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
| Official URL: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatientSummaryObligations | Version: 0.4.0 | |||
| Draft as of 2026-03-16 | Computable Name: EHDSPatientSummaryObligations | |||
Obligations for the logical model for patient summary.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | EHDSPatientSummary | Patient summary obligations Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans | |||||||
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O | 1..1 | Base | Document header
| ||||||
![]() ![]() ![]() |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
![]() ![]() ![]() |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
![]() ![]() ![]() |
O | 1..* | Author(s) of the document
| |||||||
![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Status of the document
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
| ||||||
![]() ![]() ![]() |
O | 1..1 | string | 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'
| ||||||
![]() ![]() ![]() |
0..1 | Period | Time period of information covered in the document | |||||||
![]() ![]() ![]() |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
![]() ![]() ![]() |
0..* | Base | Document attestation details | |||||||
![]() ![]() ![]() ![]() |
1..1 | Attester who validated the document | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time of the approval of the document by Attester | |||||||
![]() ![]() ![]() |
O | 0..* | Base | Document legal authentication details
| ||||||
![]() ![]() ![]() ![]() |
1..1 | The person or organisation taking responsibility for the content of the document. | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time when the document was authorised | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | 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. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT | |||||||
![]() ![]() ![]() |
0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report. | |||||||
![]() ![]() |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Alerts
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAlert | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAllergyIntolerance | List of structured allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no Allergies are listed
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical problems
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSCondition | Health conditions affecting the health of the patient.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medication summary
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no medicines are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSMedicationUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical devices and implants
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSDeviceUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Reason for absence of data
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSProcedure | List of procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Immunisations
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSImmunisation | Immunisations given to the patient and their status at the point of care.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
0..1 | Base | Section: Functional status | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSCondition | Condition information describing patient's functional status or disability. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Assessment results regarding functional status. | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Social history | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Social history observations related to health | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Pregnancy history
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
| ||||||
![]() ![]() ![]() |
0..* | EHDSPregnancyHistory | History of previous pregnancies | |||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
0..1 | Base | Section: Travel history | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSTravelHistory | Travel history for one country | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Patient story
| ||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Advance Directives
| ||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Observation results | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Care plans | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSCarePlan | 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. | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSPatientSummaryObligations.header.language | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.serviceSpecialty | Base | preferred | Not State | Unknown |
This structure is derived from EHDSPatientSummary
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | EHDSPatientSummary | Patient summary obligations Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans | |||||||
![]() ![]() |
O | 1..1 | Base | Document header
| ||||||
![]() ![]() ![]() |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
![]() ![]() ![]() |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
![]() ![]() ![]() |
O | 1..* | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | Author(s) of the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Status of the document
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag.
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document.
| ||||||
![]() ![]() ![]() |
O | 1..1 | string | 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'
| ||||||
![]() ![]() ![]() |
O | 0..* | Base | Document legal authentication details
| ||||||
![]() ![]() |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Alerts
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAlert | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAllergyIntolerance | List of structured allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no Allergies are listed
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical problems
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSCondition | Health conditions affecting the health of the patient.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medication summary
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no medicines are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSMedicationUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical devices and implants
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSDeviceUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Reason for absence of data
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSProcedure | List of procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Immunisations
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSImmunisation | Immunisations given to the patient and their status at the point of care.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Pregnancy history
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Patient story
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Advance Directives
| ||||||
Documentation for this format | ||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | EHDSPatientSummary | Patient summary obligations Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans | |||||||
![]() ![]() |
O | 1..1 | Base | Document header
| ||||||
![]() ![]() ![]() |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
![]() ![]() ![]() |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
![]() ![]() ![]() |
O | 1..* | Author(s) of the document
| |||||||
![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Status of the document
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
| ||||||
![]() ![]() ![]() |
O | 1..1 | string | 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'
| ||||||
![]() ![]() ![]() |
0..1 | Period | Time period of information covered in the document | |||||||
![]() ![]() ![]() |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
![]() ![]() ![]() |
0..* | Base | Document attestation details | |||||||
![]() ![]() ![]() ![]() |
1..1 | Attester who validated the document | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time of the approval of the document by Attester | |||||||
![]() ![]() ![]() |
O | 0..* | Base | Document legal authentication details
| ||||||
![]() ![]() ![]() ![]() |
1..1 | The person or organisation taking responsibility for the content of the document. | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time when the document was authorised | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | 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. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT | |||||||
![]() ![]() ![]() |
0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report. | |||||||
![]() ![]() |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Alerts
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAlert | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAllergyIntolerance | List of structured allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no Allergies are listed
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical problems
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSCondition | Health conditions affecting the health of the patient.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medication summary
