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 Problem Comparison

ISO 27269 — EU Patient Summary — Problems Mapping

### ISO 27269 → EU Patient Summary — Problems

ISO 27269 (IPS) | Conformance | Relationship | EU Patient Summary
--- | --- | --- | ---
Element | Conf. | Relation | Element | Notes
Problems content status | C | Equivalent | section.emptyReason | Same purpose; EU PS uses the IPS FHIR representation with `emptyReason`.
Problems | C | Equivalent | EHDSCondition (list) | Represents the list of problem/condition entries.
Problem | M | Equivalent | EHDSCondition | Core entry element; identical clinical concept.
Problem type | RK | source-is-narrower-than-target | category |
Problem description | R | Not represented | ----- | No dedicated free-text description in EHDSCondition; but realized in the EU Core Condition profile.
Diagnosis | RK | equivalent | problem | Covered by Problem type (problem).
Severity | O | Equivalent | severity | Severity of the problem.
Onset date | RK | Equivalent | onsetDate | When the problem started.
Problem status | O | Equivalent | problemStatus | Active/resolved, etc.
Specialist contact | O | Equivalent | specialistContact | Health Professional related to the problem as preferred contact.

### EU Patient Summary (EHDS Model) → ISO 27269 — Problems

EU Patient Summary | Relationship | ISO 27269 (IPS)
--- | --- | ---
Element | Relation | Element | Notes
EHDSCondition | Equivalent | Problem | Core entry alignment.
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 | Not represented | — |
header.authorship / author[x] / datetime | Not represented | — | Authorship metadata; ISO 27269 section does not define this.
header.lastUpdate | Not represented | — | Technical metadata.
header.status / statusReason | Not represented | — |
header.language | Not represented | — | Resource-level attributes not defined in ISO section.
problem | Equivalent | Problem code | Coded problem.
onsetDate | Equivalent | Onset date | Start of the problem.
endDate | Equivalent | Abatement date | Resolution time.
category | Equivalent | Clinical status | Active/resolved, etc.
problemStatus | Equivalent | Clinical status | Active/resolved, etc.
resolutionCircumstances | Not represented | — | Reason for resolution not modeled in ISO Problems.
severity | Equivalent | Severity | Severity coding.
anatomicLocation | Equivalent | Body site | Anatomical focus.
stage | Not represented | — | Staging/grading not captured in ISO Problems.
diagnosisAssertionStatus | Not represented | — | Verification/assertion status not present in ISO Problems.
asserter | Not represented | — | Asserter not listed in ISO Problems.
assertedDate | Not represented | — | Diagnosis assertion date not present in ISO Problems.
specialistContact | Equivalent | Specialist contact | Health Professional related to the problem.
externalResource | Not represented | — | External links not present in ISO Problems.