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eHealth Infrastructure Releases Decision Context Extension Specification (v6.0.1)

Decision context - eHealth Infrastructure v6.0.1 - Sundhed.dk

June 12, 2026eHealth Infrastructure

Summary

The eHealth Infrastructure has released the 'Decision context' extension specification in version 6.0.1, based on FHIR. This specification helps structure information related to clinical decision-making processes, improving the clarity of context in healthcare data exchange.

Details

This document details the technical specification for the 'Decision context' extension provided by the eHealth Infrastructure, released as version 6.0.1. This extension is designed to describe the judgment process associated with clinical impressions (ehealth-clinicalimpression). The structure itself is a simple Extension type based on FHIR standards, intended to attach contextual information—such as 'under what circumstances' and 'what evidence was used for the decision'—to medical data. By doing this, it allows not only diagnostic results but also the background clinical thought process and rationale to be embedded in data exchanged between multiple systems like Electronic Health Records. Technically, it is defined based on FHIR R4 and can be applied to specific elements. This enhances both the granularity and reliability of information during data exchange. The specification plays a crucial role in standardizing the electronic medical infrastructure within Denmark.

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