MyHealth@Eu Patient Summary
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Logical Model: MyHealthEuAdvanceDirective - Detailed Descriptions

Draft as of 2026-03-31

Definitions for the MyHealthEuAdvanceDirective logical model.

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

0. MyHealthEuAdvanceDirective
Definition

MyHealth@EU refined base model for Advance Directive concerning life or after life wishes of the patient

ShortAdvance directive model
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. MyHealthEuAdvanceDirective.header
Definition

Basic metadata for this information

ShortBasic metadata for this information
Control1..1
TypeBase
4. MyHealthEuAdvanceDirective.header.subject
Definition

Patient/subject information

ShortPatient/subject information
Control1..1
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
6. MyHealthEuAdvanceDirective.header.identifier
Definition

Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).

ShortBusiness identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
8. MyHealthEuAdvanceDirective.header.author[x]
Definition

Author of the advance directive.

ShortAuthor of the advance directive.
Control0..*
TypeChoice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
10. MyHealthEuAdvanceDirective.header.date
Definition

Date and optionally time of authoring/issuing

ShortDate and optionally time of authoring/issuing
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. MyHealthEuAdvanceDirective.header.status
Definition

Status of the resource or document

ShortStatus of the resource or document
Control1..1
TypeCodeableConcept
14. MyHealthEuAdvanceDirective.header.source
Definition

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.

ShortSource 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.
Control0..1
TypeCodeableConcept
16. MyHealthEuAdvanceDirective.header.language
Definition

Language in which the resource is written. Language is expressed by the IETF language tag.

ShortLanguage in which the resource is written. Language is expressed by the IETF language tag.
Control0..1
Binding

BCP 47

TypeCodeableConcept
18. MyHealthEuAdvanceDirective.category
Definition

Categories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.

ShortCategories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
Requirements

ISO IPS

20. MyHealthEuAdvanceDirective.note
Definition

Textual description of the directive

ShortTextual description of the directive
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Requirements

eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS

22. MyHealthEuAdvanceDirective.attachment
Definition

Source document, such as a PDF, with the living will and the patient's signature.

ShortSource document, such as a PDF, with the living will and the patient's signature.
Control0..1
Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
Obligations
    ObligationsActor
    MAY:able-to-populateEHDSI Handler
    Requirements

    eHN HDR Guideline, ISO IPS

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

    0. MyHealthEuAdvanceDirective
    Definition

    MyHealth@EU refined base model for Advance Directive concerning life or after life wishes of the patient

    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    2. MyHealthEuAdvanceDirective.attachment
    Obligations
      ObligationsActor
      MAY:able-to-populateEHDSI Handler

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

      0. MyHealthEuAdvanceDirective
      Definition

      MyHealth@EU refined base model for Advance Directive concerning life or after life wishes of the patient

      ShortAdvance directive model
      Control0..*
      Is Modifierfalse
      Logical ModelInstances of this logical model are not marked to be the target of a Reference
      2. MyHealthEuAdvanceDirective.header
      Definition

      Basic metadata for this information

      ShortBasic metadata for this information
      Control1..1
      TypeBase
      4. MyHealthEuAdvanceDirective.header.subject
      Definition

      Patient/subject information

      ShortPatient/subject information
      Control1..1
      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
      6. MyHealthEuAdvanceDirective.header.identifier
      Definition

      Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).

      ShortBusiness identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      8. MyHealthEuAdvanceDirective.header.author[x]
      Definition

      Author of the advance directive.

      ShortAuthor of the advance directive.
      Control0..*
      TypeChoice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      10. MyHealthEuAdvanceDirective.header.date
      Definition

      Date and optionally time of authoring/issuing

      ShortDate and optionally time of authoring/issuing
      Control0..1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      12. MyHealthEuAdvanceDirective.header.status
      Definition

      Status of the resource or document

      ShortStatus of the resource or document
      Control1..1
      TypeCodeableConcept
      14. MyHealthEuAdvanceDirective.header.source
      Definition

      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.

      ShortSource 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.
      Control0..1
      TypeCodeableConcept
      16. MyHealthEuAdvanceDirective.header.language
      Definition

      Language in which the resource is written. Language is expressed by the IETF language tag.

      ShortLanguage in which the resource is written. Language is expressed by the IETF language tag.
      Control0..1
      Binding

      BCP 47

      TypeCodeableConcept
      18. MyHealthEuAdvanceDirective.category
      Definition

      Categories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.

      ShortCategories of directives related to decisions prior and after death, such as life support, resuscitation or organ donation.
      Control0..*
      Binding

      SNOMED CT

      TypeCodeableConcept
      Requirements

      ISO IPS

      20. MyHealthEuAdvanceDirective.note
      Definition

      Textual description of the directive

      ShortTextual description of the directive
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Requirements

      eHN PS and HDR Guidelines, MyHealth@EU, ISO IPS

      22. MyHealthEuAdvanceDirective.attachment
      Definition

      Source document, such as a PDF, with the living will and the patient's signature.

      ShortSource document, such as a PDF, with the living will and the patient's signature.
      Control0..1
      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
      Obligations
        ObligationsActor
        MAY:able-to-populateEHDSI Handler
        Requirements

        eHN HDR Guideline, ISO IPS