EHDS Logical Information Models
0.4.0 - draft

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/ and changes regularly. See the Directory of published versions

Logical Model: EHDSPatientSummaryObligations - Detailed Descriptions

Draft as of 2026-03-16

Definitions for the EHDSPatientSummaryObligations logical model.

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

0. EHDSPatientSummaryObligations
Definition

Obligations for the logical model for patient summary.


Base definition for all types defined in FHIR type system.

ShortPatient summary obligationsBase for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSPatientSummaryObligations.header
Definition

Basic metadata for this information

ShortDocument header
Control1..1
TypeBase
Obligations
    ObligationsActor
    SHALL:able-to-populateProducer
    SHALL:processConsumer
    4. EHDSPatientSummaryObligations.header.subject
    Definition

    Patient/subject information

    ShortPatient/subject information
    Control1..1
    Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
    Obligations
      ObligationsActor
      SHALL:able-to-populateProducer
      SHALL:processConsumer
      6. EHDSPatientSummaryObligations.header.identifier
      Definition

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

      ShortUnique identifier of the document
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control1..*
      TypeIdentifier
      Obligations
        ObligationsActor
        SHALL:able-to-populateProducer
        SHALL:processConsumer
        8. EHDSPatientSummaryObligations.header.author[x]
        Definition

        Author(s) responsible for the provided information. The exact role of the responsible author varies across use cases and is specific to individual models.

        ShortAuthor(s) of the document
        Control1..*
        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]
        Obligations
          ObligationsActor
          SHALL:able-to-populateProducer
          SHALL:processConsumer
          10. EHDSPatientSummaryObligations.header.date
          Definition

          Date and optionally time of authoring/issuing

          ShortDate of finalising/issuing the document
          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Obligations
            ObligationsActor
            SHALL:able-to-populateProducer
            SHALL:processConsumer
            12. EHDSPatientSummaryObligations.header.status
            Definition

            Status of the resource or document

            ShortStatus of the document
            Control1..1
            TypeCodeableConcept
            Obligations
              ObligationsActor
              SHALL:able-to-populateProducer
              SHALL:processConsumer
              14. EHDSPatientSummaryObligations.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..0
              TypeCodeableConcept
              16. EHDSPatientSummaryObligations.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
              Obligations
                ObligationsActor
                SHOULD:able-to-populateProducer
                SHOULD:processConsumer
                18. EHDSPatientSummaryObligations.header.documentType
                Definition

                Type of document at hand, e.g. 60591-5 Patient summary document.

                ShortType of document at hand, e.g. 60591-5 Patient summary document.
                Control1..1
                Binding

                LOINC

                TypeCodeableConcept
                Obligations
                  ObligationsActor
                  SHALL:able-to-populateProducer
                  SHALL:processConsumer
                  20. EHDSPatientSummaryObligations.header.documentTitle
                  Definition

                  Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'

                  ShortHuman readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
                  Control1..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Obligations
                    ObligationsActor
                    SHALL:able-to-populateProducer
                    SHALL:processConsumer
                    22. EHDSPatientSummaryObligations.header.period
                    Definition

                    Time period of information covered in the document

                    ShortTime period of information covered in the document
                    Control0..1
                    TypePeriod
                    24. EHDSPatientSummaryObligations.header.version
                    Definition

                    Business version of the document. The exact algorithm for versioning is decided by the producer/custodian

                    ShortBusiness version of the document. The exact algorithm for versioning is decided by the producer/custodian
                    NoteThis is a business version Id, not a resource version Id (see discussion)
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    26. EHDSPatientSummaryObligations.header.attestation
                    Definition

                    Document attestation details

                    ShortDocument attestation details
                    Control0..*
                    TypeBase
                    28. EHDSPatientSummaryObligations.header.attestation.attester[x]
                    Definition

                    Attester who validated the document

                    ShortAttester who validated the document
                    Control1..1
                    TypeChoice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    30. EHDSPatientSummaryObligations.header.attestation.datetime
                    Definition

                    Date and time of the approval of the document by Attester

                    ShortDate and time of the approval of the document by Attester
                    Control1..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    32. EHDSPatientSummaryObligations.header.legalAuthentication
                    Definition

                    Document legal authentication details

                    ShortDocument legal authentication details
                    Control0..*
                    TypeBase
                    Obligations
                      ObligationsActor
                      SHALL:able-to-populateProducer
                      SHALL:processConsumer
                      34. EHDSPatientSummaryObligations.header.legalAuthentication.legalAuthenticator[x]
                      Definition

                      The person or organisation taking responsibility for the content of the document.

                      ShortThe person or organisation taking responsibility for the content of the document.
                      Control1..1
                      TypeChoice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      36. EHDSPatientSummaryObligations.header.legalAuthentication.datetime
                      Definition

                      Date and time when the document was authorised

                      ShortDate and time when the document was authorised
                      Control1..1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      38. EHDSPatientSummaryObligations.header.eventType
                      Definition

                      Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.

                      ShortCategorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.
                      Control0..*
                      Binding

                      LOINC, SNOMED CT, dicom-cid-33-Modality

                      TypeCodeableConcept
                      40. EHDSPatientSummaryObligations.header.serviceSpecialty
                      Definition

                      Additional details about where the content was created (e.g. clinical specialty)

                      ShortAdditional details about where the content was created (e.g. clinical specialty)
                      Control0..*
                      Binding

                      SNOMED CT

                      TypeCodeableConcept
                      42. EHDSPatientSummaryObligations.header.custodian
                      Definition

                      Organisation that is in charge of maintaining the document/report.

                      ShortOrganisation that is in charge of maintaining the document/report.
                      Control0..1
                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
                      44. EHDSPatientSummaryObligations.presentedForm
                      Definition

                      A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document

                      ShortA narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
                      Control0..*
                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
                      Obligations
                        ObligationsActor
                        SHOULD:able-to-populateProducer
                        SHOULD:displayConsumer
                        46. EHDSPatientSummaryObligations.alerts
                        Definition

                        Substantial alerts or warnings that health professionals should be aware of.

                        ShortSection: Alerts
                        Control0..1
                        TypeBase
                        Obligations
                          ObligationsActor
                          SHOULD:able-to-populateProducer
                          SHOULD:processConsumer
                          Requirements

                          eHN PS Guideline, MyHealth@EU, ISO IPS

                          48. EHDSPatientSummaryObligations.alerts.generatedNarrative
                          Definition

                          Narrative, potentially formatted, content of the whole section.

                          ShortNarrative, potentially formatted, content of the whole section.
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Obligations
                            ObligationsActorDocumentation
                            SHOULD:able-to-populateProducer

                            System shall be able to populate generatedNarrative if the structured content is not supported by the system.

                            SHOULD:displayConsumer

                            System shall display generatedNarrative if the structured content is not supported by the system.

                            50. EHDSPatientSummaryObligations.alerts.medicalAlert
                            Definition

                            Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.

                            ShortDescription of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
                            Control0..*
                            Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAlert
                            Obligations
                              ObligationsActor
                              SHALL:able-to-populateProducer
                              SHALL:processConsumer
                              Requirements

                              ISO IPS

                              52. EHDSPatientSummaryObligations.alerts.note
                              Definition

                              Free text notes by the health professional

                              ShortFree text notes by the health professional
                              Control0..1
                              Typestring
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Obligations
                                ObligationsActor
                                SHOULD:able-to-populateProducer
                                SHOULD:displayConsumer
                                54. EHDSPatientSummaryObligations.allergiesAndIntolerances
                                Definition

                                Section: Allergies and intolerances

                                ShortSection: Allergies and intolerances
                                Control1..1
                                TypeBase
                                Obligations
                                  ObligationsActor
                                  SHALL:able-to-populateProducer
                                  SHALL:processConsumer
                                  Requirements

                                  eHN PS Guideline, MyHealth@EU, ISO IPS

                                  56. EHDSPatientSummaryObligations.allergiesAndIntolerances.generatedNarrative
                                  Definition

                                  Narrative, potentially formatted, content of the whole section.

                                  ShortNarrative, potentially formatted, content of the whole section.
                                  Control0..1
                                  Typestring
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Obligations
                                    ObligationsActor
                                    SHOULD:able-to-populateProducer
                                    SHOULD:displayConsumer
                                    58. EHDSPatientSummaryObligations.allergiesAndIntolerances.allergyIntolerance
                                    Definition

                                    List of structured allergies and intolerances

                                    ShortList of structured allergies and intolerances
                                    Control0..*
                                    Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAllergyIntolerance
                                    Obligations
                                      ObligationsActor
                                      SHALL:able-to-populateProducer
                                      SHALL:processConsumer
                                      Requirements

                                      eHN PS Guideline, MyHealth@EU, ISO IPS

                                      60. EHDSPatientSummaryObligations.allergiesAndIntolerances.emptyReason
                                      Definition

                                      Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)

                                      ShortUse if no Allergies are listed
                                      Control0..1
                                      TypeCodeableConcept
                                      Obligations
                                        ObligationsActor
                                        SHALL:able-to-populateProducer
                                        SHALL:processConsumer
                                        Requirements

                                        This element is present in MyHealth@EU specifications and ISO IPS. The proposed way of modelling is identical to the newest version of FHIR IPS IG. See general description of Patient summary modelling for more information about this element. MH@EU has a similar concept, but it is modelled in slightly different way.

