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
| 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 | 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. |