HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions
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Official URL: http://hl7.eu/fhir/eps/ImplementationGuide/hl7.fhir.eu.eps
Version:
0.0.1-ci
Draft
as of 2025-10-24
Computable Name: Hl7EuPatientSummaryIg
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License
Acknowledgment
The development of this Implementation Guide version has been supported by the
Xt-EHR Joint Action.
Xt-EHR provided expertise, alignment with European health policy priorities,
and validation of specifications to enable consistency with EHDS requirements.
Obligations have been added to this version of the guide only as Informative material to collect feedback about their usage.
For more details about obligations please refer to the Obligations page
Scope
Specify a set of rules to be applied to HL7 FHIR to define how to represent a Patient Summary in the European Context, coherently with the European eHN Guidelines (see the European eHealth - Key documents ).
Purpose
The goal of this Implementation Guide is to define an European standard for the Patient Summary to facilitate the harmonization among the national initiatives and prepare the ground for the European EHR eXchange Format (E-EHRxF).
This project is promoted by HL7 Europe, but realized in collaboration with several other European and national organizations and projects.
The aspiration of this guide is that of being used as basis for European National Guides, the European EHRxF and - consequently - by MyHealth@EU for the EU cross-border services.
Background
The project background is described in the background page.
Design choices
The project sesign choices is described in the Design choices page.
This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)
Package hl7.fhir.uv.ipa#1.1.0
This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)
Package hl7.fhir.eu.extensions.r4#0.1.1-ballot
This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)
Package hl7.fhir.uv.ips#1.1.0
International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)
Package hl7.fhir.eu.laboratory#0.1.1
This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Mar 25, 2025 12:00+0100+01:00)
Package hl7.fhir.eu.base#0.1.0-ballot
This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, May 5, 2025 21:42+0200+02:00)
Package ihe.pharm.mpd.r4#1.0.0-comment-2
ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)
Package hl7.fhir.eu.hdr#0.1.0-ballot
This implementation guide specifies the Hospital Discharge Report in the European context, as defined in eHN Hospital Discharge Report guidelines. (built Tue, Jun 3, 2025 12:48+0200+02:00)
Package hl7.fhir.eu.extensions.r4#current
This guide lists the extensions specified for the European REALM. (built Tue, Oct 14, 2025 20:17+0000+00:00)
Package hl7.fhir.eu.base#current
This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Oct 13, 2025 20:12+0000+00:00)
Package hl7.fhir.uv.tools.r4#0.8.0
This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Aug 5, 2025 20:09+1000+10:00)
Cross Version Analysis
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.eu.eps.r4) and R4B (hl7.fhir.eu.eps.r4b) are available.
Global Profiles
There are no Global profiles defined
IP statements
This publication includes IP covered under the following statements.
Copyright HL7. Licensed under creative commons public domain
Most of the information on the CDC and ATSDR websites is not subject to copyright, is in the public domain, and may be freely used or reproduced without obtaining copyright permission. For information and exceptions regarding use of CDC material please see https://www.cdc.gov/other/agencymaterials.html
The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
Using RxNorm codes of type SAB=RXNORM as this specification describes does not require a UMLS license. Access to the full set of RxNorm definitions, and/or additional use of other RxNorm structures and information requires a UMLS license. The use of RxNorm in this specification is pursuant to HL7's status as a licensee of the NLM UMLS. HL7's license does not convey the right to use RxNorm to any users of this specification; implementers must acquire a license to use RxNorm in their own right.
