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

IPS to EPS Alert Comparison

ISO 27269 ↔ EU Patient Summary – Alerts Mapping

📘 ISO 27269 → EU Patient Summary — Alerts

ISO 27269 (IPS) Conformance Relationship EU Patient Summary
Element Conf. Relation Element Notes
Alert M Equivalent Alert Core entry element; represents a patient alert or flag.
Alert type RK Not represented code the type is represented by a category element that seems to be missing.
Alert identifier RK Equivalent header.identifier Same function — business or system identifier of the alert record.
Alert description R Equivalent text Free-text description of the alert; EHDS adds examples and narrative guidance.
Alert level RK Equivalent priority Same semantics — indicates severity or importance; EHDS uses coded values instead of numeric levels.
Disease-related diagnosis O source-broader-than-target code Represented as part of the coded alert; can point to a diagnosis concept (e.g. SNOMED CT).
Disease name O Equivalent code.text May appear within the narrative; not a structured field in EHDS.
Onset date RK Equivalent period.start Equivalent meaning — start of the alert’s active period.
Assertion degree RK Not represented — Not represented in EHDSAlert, doesn't seem to be realized by the FHIR IPS
Confirmation method RK Not represented — Not represented in EHDSAlert, doesn't seem to be realized by the FHIR IPS
Specialist contact O Not represented —
Reference to specialist advice / guideline O Not represented —

📗 EU Patient Summary (EHDS Model) → ISO 27269 Alerts

EU Patient Summary Relationship ISO 27269 (IPS)
Element Relation Element Notes
EHDSAlert Equivalent Alert Core concept aligned — both define a clinical alert or flag associated with a patient.
header Partial — Administrative header (subject, authoring, status, etc.) not part of ISO 27269 clinical section content.
header.subject Not represented — Patient identification handled elsewhere in ISO 27269 Document Header.
header.identifier Equivalent Alert identifier Same meaning — unique identifier for the alert entry.
header.authorship / author[x] / datetime Not represented — Authorship metadata only related to the document; ISO 27269 section does not define this.
header.lastUpdate Not represented — Technical metadata; ISO does not define this.
header.status / statusReason Not represented
header.language Not represented — Resource-level metadata; not part of ISO section.
text Equivalent Alert description Free-text narrative; may include disease or alert explanation.
priority Equivalent Alert level Both indicate the alert’s severity or urgency; EHDS uses coded priority values.
status Not represented Corresponds to the state of the alert (active, inactive, etc.).
code source-broader-than-target Disease-related diagnosis Represents the coded alert type, diagnosis, or category (e.g., SNOMED CT). The alert code is not necessarly limited to diagnosis.
period.start Equivalent Onset date Same clinical meaning — when the alert became relevant.
period.end Not represented — ISO does not define an end date; alerts are typically active/inactive only.