceDirective.header.statusReason[x]",
"short": "Reason for the current status of the resource.",
"definition": "Reason for the current status of the resource.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDataSet.header.statusReason[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
},
{
"code": "string"
}
]
},
{
"id": "EHDSAdvanceDirective.header.language",
"path": "EHDSAdvanceDirective.header.language",
"short": "Language",
"definition": "Language in which the resource is written. Language is expressed by the IETF language tag.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDataSet.header.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "BCP 47"
}
},
{
"id": "EHDSAdvanceDirective.header.version",
"path": "EHDSAdvanceDirective.header.version",
"short": "Version",
"definition": "Business version of the resource.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDataSet.header.version",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSAdvanceDirective.presentedForm",
"path": "EHDSAdvanceDirective.presentedForm",
"short": "A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document",
"definition": "A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDataSet.presentedForm",
"min": 0,
"max": "*"
},
"type": [
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment"
}
]
},
{
"id": "EHDSAdvanceDirective.category",
"path": "EHDSAdvanceDirective.category",
"short": "Categories of Directives related to decisions prior and after death",
"definition": "Categories of Directives related to decisions prior and after death",
"comment": "Examples:\nIntubation,\nTube Feedings,\nLife Support,\nCardiopulmonary resuscitation,\nAntibiotics,\nResuscitation,\nArtificial respiration,\nAdministration of medication,\nTransfusion,\nTransfer of care to hospital,\nDialysis procedure,\nNegative declaration,\nOrgan donation,\nBody donation,\nIntravenous infusion",
"requirements": "ISO IPS",
"min": 0,
"max": "*",
"base": {
"path": "EHDSAdvanceDirective.category",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSAdvanceDirective.narrative",
"path": "EHDSAdvanceDirective.narrative",
"short": "Textual description of the directive",
"definition": "Textual description of the directive",
"requirements": "eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS",
"min": 0,
"max": "1",
"base": {
"path": "EHDSAdvanceDirective.narrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSAdvanceDirective.effectivePeriod",
"path": "EHDSAdvanceDirective.effectivePeriod",
"short": "Time period during which the directive is effective",
"definition": "Time period during which the directive is effective",
"requirements": "eHN HDR Guideline, ISO IPS",
"min": 0,
"max": "1",
"base": {
"path": "EHDSAdvanceDirective.effectivePeriod",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
]
},
{
"id": "EHDSAdvanceDirective.authorisingEntity[x]",
"path": "EHDSAdvanceDirective.authorisingEntity[x]",
"short": "Person or organisation that authorizes the directive",
"definition": "Person or organisation that authorizes the directive",
"requirements": "ISO IPS",
"min": 0,
"max": "1",
"base": {
"path": "EHDSAdvanceDirective.authorisingEntity[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation"
}
]
},
{
"id": "EHDSAdvanceDirective.relatedConditions[x]",
"path": "EHDSAdvanceDirective.relatedConditions[x]",
"short": "The problem or disorder to which the living will applies. Multiple fields could be provided.",
"definition": "The problem or disorder to which the living will applies. Multiple fields could be provided.",
"requirements": "ISO IPS",
"min": 0,
"max": "*",
"base": {
"path": "EHDSAdvanceDirective.relatedConditions[x]",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "ICD-10, SNOMED CT, Orphacode"
}
},
{
"id": "EHDSAdvanceDirective.advanceDirectiveDocument",
"path": "EHDSAdvanceDirective.advanceDirectiveDocument",
"short": "Scanned source document with the living will and the patient's signature, such as a PDF.",
"definition": "Scanned source document with the living will and the patient's signature, such as a PDF.",
"requirements": "eHN HDR Guideline, ISO IPS",
"min": 0,
"max": "1",
"base": {
"path": "EHDSAdvanceDirective.advanceDirectiveDocument",
"min": 0,
"max": "1"
},
"type": [
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment"
}
]
}
]
},
"differential": {
"element": [
{
"id": "EHDSAdvanceDirective",
"path": "EHDSAdvanceDirective",
"short": "Advance directive model",
"definition": "Healthcare directives concerning life or after life wishes of the patient"
},
{
"id": "EHDSAdvanceDirective.category",
"path": "EHDSAdvanceDirective.category",
"short": "Categories of Directives related to decisions prior and after death",
"definition": "Categories of Directives related to decisions prior and after death",
"comment": "Examples:\nIntubation,\nTube Feedings,\nLife Support,\nCardiopulmonary resuscitation,\nAntibiotics,\nResuscitation,\nArtificial respiration,\nAdministration of medication,\nTransfusion,\nTransfer of care to hospital,\nDialysis procedure,\nNegative declaration,\nOrgan donation,\nBody donation,\nIntravenous infusion",
"requirements": "ISO IPS",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSAdvanceDirective.narrative",
"path": "EHDSAdvanceDirective.narrative",
"short": "Textual description of the directive",
"definition": "Textual description of the directive",
"requirements": "eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSAdvanceDirective.effectivePeriod",
"path": "EHDSAdvanceDirective.effectivePeriod",
"short": "Time period during which the directive is effective",
"definition": "Time period during which the directive is effective",
"requirements": "eHN HDR Guideline, ISO IPS",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
]
},
{
"id": "EHDSAdvanceDirective.authorisingEntity[x]",
"path": "EHDSAdvanceDirective.authorisingEntity[x]",
"short": "Person or organisation that authorizes the directive",
"definition": "Person or organisation that authorizes the directive",
"requirements": "ISO IPS",
"min": 0,
"max": "1",
"type": [
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSRelatedPerson"
},
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation"
}
]
},
{
"id": "EHDSAdvanceDirective.relatedConditions[x]",
"path": "EHDSAdvanceDirective.relatedConditions[x]",
"short": "The problem or disorder to which the living will applies. Multiple fields could be provided.",
"definition": "The problem or disorder to which the living will applies. Multiple fields could be provided.",
"requirements": "ISO IPS",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "ICD-10, SNOMED CT, Orphacode"
}
},
{
"id": "EHDSAdvanceDirective.advanceDirectiveDocument",
"path": "EHDSAdvanceDirective.advanceDirectiveDocument",
"short": "Scanned source document with the living will and the patient's signature, such as a PDF.",
"definition": "Scanned source document with the living will and the patient's signature, such as a PDF.",
"requirements": "eHN HDR Guideline, ISO IPS",
"min": 0,
"max": "1",
"type": [
{
"code": "https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment"
}
]
}
]
}
}