HL7 Europe Patient Summary
1.0.0-ci-build - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build 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

: Composition: Complete EPS - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="76279633-d5a6-439b-9e88-5880c531e241"/>
  <meta>
    <profile
             value="http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition 76279633-d5a6-439b-9e88-5880c531e241</b></p><a name="76279633-d5a6-439b-9e88-5880c531e241"> </a><a name="hc76279633-d5a6-439b-9e88-5880c531e241"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-composition-eu-eps.html">Composition (EPS)</a></p></div><p><b>identifier</b>: <code>urn:ietf:rfc:9562</code>/166615c7-0536-4d24-b5d7-8d659a29ce3e</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}">Patient summary Document</span></p><p><b>date</b>: 2025-08-31 17:46:55+0000</p><p><b>author</b>: <a href="Bundle-Instance-Bundle-1a24e60d-9b12-4109-a50a-07249a4f21c3.html#urn-uuid-79bb6d9a-24fa-4479-a1a6-92e958200414">PractitionerRole</a></p><p><b>title</b>: European Patient Summary</p><p><b>confidentiality</b>: normal</p><p><b>custodian</b>: <a href="Bundle-Instance-Bundle-1a24e60d-9b12-4109-a50a-07249a4f21c3.html#urn-uuid-ee1c1f62-cb27-4dc4-8d07-f9c58215f309">Organization BfA-Klinik</a></p></div>
  </text>
  <identifier>
    <system value="urn:ietf:rfc:9562"/>
    <value value="166615c7-0536-4d24-b5d7-8d659a29ce3e"/>
    <assigner>
      <display value="HL7 Europe"/>
    </assigner>
  </identifier>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="60591-5"/>
      <display value="Patient summary Document"/>
    </coding>
    <text value="Patient summary Document"/>
  </type>
  <subject>
    <reference value="urn:uuid:f51071b2-6c06-4d31-85ed-26a6b964ef98"/>
  </subject>
  <date value="2025-08-31T17:46:55Z"/>
  <author>
    <reference value="urn:uuid:79bb6d9a-24fa-4479-a1a6-92e958200414"/>
  </author>
  <title value="European Patient Summary"/>
  <confidentiality value="N"/>
  <custodian>
    <reference value="urn:uuid:ee1c1f62-cb27-4dc4-8d07-f9c58215f309"/>
  </custodian>
  <section>
    <title value="Problem list"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11450-4"/>
        <display value="Problem list - Reported"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><th>Condition</th><th>Onset Date</th><th>Status</th></tr><tr><td>Hyperlipidemia</td><td><span class="nb">2020-06-15</span></td><td>active</td></tr><tr><td>Emphysematous bronchitis</td><td><span class="nb">2020-06-15</span></td><td>active</td></tr><tr><td>Ischemic heart disease</td><td><span class="nb">2010-04-19</span></td><td>active</td></tr><tr><td>Chronic sinusitis</td><td><span class="nb">1994-01-16</span></td><td>active</td></tr><tr><td>Anemia</td><td><span class="nb">1993-02-22</span></td><td>active</td></tr><tr><td>Prediabetes</td><td><span class="nb">1991-02-18</span></td><td>active</td></tr></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:bc578ea8-f9ed-4cf2-a302-dfc36e4edbe5"/>
    </entry>
    <entry>
      <reference value="urn:uuid:4b665d3a-ea82-4ea1-89e9-10cacc08c245"/>
    </entry>
    <entry>
      <reference value="urn:uuid:f57cf09c-57a2-46ce-a08a-c134a96f725d"/>
    </entry>
    <entry>
      <reference value="urn:uuid:c98328ca-3e16-4dd2-b1af-c93d5416a9ae"/>
    </entry>
    <entry>
      <reference value="urn:uuid:634b05b7-c23f-4622-bf15-8987e3dfc0ed"/>
    </entry>
    <entry>
      <reference value="urn:uuid:671c5ac6-0c08-487a-9204-caa8b626f38d"/>
