EHDSPatientSummary
type: StructureDefinition
node role: treeRoot
id:
  v: EHDSPatientSummary
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition EHDSPatientSummary Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> EHDSPatientSummary 0..* EHDSDocument Patient summary model Elements defined in Ancestors:header, presentedForm, header, knowledgeResources Instances of this logical model can be the target of a Reference #xD; alerts 1..1 Base Section: Alerts. #xD; narrative 0..1 string Narrative, potentially formatted, content of the section #xD; emptyReason 0..1 CodeableConcept Reason for absence of data #xD; medicalAlert 0..* EHDSAlert Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat. #xD; allergiesAndIntolerances 1..1 Base Section: Allergies and intolerances #xD; narrative 1..1 string Text summary of the content in section #xD; allergyIntolerance 0..* EHDSAllergyIntolerance List of structured allergies and intolerances #xD; emptyReason 0..1 CodeableConcept Use if no Allergies are listed Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason #xD; problems 1..1 Base Medical problems. #xD; narrative 0..1 string Text summary of the content in the section #xD; emptyReason 0..1 CodeableConcept Use if no conditions are listed #xD; problems 0..* EHDSCondition !!Health conditions affecting the health of the patient.!! #xD; medicationSummary 1..1 Base Section: Medication Summary. #xD; narrative 0..1 string Text summary of the content in the section #xD; emptyReason 0..1 CodeableConcept Use if no medicines are listed #xD; medicationTreatment 0..* EHDSMedicationStatement Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not. #xD; medicalDevicesAndImplants 1..1 Base Section…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
    l: structuredefinition-type-characteristics
  value: Code
    v: can-be-target
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
    l: structuredefinition-type-characteristics
  value: Code
    v: can-be-target
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
    l: structuredefinition-type-characteristics
  value: Code
    v: can-be-target
url:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatientSummary
  l: EHDSPatientSummary
version:
  v: 0.1.0
name:
  v: EHDSPatientSummary
title:
  v: Patient summary model
status:
  v: draft
date:
  v: 2025-08-05T08:51:00+00:00
publisher:
  v: HL7 Europe
contact:
  name:
    v: Xt-EHR
  telecom:
    system:
      v: url
    value:
      v: http://Xt-EHR.eu
description:
  v: EHDS refined base model for Patient Summary
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 150
    display:
      v: Europe
copyright:
  v: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatientSummary
  l: EHDSPatientSummary
base definition:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDocument
  l: EHDSDocument
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 0.1.0
  element:
    id:
      v: EHDSPatientSummary
    path:
      v: EHDSPatientSummary
    short:
      v: Patient summary model
    definition:
      v: EHDS refined base model for Patient Summary
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
  element:
    id:
      v: EHDSPatientSummary.header
    path:
      v: EHDSPatientSummary.header
    short:
      v: Document header elements
    definition:
      v: Common header for all patient-related data
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: EHDSDataSet.header
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: Base
        l: Base
  element:
    id:
      v: EHDSPatientSummary.header.subject
    path:
      v: EHDSPatientSummary.header.subject
    short:
      v: Subject
    definition:
      v: Patient/subject information
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: EHDSDataSet.header.subject
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
        l: EHDSPatient
  element:
    id:
      v: EHDSPatientSummary.header.identifier
    path:
      v: EHDSPatientSummary.header.identifier
    short:
      v: Document ID
    definition:
      v: Unique identifier of the document
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: EHDSDataSet.header.identifier
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: Identifier
        l: Identifier
  element:
    id:
      v: EHDSPatientSummary.header.authorship
    path:
      v: EHDSPatientSummary.header.authorship
    short:
      v: Authorship
    definition:
      v: Resource authoring details
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: EHDSDataSet.header.authorship

v: 1

v: *

code:
  v: Base
  l: Base

id:
  v: EHDSPatientSummary.header.authorship.author[x]
path:
  v: EHDSPatientSummary.header.authorship.author[x]
short:
  v: Author
definition:
  v: Author(s) by whom the resource was/were authored. Multiple authors could be provided.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.authorship.author[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
    l: EHDSHealthProfessional
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
    l: EHDSOrganisation
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
    l: EHDSDevice