                                        62. EHDSPatientSummaryObligations.allergiesAndIntolerances.note
                                        Definition

                                        Free text notes by the health professional

                                        ShortFree text notes by the health professional
                                        Control0..1
                                        Typestring
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Obligations
                                          ObligationsActor
                                          SHOULD:able-to-populateProducer
                                          SHOULD:displayConsumer
                                          64. EHDSPatientSummaryObligations.problems
                                          Definition

                                          Conditions and symptoms affecting the health of the patient.

                                          ShortSection: Medical problems
                                          Control1..1
                                          TypeBase
                                          Obligations
                                            ObligationsActor
                                            SHALL:able-to-populateProducer
                                            SHALL:processConsumer
                                            66. EHDSPatientSummaryObligations.problems.generatedNarrative
                                            Definition

                                            Narrative, potentially formatted, content of the whole section.

                                            ShortNarrative, potentially formatted, content of the whole section.
                                            Control0..1
                                            Typestring
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Obligations
                                              ObligationsActor
                                              SHOULD:able-to-populateProducer
                                              SHOULD:processConsumer
                                              68. EHDSPatientSummaryObligations.problems.emptyReason
                                              Definition

                                              Use if no conditions are listed

                                              ShortUse if no conditions are listed
                                              Control0..1
                                              TypeCodeableConcept
                                              Obligations
                                                ObligationsActor
                                                SHALL:able-to-populateProducer
                                                SHALL:processConsumer
                                                70. EHDSPatientSummaryObligations.problems.problem
                                                Definition

                                                Health conditions affecting the health of the patient.

                                                ShortHealth conditions affecting the health of the patient.
                                                Control0..*
                                                Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:able-to-populateProducer
                                                  SHALL:processConsumer
                                                  72. EHDSPatientSummaryObligations.problems.note
                                                  Definition

                                                  Free text notes by the health professional

                                                  ShortFree text notes by the health professional
                                                  Control0..1
                                                  Typestring
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Obligations
                                                    ObligationsActor
                                                    SHOULD:able-to-populateProducer
                                                    SHOULD:processConsumer
                                                    74. EHDSPatientSummaryObligations.medicationSummary
                                                    Definition

                                                    Current and relevant past medicines.

                                                    ShortSection: Medication summary
                                                    Control1..1
                                                    TypeBase
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:able-to-populateProducer
                                                      SHALL:processConsumer
                                                      76. EHDSPatientSummaryObligations.medicationSummary.generatedNarrative
                                                      Definition

                                                      Narrative, potentially formatted, content of the whole section.

                                                      ShortNarrative, potentially formatted, content of the whole section.
                                                      Control0..1
                                                      Typestring
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Obligations
                                                        ObligationsActor
                                                        SHOULD:able-to-populateProducer
                                                        SHOULD:displayConsumer
                                                        78. EHDSPatientSummaryObligations.medicationSummary.emptyReason
                                                        Definition

                                                        Use if no medicines are listed

                                                        ShortUse if no medicines are listed
                                                        Control0..1
                                                        TypeCodeableConcept
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:able-to-populateProducer
                                                          SHALL:processConsumer
                                                          80. EHDSPatientSummaryObligations.medicationSummary.medicationUse
                                                          Definition

                                                          Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.

                                                          ShortMedication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
                                                          Control0..*
                                                          Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:able-to-populateProducer
                                                            SHALL:processConsumer
                                                            82. EHDSPatientSummaryObligations.medicationSummary.note
                                                            Definition

                                                            Free text notes by the health professional

                                                            ShortFree text notes by the health professional
                                                            Control0..1
                                                            Typestring
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Obligations
                                                              ObligationsActor
                                                              SHOULD:able-to-populateProducer
                                                              SHOULD:displayConsumer
                                                              84. EHDSPatientSummaryObligations.medicalDevicesAndImplants
                                                              Definition

                                                              The devices that are implanted in the patient and external medical devices and equipment that the health status depends on.

                                                              ShortSection: Medical devices and implants
                                                              Control1..1
                                                              TypeBase
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:able-to-populateProducer
                                                                SHALL:processConsumer
                                                                86. EHDSPatientSummaryObligations.medicalDevicesAndImplants.generatedNarrative
                                                                Definition

                                                                Narrative, potentially formatted, content of the whole section.

                                                                ShortNarrative, potentially formatted, content of the whole section.
                                                                Control0..1
                                                                Typestring
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHOULD:able-to-populateProducer
                                                                  SHOULD:processConsumer
                                                                  88. EHDSPatientSummaryObligations.medicalDevicesAndImplants.emptyReason
                                                                  Definition

                                                                  Use if no conditions are listed

                                                                  ShortUse if no conditions are listed
                                                                  Control0..1
                                                                  TypeCodeableConcept
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:able-to-populateProducer
                                                                    SHALL:processConsumer
                                                                    90. EHDSPatientSummaryObligations.medicalDevicesAndImplants.deviceUse
                                                                    Definition

                                                                    Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.

                                                                    ShortDescribes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
                                                                    Control0..*
                                                                    Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceUse
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:able-to-populateProducer
                                                                      SHALL:processConsumer
                                                                      92. EHDSPatientSummaryObligations.medicalDevicesAndImplants.note
                                                                      Definition

                                                                      Free text notes by the health professional

                                                                      ShortFree text notes by the health professional
                                                                      Control0..1
                                                                      Typestring
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHOULD:able-to-populateProducer
                                                                        SHOULD:processConsumer
                                                                        94. EHDSPatientSummaryObligations.procedures
                                                                        Definition

                                                                        Significant procedures performed on the patient.

                                                                        ShortSection: Procedures
                                                                        Control1..1
                                                                        TypeBase
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:able-to-populateProducer
                                                                          SHALL:processConsumer
                                                                          96. EHDSPatientSummaryObligations.procedures.generatedNarrative
                                                                          Definition

                                                                          Narrative, potentially formatted, content of the whole section.

                                                                          ShortNarrative, potentially formatted, content of the whole section.
                                                                          Control0..1
                                                                          Typestring
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHOULD:able-to-populateProducer
                                                                            SHOULD:processConsumer
                                                                            98. EHDSPatientSummaryObligations.procedures.emptyReason
                                                                            Definition

                                                                            Reason for absence of data

                                                                            ShortReason for absence of data
                                                                            Control0..1
                                                                            TypeCodeableConcept
                                                                            Obligations
                                                                              ObligationsActor
                                                                              SHALL:able-to-populateProducer
                                                                              SHALL:processConsumer
                                                                              100. EHDSPatientSummaryObligations.procedures.procedure
                                                                              Definition

                                                                              List of procedures

                                                                              ShortList of procedures
                                                                              Control0..*
                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure
                                                                              Obligations
                                                                                ObligationsActor
                                                                                SHALL:able-to-populateProducer
                                                                                SHALL:processConsumer
                                                                                102. EHDSPatientSummaryObligations.procedures.note
                                                                                Definition

                                                                                Free text notes by the health professional

                                                                                ShortFree text notes by the health professional
                                                                                Control0..1
                                                                                Typestring
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHOULD:able-to-populateProducer
                                                                                  SHOULD:processConsumer
                                                                                  104. EHDSPatientSummaryObligations.immunisations
                                                                                  Definition

                                                                                  A patient's immunisation status (vaccination and other prophylaxis). The section should include current immunisation status and may contain the entire history that is relevant to the period of time being summarised. Adverse reactions against vaccines should be documented in the allergy section.

                                                                                  ShortSection: Immunisations
                                                                                  Control0..1
                                                                                  TypeBase
                                                                                  Obligations
                                                                                    ObligationsActor
                                                                                    SHOULD:able-to-populateProducer
                                                                                    SHOULD:processConsumer
                                                                                    106. EHDSPatientSummaryObligations.immunisations.generatedNarrative
                                                                                    Definition

                                                                                    Narrative, potentially formatted, content of the whole section.

                                                                                    ShortNarrative, potentially formatted, content of the whole section.
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHOULD:able-to-populateProducer
                                                                                      SHOULD:processConsumer
                                                                                      108. EHDSPatientSummaryObligations.immunisations.immunisation
                                                                                      Definition

                                                                                      Immunisations given to the patient and their status at the point of care.

