HL7 Europe Patient Summary
0.0.1-ci - 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 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

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.