B.1 - EHDS refined base model for Patient summary body data elements

Alert section includes information about allergies, intolerances and other substantial alerts or warnings that health professionals should be aware of.

A record of allergies and intolerances.

Medical alert information (other alerts not included in allergies).

Medical history

Vaccination / prophylaxis information

Resolved, closed or inactive problems

Medical history section

This section may provide both synthetic anamnesis (e.g. description of phases of the pathology as a chronological summary of clustered clinical information) and anecdotal evidence that clinicians can collect from the patient, and can read in a narrative form.See Section 2, Chapter III, Art 7, (c).

Medical problems section

Health conditions affecting the health of the patient and are important to be known for a health professional during a health encounter.

Medical devices and implants section.

Major procedures.

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments.

Medication summary section

Relevant prescribed medicines whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not, or medicines that influence current health status or are relevant to a clinical decision.

B.1 - EHDS refined base model for Patient summary body data elements

Alert section includes information about allergies, intolerances and other substantial alerts or warnings that health professionals should be aware of.

A record of allergies and intolerances.

Medical alert information (other alerts not included in allergies).

Medical history

Vaccination / prophylaxis information

Resolved, closed or inactive problems

Medical history section

This section may provide both synthetic anamnesis (e.g. description of phases of the pathology as a chronological summary of clustered clinical information) and anecdotal evidence that clinicians can collect from the patient, and can read in a narrative form.See Section 2, Chapter III, Art 7, (c).

Medical problems section

Health conditions affecting the health of the patient and are important to be known for a health professional during a health encounter.

Medical devices and implants section.

Major procedures.

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments.

Medication summary section

Relevant prescribed medicines whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not, or medicines that influence current health status or are relevant to a clinical decision.

B.1 - EHDS refined base model for Patient summary body data elements

Alert section includes information about allergies, intolerances and other substantial alerts or warnings that health professionals should be aware of.

A record of allergies and intolerances.

Medical alert information (other alerts not included in allergies).

Medical history

Vaccination / prophylaxis information

Resolved, closed or inactive problems

Medical history section

This section may provide both synthetic anamnesis (e.g. description of phases of the pathology as a chronological summary of clustered clinical information) and anecdotal evidence that clinicians can collect from the patient, and can read in a narrative form.See Section 2, Chapter III, Art 7, (c).

Medical problems section

Health conditions affecting the health of the patient and are important to be known for a health professional during a health encounter.

Medical devices and implants section.

Major procedures.

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments.

Medication summary section

Relevant prescribed medicines whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not, or medicines that influence current health status or are relevant to a clinical decision.