                                                                                      ShortImmunisations given to the patient and their status at the point of care.
                                                                                      Control0..*
                                                                                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImmunisation
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHALL:able-to-populateProducer
                                                                                        SHALL:processConsumer
                                                                                        Requirements

                                                                                        eHN PS Guideline

                                                                                        110. EHDSPatientSummaryObligations.immunisations.note
                                                                                        Definition

                                                                                        Free text notes by the health professional

                                                                                        ShortFree text notes by the health professional
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHOULD:able-to-populateProducer
                                                                                          SHOULD:processConsumer
                                                                                          112. EHDSPatientSummaryObligations.functionalStatus
                                                                                          Definition

                                                                                          An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being.

                                                                                          ShortSection: Functional status
                                                                                          Control0..1
                                                                                          TypeBase
                                                                                          Requirements

                                                                                          eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                          114. EHDSPatientSummaryObligations.functionalStatus.generatedNarrative
                                                                                          Definition

                                                                                          Narrative, potentially formatted, content of the whole section.

                                                                                          ShortNarrative, potentially formatted, content of the whole section.
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          116. EHDSPatientSummaryObligations.functionalStatus.condition
                                                                                          Definition

                                                                                          Condition information describing patient's functional status or disability.

                                                                                          ShortCondition information describing patient's functional status or disability.
                                                                                          Control0..*
                                                                                          Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
                                                                                          118. EHDSPatientSummaryObligations.functionalStatus.assessment
                                                                                          Definition

                                                                                          Assessment results regarding functional status.

                                                                                          ShortAssessment results regarding functional status.
                                                                                          Control0..*
                                                                                          Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
                                                                                          120. EHDSPatientSummaryObligations.functionalStatus.note
                                                                                          Definition

                                                                                          Free text notes by the health professional

                                                                                          ShortFree text notes by the health professional
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          122. EHDSPatientSummaryObligations.socialHistory
                                                                                          Definition

                                                                                          Observations on social factors such as alcohol consumption or smoking. From the healthcare perspective, life-style factors relate to well-being but can also provide a source of risk factors.

                                                                                          ShortSection: Social history
                                                                                          Control0..1
                                                                                          TypeBase
                                                                                          Requirements

                                                                                          eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                          124. EHDSPatientSummaryObligations.socialHistory.generatedNarrative
                                                                                          Definition

                                                                                          Narrative, potentially formatted, content of the whole section.

                                                                                          ShortNarrative, potentially formatted, content of the whole section.
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          126. EHDSPatientSummaryObligations.socialHistory.observation
                                                                                          Definition

                                                                                          Health related lifestyle factors or lifestyle observations and social determinants of health. Example: cigarette smoker, alcohol consumption

                                                                                          ShortSocial history observations related to health
                                                                                          Control0..*
                                                                                          Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
                                                                                          Requirements

                                                                                          eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                          128. EHDSPatientSummaryObligations.socialHistory.note
                                                                                          Definition

                                                                                          Free text notes by the health professional

                                                                                          ShortFree text notes by the health professional
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          130. EHDSPatientSummaryObligations.pregnancyHistory
                                                                                          Definition

                                                                                          To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.

                                                                                          ShortSection: Pregnancy history
                                                                                          Control0..1
                                                                                          TypeBase
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHOULD:able-to-populateProducer
                                                                                            SHOULD:processConsumer
                                                                                            Requirements

                                                                                            eHN PS Guideline, ISO IPS

                                                                                            132. EHDSPatientSummaryObligations.pregnancyHistory.generatedNarrative
                                                                                            Definition

                                                                                            Narrative, potentially formatted, content of the whole section.

                                                                                            ShortNarrative, potentially formatted, content of the whole section.
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHOULD:able-to-populateProducer
                                                                                              SHOULD:processConsumer
                                                                                              134. EHDSPatientSummaryObligations.pregnancyHistory.currentPregnancyStatus
                                                                                              Definition

                                                                                              Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.

                                                                                              ShortCurrent pregnancy status
                                                                                              Control0..1
                                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCurrentPregnancy
                                                                                              Obligations
                                                                                                ObligationsActor
                                                                                                SHALL:able-to-populateProducer
                                                                                                SHALL:processConsumer
                                                                                                Requirements

                                                                                                eHN PS Guideline, ISO IPS

                                                                                                136. EHDSPatientSummaryObligations.pregnancyHistory.previousPregnancies
                                                                                                Definition

                                                                                                Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.

                                                                                                ShortHistory of previous pregnancies
                                                                                                Control0..*
                                                                                                Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPregnancyHistory
                                                                                                138. EHDSPatientSummaryObligations.pregnancyHistory.note
                                                                                                Definition

                                                                                                Free text notes by the health professional

                                                                                                ShortFree text notes by the health professional
                                                                                                Control0..1
                                                                                                Typestring
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Obligations
                                                                                                  ObligationsActor
                                                                                                  SHOULD:able-to-populateProducer
                                                                                                  SHOULD:processConsumer
                                                                                                  140. EHDSPatientSummaryObligations.travelHistory
                                                                                                  Definition

                                                                                                  Captures relevant information about the patient's recent travel history that may be of clinical relevance — particularly in relation to exposure to infectious diseases, epidemiological risks, or environmental factors. The intent is to support clinical decision-making and risk assessment, especially in contexts such as outbreaks or endemic disease regions.

                                                                                                  ShortSection: Travel history
                                                                                                  Control0..1
                                                                                                  TypeBase
                                                                                                  Requirements

                                                                                                  eHN PS Guideline, ISO IPS

                                                                                                  142. EHDSPatientSummaryObligations.travelHistory.generatedNarrative
                                                                                                  Definition

                                                                                                  Narrative, potentially formatted, content of the whole section.

                                                                                                  ShortNarrative, potentially formatted, content of the whole section.
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  144. EHDSPatientSummaryObligations.travelHistory.travelHistory
                                                                                                  Definition

                                                                                                  Travel history for one country

                                                                                                  ShortTravel history for one country
                                                                                                  Control0..*
                                                                                                  Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSTravelHistory
                                                                                                  Requirements

                                                                                                  eHN PS Guideline, ISO IPS

                                                                                                  146. EHDSPatientSummaryObligations.travelHistory.note
                                                                                                  Definition

                                                                                                  Free text notes by the health professional

                                                                                                  ShortFree text notes by the health professional
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                  148. EHDSPatientSummaryObligations.patientStory
                                                                                                  Definition

                                                                                                  A concise narrative from the patient’s perspective about their present health state. This is a record of things that a person feels are important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.

                                                                                                  ShortSection: Patient story
                                                                                                  Control0..1
                                                                                                  TypeBase
                                                                                                  Obligations
                                                                                                    ObligationsActor
                                                                                                    SHOULD:processConsumer
                                                                                                    Requirements

                                                                                                    ISO IPS

                                                                                                    150. EHDSPatientSummaryObligations.patientStory.note
                                                                                                    Definition

                                                                                                    Free text notes by the health professional

                                                                                                    ShortFree text notes by the health professional
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    152. EHDSPatientSummaryObligations.advanceDirectives
                                                                                                    Definition

                                                                                                    Provision for healthcare decisions if, in the future, a person is unable to make those decisions.

                                                                                                    ShortSection: Advance Directives
                                                                                                    Control0..1
                                                                                                    TypeBase
                                                                                                    Obligations
                                                                                                      ObligationsActor
                                                                                                      SHOULD:processConsumer
                                                                                                      154. EHDSPatientSummaryObligations.advanceDirectives.generatedNarrative
                                                                                                      Definition

                                                                                                      Narrative, potentially formatted, content of the whole section.

                                                                                                      ShortNarrative, potentially formatted, content of the whole section.
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      156. EHDSPatientSummaryObligations.advanceDirectives.advanceDirective
                                                                                                      Definition

                                                                                                      Provision for healthcare decisions if, in the future, a person is unable to make those decisions

                                                                                                      ShortProvision for healthcare decisions if, in the future, a person is unable to make those decisions
                                                                                                      Control0..*
                                                                                                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirective
                                                                                                      158. EHDSPatientSummaryObligations.advanceDirectives.note
                                                                                                      Definition

                                                                                                      Free text notes by the health professional

                                                                                                      ShortFree text notes by the health professional
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      160. EHDSPatientSummaryObligations.observationResults
                                                                                                      Definition

                                                                                                      Relevant observation results obtained on the patient. These may be measurements, laboratory results, anatomic pathology results, radiology results or other imaging or clinical results.

                                                                                                      ShortSection: Observation results
                                                                                                      Control0..1
                                                                                                      TypeBase
                                                                                                      162. EHDSPatientSummaryObligations.observationResults.generatedNarrative
                                                                                                      Definition

                                                                                                      Narrative, potentially formatted, content of the whole section.