    </entry>
  </section>
  <section>
    <title value="Medication list"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10160-0"/>
        <display value="History of Medication use Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td>Simvastatin 10 mg oral tablet</td><td><span class="nb">2025-07-15</span></td><td>Oral tablet</td><td>1 tablet (10 mg) by mouth once daily</td><td>Hyperlipidemia</td></tr><tr><td>Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation</td><td><span class="nb">2025-07-14</span></td><td>Solution for inhalation</td><td>2.5 mg (0.5 mL of 5 mg/mL solution) via nebulizer every 4 to 6 hours as needed</td><td>Chronic obstructive bronchitis (disorder)</td></tr><tr><td>Acetaminophen 300 mg and hydrocodone bitartrate 5 mg oral tablet</td><td><span class="nb">2025-07-14</span></td><td>Oral tablet</td><td>1 tablet (300 mg/5 mg) by mouth every 4 to 6 hours as needed for pain</td><td/></tr><tr><td>60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler</td><td><span class="nb">2025-07-14</span></td><td/><td>1 inhalation (0.25 mg/0.05 mg) twice daily</td><td>Chronic obstructive bronchitis (disorder)</td></tr><tr><td>Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet</td><td><span class="nb">2010-04-26</span></td><td>Oral tablet</td><td>1 tablet (75 mg) by mouth once daily</td><td/></tr><tr><td>Simvastatin 20 mg oral tablet</td><td><span class="nb">2010-04-26</span></td><td>Oral tablet</td><td>1 tablet (20 mg) by mouth once daily</td><td/></tr><tr><td>Nitroglycerin 400 microgram/actuation sublingual spray</td><td><span class="nb">2010-04-26</span></td><td>Sublingual spray</td><td>400 micrograms (1 spray) sublingually as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes</td><td/></tr><tr><td>Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet</td><td><span class="nb">2010-04-26</span></td><td>Prolonged-release oral tablet</td><td>1 tablet (100 mg) once daily</td><td/></tr><tr><td>doxycycline hyclate 100 MG</td><td><span class="nb">2008-08-12</span></td><td/><td>100 mg twice daily</td><td>Viral sinusitis (disorder)</td></tr><tr><td>Astemizole 10 mg oral tablet</td><td><span class="nb">1978-10-26</span></td><td>Oral tablet</td><td>1 tablet (10 mg) once daily</td><td/></tr><tr><td>Hydrocortisone 10 mg/g and urea 100 mg/g cutaneous cream</td><td><span class="nb">1978-10-11</span></td><td>Cutaneous cream</td><td>Apply a thin layer (approximately 1 g) to the affected area twice daily</td><td>Contact dermatitis</td></tr></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:635c4921-5fcb-4ce7-b6ef-d866b680ad01"/>
    </entry>
    <entry>
      <reference value="urn:uuid:e334a872-4b98-4c8a-b4e7-81fa2658e6dd"/>
    </entry>
    <entry>
      <reference value="urn:uuid:cd91412c-76d7-42ac-9525-9bdcb44f98fa"/>
    </entry>
    <entry>
      <reference value="urn:uuid:51529516-879e-4bc6-9600-f11baf6e0533"/>
    </entry>
    <entry>
      <reference value="urn:uuid:0de4eda6-7dba-435d-be08-c796176be6e8"/>
    </entry>
    <entry>
      <reference value="urn:uuid:a70ed340-1085-4c58-932d-1385b0abe7fa"/>
    </entry>
    <entry>
      <reference value="urn:uuid:6f621aa0-ab90-4cdb-8e01-a67cda36ea99"/>
    </entry>
    <entry>
      <reference value="urn:uuid:dfac9869-6045-4b08-89d6-84888ba4a56b"/>
    </entry>
    <entry>
      <reference value="urn:uuid:48c64631-f2b6-4cdf-81c1-4de1ca18e591"/>
    </entry>
    <entry>