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no medicines are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSMedicationUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical devices and implants
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSDeviceUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Reason for absence of data
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSProcedure | List of procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Immunisations
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSImmunisation | Immunisations given to the patient and their status at the point of care.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
0..1 | Base | Section: Functional status | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSCondition | Condition information describing patient's functional status or disability. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Assessment results regarding functional status. | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Social history | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Social history observations related to health | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Pregnancy history
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
| ||||||
![]() ![]() ![]() |
0..* | EHDSPregnancyHistory | History of previous pregnancies | |||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
0..1 | Base | Section: Travel history | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSTravelHistory | Travel history for one country | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Patient story
| ||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Advance Directives
| ||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Observation results | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Care plans | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSCarePlan | 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. | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSPatientSummaryObligations.header.language | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.serviceSpecialty | Base | preferred | Not State | Unknown |
This structure is derived from EHDSPatientSummary
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | EHDSPatientSummary | Patient summary obligations Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans | |||||||
![]() ![]() |
O | 1..1 | Base | Document header
| ||||||
![]() ![]() ![]() |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
![]() ![]() ![]() |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
![]() ![]() ![]() |
O | 1..* | Author(s) of the document
| |||||||
![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Status of the document
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
| ||||||
![]() ![]() ![]() |
O | 1..1 | string | 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'
| ||||||
![]() ![]() ![]() |
0..1 | Period | Time period of information covered in the document | |||||||
![]() ![]() ![]() |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
![]() ![]() ![]() |
0..* | Base | Document attestation details | |||||||
![]() ![]() ![]() ![]() |
1..1 | Attester who validated the document | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time of the approval of the document by Attester | |||||||
![]() ![]() ![]() |
O | 0..* | Base | Document legal authentication details
| ||||||
![]() ![]() ![]() ![]() |
1..1 | The person or organisation taking responsibility for the content of the document. | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time when the document was authorised | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | 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. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT | |||||||
![]() ![]() ![]() |
0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report. | |||||||
![]() ![]() |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Alerts
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAlert | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAllergyIntolerance | List of structured allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no Allergies are listed
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical problems
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSCondition | Health conditions affecting the health of the patient.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medication summary
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no medicines are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSMedicationUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical devices and implants
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSDeviceUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Reason for absence of data
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSProcedure | List of procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Immunisations
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSImmunisation | Immunisations given to the patient and their status at the point of care.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
0..1 | Base | Section: Functional status | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSCondition | Condition information describing patient's functional status or disability. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Assessment results regarding functional status. | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Social history | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Social history observations related to health | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Pregnancy history
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
| ||||||
![]() ![]() ![]() |
0..* | EHDSPregnancyHistory | History of previous pregnancies | |||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
0..1 | Base | Section: Travel history | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSTravelHistory | Travel history for one country | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Patient story
| ||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
O | 0..1 | Base | Section: Advance Directives
| ||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Observation results | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
![]() ![]() |
0..1 | Base | Section: Care plans | |||||||
![]() ![]() ![]() |
0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
![]() ![]() ![]() |
0..* | EHDSCarePlan | 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. | |||||||
![]() ![]() ![]() |
0..1 | string | Free text notes by the health professional | |||||||
Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSPatientSummaryObligations.header.language | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.serviceSpecialty | Base | preferred | Not State | Unknown |
Differential View
This structure is derived from EHDSPatientSummary
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | EHDSPatientSummary | Patient summary obligations Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans | |||||||
![]() ![]() |
O | 1..1 | Base | Document header
| ||||||
![]() ![]() ![]() |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
![]() ![]() ![]() |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
![]() ![]() ![]() |
O | 1..* | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | Author(s) of the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Status of the document
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag.
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document.
| ||||||
![]() ![]() ![]() |
O | 1..1 | string | 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'
| ||||||
![]() ![]() ![]() |
O | 0..* | Base | Document legal authentication details
| ||||||
![]() ![]() |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Alerts
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAlert | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAllergyIntolerance | List of structured allergies and intolerances
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no Allergies are listed
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical problems
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSCondition | Health conditions affecting the health of the patient.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medication summary
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no medicines are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSMedicationUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Medical devices and implants
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Use if no conditions are listed
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSDeviceUse | 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.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 1..1 | Base | Section: Procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Reason for absence of data
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSProcedure | List of procedures
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Immunisations
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSImmunisation | Immunisations given to the patient and their status at the point of care.
