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

EHDSPatientSummary to Composition (EPS)

EHDSPatientSummary → Composition (EPS)
Ongoing alignment: The models are expected to continue evolving, with updates incorporated into this Implementation Guide to maintain alignment with the EHDS Implementing Acts.
Yellow row/cells: In this ballot publication, some row/cells of the mapping table have been left in yellow to indicate areas requiring further review or refinement; including feedback from the Xt-EHR joint action (see note above). These highlights will be addressed in subsequent updates to ensure accuracy and completeness of the mappings.

EHDSPatientSummary → Composition, Bundle (EPS)

This page explains how conceptual elements from the EHDSPatientSummary logical model are expressed in the corresponding FHIR CompositionEuEps and BundleEuEps profiles used by this Implementation Guide.

Mapping Context

EHDSPatientSummary → Composition, Bundle (EPS)
EHDSPatientSummary (Logical Model) Relationship Composition, Bundle (EPS)
Element Relation Resource Element Notes
header related-to Composition .
header.subject equivalent Composition subject
header.identifier equivalent Composition identifier
header.identifier equivalent Bundle identifier Represents a specific rendition/version of the document.
header.author[x] equivalent Composition author
header.date equivalent Composition date
header.status equivalent Composition status
header.language equivalent Composition language
header.documentType equivalent Composition type
header.documentTitle equivalent Composition title
header.period related-to Composition event.period Map to the primary Composition.event entry.
header.version related-to Composition extension:version
header.attestation related-to Composition attester
header.attestation.attester equivalent Composition attester.party
header.attestation.datetime equivalent Composition attester.time
header.legalAuthentication related-to Composition attester
header.legalAuthentication.legalAuthenticator related-to Composition attester.party
header.legalAuthentication.datetime equivalent Composition attester.time
header.eventType related-to Composition event.code Not clear if it is a type of event - PCPR for Patient Summary - or a classification of the document.
header.serviceSpecialty source-is-narrower-than-target Composition category Do not apply to Patient Summary.
header.custodian equivalent Composition custodian
alerts equivalent Composition section:sectionAlerts Use LOINC 104605-1
alerts.generatedNarrative equivalent Composition section:sectionAlerts.text
alerts.emptyReason equivalent Composition section:sectionAlerts.emptyReason
alerts.medicalAlert equivalent Composition section:sectionAlerts.entry:flag Reference to FlagPatientEuCore.
alerts.note related-to Composition section:sectionAlerts.text
allergiesAndIntolerances equivalent Composition section:sectionAllergies Mandatory slice in CompositionEuEps.
allergiesAndIntolerances.generatedNarrative equivalent Composition section:sectionAllergies.text
allergiesAndIntolerances.allergyIntolerance equivalent Composition section:sectionAllergies.entry:allergyOrIntolerance Reference to AllergyIntoleranceEuCore.
allergiesAndIntolerances.emptyReason equivalent Composition section:sectionAllergies.emptyReason
allergiesAndIntolerances.note related-to Composition section:sectionAllergies.text
problems equivalent Composition section:sectionProblems Use LOINC 11450-4
problems.generatedNarrative equivalent Composition section:sectionProblems.text
problems.emptyReason equivalent Composition section:sectionProblems.emptyReason
problems.problem equivalent Composition section:sectionProblems.entry:problem Reference to ConditionEuCore.
problems.note related-to Composition section:sectionProblems.text
medicationSummary equivalent Composition section:sectionMedications Use LOINC 10160-0
medicationSummary.generatedNarrative equivalent Composition section:sectionMedications.text
medicationSummary.emptyReason equivalent Composition section:sectionMedications.emptyReason
medicationSummary.medicationUse equivalent Composition section:sectionMedications.entry:medicationStatementOrRequest Reference to MedicationStatementEuEps.
medicationSummary.note related-to Composition section:sectionMedications.text
medicalDevicesAndImplants equivalent Composition section:sectionMedicalDevices Use LOINC 46264-8
medicalDevicesAndImplants.generatedNarrative equivalent Composition section.text