                                                                                                      ShortNarrative, potentially formatted, content of the whole section.
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      164. EHDSPatientSummaryObligations.observationResults.result
                                                                                                      Definition

                                                                                                      Observation results pertaining to the subject of care's health condition and which might have impact on future treatments

                                                                                                      ShortObservation results pertaining to the subject of care's health condition and which might have impact on future treatments
                                                                                                      Control0..*
                                                                                                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
                                                                                                      166. EHDSPatientSummaryObligations.observationResults.note
                                                                                                      Definition

                                                                                                      Free text notes by the health professional

                                                                                                      ShortFree text notes by the health professional
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      168. EHDSPatientSummaryObligations.carePlans
                                                                                                      Definition

                                                                                                      Therapeutic recommendations that do not include pharmacologic treatments, such as diet, physical exercise, planned surgeries

                                                                                                      ShortSection: Care plans
                                                                                                      Control0..1
                                                                                                      TypeBase
                                                                                                      170. EHDSPatientSummaryObligations.carePlans.generatedNarrative
                                                                                                      Definition

                                                                                                      Narrative, potentially formatted, content of the whole section.

                                                                                                      ShortNarrative, potentially formatted, content of the whole section.
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      172. EHDSPatientSummaryObligations.carePlans.carePlan
                                                                                                      Definition

                                                                                                      Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.

                                                                                                      ShortDescribes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
                                                                                                      Control0..*
                                                                                                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCarePlan
                                                                                                      174. EHDSPatientSummaryObligations.carePlans.note
                                                                                                      Definition

                                                                                                      Free text notes by the health professional

                                                                                                      ShortFree text notes by the health professional
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

                                                                                                      0. EHDSPatientSummaryObligations
                                                                                                      Definition

                                                                                                      Obligations for the logical model for patient summary.

                                                                                                      ShortPatient summary obligations
                                                                                                      Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                                                                                      2. EHDSPatientSummaryObligations.header
                                                                                                      Obligations
                                                                                                        ObligationsActor
                                                                                                        SHALL:able-to-populateProducer
                                                                                                        SHALL:processConsumer
                                                                                                        4. EHDSPatientSummaryObligations.header.subject
                                                                                                        Obligations
                                                                                                          ObligationsActor
                                                                                                          SHALL:able-to-populateProducer
                                                                                                          SHALL:processConsumer
                                                                                                          6. EHDSPatientSummaryObligations.header.identifier
                                                                                                          NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                          Obligations
                                                                                                            ObligationsActor
                                                                                                            SHALL:able-to-populateProducer
                                                                                                            SHALL:processConsumer
                                                                                                            8. EHDSPatientSummaryObligations.header.author[x]
                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                            Obligations
                                                                                                              ObligationsActor
                                                                                                              SHALL:able-to-populateProducer
                                                                                                              SHALL:processConsumer
                                                                                                              10. EHDSPatientSummaryObligations.header.date
                                                                                                              Obligations
                                                                                                                ObligationsActor
                                                                                                                SHALL:able-to-populateProducer
                                                                                                                SHALL:processConsumer
                                                                                                                12. EHDSPatientSummaryObligations.header.status
                                                                                                                Obligations
                                                                                                                  ObligationsActor
                                                                                                                  SHALL:able-to-populateProducer
                                                                                                                  SHALL:processConsumer
                                                                                                                  14. EHDSPatientSummaryObligations.header.language
                                                                                                                  Obligations
                                                                                                                    ObligationsActor
                                                                                                                    SHOULD:able-to-populateProducer
                                                                                                                    SHOULD:processConsumer
                                                                                                                    16. EHDSPatientSummaryObligations.header.documentType
                                                                                                                    Obligations
                                                                                                                      ObligationsActor
                                                                                                                      SHALL:able-to-populateProducer
                                                                                                                      SHALL:processConsumer
                                                                                                                      18. EHDSPatientSummaryObligations.header.documentTitle
                                                                                                                      Obligations
                                                                                                                        ObligationsActor
                                                                                                                        SHALL:able-to-populateProducer
                                                                                                                        SHALL:processConsumer
                                                                                                                        20. EHDSPatientSummaryObligations.header.legalAuthentication
                                                                                                                        Obligations
                                                                                                                          ObligationsActor
                                                                                                                          SHALL:able-to-populateProducer
                                                                                                                          SHALL:processConsumer
                                                                                                                          22. EHDSPatientSummaryObligations.presentedForm
                                                                                                                          Obligations
                                                                                                                            ObligationsActor
                                                                                                                            SHOULD:able-to-populateProducer
                                                                                                                            SHOULD:displayConsumer
                                                                                                                            24. EHDSPatientSummaryObligations.alerts
                                                                                                                            Obligations
                                                                                                                              ObligationsActor
                                                                                                                              SHOULD:able-to-populateProducer
                                                                                                                              SHOULD:processConsumer
                                                                                                                              26. EHDSPatientSummaryObligations.alerts.generatedNarrative
                                                                                                                              Obligations
                                                                                                                                ObligationsActorDocumentation
                                                                                                                                SHOULD:able-to-populateProducer

                                                                                                                                System shall be able to populate generatedNarrative if the structured content is not supported by the system.

                                                                                                                                SHOULD:displayConsumer

                                                                                                                                System shall display generatedNarrative if the structured content is not supported by the system.