      <reference value="urn:uuid:5f0eebe8-0919-4861-b552-1e7e0d591ef4"/>
    </entry>
    <entry>
      <reference value="urn:uuid:8cfdeca0-dc07-4f55-a987-bd8548fbbe34"/>
    </entry>
  </section>
  <section>
    <title value="Immunizations list"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11369-6"/>
        <display value="History of Immunization note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><th>Vaccine</th><th>Date</th></tr><tr><td>Influenza virus antigen only vaccine product</td><td><span class="nb">2025-07-14</span></td></tr><tr><td>SARS-CoV-2 mRNA vaccine</td><td><span class="nb">2021-03-01</span></td></tr><tr><td>Clostridium tetani toxoid antigen adsorbed only vaccine product</td><td><span class="nb">2018-06-04</span></td></tr></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:cfe36253-0c9c-49b6-8272-39d067952592"/>
    </entry>
    <entry>
      <reference value="urn:uuid:6dfba8ba-2107-4e59-8b86-edcfda8bab98"/>
    </entry>
    <entry>
      <reference value="urn:uuid:89ebeb22-4a66-42de-93c8-bd67c841514d"/>
    </entry>
  </section>
  <section>
    <title value="Allergies and Intolerances"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="48765-2"/>
        <display value="Allergies and adverse reactions Document"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><th>Allergy/Intolerance</th><th>Onset Date</th><th>Status</th><th>Type</th><th>Reaction</th></tr><tr><td>Penicillin V</td><td><span class="nb">1978-10-26</span></td><td>active</td><td>medication</td><td/></tr><tr><td>Allergy to substance</td><td><span class="nb">1978-10-26</span></td><td>active</td><td>environment</td><td/></tr></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:a989307f-3cf2-427a-9ea0-553fcb561480"/>
    </entry>
    <entry>
      <reference value="urn:uuid:09a571d6-2e8c-4409-9dc0-947877066ba8"/>
    </entry>
  </section>
  <section>
    <title value="Care Plan"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18776-5"/>
        <display value="Plan of care note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><th>Immunization Recommendation</th><th>Due Date</th><th>Reason</th></tr><tr><td>Vaccine product containing only Influenza virus antigen (medicinal product)</td><td><span class="nb">2025-10-01</span></td><td>Annual seasonal influenza vaccination</td></tr></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:646ea6ea-9efc-48da-86b8-a284557dad39"/>
    </entry>
    <entry>
      <reference value="urn:uuid:8ee71405-460d-4615-8057-ae8f8fb84fdc"/>
    </entry>
    <entry>
      <reference value="urn:uuid:720c2fce-976c-4f20-9838-dd8994e96e1a"/>
    </entry>
    <entry>
      <reference value="urn:uuid:43f9f1a9-21d1-4533-b8a1-06d23aa0c171"/>
    </entry>
  </section>
  <section>
    <title value="History of Procedures"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="47519-4"/>
        <display value="History of Procedures Document"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><td>No known procedures</td></tr></table></div>
    </text>
    <emptyReason>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
        <code value="nilknown"/>
      </coding>
    </emptyReason>
  </section>
  <section>
    <title value="Vital Signs"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8716-3"/>
