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 Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.
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 (EPS)

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

Mapping Context

EHDSPatientSummary → Composition (EPS)
EHDSPatientSummary (Logical Model) Relationship Composition (EPS)
Element Description Relation Resource Element Description Notes
header Document header elements. related-to Composition . Composition-level metadata. CompositionEuEps constrains cardinalities and section slices for Patient Summary.
header.subject Patient/subject information. equivalent Composition subject Who or what the composition is about. Reference to PatientEuEps.
header.identifier Unique identifier of the document. equivalent Composition identifier Version-independent identifier for the Patient Summary. Multiple identifiers allowed through profiling; Composition R4 is 0..1.
header.identifier Unique identifier of the document. equivalent Bundle identifier Persistent identifier for the Patient Summary document bundle. Represents a specific rendition/version of the document.
header.authorship Resource authoring details. related-to Composition author Authors of the Patient Summary. Composition.date captures the authoring timestamp.
header.authorship.author[x] Author(s) by whom the resource was/were authored. equivalent Composition author Logical authors list. Reference to Practitioner / PractitionerRole / Organization / Device per profile.
header.authorship.datetime Date and time of authoring/issuing. equivalent Composition date Composition creation time.
header.lastUpdate Date and time of the last update to the resource. equivalent Composition meta.lastUpdated System-level modification time. Only applicable when representing the system update instant (YYYY-MM-DDThh:mm:ss.sss+zz:zz).
header.status Status of the resource or document. equivalent Composition status The workflow/clinical status of this composition.
header.statusReason[x] Reason for the current status of the resource. no-map Composition No native element.
header.language Language of the resource (IETF BCP-47). equivalent Composition language Language of the narrative.
header.documentType Type of document at hand (e.g., LOINC 60591-5 Patient summary document). equivalent Composition type Kind of composition.
header.documentTitle Human readable document title. equivalent Composition title Official human-readable label.
header.period Time of service that is being documented. related-to Composition event.period Period covered by the composition content. Map to the primary Composition.event entry.
header.version Business version of the document. related-to Composition extension:version Document business version. Use composition.version (R5) or the pre-adopted extension for R4.
header.attestation Document attestation details. related-to Composition attester Participants responsible for attesting the composition. Use attester.mode to distinguish assertions.
header.attestation.attester Attester who validated the document. equivalent Composition attester.party Who attested the composition.
header.attestation.datetime Date and time of the approval of the document by Attester. equivalent Composition attester.time When the composition was attested. Set attester.mode as appropriate (e.g., professional).
header.legalAuthentication Document legal authentication details. related-to Composition attester Legal authenticator. Use attester.mode = "legal".
header.legalAuthentication.legalAuthenticator The person taking responsibility for the medical content of the document. related-to Composition attester.party Legal authenticator party. Use attester.mode = "legal".
header.legalAuthentication.datetime Date and time when the document was authorised. equivalent Composition attester.time When the composition was attested. Use attester.mode = "legal".
header.eventType Categorisation of the event covered by the document. related-to Composition event.code Codes describing the event(s) related to the composition. Clarify whether codes reflect event tags or document classification.
header.serviceSpecialty Additional details about where the content was created (e.g. clinical specialty). source-is-narrower-than-target Composition category Categorizes the composition. Service Speciality is out of scope for a Patient Summary. Give feedback to Xt-EHR.
header.custodian Organisation that is in charge of maintaining the document/report. equivalent Composition custodian Organization responsible for maintenance. Reference to Organization.
header.confidentiality Level of confidentiality of the document. equivalent Composition confidentiality As defined by confidentiality codes. Implicit value is normal.
presentedForm A narrative easy-to-read representation of the full data set (e.g. PDF). related-to DocumentReference content.attachment Embedded or referenced rendition of the Patient Summary. Include a DocumentReference in the bundle linked from Composition via event/relatesTo if provided.
alerts Section: Alerts. equivalent Composition section:sectionAlerts Alert section Use LOINC 104605-1
alerts.narrative Narrative content of the section. equivalent Composition section.text Narrative for Alerts section.
