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 2025-06-20				Computable Name: Hl7EuPatientSummaryIg
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

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.

Dependencies

Package hl7.fhir.uv.extensions.r4#5.2.0 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.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#current This implementation guide specifies the Hospital Discharge Report in the European context, as defined in eHN Hospital Discharge Report guidelines. (built Sun, Jun 1, 2025 06:10+0000+00:00)

Package hl7.fhir.eu.extensions.r4#current This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 23, 2025 06:27+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 Sun, May 4, 2025 13:55+0000+00:00)

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
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  • contactRole2: ConditionEuEps
  • providerRole: ImmunizationEuEps
• ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: ObservationTravelEuEps
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: Bundle/EPSExampleBundle01NoProblemsMedicationAllergies, CompositionEuEps, ImmunizationRecommendationEuEps and ObservationTravelEuEps
• 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.
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  • SNOMED Clinical Terms® (SNOMED CT®): AllergyIntoleranceEuEps, ConditionEuEps... Show 6 more, DeviceUseStatementEuEps, EHDSISeverity, ImmunizationEuEps, ImmunizationRecommendationEuEps, MedicalDevicesSnomedCtHdrVS and ProcedureEuEps
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  • Condition Clinical Status Codes: ConditionEuEps
  • ConditionVerificationStatus: ConditionEuEps
  • Consent Scope Codes: ConsentEuEps
  • List Empty Reasons: Bundle/EPSExampleBundle01NoProblemsMedicationAllergies
  • ActClass: CompositionEuEps
  • MaritalStatus: Bundle/EPSExampleBundle01NoProblemsMedicationAllergies

Authors and Contributors

Please refer to the Authors and Contributors page.