                                                                                                                                28. EHDSPatientSummaryObligations.alerts.medicalAlert
                                                                                                                                Obligations
                                                                                                                                  ObligationsActor
                                                                                                                                  SHALL:able-to-populateProducer
                                                                                                                                  SHALL:processConsumer
                                                                                                                                  30. EHDSPatientSummaryObligations.alerts.note
                                                                                                                                  Obligations
                                                                                                                                    ObligationsActor
                                                                                                                                    SHOULD:able-to-populateProducer
                                                                                                                                    SHOULD:displayConsumer
                                                                                                                                    32. EHDSPatientSummaryObligations.allergiesAndIntolerances
                                                                                                                                    Obligations
                                                                                                                                      ObligationsActor
                                                                                                                                      SHALL:able-to-populateProducer
                                                                                                                                      SHALL:processConsumer
                                                                                                                                      34. EHDSPatientSummaryObligations.allergiesAndIntolerances.generatedNarrative
                                                                                                                                      Obligations
                                                                                                                                        ObligationsActor
                                                                                                                                        SHOULD:able-to-populateProducer
                                                                                                                                        SHOULD:displayConsumer
                                                                                                                                        36. EHDSPatientSummaryObligations.allergiesAndIntolerances.allergyIntolerance
                                                                                                                                        Obligations
                                                                                                                                          ObligationsActor
                                                                                                                                          SHALL:able-to-populateProducer
                                                                                                                                          SHALL:processConsumer
                                                                                                                                          38. EHDSPatientSummaryObligations.allergiesAndIntolerances.emptyReason
                                                                                                                                          Obligations
                                                                                                                                            ObligationsActor
                                                                                                                                            SHALL:able-to-populateProducer
                                                                                                                                            SHALL:processConsumer
                                                                                                                                            40. EHDSPatientSummaryObligations.allergiesAndIntolerances.note
                                                                                                                                            Obligations
                                                                                                                                              ObligationsActor
                                                                                                                                              SHOULD:able-to-populateProducer
                                                                                                                                              SHOULD:displayConsumer
                                                                                                                                              42. EHDSPatientSummaryObligations.problems
                                                                                                                                              Obligations
                                                                                                                                                ObligationsActor
                                                                                                                                                SHALL:able-to-populateProducer
                                                                                                                                                SHALL:processConsumer
                                                                                                                                                44. EHDSPatientSummaryObligations.problems.generatedNarrative
                                                                                                                                                Obligations
                                                                                                                                                  ObligationsActor
                                                                                                                                                  SHOULD:able-to-populateProducer
                                                                                                                                                  SHOULD:processConsumer
                                                                                                                                                  46. EHDSPatientSummaryObligations.problems.emptyReason
                                                                                                                                                  Obligations
                                                                                                                                                    ObligationsActor
                                                                                                                                                    SHALL:able-to-populateProducer
                                                                                                                                                    SHALL:processConsumer
                                                                                                                                                    48. EHDSPatientSummaryObligations.problems.problem
                                                                                                                                                    Obligations
                                                                                                                                                      ObligationsActor
                                                                                                                                                      SHALL:able-to-populateProducer
                                                                                                                                                      SHALL:processConsumer
                                                                                                                                                      50. EHDSPatientSummaryObligations.problems.note
                                                                                                                                                      Obligations
                                                                                                                                                        ObligationsActor
                                                                                                                                                        SHOULD:able-to-populateProducer
                                                                                                                                                        SHOULD:processConsumer
                                                                                                                                                        52. EHDSPatientSummaryObligations.medicationSummary
                                                                                                                                                        Obligations
                                                                                                                                                          ObligationsActor
                                                                                                                                                          SHALL:able-to-populateProducer
                                                                                                                                                          SHALL:processConsumer
                                                                                                                                                          54. EHDSPatientSummaryObligations.medicationSummary.generatedNarrative
                                                                                                                                                          Obligations
                                                                                                                                                            ObligationsActor
                                                                                                                                                            SHOULD:able-to-populateProducer
                                                                                                                                                            SHOULD:displayConsumer
                                                                                                                                                            56. EHDSPatientSummaryObligations.medicationSummary.emptyReason
                                                                                                                                                            Obligations
                                                                                                                                                              ObligationsActor
                                                                                                                                                              SHALL:able-to-populateProducer
                                                                                                                                                              SHALL:processConsumer
                                                                                                                                                              58. EHDSPatientSummaryObligations.medicationSummary.medicationUse
                                                                                                                                                              Obligations
                                                                                                                                                                ObligationsActor
                                                                                                                                                                SHALL:able-to-populateProducer
                                                                                                                                                                SHALL:processConsumer
                                                                                                                                                                60. EHDSPatientSummaryObligations.medicationSummary.note
                                                                                                                                                                Obligations
                                                                                                                                                                  ObligationsActor
                                                                                                                                                                  SHOULD:able-to-populateProducer
                                                                                                                                                                  SHOULD:displayConsumer
                                                                                                                                                                  62. EHDSPatientSummaryObligations.medicalDevicesAndImplants
                                                                                                                                                                  Obligations
                                                                                                                                                                    ObligationsActor
                                                                                                                                                                    SHALL:able-to-populateProducer
                                                                                                                                                                    SHALL:processConsumer
                                                                                                                                                                    64. EHDSPatientSummaryObligations.medicalDevicesAndImplants.generatedNarrative
                                                                                                                                                                    Obligations
                                                                                                                                                                      ObligationsActor
                                                                                                                                                                      SHOULD:able-to-populateProducer
                                                                                                                                                                      SHOULD:processConsumer
                                                                                                                                                                      66. EHDSPatientSummaryObligations.medicalDevicesAndImplants.emptyReason
                                                                                                                                                                      Obligations
                                                                                                                                                                        ObligationsActor
                                                                                                                                                                        SHALL:able-to-populateProducer
                                                                                                                                                                        SHALL:processConsumer
                                                                                                                                                                        68. EHDSPatientSummaryObligations.medicalDevicesAndImplants.deviceUse
                                                                                                                                                                        Obligations
                                                                                                                                                                          ObligationsActor
                                                                                                                                                                          SHALL:able-to-populateProducer
                                                                                                                                                                          SHALL:processConsumer
                                                                                                                                                                          70. EHDSPatientSummaryObligations.medicalDevicesAndImplants.note
                                                                                                                                                                          Obligations
                                                                                                                                                                            ObligationsActor
                                                                                                                                                                            SHOULD:able-to-populateProducer
                                                                                                                                                                            SHOULD:processConsumer
                                                                                                                                                                            72. EHDSPatientSummaryObligations.procedures
                                                                                                                                                                            Obligations
                                                                                                                                                                              ObligationsActor
                                                                                                                                                                              SHALL:able-to-populateProducer
                                                                                                                                                                              SHALL:processConsumer
                                                                                                                                                                              74. EHDSPatientSummaryObligations.procedures.generatedNarrative
                                                                                                                                                                              Obligations
                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                SHOULD:able-to-populateProducer
                                                                                                                                                                                SHOULD:processConsumer
                                                                                                                                                                                76. EHDSPatientSummaryObligations.procedures.emptyReason
                                                                                                                                                                                Obligations
                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                  SHALL:able-to-populateProducer
                                                                                                                                                                                  SHALL:processConsumer
                                                                                                                                                                                  78. EHDSPatientSummaryObligations.procedures.procedure
                                                                                                                                                                                  Obligations
                                                                                                                                                                                    ObligationsActor
                                                                                                                                                                                    SHALL:able-to-populateProducer
                                                                                                                                                                                    SHALL:processConsumer
                                                                                                                                                                                    80. EHDSPatientSummaryObligations.procedures.note
                                                                                                                                                                                    Obligations
                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                      SHOULD:able-to-populateProducer
                                                                                                                                                                                      SHOULD:processConsumer
                                                                                                                                                                                      82. EHDSPatientSummaryObligations.immunisations
                                                                                                                                                                                      Obligations
                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                        SHOULD:able-to-populateProducer
                                                                                                                                                                                        SHOULD:processConsumer
                                                                                                                                                                                        84. EHDSPatientSummaryObligations.immunisations.generatedNarrative
                                                                                                                                                                                        Obligations
                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                          SHOULD:able-to-populateProducer
                                                                                                                                                                                          SHOULD:processConsumer
                                                                                                                                                                                          86. EHDSPatientSummaryObligations.immunisations.immunisation
                                                                                                                                                                                          Obligations
                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                            SHALL:able-to-populateProducer
                                                                                                                                                                                            SHALL:processConsumer
                                                                                                                                                                                            88. EHDSPatientSummaryObligations.immunisations.note
                                                                                                                                                                                            Obligations
                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                              SHOULD:able-to-populateProducer
                                                                                                                                                                                              SHOULD:processConsumer
                                                                                                                                                                                              90. EHDSPatientSummaryObligations.pregnancyHistory
                                                                                                                                                                                              Obligations
                                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                                SHOULD:able-to-populateProducer
                                                                                                                                                                                                SHOULD:processConsumer
                                                                                                                                                                                                92. EHDSPatientSummaryObligations.pregnancyHistory.generatedNarrative
                                                                                                                                                                                                Obligations
                                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                                  SHOULD:able-to-populateProducer
                                                                                                                                                                                                  SHOULD:processConsumer
                                                                                                                                                                                                  94. EHDSPatientSummaryObligations.pregnancyHistory.currentPregnancyStatus
                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                    ObligationsActor
                                                                                                                                                                                                    SHALL:able-to-populateProducer
                                                                                                                                                                                                    SHALL:processConsumer
                                                                                                                                                                                                    96. EHDSPatientSummaryObligations.pregnancyHistory.note
                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                                      SHOULD:able-to-populateProducer
                                                                                                                                                                                                      SHOULD:processConsumer
                                                                                                                                                                                                      98. EHDSPatientSummaryObligations.patientStory
                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                                        SHOULD:processConsumer
                                                                                                                                                                                                        100. EHDSPatientSummaryObligations.advanceDirectives
                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                                          SHOULD:processConsumer

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

                                                                                                                                                                                                          0. EHDSPatientSummaryObligations
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Obligations for the logical model for patient summary.

                                                                                                                                                                                                          ShortPatient summary obligations
                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                          Is Modifierfalse
                                                                                                                                                                                                          Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                                                                                                                                                                                          2. EHDSPatientSummaryObligations.header
                                                                                                                                                                                                          Definition

                                                                                                                                                                                                          Basic metadata for this information

                                                                                                                                                                                                          ShortDocument header
                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                          TypeBase
                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                                            SHALL:able-to-populateProducer
                                                                                                                                                                                                            SHALL:processConsumer
                                                                                                                                                                                                            4. EHDSPatientSummaryObligations.header.subject
                                                                                                                                                                                                            Definition

                                                                                                                                                                                                            Patient/subject information

                                                                                                                                                                                                            ShortPatient/subject information
                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                            Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                                              SHALL:able-to-populateProducer
                                                                                                                                                                                                              SHALL:processConsumer
                                                                                                                                                                                                              6. EHDSPatientSummaryObligations.header.identifier
                                                                                                                                                                                                              Definition

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

                                                                                                                                                                                                              ShortUnique identifier of the document
                                                                                                                                                                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                                                                                                              Control1..*
                                                                                                                                                                                                              TypeIdentifier
                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                                                SHALL:able-to-populateProducer
                                                                                                                                                                                                                SHALL:processConsumer
                                                                                                                                                                                                                8. EHDSPatientSummaryObligations.header.author[x]
                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                Author(s) responsible for the provided information. The exact role of the responsible author varies across use cases and is specific to individual models.

                                                                                                                                                                                                                ShortAuthor(s) of the document
                                                                                                                                                                                                                Control1..*
                                                                                                                                                                                                                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]
                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                                                  SHALL:able-to-populateProducer
                                                                                                                                                                                                                  SHALL:processConsumer
                                                                                                                                                                                                                  10. EHDSPatientSummaryObligations.header.date
                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                  Date and optionally time of authoring/issuing

                                                                                                                                                                                                                  ShortDate of finalising/issuing the document
                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                  TypedateTime
                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                    ObligationsActor
                                                                                                                                                                                                                    SHALL:able-to-populateProducer
                                                                                                                                                                                                                    SHALL:processConsumer
                                                                                                                                                                                                                    12. EHDSPatientSummaryObligations.header.status
                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                    Status of the resource or document

                                                                                                                                                                                                                    ShortStatus of the document
                                                                                                                                                                                                                    Control1..1
                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                                                      SHALL:able-to-populateProducer
                                                                                                                                                                                                                      SHALL:processConsumer
                                                                                                                                                                                                                      14. EHDSPatientSummaryObligations.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..0
                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                      16. EHDSPatientSummaryObligations.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
                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                                                        SHOULD:able-to-populateProducer
                                                                                                                                                                                                                        SHOULD:processConsumer
                                                                                                                                                                                                                        18. EHDSPatientSummaryObligations.header.documentType
                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                        Type of document at hand, e.g. 60591-5 Patient summary document.