alerts.emptyReason Reason for absence of data. equivalent Composition section.emptyReason Why no alerts are present.
alerts.medicalAlert Description of medical alerts. equivalent Composition section:sectionAlert.entry:flag Alert entries. Reference to FlagEuCore.
allergiesAndIntolerances Section: Allergies and intolerances. equivalent Composition section:sectionAllergies Allergy and intolerance section. Mandatory slice in CompositionEuEps.
allergiesAndIntolerances.narrative Text summary of the content in section. equivalent Composition section.text Narrative for Allergies section.
allergiesAndIntolerances.allergyIntolerance List of structured allergies and intolerances. equivalent Composition section:sectionAllergies.entry:allergyOrIntolerance Allergy intolerance entries. Reference to AllergyIntoleranceEuCore.
allergiesAndIntolerances.emptyReason Use if no Allergies are listed. equivalent Composition section.emptyReason Reason for missing allergy data.
problems Medical problems. equivalent Composition section:sectionProblems Active problems section. Use LOINC 11450-4
problems.narrative Text summary of the content in the section. equivalent Composition section.text Narrative for Problems section.
problems.emptyReason Reason for absence of data. equivalent Composition section.emptyReason Why no problems are listed.
problems.problems Health conditions affecting the patient. equivalent Composition section:sectionProblems.entry:problem Problem entries. Reference to ConditionEuEps.
medicationSummary Section: Medication Summary. equivalent Composition section:sectionMedications Medication summary section. Use LOINC 10160-0
medicationSummary.narrative Text summary of the content in the section. equivalent Composition section.text Narrative for Medication section.
medicationSummary.emptyReason Use if no medicines are listed. equivalent Composition section.emptyReason Reason for missing medication data.
medicationSummary.medicationTreatment Medication treatment/prescription relevant for this patient summary. equivalent Composition section:sectionMedications.entry:medicationStatementOrRequest Medication entries. Reference to MedicationStatementEuEps (or MedicationRequest/Administration/Dispense per profile).
medicalDevicesAndImplants Section: Medical devices and implants. equivalent Composition section:sectionMedicalDevices Medical devices section. Use LOINC 46264-8
medicalDevicesAndImplants.narrative Narrative content of the section. equivalent Composition section.text Narrative for devices and implants.
medicalDevicesAndImplants.emptyReason Reason for absence of data. equivalent Composition section.emptyReason Why no devices are listed.
medicalDevicesAndImplants.medicalDevice Implanted and external medical devices. equivalent Composition section:sectionMedicalDevices.entry:deviceStatement Device use entries. Reference to DeviceUseStatementEuEps.
procedures Section: Procedures. equivalent Composition section:sectionProceduresHx Procedures section. Use LOINC 47519-4
procedures.narrative Narrative content of the section. equivalent Composition section.text Narrative for Procedures section.
procedures.emptyReason Reason for absence of data. equivalent Composition section.emptyReason Why no procedures are listed.
procedures.procedure List of procedures. equivalent Composition section:sectionProceduresHx.entry:procedure Procedure entries. Reference to ProcedureEuCore.
vaccination Section: Vaccination/prophylaxis. equivalent Composition section:sectionImmunizations Immunizations section. Use LOINC 11369-6
vaccination.narrative Narrative content of the section. equivalent Composition section.text Narrative for Immunizations section.
vaccination.vaccination Immunisations given to the patient and their status. equivalent Composition section:sectionImmunizations.entry:immunization Immunization entries. Reference to ImmunizationEuCore.
functionalStatus Section: Functional status. equivalent Composition section:sectionFunctionalStatus Functional status section. Use LOINC 47420-5
functionalStatus.narrative Narrative content of the section. equivalent Composition section.text Narrative for Functional Status section.
functionalStatus.functionalStatusAssessment Functional status assessments. equivalent Composition section:sectionFunctionalStatus.entry:functionalStatus Functional status entries. Reference to Observation/Condition representing functional status (per profile guidance).