id:
  v: EHDSPatientSummary.header.authorship.datetime
path:
  v: EHDSPatientSummary.header.authorship.datetime
short:
  v: Date and time of authoring/issuing
definition:
  v: Date and time of the issuing the document/resource by its author.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.authorship.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: EHDSPatientSummary.header.lastUpdate
path:
  v: EHDSPatientSummary.header.lastUpdate
short:
  v: Date and time of the last update to the resource
definition:
  v: Date and time of the last update to the document/information
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.lastUpdate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: EHDSPatientSummary.header.status
path:
  v: EHDSPatientSummary.header.status
short:
  v: Status of the resource
definition:
  v: Status of the resource
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.header.statusReason[x]
path:
  v: EHDSPatientSummary.header.statusReason[x]
short:
  v: Reason for the current status of the resource.
definition:
  v: Reason for the current status of the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.statusReason[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.header.language
path:
  v: EHDSPatientSummary.header.language
short:
  v: Language
definition:
  v: Language in which the resource is written. Language is expressed by the IETF language tag.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: BCP 47

id:
  v: EHDSPatientSummary.header.version
path:
  v: EHDSPatientSummary.header.version
short:
  v: Version
definition:
  v: Business version of the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.presentedForm
path:
  v: EHDSPatientSummary.presentedForm
short:
  v: A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
definition:
  v: A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDataSet.presentedForm
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
    l: EHDSAttachment

id:
  v: EHDSPatientSummary.header.documentType
path:
  v: EHDSPatientSummary.header.documentType
short:
  v: Document type
definition:
  v: Identifies the type of document at hand, e.g. Discharge report.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentType
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: LOINC

id:
  v: EHDSPatientSummary.header.documentTitle
path:
  v: EHDSPatientSummary.header.documentTitle
short:
  v: Document title
definition:
  v: Document title, such as Discharge Report, Laboratory Result Report, etc.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentTitle
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.header.documentStatus
path:
  v: EHDSPatientSummary.header.documentStatus
short:
  v: Document status
definition:
  v: The status of the Discharge report. E.g., preliminary, final.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentStatus
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: hl7:CompositionStatus

id:
  v: EHDSPatientSummary.header.period
path:
  v: EHDSPatientSummary.header.period
short:
  v: Period
definition:
  v: Time of service that is being documented
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period

id:
  v: EHDSPatientSummary.header.attestation
path:
  v: EHDSPatientSummary.header.attestation
short:
  v: Attestation
definition:
  v: Document attestation details
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.attestation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.header.attestation.attester
path:
  v: EHDSPatientSummary.header.attestation.attester
short:
  v: Attester
definition:
  v: Attester who validated the document. Mulitple attesters could be provided.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.attestation.attester
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
    l: EHDSHealthProfessional

id:
  v: EHDSPatientSummary.header.attestation.datetime
path:
  v: EHDSPatientSummary.header.attestation.datetime
short:
  v: DateTime
definition:
  v: Date and time of the approval of the document by Attester.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.attestation.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: EHDSPatientSummary.header.legalAuthentication
path:
  v: EHDSPatientSummary.header.legalAuthentication
short:
  v: Legal authentication
definition:
  v: Document legal authentication
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.header.legalAuthentication.legalAuthenticator
path:
  v: EHDSPatientSummary.header.legalAuthentication.legalAuthenticator
short:
  v: Legal authenticator
definition:
  v: The person taking responsibility for the medical content of the document
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication.legalAuthenticator
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
    l: EHDSHealthProfessional

id:
  v: EHDSPatientSummary.header.legalAuthentication.datetime
path:
  v: EHDSPatientSummary.header.legalAuthentication.datetime
short:
  v: DateTime
definition:
  v: Date and time when the document was authorized.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: EHDSPatientSummary.header.eventType
path:
  v: EHDSPatientSummary.header.eventType
short:
  v: Event type
definition:
  v: Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.eventType
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: LOINC, SNOMED CT, dicom-cid-33-Modality

id:
  v: EHDSPatientSummary.header.authorSpecialty
path:
  v: EHDSPatientSummary.header.authorSpecialty
short:
  v: Specialty
definition:
  v: Additional details about where the content was created (e.g. clinical specialty)
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.authorSpecialty
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSPatientSummary.header.custodian
path:
  v: EHDSPatientSummary.header.custodian
short:
  v: Document custodian
definition:
  v: Organisation that is in charge of maintaining the document/report.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.custodian
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
    l: EHDSOrganisation