        <display value="Vital signs note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><th>Vital Signs</th><th>2025-07-14</th><th>2024-07-08</th></tr><tr><td>Body Height</td><td>158.3 cm</td><td>158.3 cm</td></tr><tr><td>Pain severity - 0-10 verbal numeric rating [Score] - Reported</td><td>3 {score}</td><td>2 {score}</td></tr><tr><td>Body Weight</td><td>73.3 kg</td><td>71.3 kg</td></tr><tr><td>Body mass index (BMI) [Ratio]</td><td>29.2 kg/m2</td><td>28.5 kg/m2</td></tr><tr><td>Diastolic Blood Pressure</td><td>55 mm[Hg]</td><td>62 mm[Hg]</td></tr><tr><td>Systolic Blood Pressure</td><td>113 mm[Hg]</td><td>104 mm[Hg]</td></tr><tr><td>Heart rate</td><td>80 /min</td><td>72 /min</td></tr><tr><td>Respiratory rate</td><td>13 /min</td><td>14 /min</td></tr></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:c9be3179-d3d7-4d62-98e8-722a1037acb3"/>
    </entry>
    <entry>
      <reference value="urn:uuid:47ac0bbe-89be-4c51-af57-1a62526498e0"/>
    </entry>
    <entry>
      <reference value="urn:uuid:c5d48672-464e-4165-8d63-1320c5f6d1bd"/>
    </entry>
    <entry>
      <reference value="urn:uuid:d7471903-d75e-4537-a6ce-a79d517cf685"/>
    </entry>
    <entry>
      <reference value="urn:uuid:c70a509b-60e4-4cb5-b8ce-dcbf43753cbc"/>
    </entry>
    <entry>
      <reference value="urn:uuid:02e1109c-cbf1-4586-83e5-4eabbefac521"/>
    </entry>
    <entry>
      <reference value="urn:uuid:d11fd424-e9f8-44bd-a2ec-03b2dd1e5a62"/>
    </entry>
    <entry>
      <reference value="urn:uuid:9a4297dd-50ec-4632-b916-c6a364cfde84"/>
    </entry>
    <entry>
      <reference value="urn:uuid:78e73600-a5c2-48f8-a59b-7a09954332c3"/>
    </entry>
    <entry>
      <reference value="urn:uuid:e6b94ffc-e27e-4e18-8c7d-8a26e959276a"/>
    </entry>
    <entry>
      <reference value="urn:uuid:0a321a2d-6abb-4b3d-b189-992fcc040e89"/>
    </entry>
    <entry>
      <reference value="urn:uuid:bb3b3ba1-43cf-486f-b7db-0178fb9f0f0f"/>
    </entry>
    <entry>
      <reference value="urn:uuid:13686462-9b29-41c7-8645-2bf6b9d61e1a"/>
    </entry>
    <entry>
      <reference value="urn:uuid:a89003d1-35dd-4f0c-ab3b-aed081ae887e"/>
    </entry>
  </section>
  <section>
    <title value="Relevant diagnostic tests/laboratory data"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="30954-2"/>
        <display value="Relevant diagnostic tests/laboratory data note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><thead><tr><th>Recent Lab Observations</th><th>15 Jul 2024</th><th>Reference Range</th><th>Unit</th></tr></thead><tbody><tr><td>Glucose [Mass/volume] in Blood</td><td><strong>65.9 L</strong></td><td>70 - 99</td><td>mg/dL</td></tr><tr><td>Urea nitrogen [Mass/volume] in Blood</td><td>9.2</td><td>7 - 20</td><td>mg/dL</td></tr><tr><td>Creatinine [Mass/volume] in Blood</td><td><strong>2.7 H</strong></td><td>0.6 - 1.3</td><td>mg/dL</td></tr><tr><td>Calcium [Mass/volume] in Blood</td><td>8.7</td><td>8.5 - 10.3</td><td>mg/dL</td></tr><tr><td>Sodium [Moles/volume] in Blood</td><td>136.4</td><td>135 - 145</td><td>mmol/L</td></tr><tr><td>Potassium [Moles/volume] in Blood</td><td>4.4</td><td>3.5 - 5.1</td><td>mmol/L</td></tr><tr><td>Chloride [Moles/volume] in Blood</td><td>101.2</td><td>98 - 108</td><td>mmol/L</td></tr><tr><td>Carbon dioxide, total [Moles/volume] in Blood</td><td>28.5</td><td>22 - 32</td><td>mmol/L</td></tr><tr><td>Protein [Mass/volume] in Serum or Plasma</td><td>6.9</td><td>6 - 8.3</td><td>g/dL</td></tr><tr><td>Albumin [Mass/volume] in Serum or Plasma</td><td>4.0</td><td>3.5 - 5</td><td>g/dL</td></tr><tr><td>Globulin [Mass/volume] in Serum by calculation</td><td>2.9</td><td>2 - 3.5</td><td>g/L</td></tr><tr><td>Bilirubin.total [Mass/volume] in Serum or Plasma</td><td>0.8</td><td>0.3 - 1.2</td><td>mg/dL</td></tr><tr><td>Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma</td><td>87.0</td><td>35 - 117</td><td>U/L</td></tr><tr><td>Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td>45.0</td><td>7 - 46</td><td>U/L</td></tr><tr><td>Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma</td><td><strong>8.7 L</strong></td><td>10 - 40</td><td>U/L</td></tr><tr><td>Cholesterol [Mass/volume] in Serum or Plasma</td><td>193.2</td><td>125 - 200</td><td>mg/dL</td></tr><tr><td>Triglyceride [Mass/volume] in Serum or Plasma</td><td>149.3</td><td>0 - 199</td><td>mg/dL</td></tr><tr><td>Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay</td><td>129.5</td><td>0 - 159</td><td>mg/dL</td></tr><tr><td>Cholesterol in HDL [Mass/volume] in Serum or Plasma</td><td>62.7</td><td>50 - 100</td><td>mg/dL</td></tr></tbody></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:81628dd7-a8bf-43b5-bae5-001c46f1a8f8"/>
    </entry>
    <entry>
      <reference value="urn:uuid:fee31706-be91-4a20-b64d-a1ef32854125"/>
    </entry>
    <entry>
      <reference value="urn:uuid:d6e99596-92d5-4e70-a8b5-4da00b26709a"/>
    </entry>
    <entry>
      <reference value="urn:uuid:132273e6-ac2c-44ec-b416-a3a64bb6fc27"/>
    </entry>
    <entry>
      <reference value="urn:uuid:3d3701ef-24c3-48f3-b1ec-6d101cf73af5"/>
    </entry>
    <entry>
      <reference value="urn:uuid:d918fd0e-9ac5-44c5-81ec-01585d8db6cb"/>
    </entry>
    <entry>
      <reference value="urn:uuid:886aef25-ecf8-4606-b5c5-880f00f9862f"/>
    </entry>
    <entry>
      <reference value="urn:uuid:2bf0d074-d1f3-40eb-aa1a-1e83d1cde1a6"/>
    </entry>
    <entry>
      <reference value="urn:uuid:a50c3d24-d302-41db-8bc6-4f77ffe37ba9"/>
    </entry>
    <entry>
      <reference value="urn:uuid:4da22422-b9be-4eb8-839f-9829138660ae"/>
    </entry>
    <entry>
      <reference value="urn:uuid:04c29e07-f621-4dbb-b7b8-8a4dc89ec44b"/>
    </entry>
    <entry>
      <reference value="urn:uuid:ad120185-28f4-495b-b0fa-0e258e9e3ba7"/>
    </entry>
    <entry>
      <reference value="urn:uuid:04cf6095-fbc1-41ee-aa84-881cf4753ab6"/>
    </entry>
    <entry>
      <reference value="urn:uuid:bee93551-87cd-4484-8e92-609e8d1db8da"/>
    </entry>
    <entry>
      <reference value="urn:uuid:072bc2ad-7ee7-4cce-9b4f-09a98df61971"/>
    </entry>
    <entry>
      <reference value="urn:uuid:71c73db3-4d99-4594-b92e-cbb5cc09b517"/>
    </entry>
    <entry>
      <reference value="urn:uuid:762d6f8f-ec3d-445c-8547-f26ce553eedf"/>
    </entry>
    <entry>
      <reference value="urn:uuid:1e8a72c6-c4f4-4545-adcb-c5b542f86d7d"/>
    </entry>
    <entry>
      <reference value="urn:uuid:a78303a0-a824-499d-a76a-76e131d9dcb7"/>
    </entry>
  </section>
  <section>
    <title value="Device Use"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="46264-8"/>
        <display value="History of medical device use"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><table class="hl7__ips"><tr><th>Device</th><th>Date (since)</th></tr><tr><td>Home nebulizer (physical object)</td><td><span class="nb">2021-06-21</span></td></tr><tr><td>Blood glucose meter (physical object)</td><td><span class="nb">1991-02-18</span></td></tr></table></div>
    </text>
    <entry>
      <reference value="urn:uuid:90641744-8919-4b70-8ef7-d181b1fce3cb"/>
    </entry>
    <entry>
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</Composition>