medicalDevicesAndImplants.emptyReason equivalent Composition section.emptyReason
medicalDevicesAndImplants.deviceUse equivalent Composition section:sectionMedicalDevices.entry:deviceStatement Reference to DeviceUseStatementEuEps.
medicalDevicesAndImplants.note related-to Composition section:sectionMedicalDevices.text
procedures equivalent Composition section:sectionProceduresHx Use LOINC 47519-4
procedures.generatedNarrative equivalent Composition section.text
procedures.emptyReason equivalent Composition section.emptyReason
procedures.procedure equivalent Composition section:sectionProceduresHx.entry:procedure Reference to ProcedureEuCore.
procedures.note related-to Composition section:sectionProceduresHx.text
immunisations equivalent Composition section:sectionImmunizations Use LOINC 11369-6
immunisations.generatedNarrative equivalent Composition section.text
immunisations.immunisation equivalent Composition section:sectionImmunizations.entry:immunization Reference to ImmunizationEuCore.
immunisations.note related-to Composition section:sectionImmunizations.text
functionalStatus equivalent Composition section:sectionFunctionalStatus Use LOINC 47420-5
functionalStatus.generatedNarrative equivalent Composition section.text
functionalStatus.condition related-to Composition section:sectionFunctionalStatus.entry Target slice/profile alignment may need clarification.
functionalStatus.assessment equivalent Composition section:sectionFunctionalStatus.entry:functionalStatus The actual content maps better into an Observation profile, not allowed in this section
functionalStatus.note related-to Composition section:sectionFunctionalStatus.text
socialHistory equivalent Composition section:sectionSocialHistory
socialHistory.generatedNarrative equivalent Composition section.text
socialHistory.observation equivalent Composition section:sectionSocialHistory.entry
socialHistory.note related-to Composition section:sectionSocialHistory.text
pregnancyHistory equivalent Composition section:sectionPregnancyHx Use LOINC 10162-6
pregnancyHistory.generatedNarrative equivalent Composition section.text
pregnancyHistory.currentPregnancyStatus equivalent Composition section:sectionPregnancyHx.entry:pregnancyStatus
pregnancyHistory.note related-to Composition section:sectionPregnancyHx.text Narrative text used when no structured mapping is needed.
pregnancyHistory.previousPregnancies equivalent Composition section:sectionPregnancyHx.entry:pregnancyOutcome
travelHistory equivalent Composition section:sectionTravelHx Uses LOINC 10182-4.
travelHistory.generatedNarrative equivalent Composition section.text
travelHistory.travelHistory equivalent Composition section:sectionTravelHx.entry Reference to ObservationTravelEuEps.
travelHistory.note related-to Composition section:sectionTravelHx.text
patientStory equivalent Composition section:sectionPatientHx check if the propoer loinc code is used and the patient history section is added.
patientStory.note equivalent Composition section:sectionPatientHx.text
advanceDirectives equivalent Composition section:sectionAdvanceDirectives Use LOINC 42348-3
advanceDirectives.generatedNarrative equivalent Composition section.text
advanceDirectives.advanceDirective equivalent Composition section:sectionAdvanceDirectives.entry Reference to ConsentEuEps or DocumentReference.
advanceDirectives.note related-to Composition section:sectionAdvanceDirectives.text
observationResults source-is-broader-than-target Composition section:sectionResults When the result is a diagnostic result.
observationResults source-is-broader-than-target Composition section:sectionVitalSigns When the result is a vital sign
observationResults.generatedNarrative equivalent Composition section.text
observationResults.result equivalent Composition section:sectionResults.entry When the result is a diagnostic result.
observationResults.result equivalent Composition section:sectionVitalSigns.entry When the result is a vital sign, target profile is http://hl7.org/fhir/StructureDefinition/vitalsigns.
observationResults.note related-to Composition section.text
carePlans equivalent Composition section:sectionPlanOfCare
carePlans.generatedNarrative equivalent Composition section.text
carePlans.carePlan equivalent Composition section:sectionPlanOfCare.entry
carePlans.note related-to Composition section:sectionPlanOfCare.text

Return to overview: EHDS Logical Models → FHIR Profiles