id:
  v: EHDSPatientSummary.header.documentFormat
path:
  v: EHDSPatientSummary.header.documentFormat
short:
  v: Document format
definition:
  v: An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentFormat
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: HL7 Document Format Codes

id:
  v: EHDSPatientSummary.header.confidentiality
path:
  v: EHDSPatientSummary.header.confidentiality
short:
  v: Confidentiality
definition:
  v: Level of confidentiality of the document. Implicit value is normal.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.confidentiality
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: hl7:Confidentiality

id:
  v: EHDSPatientSummary.knowledgeResources
path:
  v: EHDSPatientSummary.knowledgeResources
short:
  v: Related documents and information sources
definition:
  v: Related documents and information sources
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.knowledgeResources
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.knowledgeResources.externalReference
path:
  v: EHDSPatientSummary.knowledgeResources.externalReference
short:
  v: ...
definition:
  v: ...
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.knowledgeResources.externalReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: RelatedArtifact
    l: RelatedArtifact

id:
  v: EHDSPatientSummary.knowledgeResources.relatedTo
path:
  v: EHDSPatientSummary.knowledgeResources.relatedTo
short:
  v: ...
definition:
  v: ...
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.knowledgeResources.relatedTo
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference

id:
  v: EHDSPatientSummary.alerts
path:
  v: EHDSPatientSummary.alerts
short:
  v: Section: Alerts.
definition:
  v: Information about substantial alerts or warnings that health professionals should be aware of.
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.alerts
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.alerts.narrative
path:
  v: EHDSPatientSummary.alerts.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.alerts.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.alerts.emptyReason
path:
  v: EHDSPatientSummary.alerts.emptyReason
short:
  v: Reason for absence of data
definition:
  v: Reason for absence of data
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.alerts.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.alerts.medicalAlert
path:
  v: EHDSPatientSummary.alerts.medicalAlert
short:
  v: Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
definition:
  v: Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
requirements:
  v: ISO IPS
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.alerts.medicalAlert
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlert
    l: EHDSAlert

id:
  v: EHDSPatientSummary.allergiesAndIntolerances
path:
  v: EHDSPatientSummary.allergiesAndIntolerances
short:
  v: Section: Allergies and intolerances
definition:
  v: Section: Allergies and intolerances
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.allergiesAndIntolerances.narrative
path:
  v: EHDSPatientSummary.allergiesAndIntolerances.narrative
short:
  v: Text summary of the content in section
definition:
  v: Text summary of the content in section
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances.narrative
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
path:
  v: EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
short:
  v: List of structured allergies and intolerances
definition:
  v: List of structured allergies and intolerances
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
    l: EHDSAllergyIntolerance

id:
  v: EHDSPatientSummary.allergiesAndIntolerances.emptyReason
path:
  v: EHDSPatientSummary.allergiesAndIntolerances.emptyReason
short:
  v: Use if no Allergies are listed
definition:
  v: Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
requirements:
  v: This element is present in MyHealth@EU specifications and ISO IPS. The proposed way of modelling is identical to the newest version of FHIR IPS IG. See general description of Patient summary modelling for more information about this element. MH@EU has a similar concept, but it is modelled in slightly different way.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason

id:
  v: EHDSPatientSummary.problems
path:
  v: EHDSPatientSummary.problems
short:
  v: Medical problems.
definition:
  v: Conditions that are important to be known for a health professional during a health encounter.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.problems
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.problems.narrative
path:
  v: EHDSPatientSummary.problems.narrative
short:
  v: Text summary of the content in the section
definition:
  v: Text summary of the content in the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.problems.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.problems.emptyReason
path:
  v: EHDSPatientSummary.problems.emptyReason
short:
  v: Use if no conditions are listed
definition:
  v: Use if no conditions are listed
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.problems.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.problems.problems
path:
  v: EHDSPatientSummary.problems.problems
short:
  v: !!Health conditions affecting the health of the patient.!!
definition:
  v: !!Health conditions affecting the health of the patient.!!
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.problems.problems
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
    l: EHDSCondition

