EHDSPatientSummary to Composition (EPS)

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 → 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.

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

Source logical model: EHDSPatientSummary
Target FHIR profile: CompositionEuEps
Target FHIR profile: BundleEuEps

EHDSPatientSummary → Composition, Bundle (EPS)
EHDSPatientSummary (Logical Model)		Relationship	Composition, Bundle (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. THE PATIENT HISTORY SECTION IS NOT DEFINED IN XT-EHR MODEL BUT PRESENT IN THE GUIDELINES.
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	Type of document.	Fixed LOINC 60591-5
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:sectionAlerts.text	Narrative for Alerts section.
alerts.emptyReason	Reason for absence of data.	equivalent	Composition	section:sectionAlerts.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:sectionAllergies.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:sectionAllergies.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:sectionProblems.text	Narrative for Problems section.
problems.emptyReason	Reason for absence of data.	equivalent	Composition	section:sectionProblems.emptyReason	Why no problems are listed.
problems.problems	Health conditions affecting the patient.	equivalent	Composition	section:sectionProblems.entry:problem	Problem entries.	Reference to ConditionEuCore.
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:sectionMedications.text	Narrative for Medication section.
medicationSummary.emptyReason	Use if no medicines are listed.	equivalent	Composition	section:sectionMedications.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.
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.	The actual content maps better into an Observation profile, not allowed in this section
socialHistory	Section: Social history.	equivalent	Composition	section:sectionSocialHistory	Social history section.
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.
pregnancyHistory.previousPregnanciesStatus	Overall status of previous pregnancies.	related-to	Composition	section:sectionPregnancyHx.entry:previousPregnanciesStatus	Summary of prior pregnancies.	Check target profiles.
pregnancyHistory.previousPregnancies	History of previous pregnancies.	equivalent	Composition	section:sectionPregnancyHx.entry:pregnancyOutcome	Pregnancy outcome entries.
travelHistory	Relevant information about the patient's recent travel history.	equivalent	Composition	section:sectionTravelHx	Travel history section.	Uses LOINC 10182-4.
travelHistory.narrative	Text summary of the content in the section.	equivalent	Composition	section.text	Narrative for Travel History section.
travelHistory.travelHistory	Travel history for one country.	equivalent	Composition	section:sectionTravelHx.entry	Travel history entries.	Reference to ObservationTravelEuEps.
patientStory	What the patient believes to be important for the attending clinician to know.	equivalent	Composition	section:sectionPatientHx	Patient story section.	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.	When the result is a diagnostic result.
results	Section: Observation results.	source-is-broader-than-target	Composition	section:sectionVitalSigns	Vital Signs section.	When the result is a vital sign
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.	When the result is a diagnostic result. Target profiles to be selected/defined.
results.resultObservation[x]	Observation results pertaining to the subject of care.	equivalent	Composition	section:sectionVitalSigns.entry	Result observation entries.	When the result is a vital sign, target profile is http://hl7.org/fhir/StructureDefinition/vitalsigns.
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.

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