                                                                                                                                                                                                                        ShortType of document at hand, e.g. 60591-5 Patient summary document.
                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                        Binding

                                                                                                                                                                                                                        LOINC

                                                                                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                                                          SHALL:able-to-populateProducer
                                                                                                                                                                                                                          SHALL:processConsumer
                                                                                                                                                                                                                          20. EHDSPatientSummaryObligations.header.documentTitle
                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                          Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'

                                                                                                                                                                                                                          ShortHuman readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
                                                                                                                                                                                                                          Control1..1
                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                                                            SHALL:able-to-populateProducer
                                                                                                                                                                                                                            SHALL:processConsumer
                                                                                                                                                                                                                            22. EHDSPatientSummaryObligations.header.period
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Time period of information covered in the document

                                                                                                                                                                                                                            ShortTime period of information covered in the document
                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            TypePeriod
                                                                                                                                                                                                                            24. EHDSPatientSummaryObligations.header.version
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Business version of the document. The exact algorithm for versioning is decided by the producer/custodian

                                                                                                                                                                                                                            ShortBusiness version of the document. The exact algorithm for versioning is decided by the producer/custodian
                                                                                                                                                                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            26. EHDSPatientSummaryObligations.header.attestation
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Document attestation details

                                                                                                                                                                                                                            ShortDocument attestation details
                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeBase
                                                                                                                                                                                                                            28. EHDSPatientSummaryObligations.header.attestation.attester[x]
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Attester who validated the document

                                                                                                                                                                                                                            ShortAttester who validated the document
                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            TypeChoice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
                                                                                                                                                                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                                                            30. EHDSPatientSummaryObligations.header.attestation.datetime
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Date and time of the approval of the document by Attester

                                                                                                                                                                                                                            ShortDate and time of the approval of the document by Attester
                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                            TypedateTime
                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                            32. EHDSPatientSummaryObligations.header.legalAuthentication
                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                            Document legal authentication details

                                                                                                                                                                                                                            ShortDocument legal authentication details
                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                            TypeBase
                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                                                              SHALL:able-to-populateProducer
                                                                                                                                                                                                                              SHALL:processConsumer
                                                                                                                                                                                                                              34. EHDSPatientSummaryObligations.header.legalAuthentication.legalAuthenticator[x]
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              The person or organisation taking responsibility for the content of the document.

                                                                                                                                                                                                                              ShortThe person or organisation taking responsibility for the content of the document.
                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                              TypeChoice of: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional, http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
                                                                                                                                                                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                                                                              36. EHDSPatientSummaryObligations.header.legalAuthentication.datetime
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Date and time when the document was authorised

                                                                                                                                                                                                                              ShortDate and time when the document was authorised
                                                                                                                                                                                                                              Control1..1
                                                                                                                                                                                                                              TypedateTime
                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                              38. EHDSPatientSummaryObligations.header.eventType
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.

                                                                                                                                                                                                                              ShortCategorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.
                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              Binding

                                                                                                                                                                                                                              LOINC, SNOMED CT, dicom-cid-33-Modality

                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                              40. EHDSPatientSummaryObligations.header.serviceSpecialty
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Additional details about where the content was created (e.g. clinical specialty)

                                                                                                                                                                                                                              ShortAdditional details about where the content was created (e.g. clinical specialty)
                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              Binding

                                                                                                                                                                                                                              SNOMED CT

                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                              42. EHDSPatientSummaryObligations.header.custodian
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              Organisation that is in charge of maintaining the document/report.

                                                                                                                                                                                                                              ShortOrganisation that is in charge of maintaining the document/report.
                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
                                                                                                                                                                                                                              44. EHDSPatientSummaryObligations.presentedForm
                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                              A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document

                                                                                                                                                                                                                              ShortA narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
                                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                                                                SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                SHOULD:displayConsumer
                                                                                                                                                                                                                                46. EHDSPatientSummaryObligations.alerts
                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                Substantial alerts or warnings that health professionals should be aware of.

                                                                                                                                                                                                                                ShortSection: Alerts
                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                TypeBase
                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                                                                  SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                  SHOULD:processConsumer
                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                  eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                                                                                                                                                                  48. EHDSPatientSummaryObligations.alerts.generatedNarrative
                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                  Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                  ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                    ObligationsActorDocumentation
                                                                                                                                                                                                                                    SHOULD:able-to-populateProducer

                                                                                                                                                                                                                                    System shall be able to populate generatedNarrative if the structured content is not supported by the system.

                                                                                                                                                                                                                                    SHOULD:displayConsumer

                                                                                                                                                                                                                                    System shall display generatedNarrative if the structured content is not supported by the system.

                                                                                                                                                                                                                                    50. EHDSPatientSummaryObligations.alerts.medicalAlert
                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                    Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.

                                                                                                                                                                                                                                    ShortDescription of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
                                                                                                                                                                                                                                    Control0..*
                                                                                                                                                                                                                                    Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAlert
                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                                                                      SHALL:able-to-populateProducer
                                                                                                                                                                                                                                      SHALL:processConsumer
                                                                                                                                                                                                                                      Requirements

                                                                                                                                                                                                                                      ISO IPS

                                                                                                                                                                                                                                      52. EHDSPatientSummaryObligations.alerts.note
                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                      Free text notes by the health professional

                                                                                                                                                                                                                                      ShortFree text notes by the health professional
                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                      Typestring
                                                                                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                                                                        SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                        SHOULD:displayConsumer
                                                                                                                                                                                                                                        54. EHDSPatientSummaryObligations.allergiesAndIntolerances
                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                        Section: Allergies and intolerances

                                                                                                                                                                                                                                        ShortSection: Allergies and intolerances
                                                                                                                                                                                                                                        Control1..1
                                                                                                                                                                                                                                        TypeBase
                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                                                                          SHALL:able-to-populateProducer
                                                                                                                                                                                                                                          SHALL:processConsumer
                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                          eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                                                                                                                                                                          56. EHDSPatientSummaryObligations.allergiesAndIntolerances.generatedNarrative
                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                          Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                          ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                                                                            SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                            SHOULD:displayConsumer
                                                                                                                                                                                                                                            58. EHDSPatientSummaryObligations.allergiesAndIntolerances.allergyIntolerance
                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                            List of structured allergies and intolerances

                                                                                                                                                                                                                                            ShortList of structured allergies and intolerances
                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                            Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAllergyIntolerance
                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                                                                              SHALL:able-to-populateProducer
                                                                                                                                                                                                                                              SHALL:processConsumer
                                                                                                                                                                                                                                              Requirements

                                                                                                                                                                                                                                              eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                                                                                                                                                                              60. EHDSPatientSummaryObligations.allergiesAndIntolerances.emptyReason
                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                              Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)

                                                                                                                                                                                                                                              ShortUse if no Allergies are listed
                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                              TypeCodeableConcept
                                                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                                                                                SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                SHALL:processConsumer
                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                This element is present in MyHealth@EU specifications and ISO IPS. The proposed way of modelling is identical to the newest version of FHIR IPS IG. See general description of Patient summary modelling for more information about this element. MH@EU has a similar concept, but it is modelled in slightly different way.

                                                                                                                                                                                                                                                62. EHDSPatientSummaryObligations.allergiesAndIntolerances.note
                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                Free text notes by the health professional

                                                                                                                                                                                                                                                ShortFree text notes by the health professional
                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                                                                                  SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                  SHOULD:displayConsumer
                                                                                                                                                                                                                                                  64. EHDSPatientSummaryObligations.problems
                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                  Conditions and symptoms affecting the health of the patient.

                                                                                                                                                                                                                                                  ShortSection: Medical problems
                                                                                                                                                                                                                                                  Control1..1
                                                                                                                                                                                                                                                  TypeBase
                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                    ObligationsActor
                                                                                                                                                                                                                                                    SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                    SHALL:processConsumer
                                                                                                                                                                                                                                                    66. EHDSPatientSummaryObligations.problems.generatedNarrative
                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                    Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                    ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                                                                                      SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                      SHOULD:processConsumer
                                                                                                                                                                                                                                                      68. EHDSPatientSummaryObligations.problems.emptyReason
                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                      Use if no conditions are listed

                                                                                                                                                                                                                                                      ShortUse if no conditions are listed
                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                      TypeCodeableConcept
                                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                                                                                        SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                        SHALL:processConsumer
                                                                                                                                                                                                                                                        70. EHDSPatientSummaryObligations.problems.problem
                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                        Health conditions affecting the health of the patient.

                                                                                                                                                                                                                                                        ShortHealth conditions affecting the health of the patient.
                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                        Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
                                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                                                                                          SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                          SHALL:processConsumer
                                                                                                                                                                                                                                                          72. EHDSPatientSummaryObligations.problems.note
                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                          Free text notes by the health professional

                                                                                                                                                                                                                                                          ShortFree text notes by the health professional
                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                                                                                            SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                            SHOULD:processConsumer
                                                                                                                                                                                                                                                            74. EHDSPatientSummaryObligations.medicationSummary
                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                            Current and relevant past medicines.