id:
  v: EHDSPatientSummary.medicationSummary
path:
  v: EHDSPatientSummary.medicationSummary
short:
  v: Section: Medication Summary.
definition:
  v: Current and relevant past medicine.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.medicationSummary
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.medicationSummary.narrative
path:
  v: EHDSPatientSummary.medicationSummary.narrative
short:
  v: Text summary of the content in the section
definition:
  v: Text summary of the content in the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.medicationSummary.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.medicationSummary.emptyReason
path:
  v: EHDSPatientSummary.medicationSummary.emptyReason
short:
  v: Use if no medicines are listed
definition:
  v: Use if no medicines are listed
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.medicationSummary.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.medicationSummary.medicationTreatment
path:
  v: EHDSPatientSummary.medicationSummary.medicationTreatment
short:
  v: Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
definition:
  v: Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.medicationSummary.medicationTreatment
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationStatement
    l: EHDSMedicationStatement

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants
short:
  v: Section: Medical devices and implants
definition:
  v: Section: Medical devices and implants
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.medicalDevicesAndImplants
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants.narrative
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.medicalDevicesAndImplants.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
short:
  v: Reason for absence of data
definition:
  v: Reason for absence of data
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
short:
  v: Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
definition:
  v: Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDeviceUse
    l: EHDSDeviceUse

id:
  v: EHDSPatientSummary.procedures
path:
  v: EHDSPatientSummary.procedures
short:
  v: Section: Procedures
definition:
  v: Section: Procedures
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.procedures
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.procedures.narrative
path:
  v: EHDSPatientSummary.procedures.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.procedures.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.procedures.emptyReason
path:
  v: EHDSPatientSummary.procedures.emptyReason
short:
  v: Reason for absence of data
definition:
  v: Reason for absence of data
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.procedures.emptyReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.procedures.procedure
path:
  v: EHDSPatientSummary.procedures.procedure
short:
  v: List of procedures
definition:
  v: List of procedures
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.procedures.procedure
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
    l: EHDSProcedure

id:
  v: EHDSPatientSummary.vaccination
path:
  v: EHDSPatientSummary.vaccination
short:
  v: Section: Vaccination/prophylaxis.
definition:
  v: A patient's immunisation status. The section should include current immunization status and may contain the entire immunization history that is relevant to the period of time being summarised. Adverse reactions against vaccines should be documented in the allergy section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.vaccination
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.vaccination.narrative
path:
  v: EHDSPatientSummary.vaccination.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.vaccination.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.vaccination.vaccination
path:
  v: EHDSPatientSummary.vaccination.vaccination
short:
  v: Immunisations given to the patient and their status at the point of care.
definition:
  v: Immunisations given to the patient and their status at the point of care.
requirements:
  v: eHN PS Guideline
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.vaccination.vaccination
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImmunisation
    l: EHDSImmunisation

id:
  v: EHDSPatientSummary.functionalStatus
path:
  v: EHDSPatientSummary.functionalStatus
short:
  v: Section: Functional status
definition:
  v: Section: Functional status
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.functionalStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.functionalStatus.narrative
path:
  v: EHDSPatientSummary.functionalStatus.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.functionalStatus.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.functionalStatus.functionalStatusAssessment
path:
  v: EHDSPatientSummary.functionalStatus.functionalStatusAssessment
short:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
definition:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.functionalStatus.functionalStatusAssessment
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus
    l: EHDSFunctionalStatus

id:
  v: EHDSPatientSummary.socialHistory
path:
  v: EHDSPatientSummary.socialHistory
short:
  v: Section: Social history.
definition:
  v: Observations on social factors such as alcohol consumption or smoking. From the healthcare perspective, life-style factors relate to well-being but can also provide a source of risk factors.
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.socialHistory
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.socialHistory.narrative
path:
  v: EHDSPatientSummary.socialHistory.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.socialHistory.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.socialHistory.socialHistoryObservation
path:
  v: EHDSPatientSummary.socialHistory.socialHistoryObservation
short:
  v: Social history observations related to health
definition:
  v: Health related lifestyle factors or lifestyle observations and social determinants of health. Example: cigarette smoker, alcohol consumption
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.socialHistory.socialHistoryObservation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSocialHistory
    l: EHDSSocialHistory