socialHistory Section: Social history. equivalent Composition section:sectionSocialHistory Social history section. Uses slice defined in CompositionEuEps.
socialHistory.narrative Narrative content of the section. equivalent Composition section.text Narrative for Social History section.
socialHistory.socialHistoryObservation Social history observations related to health. equivalent Composition section:sectionSocialHistory.entry Social history entries. check the target profiles to be used.
pregnancyHistory Section: Pregnancy history. equivalent Composition section:sectionPregnancyHx Pregnancy history section. Use LOINC 10162-6
pregnancyHistory.generatedNarrative Generated text summary of the section. equivalent Composition section.text Narrative for Pregnancy section.
pregnancyHistory.currentPregnancyStatus Current pregnancy status. equivalent Composition section:sectionPregnancyHx.entry:pregnancyStatus Pregnancy status entry. Reference to ObservationPregnancyStatusUvIps.
pregnancyHistory.previousPregnanciesStatus Overall status of previous pregnancies. related-to Composition section:sectionPregnancyHx.entry:pregnancyOutcome Summary of prior pregnancies. Check target profiles. Use ObservationPregnancyOutcomeUvIps or equivalent summary observation.
pregnancyHistory.previousPregnancies History of previous pregnancies. equivalent Composition section:sectionPregnancyHx.entry:pregnancyOutcome Pregnancy outcome entries. Check target profiles. Reference to ObservationPregnancyOutcomeUvIps.
travelHistory Relevant information about the patient's recent travel history. equivalent Composition section:sectionTravelHx Travel history section. Uses LOINC 10182-4. MISSING to be added
travelHistory.narrative Text summary of the content in the section. equivalent Composition section.text Narrative for Travel History section. MISSING to be added
travelHistory.travelHistory Travel history for one country. equivalent Composition section:sectionTravelHx.entry Travel history entries. Reference to ObservationTravelEuHdr. MISSING to be added
patientStory What the patient believes to be important for the attending clinician to know. equivalent Composition section:sectionPatientHx Patient story section. Uses slice defined in CompositionEuEps. check if the propoer loinc code is used and the patient history section is added.
patientStory.narrative Text summary of the content in the section. equivalent Composition section.text Narrative for Patient Story section.
advanceDirectives Section: Advance Directives. equivalent Composition section:sectionAdvanceDirectives Advance directives section. Use LOINC 42348-3
advanceDirectives.narrative Narrative content of the section. equivalent Composition section.text Narrative for Advance Directives section.
advanceDirectives.advanceDirective Provision for healthcare decisions. equivalent Composition section:sectionAdvanceDirectives.entry Advance directive entries. Reference to ConsentEuEps or DocumentReference.
results Section: Observation results. source-is-broader-than-target Composition section:sectionResults Results section. Slice defined for coded results. CHECK IF THIS MAPS TO BOTH DIANGOSTIC RESULTS AND VITAL SIGNS. Section to be refined
results Section: Observation results. source-is-broader-than-target Composition section:sectionVitalSigns Vital Signs section. Slice defined for coded results. CHECK IF THIS MAPS TO BOTH DIANGOSTIC RESULTS AND VITAL SIGNS. Section to be refined
results.narrative Narrative content of the section. equivalent Composition section.text Narrative for Results section.
results.resultObservation[x] Observation results pertaining to the subject of care. equivalent Composition section:sectionResults.entry Result observation entries. Reference to Observation. Target profiles to be defined.
results.resultObservation[x] Observation results pertaining to the subject of care. equivalent Composition section:sectionVitalSigns.entry Result observation entries. Reference to Observation. Target profiles to be defined.
carePlan Section: Care plans. equivalent Composition section:sectionPlanOfCare Care plan section. Slice for plan of care in CompositionEuEps.
carePlan.narrative Narrative containing the plan including proposals, goals, and order requests. equivalent Composition section.text Narrative for Care Plan section.
carePlan.carePlanEntry Describes the intention of how care will be delivered. equivalent Composition section:sectionPlanOfCare.entry Care plan entries. taget profile to be defined

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