                                                                                                                                                                                                                                                            ShortSection: Medication summary
                                                                                                                                                                                                                                                            Control1..1
                                                                                                                                                                                                                                                            TypeBase
                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                                                                                              SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                              SHALL:processConsumer
                                                                                                                                                                                                                                                              76. EHDSPatientSummaryObligations.medicationSummary.generatedNarrative
                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                              Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                              ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                                                                                                SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                SHOULD:displayConsumer
                                                                                                                                                                                                                                                                78. EHDSPatientSummaryObligations.medicationSummary.emptyReason
                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                Use if no medicines are listed

                                                                                                                                                                                                                                                                ShortUse if no medicines are listed
                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                                                                                                  SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                  SHALL:processConsumer
                                                                                                                                                                                                                                                                  80. EHDSPatientSummaryObligations.medicationSummary.medicationUse
                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                  Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.

                                                                                                                                                                                                                                                                  ShortMedication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                  Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse
                                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                                    ObligationsActor
                                                                                                                                                                                                                                                                    SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                    SHALL:processConsumer
                                                                                                                                                                                                                                                                    82. EHDSPatientSummaryObligations.medicationSummary.note
                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                    Free text notes by the health professional

                                                                                                                                                                                                                                                                    ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                                                                                                      SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                      SHOULD:displayConsumer
                                                                                                                                                                                                                                                                      84. EHDSPatientSummaryObligations.medicalDevicesAndImplants
                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                      The devices that are implanted in the patient and external medical devices and equipment that the health status depends on.

                                                                                                                                                                                                                                                                      ShortSection: Medical devices and implants
                                                                                                                                                                                                                                                                      Control1..1
                                                                                                                                                                                                                                                                      TypeBase
                                                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                                                                                                        SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                        SHALL:processConsumer
                                                                                                                                                                                                                                                                        86. EHDSPatientSummaryObligations.medicalDevicesAndImplants.generatedNarrative
                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                        Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                        ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                                                                                                          SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                          SHOULD:processConsumer
                                                                                                                                                                                                                                                                          88. EHDSPatientSummaryObligations.medicalDevicesAndImplants.emptyReason
                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                          Use if no conditions are listed

                                                                                                                                                                                                                                                                          ShortUse if no conditions are listed
                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                          TypeCodeableConcept
                                                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                                                                                                            SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                            SHALL:processConsumer
                                                                                                                                                                                                                                                                            90. EHDSPatientSummaryObligations.medicalDevicesAndImplants.deviceUse
                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                            Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.

                                                                                                                                                                                                                                                                            ShortDescribes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
                                                                                                                                                                                                                                                                            Control0..*
                                                                                                                                                                                                                                                                            Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceUse
                                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                                                                                                              SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                              SHALL:processConsumer
                                                                                                                                                                                                                                                                              92. EHDSPatientSummaryObligations.medicalDevicesAndImplants.note
                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                              Free text notes by the health professional

                                                                                                                                                                                                                                                                              ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                                                                                                                SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                SHOULD:processConsumer
                                                                                                                                                                                                                                                                                94. EHDSPatientSummaryObligations.procedures
                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                Significant procedures performed on the patient.

                                                                                                                                                                                                                                                                                ShortSection: Procedures
                                                                                                                                                                                                                                                                                Control1..1
                                                                                                                                                                                                                                                                                TypeBase
                                                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                                                                                                                  SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                                  SHALL:processConsumer
                                                                                                                                                                                                                                                                                  96. EHDSPatientSummaryObligations.procedures.generatedNarrative
                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                  Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                  ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                                                    ObligationsActor
                                                                                                                                                                                                                                                                                    SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                    SHOULD:processConsumer
                                                                                                                                                                                                                                                                                    98. EHDSPatientSummaryObligations.procedures.emptyReason
                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                    Reason for absence of data

                                                                                                                                                                                                                                                                                    ShortReason for absence of data
                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                    TypeCodeableConcept
                                                                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                                                                                                                      SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                                      SHALL:processConsumer
                                                                                                                                                                                                                                                                                      100. EHDSPatientSummaryObligations.procedures.procedure
                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                      List of procedures

                                                                                                                                                                                                                                                                                      ShortList of procedures
                                                                                                                                                                                                                                                                                      Control0..*
                                                                                                                                                                                                                                                                                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure
                                                                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                                                                                                                        SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                                        SHALL:processConsumer
                                                                                                                                                                                                                                                                                        102. EHDSPatientSummaryObligations.procedures.note
                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                        Free text notes by the health professional

                                                                                                                                                                                                                                                                                        ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                                                                                                                          SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                          SHOULD:processConsumer
                                                                                                                                                                                                                                                                                          104. EHDSPatientSummaryObligations.immunisations
                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                          A patient's immunisation status (vaccination and other prophylaxis). The section should include current immunisation status and may contain the entire history that is relevant to the period of time being summarised. Adverse reactions against vaccines should be documented in the allergy section.

                                                                                                                                                                                                                                                                                          ShortSection: Immunisations
                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                          TypeBase
                                                                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                                                                                                                            SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                            SHOULD:processConsumer
                                                                                                                                                                                                                                                                                            106. EHDSPatientSummaryObligations.immunisations.generatedNarrative
                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                            Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                            ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                                                                                                                              SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                              SHOULD:processConsumer
                                                                                                                                                                                                                                                                                              108. EHDSPatientSummaryObligations.immunisations.immunisation
                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                              Immunisations given to the patient and their status at the point of care.

                                                                                                                                                                                                                                                                                              ShortImmunisations given to the patient and their status at the point of care.
                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSImmunisation
                                                                                                                                                                                                                                                                                              Obligations
                                                                                                                                                                                                                                                                                                ObligationsActor
                                                                                                                                                                                                                                                                                                SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                                                SHALL:processConsumer
                                                                                                                                                                                                                                                                                                Requirements

                                                                                                                                                                                                                                                                                                eHN PS Guideline

                                                                                                                                                                                                                                                                                                110. EHDSPatientSummaryObligations.immunisations.note
                                                                                                                                                                                                                                                                                                Definition

                                                                                                                                                                                                                                                                                                Free text notes by the health professional

                                                                                                                                                                                                                                                                                                ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                Control0..1
                                                                                                                                                                                                                                                                                                Typestring
                                                                                                                                                                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                Obligations
                                                                                                                                                                                                                                                                                                  ObligationsActor
                                                                                                                                                                                                                                                                                                  SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                                  SHOULD:processConsumer
                                                                                                                                                                                                                                                                                                  112. EHDSPatientSummaryObligations.functionalStatus
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being.

                                                                                                                                                                                                                                                                                                  ShortSection: Functional status
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  TypeBase
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                                                                                                                                                                                                                                  114. EHDSPatientSummaryObligations.functionalStatus.generatedNarrative
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                                  ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                  116. EHDSPatientSummaryObligations.functionalStatus.condition
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Condition information describing patient's functional status or disability.

                                                                                                                                                                                                                                                                                                  ShortCondition information describing patient's functional status or disability.
                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
                                                                                                                                                                                                                                                                                                  118. EHDSPatientSummaryObligations.functionalStatus.assessment
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Assessment results regarding functional status.

                                                                                                                                                                                                                                                                                                  ShortAssessment results regarding functional status.
                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
                                                                                                                                                                                                                                                                                                  120. EHDSPatientSummaryObligations.functionalStatus.note
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Free text notes by the health professional

                                                                                                                                                                                                                                                                                                  ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                  122. EHDSPatientSummaryObligations.socialHistory
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Observations on social factors such as alcohol consumption or smoking. From the healthcare perspective, life-style factors relate to well-being but can also provide a source of risk factors.

                                                                                                                                                                                                                                                                                                  ShortSection: Social history
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  TypeBase
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                                                                                                                                                                                                                                  124. EHDSPatientSummaryObligations.socialHistory.generatedNarrative
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                                  ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                  126. EHDSPatientSummaryObligations.socialHistory.observation
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Health related lifestyle factors or lifestyle observations and social determinants of health. Example: cigarette smoker, alcohol consumption

                                                                                                                                                                                                                                                                                                  ShortSocial history observations related to health
                                                                                                                                                                                                                                                                                                  Control0..*
                                                                                                                                                                                                                                                                                                  Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
                                                                                                                                                                                                                                                                                                  Requirements

                                                                                                                                                                                                                                                                                                  eHN PS Guideline, MyHealth@EU, ISO IPS

                                                                                                                                                                                                                                                                                                  128. EHDSPatientSummaryObligations.socialHistory.note
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  Free text notes by the health professional

                                                                                                                                                                                                                                                                                                  ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  Typestring
                                                                                                                                                                                                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                  130. EHDSPatientSummaryObligations.pregnancyHistory
                                                                                                                                                                                                                                                                                                  Definition

                                                                                                                                                                                                                                                                                                  To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.