id:
  v: EHDSPatientSummary.pregnancyHistory
path:
  v: EHDSPatientSummary.pregnancyHistory
short:
  v: Section: Pregnancy history
definition:
  v: To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.pregnancyHistory
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.pregnancyHistory.generatedNarrative
path:
  v: EHDSPatientSummary.pregnancyHistory.generatedNarrative
short:
  v: Generated text summary of the content in the section, for human interpretation
definition:
  v: Generated text summary of the content in the section, for human interpretation
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.pregnancyHistory.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
path:
  v: EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
short:
  v: Current pregnancy status
definition:
  v: Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
    l: EHDSCurrentPregnancy

id:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
path:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
short:
  v: Overall status of previous pregnancies
definition:
  v: Overall status of previous pregnancies, including — Yes, previous pregnancies — No, previous pregnancies — Unknown
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnancies
path:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnancies
short:
  v: History of previous pregnancies
definition:
  v: Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.pregnancyHistory.previousPregnancies
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPregnancyHistory
    l: EHDSPregnancyHistory

id:
  v: EHDSPatientSummary.travelHistory
path:
  v: EHDSPatientSummary.travelHistory
short:
  v: Relevant information about the patient's recent travel history
definition:
  v: Captures relevant information about the patient's recent travel history that may be of clinical relevance — particularly in relation to exposure to infectious diseases, epidemiological risks, or environmental factors. The intent is to support clinical decision-making and risk assessment, especially in contexts such as outbreaks or endemic disease regions.
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.travelHistory
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.travelHistory.narrative
path:
  v: EHDSPatientSummary.travelHistory.narrative
short:
  v: Text summary of the content in the section
definition:
  v: Text summary of the content in the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.travelHistory.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.travelHistory.travelHistory
path:
  v: EHDSPatientSummary.travelHistory.travelHistory
short:
  v: Travel history for one country
definition:
  v: Travel history for one country
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.travelHistory.travelHistory
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSTravelHistory
    l: EHDSTravelHistory

id:
  v: EHDSPatientSummary.patientStory
path:
  v: EHDSPatientSummary.patientStory
short:
  v: What the patient believes to be important for the attending clinician to know.
definition:
  v: A concise narrative from the patient’s perspective about their present health state. This is a record of the things that a person feels it is important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.
requirements:
  v: ISO IPS
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.patientStory
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.patientStory.narrative
path:
  v: EHDSPatientSummary.patientStory.narrative
short:
  v: Text summary of the content in the section
definition:
  v: Text summary of the content in the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.patientStory.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.advanceDirectives
path:
  v: EHDSPatientSummary.advanceDirectives
short:
  v: Section: Advance Directives.
definition:
  v: Provision for healthcare decisions if, in the future, a person is unable to make those decisions.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.advanceDirectives
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.advanceDirectives.narrative
path:
  v: EHDSPatientSummary.advanceDirectives.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.advanceDirectives.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.advanceDirectives.advanceDirective
path:
  v: EHDSPatientSummary.advanceDirectives.advanceDirective
short:
  v: Provision for healthcare decisions if, in the future, a person is unable to make those decisions
definition:
  v: Provision for healthcare decisions if, in the future, a person is unable to make those decisions
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.advanceDirectives.advanceDirective
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective
    l: EHDSAdvanceDirective

id:
  v: EHDSPatientSummary.results
path:
  v: EHDSPatientSummary.results
short:
  v: Section: Observation results.
definition:
  v: Relevant observation results obtained on the patient. These may be measurements, laboratory results, anatomic pathology results, radiology results or other imaging or clinical results.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.results
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.results.narrative
path:
  v: EHDSPatientSummary.results.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.results.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.results.resultObservation[x]
path:
  v: EHDSPatientSummary.results.resultObservation[x]
short:
  v: Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
definition:
  v: Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.results.resultObservation[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
    l: EHDSObservation
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSLaboratoryObservation
    l: EHDSLaboratoryObservation

id:
  v: EHDSPatientSummary.carePlan
path:
  v: EHDSPatientSummary.carePlan
short:
  v: Section: Care plans.
definition:
  v: Therapeutic recommendations that do not include pharmacologic treatments, such as diet, physical exercise, planned surgeries
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.carePlan
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.carePlan.narrative
path:
  v: EHDSPatientSummary.carePlan.narrative
short:
  v: Narrative containing the plan including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. In the future it is expected that this Section could be provided in a structured and coded format.
definition:
  v: Narrative containing the plan including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. In the future it is expected that this Section could be provided in a structured and coded format.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSPatientSummary.carePlan.narrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.carePlan.carePlanEntry
path:
  v: EHDSPatientSummary.carePlan.carePlanEntry
short:
  v: Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
definition:
  v: Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSPatientSummary.carePlan.carePlanEntry
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan
    l: EHDSCarePlan

element:
  id:
    v: EHDSPatientSummary
  path:
    v: EHDSPatientSummary
  short:
    v: Patient summary model
  definition:
    v: EHDS refined base model for Patient Summary
element:
  id:
    v: EHDSPatientSummary.alerts
  path:
    v: EHDSPatientSummary.alerts
  short:
    v: Section: Alerts.
  definition:
    v: Information about substantial alerts or warnings that health professionals should be aware of.
  requirements:
    v: eHN PS Guideline, MyHealth@EU, ISO IPS
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: EHDSPatientSummary.alerts.narrative
  path:
    v: EHDSPatientSummary.alerts.narrative
  short:
    v: Narrative, potentially formatted, content of the section
  definition:
    v: Narrative, potentially formatted, content of the section
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: EHDSPatientSummary.alerts.emptyReason
  path:
    v: EHDSPatientSummary.alerts.emptyReason
  short:
    v: Reason for absence of data
  definition:
    v: Reason for absence of data
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
element:
  id:
    v: EHDSPatientSummary.alerts.medicalAlert
  path:
    v: EHDSPatientSummary.alerts.medicalAlert
  short:
    v: Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
  definition:
    v: Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
  requirements:
    v: ISO IPS
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlert
      l: EHDSAlert
element:
  id:
    v: EHDSPatientSummary.allergiesAndIntolerances
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances
  short:
    v: Section: Allergies and intolerances
  definition:
    v: Section: Allergies and intolerances
  requirements:
    v: eHN PS Guideline, MyHealth@EU, ISO IPS
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: EHDSPatientSummary.allergiesAndIntolerances.narrative
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances.narrative
  short:
    v: Text summary of the content in section
  definition:
    v: Text summary of the content in section
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
  short:
    v: List of structured allergies and intolerances
  definition:
    v: List of structured allergies and intolerances
  requirements:
    v: eHN PS Guideline, MyHealth@EU, ISO IPS
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
      l: EHDSAllergyIntolerance
element:
  id:
    v: EHDSPatientSummary.allergiesAndIntolerances.emptyReason
  path:
    v: EHDSPatientSummary.allergiesAndIntolerances.emptyReason
  short:
    v: Use if no Allergies are listed
  definition:
    v: Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
  requirements:
    v: This element is present in MyHealth@EU specifications and ISO IPS. The proposed way of modelling is identical to the newest version of FHIR IPS IG. See general description of Patient summary modelling for more information about this element. MH@EU has a similar concept, but it is modelled in slightly different way.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
  binding:
    strength:
      v: preferred
    description:
      v: 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
element:
  id:
    v: EHDSPatientSummary.problems
  path:
    v: EHDSPatientSummary.problems
  short:
    v: Medical problems.
  definition:
    v: Conditions that are important to be known for a health professional during a health encounter.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: EHDSPatientSummary.problems.narrative
  path:
    v: EHDSPatientSummary.problems.narrative
  short:
    v: Text summary of the content in the section
  definition:
    v: Text summary of the content in the section
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: EHDSPatientSummary.problems.emptyReason
  path:
    v: EHDSPatientSummary.problems.emptyReason
  short:
    v: Use if no conditions are listed

v: Use if no conditions are listed

v: 0

v: 1

code:
  v: CodeableConcept
  l: CodeableConcept

id:
  v: EHDSPatientSummary.problems.problems
path:
  v: EHDSPatientSummary.problems.problems
short:
  v: !!Health conditions affecting the health of the patient.!!
definition:
  v: !!Health conditions affecting the health of the patient.!!
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
    l: EHDSCondition

id:
  v: EHDSPatientSummary.medicationSummary
path:
  v: EHDSPatientSummary.medicationSummary
short:
  v: Section: Medication Summary.
definition:
  v: Current and relevant past medicine.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.medicationSummary.narrative
path:
  v: EHDSPatientSummary.medicationSummary.narrative
short:
  v: Text summary of the content in the section
definition:
  v: Text summary of the content in the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.medicationSummary.emptyReason
path:
  v: EHDSPatientSummary.medicationSummary.emptyReason
short:
  v: Use if no medicines are listed
definition:
  v: Use if no medicines are listed
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.medicationSummary.medicationTreatment
path:
  v: EHDSPatientSummary.medicationSummary.medicationTreatment
short:
  v: Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
definition:
  v: Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationStatement
    l: EHDSMedicationStatement

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants
short:
  v: Section: Medical devices and implants
definition:
  v: Section: Medical devices and implants
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants.narrative
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
short:
  v: Reason for absence of data
definition:
  v: Reason for absence of data
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
path:
  v: EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
short:
  v: Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
definition:
  v: Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDeviceUse
    l: EHDSDeviceUse

id:
  v: EHDSPatientSummary.procedures
path:
  v: EHDSPatientSummary.procedures
short:
  v: Section: Procedures
definition:
  v: Section: Procedures
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.procedures.narrative
path:
  v: EHDSPatientSummary.procedures.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.procedures.emptyReason
path:
  v: EHDSPatientSummary.procedures.emptyReason
short:
  v: Reason for absence of data
definition:
  v: Reason for absence of data
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.procedures.procedure
path:
  v: EHDSPatientSummary.procedures.procedure
short:
  v: List of procedures
definition:
  v: List of procedures
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
    l: EHDSProcedure

id:
  v: EHDSPatientSummary.vaccination
path:
  v: EHDSPatientSummary.vaccination
short:
  v: Section: Vaccination/prophylaxis.
definition:
  v: A patient's immunisation status. The section should include current immunization status and may contain the entire immunization history that is relevant to the period of time being summarised. Adverse reactions against vaccines should be documented in the allergy section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.vaccination.narrative
path:
  v: EHDSPatientSummary.vaccination.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.vaccination.vaccination
path:
  v: EHDSPatientSummary.vaccination.vaccination
short:
  v: Immunisations given to the patient and their status at the point of care.
definition:
  v: Immunisations given to the patient and their status at the point of care.
requirements:
  v: eHN PS Guideline
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImmunisation
    l: EHDSImmunisation

id:
  v: EHDSPatientSummary.functionalStatus
path:
  v: EHDSPatientSummary.functionalStatus
short:
  v: Section: Functional status
definition:
  v: Section: Functional status
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.functionalStatus.narrative
path:
  v: EHDSPatientSummary.functionalStatus.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.functionalStatus.functionalStatusAssessment
path:
  v: EHDSPatientSummary.functionalStatus.functionalStatusAssessment
short:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
definition:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus
    l: EHDSFunctionalStatus

id:
  v: EHDSPatientSummary.socialHistory
path:
  v: EHDSPatientSummary.socialHistory
short:
  v: Section: Social history.
definition:
  v: Observations on social factors such as alcohol consumption or smoking. From the healthcare perspective, life-style factors relate to well-being but can also provide a source of risk factors.
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.socialHistory.narrative
path:
  v: EHDSPatientSummary.socialHistory.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.socialHistory.socialHistoryObservation
path:
  v: EHDSPatientSummary.socialHistory.socialHistoryObservation
short:
  v: Social history observations related to health
definition:
  v: Health related lifestyle factors or lifestyle observations and social determinants of health. Example: cigarette smoker, alcohol consumption
requirements:
  v: eHN PS Guideline, MyHealth@EU, ISO IPS
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSocialHistory
    l: EHDSSocialHistory

id:
  v: EHDSPatientSummary.pregnancyHistory
path:
  v: EHDSPatientSummary.pregnancyHistory
short:
  v: Section: Pregnancy history
definition:
  v: To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.pregnancyHistory.generatedNarrative
path:
  v: EHDSPatientSummary.pregnancyHistory.generatedNarrative
short:
  v: Generated text summary of the content in the section, for human interpretation
definition:
  v: Generated text summary of the content in the section, for human interpretation
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
path:
  v: EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
short:
  v: Current pregnancy status
definition:
  v: Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
    l: EHDSCurrentPregnancy

id:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
path:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
short:
  v: Overall status of previous pregnancies
definition:
  v: Overall status of previous pregnancies, including — Yes, previous pregnancies — No, previous pregnancies — Unknown
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnancies
path:
  v: EHDSPatientSummary.pregnancyHistory.previousPregnancies
short:
  v: History of previous pregnancies
definition:
  v: Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPregnancyHistory
    l: EHDSPregnancyHistory

id:
  v: EHDSPatientSummary.travelHistory
path:
  v: EHDSPatientSummary.travelHistory
short:
  v: Relevant information about the patient's recent travel history
definition:
  v: Captures relevant information about the patient's recent travel history that may be of clinical relevance — particularly in relation to exposure to infectious diseases, epidemiological risks, or environmental factors. The intent is to support clinical decision-making and risk assessment, especially in contexts such as outbreaks or endemic disease regions.
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.travelHistory.narrative
path:
  v: EHDSPatientSummary.travelHistory.narrative
short:
  v: Text summary of the content in the section
definition:
  v: Text summary of the content in the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.travelHistory.travelHistory
path:
  v: EHDSPatientSummary.travelHistory.travelHistory
short:
  v: Travel history for one country
definition:
  v: Travel history for one country
requirements:
  v: eHN PS Guideline, ISO IPS
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSTravelHistory
    l: EHDSTravelHistory

id:
  v: EHDSPatientSummary.patientStory
path:
  v: EHDSPatientSummary.patientStory
short:
  v: What the patient believes to be important for the attending clinician to know.
definition:
  v: A concise narrative from the patient’s perspective about their present health state. This is a record of the things that a person feels it is important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.
requirements:
  v: ISO IPS
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.patientStory.narrative
path:
  v: EHDSPatientSummary.patientStory.narrative
short:
  v: Text summary of the content in the section
definition:
  v: Text summary of the content in the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.advanceDirectives
path:
  v: EHDSPatientSummary.advanceDirectives
short:
  v: Section: Advance Directives.
definition:
  v: Provision for healthcare decisions if, in the future, a person is unable to make those decisions.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.advanceDirectives.narrative
path:
  v: EHDSPatientSummary.advanceDirectives.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.advanceDirectives.advanceDirective
path:
  v: EHDSPatientSummary.advanceDirectives.advanceDirective
short:
  v: Provision for healthcare decisions if, in the future, a person is unable to make those decisions
definition:
  v: Provision for healthcare decisions if, in the future, a person is unable to make those decisions
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective
    l: EHDSAdvanceDirective

id:
  v: EHDSPatientSummary.results
path:
  v: EHDSPatientSummary.results
short:
  v: Section: Observation results.
definition:
  v: Relevant observation results obtained on the patient. These may be measurements, laboratory results, anatomic pathology results, radiology results or other imaging or clinical results.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.results.narrative
path:
  v: EHDSPatientSummary.results.narrative
short:
  v: Narrative, potentially formatted, content of the section
definition:
  v: Narrative, potentially formatted, content of the section
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.results.resultObservation[x]
path:
  v: EHDSPatientSummary.results.resultObservation[x]
short:
  v: Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
definition:
  v: Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation
    l: EHDSObservation
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSLaboratoryObservation
    l: EHDSLaboratoryObservation

id:
  v: EHDSPatientSummary.carePlan
path:
  v: EHDSPatientSummary.carePlan
short:
  v: Section: Care plans.
definition:
  v: Therapeutic recommendations that do not include pharmacologic treatments, such as diet, physical exercise, planned surgeries
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSPatientSummary.carePlan.narrative
path:
  v: EHDSPatientSummary.carePlan.narrative
short:
  v: Narrative containing the plan including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. In the future it is expected that this Section could be provided in a structured and coded format.
definition:
  v: Narrative containing the plan including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. In the future it is expected that this Section could be provided in a structured and coded format.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSPatientSummary.carePlan.carePlanEntry
path:
  v: EHDSPatientSummary.carePlan.carePlanEntry
short:
  v: Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
definition:
  v: Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan
    l: EHDSCarePlan