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Pregnancy history
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Free text notes by the health professional
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Patient story
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Advance Directives
| ||||||
Documentation for this format | ||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | EHDSPatientSummary | Patient summary obligations Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans | |||||||
![]() ![]() |
O | 1..1 | Base | Document header
| ||||||
![]() ![]() ![]() |
O | 1..1 | EHDSPatient | Patient/subject information
| ||||||
![]() ![]() ![]() |
O | 1..* | Identifier | Unique identifier of the document
| ||||||
![]() ![]() ![]() |
O | 1..* | Author(s) of the document
| |||||||
![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() |
O | 1..1 | dateTime | Date of finalising/issuing the document
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Status of the document
| ||||||
![]() ![]() ![]() |
O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
| ||||||
![]() ![]() ![]() |
O | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
| ||||||
![]() ![]() ![]() |
O | 1..1 | string | 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'
| ||||||
![]() ![]() ![]() |
0..1 | Period | Time period of information covered in the document | |||||||
![]() ![]() ![]() |
0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian | |||||||
![]() ![]() ![]() |
0..* | Base | Document attestation details | |||||||
![]() ![]() ![]() ![]() |
1..1 | Attester who validated the document | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSDevice | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time of the approval of the document by Attester | |||||||
![]() ![]() ![]() |
O | 0..* | Base | Document legal authentication details
| ||||||
![]() ![]() ![]() ![]() |
1..1 | The person or organisation taking responsibility for the content of the document. | ||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSHealthProfessional | |||||||||
![]() ![]() ![]() ![]() ![]() |
EHDSOrganisation | |||||||||
![]() ![]() ![]() ![]() |
1..1 | dateTime | Date and time when the document was authorised | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | 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. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality | |||||||
![]() ![]() ![]() |
0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT | |||||||
![]() ![]() ![]() |
0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report. | |||||||
![]() ![]() |
O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
| ||||||
![]() ![]() |
O | 0..1 | Base | Section: Alerts
| ||||||
![]() ![]() ![]() |
O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
| ||||||
![]() ![]() ![]() |
O | 0..* | EHDSAlert | 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.
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O | 0..1 | string | Free text notes by the health professional
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O | 1..1 | Base | Section: Allergies and intolerances
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O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
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O | 0..* | EHDSAllergyIntolerance | List of structured allergies and intolerances
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O | 0..1 | CodeableConcept | Use if no Allergies are listed
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O | 0..1 | string | Free text notes by the health professional
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O | 1..1 | Base | Section: Medical problems
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O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
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O | 0..1 | CodeableConcept | Use if no conditions are listed
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O | 0..* | EHDSCondition | Health conditions affecting the health of the patient.
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O | 0..1 | string | Free text notes by the health professional
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O | 1..1 | Base | Section: Medication summary
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O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
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O | 0..1 | CodeableConcept | Use if no medicines are listed
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O | 0..* | EHDSMedicationUse | 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.
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O | 0..1 | string | Free text notes by the health professional
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O | 1..1 | Base | Section: Medical devices and implants
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O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
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O | 0..1 | CodeableConcept | Use if no conditions are listed
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O | 0..* | EHDSDeviceUse | 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.
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O | 0..1 | string | Free text notes by the health professional
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O | 1..1 | Base | Section: Procedures
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O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
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O | 0..1 | CodeableConcept | Reason for absence of data
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O | 0..* | EHDSProcedure | List of procedures
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O | 0..1 | string | Free text notes by the health professional
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O | 0..1 | Base | Section: Immunisations
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O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
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O | 0..* | EHDSImmunisation | Immunisations given to the patient and their status at the point of care.
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O | 0..1 | string | Free text notes by the health professional
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0..1 | Base | Section: Functional status | |||||||
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0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
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0..* | EHDSCondition | Condition information describing patient's functional status or disability. | |||||||
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0..* | EHDSObservation | Assessment results regarding functional status. | |||||||
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0..1 | string | Free text notes by the health professional | |||||||
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0..1 | Base | Section: Social history | |||||||
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0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
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0..* | EHDSObservation | Social history observations related to health | |||||||
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0..1 | string | Free text notes by the health professional | |||||||
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O | 0..1 | Base | Section: Pregnancy history
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O | 0..1 | string | Narrative, potentially formatted, content of the whole section.
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O | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
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0..* | EHDSPregnancyHistory | History of previous pregnancies | |||||||
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O | 0..1 | string | Free text notes by the health professional
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0..1 | Base | Section: Travel history | |||||||
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0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
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0..* | EHDSTravelHistory | Travel history for one country | |||||||
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0..1 | string | Free text notes by the health professional | |||||||
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O | 0..1 | Base | Section: Patient story
| ||||||
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0..1 | string | Free text notes by the health professional | |||||||
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O | 0..1 | Base | Section: Advance Directives
| ||||||
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0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
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0..* | EHDSAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions | |||||||
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0..1 | string | Free text notes by the health professional | |||||||
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0..1 | Base | Section: Observation results | |||||||
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0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
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0..* | EHDSObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments | |||||||
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0..1 | string | Free text notes by the health professional | |||||||
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0..1 | Base | Section: Care plans | |||||||
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0..1 | string | Narrative, potentially formatted, content of the whole section. | |||||||
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0..* | EHDSCarePlan | 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. | |||||||
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0..1 | string | Free text notes by the health professional | |||||||
Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| EHDSPatientSummaryObligations.header.language | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.documentType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.eventType | Base | preferred | Not State | Unknown | |
| EHDSPatientSummaryObligations.header.serviceSpecialty | Base | preferred | Not State | Unknown |
This structure is derived from EHDSPatientSummary