                                                                                                                                                                                                                                                                                                  ShortSection: Pregnancy history
                                                                                                                                                                                                                                                                                                  Control0..1
                                                                                                                                                                                                                                                                                                  TypeBase
                                                                                                                                                                                                                                                                                                  Obligations
                                                                                                                                                                                                                                                                                                    ObligationsActor
                                                                                                                                                                                                                                                                                                    SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                                    SHOULD:processConsumer
                                                                                                                                                                                                                                                                                                    Requirements

                                                                                                                                                                                                                                                                                                    eHN PS Guideline, ISO IPS

                                                                                                                                                                                                                                                                                                    132. EHDSPatientSummaryObligations.pregnancyHistory.generatedNarrative
                                                                                                                                                                                                                                                                                                    Definition

                                                                                                                                                                                                                                                                                                    Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                                    ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                                    Control0..1
                                                                                                                                                                                                                                                                                                    Typestring
                                                                                                                                                                                                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                    Obligations
                                                                                                                                                                                                                                                                                                      ObligationsActor
                                                                                                                                                                                                                                                                                                      SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                                      SHOULD:processConsumer
                                                                                                                                                                                                                                                                                                      134. EHDSPatientSummaryObligations.pregnancyHistory.currentPregnancyStatus
                                                                                                                                                                                                                                                                                                      Definition

                                                                                                                                                                                                                                                                                                      Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.

                                                                                                                                                                                                                                                                                                      ShortCurrent pregnancy status
                                                                                                                                                                                                                                                                                                      Control0..1
                                                                                                                                                                                                                                                                                                      Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCurrentPregnancy
                                                                                                                                                                                                                                                                                                      Obligations
                                                                                                                                                                                                                                                                                                        ObligationsActor
                                                                                                                                                                                                                                                                                                        SHALL:able-to-populateProducer
                                                                                                                                                                                                                                                                                                        SHALL:processConsumer
                                                                                                                                                                                                                                                                                                        Requirements

                                                                                                                                                                                                                                                                                                        eHN PS Guideline, ISO IPS

                                                                                                                                                                                                                                                                                                        136. EHDSPatientSummaryObligations.pregnancyHistory.previousPregnancies
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.

                                                                                                                                                                                                                                                                                                        ShortHistory of previous pregnancies
                                                                                                                                                                                                                                                                                                        Control0..*
                                                                                                                                                                                                                                                                                                        Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPregnancyHistory
                                                                                                                                                                                                                                                                                                        138. EHDSPatientSummaryObligations.pregnancyHistory.note
                                                                                                                                                                                                                                                                                                        Definition

                                                                                                                                                                                                                                                                                                        Free text notes by the health professional

                                                                                                                                                                                                                                                                                                        ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                        Control0..1
                                                                                                                                                                                                                                                                                                        Typestring
                                                                                                                                                                                                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                        Obligations
                                                                                                                                                                                                                                                                                                          ObligationsActor
                                                                                                                                                                                                                                                                                                          SHOULD:able-to-populateProducer
                                                                                                                                                                                                                                                                                                          SHOULD:processConsumer
                                                                                                                                                                                                                                                                                                          140. EHDSPatientSummaryObligations.travelHistory
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Captures relevant information about the patient's recent travel history that may be of clinical relevance — particularly in relation to exposure to infectious diseases, epidemiological risks, or environmental factors. The intent is to support clinical decision-making and risk assessment, especially in contexts such as outbreaks or endemic disease regions.

                                                                                                                                                                                                                                                                                                          ShortSection: Travel history
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          TypeBase
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          eHN PS Guideline, ISO IPS

                                                                                                                                                                                                                                                                                                          142. EHDSPatientSummaryObligations.travelHistory.generatedNarrative
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                                          ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                          144. EHDSPatientSummaryObligations.travelHistory.travelHistory
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Travel history for one country

                                                                                                                                                                                                                                                                                                          ShortTravel history for one country
                                                                                                                                                                                                                                                                                                          Control0..*
                                                                                                                                                                                                                                                                                                          Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSTravelHistory
                                                                                                                                                                                                                                                                                                          Requirements

                                                                                                                                                                                                                                                                                                          eHN PS Guideline, ISO IPS

                                                                                                                                                                                                                                                                                                          146. EHDSPatientSummaryObligations.travelHistory.note
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          Free text notes by the health professional

                                                                                                                                                                                                                                                                                                          ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          Typestring
                                                                                                                                                                                                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                          148. EHDSPatientSummaryObligations.patientStory
                                                                                                                                                                                                                                                                                                          Definition

                                                                                                                                                                                                                                                                                                          A concise narrative from the patient’s perspective about their present health state. This is a record of things that a person feels are important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.

                                                                                                                                                                                                                                                                                                          ShortSection: Patient story
                                                                                                                                                                                                                                                                                                          Control0..1
                                                                                                                                                                                                                                                                                                          TypeBase
                                                                                                                                                                                                                                                                                                          Obligations
                                                                                                                                                                                                                                                                                                            ObligationsActor
                                                                                                                                                                                                                                                                                                            SHOULD:processConsumer
                                                                                                                                                                                                                                                                                                            Requirements

                                                                                                                                                                                                                                                                                                            ISO IPS

                                                                                                                                                                                                                                                                                                            150. EHDSPatientSummaryObligations.patientStory.note
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            Free text notes by the health professional

                                                                                                                                                                                                                                                                                                            ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            Typestring
                                                                                                                                                                                                                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                            152. EHDSPatientSummaryObligations.advanceDirectives
                                                                                                                                                                                                                                                                                                            Definition

                                                                                                                                                                                                                                                                                                            Provision for healthcare decisions if, in the future, a person is unable to make those decisions.

                                                                                                                                                                                                                                                                                                            ShortSection: Advance Directives
                                                                                                                                                                                                                                                                                                            Control0..1
                                                                                                                                                                                                                                                                                                            TypeBase
                                                                                                                                                                                                                                                                                                            Obligations
                                                                                                                                                                                                                                                                                                              ObligationsActor
                                                                                                                                                                                                                                                                                                              SHOULD:processConsumer
                                                                                                                                                                                                                                                                                                              154. EHDSPatientSummaryObligations.advanceDirectives.generatedNarrative
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                                              ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              156. EHDSPatientSummaryObligations.advanceDirectives.advanceDirective
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Provision for healthcare decisions if, in the future, a person is unable to make those decisions

                                                                                                                                                                                                                                                                                                              ShortProvision for healthcare decisions if, in the future, a person is unable to make those decisions
                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAdvanceDirective
                                                                                                                                                                                                                                                                                                              158. EHDSPatientSummaryObligations.advanceDirectives.note
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Free text notes by the health professional

                                                                                                                                                                                                                                                                                                              ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              160. EHDSPatientSummaryObligations.observationResults
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Relevant observation results obtained on the patient. These may be measurements, laboratory results, anatomic pathology results, radiology results or other imaging or clinical results.

                                                                                                                                                                                                                                                                                                              ShortSection: Observation results
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              TypeBase
                                                                                                                                                                                                                                                                                                              162. EHDSPatientSummaryObligations.observationResults.generatedNarrative
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                                              ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              164. EHDSPatientSummaryObligations.observationResults.result
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Observation results pertaining to the subject of care's health condition and which might have impact on future treatments

                                                                                                                                                                                                                                                                                                              ShortObservation results pertaining to the subject of care's health condition and which might have impact on future treatments
                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
                                                                                                                                                                                                                                                                                                              166. EHDSPatientSummaryObligations.observationResults.note
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Free text notes by the health professional

                                                                                                                                                                                                                                                                                                              ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              168. EHDSPatientSummaryObligations.carePlans
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Therapeutic recommendations that do not include pharmacologic treatments, such as diet, physical exercise, planned surgeries

                                                                                                                                                                                                                                                                                                              ShortSection: Care plans
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              TypeBase
                                                                                                                                                                                                                                                                                                              170. EHDSPatientSummaryObligations.carePlans.generatedNarrative
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Narrative, potentially formatted, content of the whole section.

                                                                                                                                                                                                                                                                                                              ShortNarrative, potentially formatted, content of the whole section.
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                                                                                                                                                              172. EHDSPatientSummaryObligations.carePlans.carePlan
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.

                                                                                                                                                                                                                                                                                                              ShortDescribes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
                                                                                                                                                                                                                                                                                                              Control0..*
                                                                                                                                                                                                                                                                                                              Typehttp://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCarePlan
                                                                                                                                                                                                                                                                                                              174. EHDSPatientSummaryObligations.carePlans.note
                                                                                                                                                                                                                                                                                                              Definition

                                                                                                                                                                                                                                                                                                              Free text notes by the health professional

                                                                                                                                                                                                                                                                                                              ShortFree text notes by the health professional
                                                                                                                                                                                                                                                                                                              Control0..1
                                                                                                                                                                                                                                                                                                              Typestring
                                                                                                                                                                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension