HL7 Europe Imaging Study Report
0.1.0-build - ci-build 150

HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging/ and changes regularly. See the Directory of published versions

Logical Model: Patient summary model

Official URL: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatientSummary Version: 0.1.0
Draft as of 2025-08-05 Computable Name: EHDSPatientSummary

Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

EHDS refined base model for Patient Summary

Usages:

  • This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSPatientSummary 0..* EHDSDocument
Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Patient summary model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Document header elements
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganisation EHDSOrganisation
...... authorEHDSDevice EHDSDevice
..... datetime 1..1 dateTime Date and time of authoring/issuing
.... lastUpdate 0..1 dateTime Date and time of the last update to the resource
.... status 1..1 CodeableConcept Status of the resource
.... statusReason[x] 0..1 Reason for the current status of the resource.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... language 0..1 CodeableConcept Language
Binding Description: (preferred): BCP 47
.... version 0..1 string Version
.... documentType 1..1 CodeableConcept Document type
Binding Description: (preferred): LOINC
.... documentTitle 1..1 string Document title
.... documentStatus 1..1 CodeableConcept Document status
Binding Description: (preferred): hl7:CompositionStatus
.... period 0..1 Period Period
.... attestation 0..* Base Attestation
..... attester 1..1 EHDSHealthProfessional Attester
..... datetime 1..1 dateTime DateTime
.... legalAuthentication 0..1 Base Legal authentication
..... legalAuthenticator 1..1 EHDSHealthProfessional Legal authenticator
..... datetime 1..1 dateTime DateTime
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
.... authorSpecialty 0..* CodeableConcept Specialty
Binding Description: (preferred): SNOMED CT
.... custodian 1..1 EHDSOrganisation Document custodian
.... documentFormat 0..1 CodeableConcept Document format
Binding Description: (preferred): HL7 Document Format Codes
.... confidentiality 0..1 CodeableConcept Confidentiality
Binding Description: (preferred): hl7:Confidentiality
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... knowledgeResources 0..* Base Related documents and information sources
.... externalReference 0..* RelatedArtifact ...
.... relatedTo 0..* Reference() ...
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... 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.
... allergiesAndIntolerances 1..1 Base Section: Allergies and intolerances
.... narrative 1..1 string Text summary of the content in section
.... allergyIntolerance 0..* EHDSAllergyIntolerance List of structured allergies and intolerances
.... 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
... problems 1..1 Base Medical problems.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no conditions are listed
.... problems 0..* EHDSCondition !!Health conditions affecting the health of the patient.!!
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no medicines are listed
.... 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.
... medicalDevicesAndImplants 1..1 Base Section: Medical devices and implants
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicalDevice 0..* EHDSDeviceUse 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.
... procedures 1..1 Base Section: Procedures
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... procedure 0..* EHDSProcedure List of procedures
... vaccination 0..1 Base Section: Vaccination/prophylaxis.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunisation Immunisations given to the patient and their status at the point of care.
... functionalStatus 0..1 Base Section: Functional status
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... functionalStatusAssessment 0..* EHDSFunctionalStatus An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
... socialHistory 0..1 Base Section: Social history.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... socialHistoryObservation 0..* EHDSSocialHistory Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... generatedNarrative 0..1 string Generated text summary of the content in the section, for human interpretation
.... currentPregnancyStatus 0..1 EHDSCurrentPregnancy Current pregnancy status
.... previousPregnanciesStatus 0..1 CodeableConcept Overall status of previous pregnancies
.... previousPregnancies 0..* EHDSPregnancyHistory History of previous pregnancies
... travelHistory 0..1 Base Relevant information about the patient's recent travel history
.... narrative 0..1 string Text summary of the content in the section
.... travelHistory 0..* EHDSTravelHistory Travel history for one country
... patientStory 0..1 Base What the patient believes to be important for the attending clinician to know.
.... narrative 0..1 string Text summary of the content in the section
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... advanceDirective 0..* EHDSAdvanceDirective Provision for healthcare decisions if, in the future, a person is unable to make those decisions
... results 0..1 Base Section: Observation results.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... resultObservation[x] 0..* Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
..... resultObservationEHDSObservation EHDSObservation
..... resultObservationEHDSLaboratoryObservation EHDSLaboratoryObservation
... carePlan 0..1 Base Section: Care plans.
.... narrative 0..1 string 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.
.... carePlanEntry 0..* EHDSCarePlan 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSPatientSummary.header.languagepreferred
EHDSPatientSummary.header.documentTypepreferred
EHDSPatientSummary.header.documentStatuspreferred
EHDSPatientSummary.header.eventTypepreferred
EHDSPatientSummary.header.authorSpecialtypreferred
EHDSPatientSummary.header.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.allergiesAndIntolerances.emptyReasonpreferred

This structure is derived from EHDSDocument

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSPatientSummary 0..* EHDSDocument
Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Patient summary model
Instances of this logical model can be the target of a Reference
... alerts 1..1 Base Section: Alerts.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... 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.
... allergiesAndIntolerances 1..1 Base Section: Allergies and intolerances
.... narrative 1..1 string Text summary of the content in section
.... allergyIntolerance 0..* EHDSAllergyIntolerance List of structured allergies and intolerances
.... 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
... problems 1..1 Base Medical problems.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no conditions are listed
.... problems 0..* EHDSCondition !!Health conditions affecting the health of the patient.!!
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no medicines are listed
.... 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.
... medicalDevicesAndImplants 1..1 Base Section: Medical devices and implants
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicalDevice 0..* EHDSDeviceUse 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.
... procedures 1..1 Base Section: Procedures
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... procedure 0..* EHDSProcedure List of procedures
... vaccination 0..1 Base Section: Vaccination/prophylaxis.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunisation Immunisations given to the patient and their status at the point of care.
... functionalStatus 0..1 Base Section: Functional status
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... functionalStatusAssessment 0..* EHDSFunctionalStatus An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
... socialHistory 0..1 Base Section: Social history.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... socialHistoryObservation 0..* EHDSSocialHistory Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... generatedNarrative 0..1 string Generated text summary of the content in the section, for human interpretation
.... currentPregnancyStatus 0..1 EHDSCurrentPregnancy Current pregnancy status
.... previousPregnanciesStatus 0..1 CodeableConcept Overall status of previous pregnancies
.... previousPregnancies 0..* EHDSPregnancyHistory History of previous pregnancies
... travelHistory 0..1 Base Relevant information about the patient's recent travel history
.... narrative 0..1 string Text summary of the content in the section
.... travelHistory 0..* EHDSTravelHistory Travel history for one country
... patientStory 0..1 Base What the patient believes to be important for the attending clinician to know.
.... narrative 0..1 string Text summary of the content in the section
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... advanceDirective 0..* EHDSAdvanceDirective Provision for healthcare decisions if, in the future, a person is unable to make those decisions
... results 0..1 Base Section: Observation results.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... resultObservation[x] 0..* Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
..... resultObservationEHDSObservation EHDSObservation
..... resultObservationEHDSLaboratoryObservation EHDSLaboratoryObservation
... carePlan 0..1 Base Section: Care plans.
.... narrative 0..1 string 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.
.... carePlanEntry 0..* EHDSCarePlan 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.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSPatientSummary.allergiesAndIntolerances.emptyReasonpreferred
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSPatientSummary 0..* EHDSDocument
Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Patient summary model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Document header elements
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganisation EHDSOrganisation
...... authorEHDSDevice EHDSDevice
..... datetime 1..1 dateTime Date and time of authoring/issuing
.... lastUpdate 0..1 dateTime Date and time of the last update to the resource
.... status 1..1 CodeableConcept Status of the resource
.... statusReason[x] 0..1 Reason for the current status of the resource.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... language 0..1 CodeableConcept Language
Binding Description: (preferred): BCP 47
.... version 0..1 string Version
.... documentType 1..1 CodeableConcept Document type
Binding Description: (preferred): LOINC
.... documentTitle 1..1 string Document title
.... documentStatus 1..1 CodeableConcept Document status
Binding Description: (preferred): hl7:CompositionStatus
.... period 0..1 Period Period
.... attestation 0..* Base Attestation
..... attester 1..1 EHDSHealthProfessional Attester
..... datetime 1..1 dateTime DateTime
.... legalAuthentication 0..1 Base Legal authentication
..... legalAuthenticator 1..1 EHDSHealthProfessional Legal authenticator
..... datetime 1..1 dateTime DateTime
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
.... authorSpecialty 0..* CodeableConcept Specialty
Binding Description: (preferred): SNOMED CT
.... custodian 1..1 EHDSOrganisation Document custodian
.... documentFormat 0..1 CodeableConcept Document format
Binding Description: (preferred): HL7 Document Format Codes
.... confidentiality 0..1 CodeableConcept Confidentiality
Binding Description: (preferred): hl7:Confidentiality
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... knowledgeResources 0..* Base Related documents and information sources
.... externalReference 0..* RelatedArtifact ...
.... relatedTo 0..* Reference() ...
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... 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.
... allergiesAndIntolerances 1..1 Base Section: Allergies and intolerances
.... narrative 1..1 string Text summary of the content in section
.... allergyIntolerance 0..* EHDSAllergyIntolerance List of structured allergies and intolerances
.... 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
... problems 1..1 Base Medical problems.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no conditions are listed
.... problems 0..* EHDSCondition !!Health conditions affecting the health of the patient.!!
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no medicines are listed
.... 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.
... medicalDevicesAndImplants 1..1 Base Section: Medical devices and implants
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicalDevice 0..* EHDSDeviceUse 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.
... procedures 1..1 Base Section: Procedures
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... procedure 0..* EHDSProcedure List of procedures
... vaccination 0..1 Base Section: Vaccination/prophylaxis.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunisation Immunisations given to the patient and their status at the point of care.
... functionalStatus 0..1 Base Section: Functional status
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... functionalStatusAssessment 0..* EHDSFunctionalStatus An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
... socialHistory 0..1 Base Section: Social history.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... socialHistoryObservation 0..* EHDSSocialHistory Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... generatedNarrative 0..1 string Generated text summary of the content in the section, for human interpretation
.... currentPregnancyStatus 0..1 EHDSCurrentPregnancy Current pregnancy status
.... previousPregnanciesStatus 0..1 CodeableConcept Overall status of previous pregnancies
.... previousPregnancies 0..* EHDSPregnancyHistory History of previous pregnancies
... travelHistory 0..1 Base Relevant information about the patient's recent travel history
.... narrative 0..1 string Text summary of the content in the section
.... travelHistory 0..* EHDSTravelHistory Travel history for one country
... patientStory 0..1 Base What the patient believes to be important for the attending clinician to know.
.... narrative 0..1 string Text summary of the content in the section
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... advanceDirective 0..* EHDSAdvanceDirective Provision for healthcare decisions if, in the future, a person is unable to make those decisions
... results 0..1 Base Section: Observation results.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... resultObservation[x] 0..* Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
..... resultObservationEHDSObservation EHDSObservation
..... resultObservationEHDSLaboratoryObservation EHDSLaboratoryObservation
... carePlan 0..1 Base Section: Care plans.
.... narrative 0..1 string 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.
.... carePlanEntry 0..* EHDSCarePlan 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSPatientSummary.header.languagepreferred
EHDSPatientSummary.header.documentTypepreferred
EHDSPatientSummary.header.documentStatuspreferred
EHDSPatientSummary.header.eventTypepreferred
EHDSPatientSummary.header.authorSpecialtypreferred
EHDSPatientSummary.header.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.allergiesAndIntolerances.emptyReasonpreferred

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(7 nested mandatory elements)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSPatientSummary 0..* EHDSDocument
Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Patient summary model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Document header elements
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganisation EHDSOrganisation
...... authorEHDSDevice EHDSDevice
..... datetime 1..1 dateTime Date and time of authoring/issuing
.... lastUpdate 0..1 dateTime Date and time of the last update to the resource
.... status 1..1 CodeableConcept Status of the resource
.... statusReason[x] 0..1 Reason for the current status of the resource.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... language 0..1 CodeableConcept Language
Binding Description: (preferred): BCP 47
.... version 0..1 string Version
.... documentType 1..1 CodeableConcept Document type
Binding Description: (preferred): LOINC
.... documentTitle 1..1 string Document title
.... documentStatus 1..1 CodeableConcept Document status
Binding Description: (preferred): hl7:CompositionStatus
.... period 0..1 Period Period
.... attestation 0..* Base Attestation
..... attester 1..1 EHDSHealthProfessional Attester
..... datetime 1..1 dateTime DateTime
.... legalAuthentication 0..1 Base Legal authentication
..... legalAuthenticator 1..1 EHDSHealthProfessional Legal authenticator
..... datetime 1..1 dateTime DateTime
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
.... authorSpecialty 0..* CodeableConcept Specialty
Binding Description: (preferred): SNOMED CT
.... custodian 1..1 EHDSOrganisation Document custodian
.... documentFormat 0..1 CodeableConcept Document format
Binding Description: (preferred): HL7 Document Format Codes
.... confidentiality 0..1 CodeableConcept Confidentiality
Binding Description: (preferred): hl7:Confidentiality
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... knowledgeResources 0..* Base Related documents and information sources
.... externalReference 0..* RelatedArtifact ...
.... relatedTo 0..* Reference() ...
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... 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.
... allergiesAndIntolerances 1..1 Base Section: Allergies and intolerances
.... narrative 1..1 string Text summary of the content in section
.... allergyIntolerance 0..* EHDSAllergyIntolerance List of structured allergies and intolerances
.... 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
... problems 1..1 Base Medical problems.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no conditions are listed
.... problems 0..* EHDSCondition !!Health conditions affecting the health of the patient.!!
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no medicines are listed
.... 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.
... medicalDevicesAndImplants 1..1 Base Section: Medical devices and implants
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicalDevice 0..* EHDSDeviceUse 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.
... procedures 1..1 Base Section: Procedures
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... procedure 0..* EHDSProcedure List of procedures
... vaccination 0..1 Base Section: Vaccination/prophylaxis.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunisation Immunisations given to the patient and their status at the point of care.
... functionalStatus 0..1 Base Section: Functional status
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... functionalStatusAssessment 0..* EHDSFunctionalStatus An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
... socialHistory 0..1 Base Section: Social history.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... socialHistoryObservation 0..* EHDSSocialHistory Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... generatedNarrative 0..1 string Generated text summary of the content in the section, for human interpretation
.... currentPregnancyStatus 0..1 EHDSCurrentPregnancy Current pregnancy status
.... previousPregnanciesStatus 0..1 CodeableConcept Overall status of previous pregnancies
.... previousPregnancies 0..* EHDSPregnancyHistory History of previous pregnancies
... travelHistory 0..1 Base Relevant information about the patient's recent travel history
.... narrative 0..1 string Text summary of the content in the section
.... travelHistory 0..* EHDSTravelHistory Travel history for one country
... patientStory 0..1 Base What the patient believes to be important for the attending clinician to know.
.... narrative 0..1 string Text summary of the content in the section
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... advanceDirective 0..* EHDSAdvanceDirective Provision for healthcare decisions if, in the future, a person is unable to make those decisions
... results 0..1 Base Section: Observation results.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... resultObservation[x] 0..* Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
..... resultObservationEHDSObservation EHDSObservation
..... resultObservationEHDSLaboratoryObservation EHDSLaboratoryObservation
... carePlan 0..1 Base Section: Care plans.
.... narrative 0..1 string 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.
.... carePlanEntry 0..* EHDSCarePlan 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSPatientSummary.header.languagepreferred
EHDSPatientSummary.header.documentTypepreferred
EHDSPatientSummary.header.documentStatuspreferred
EHDSPatientSummary.header.eventTypepreferred
EHDSPatientSummary.header.authorSpecialtypreferred
EHDSPatientSummary.header.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.allergiesAndIntolerances.emptyReasonpreferred

Differential View

This structure is derived from EHDSDocument

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSPatientSummary 0..* EHDSDocument
Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Patient summary model
Instances of this logical model can be the target of a Reference
... alerts 1..1 Base Section: Alerts.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... 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.
... allergiesAndIntolerances 1..1 Base Section: Allergies and intolerances
.... narrative 1..1 string Text summary of the content in section
.... allergyIntolerance 0..* EHDSAllergyIntolerance List of structured allergies and intolerances
.... 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
... problems 1..1 Base Medical problems.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no conditions are listed
.... problems 0..* EHDSCondition !!Health conditions affecting the health of the patient.!!
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no medicines are listed
.... 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.
... medicalDevicesAndImplants 1..1 Base Section: Medical devices and implants
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicalDevice 0..* EHDSDeviceUse 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.
... procedures 1..1 Base Section: Procedures
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... procedure 0..* EHDSProcedure List of procedures
... vaccination 0..1 Base Section: Vaccination/prophylaxis.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunisation Immunisations given to the patient and their status at the point of care.
... functionalStatus 0..1 Base Section: Functional status
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... functionalStatusAssessment 0..* EHDSFunctionalStatus An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
... socialHistory 0..1 Base Section: Social history.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... socialHistoryObservation 0..* EHDSSocialHistory Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... generatedNarrative 0..1 string Generated text summary of the content in the section, for human interpretation
.... currentPregnancyStatus 0..1 EHDSCurrentPregnancy Current pregnancy status
.... previousPregnanciesStatus 0..1 CodeableConcept Overall status of previous pregnancies
.... previousPregnancies 0..* EHDSPregnancyHistory History of previous pregnancies
... travelHistory 0..1 Base Relevant information about the patient's recent travel history
.... narrative 0..1 string Text summary of the content in the section
.... travelHistory 0..* EHDSTravelHistory Travel history for one country
... patientStory 0..1 Base What the patient believes to be important for the attending clinician to know.
.... narrative 0..1 string Text summary of the content in the section
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... advanceDirective 0..* EHDSAdvanceDirective Provision for healthcare decisions if, in the future, a person is unable to make those decisions
... results 0..1 Base Section: Observation results.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... resultObservation[x] 0..* Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
..... resultObservationEHDSObservation EHDSObservation
..... resultObservationEHDSLaboratoryObservation EHDSLaboratoryObservation
... carePlan 0..1 Base Section: Care plans.
.... narrative 0..1 string 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.
.... carePlanEntry 0..* EHDSCarePlan 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.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
EHDSPatientSummary.allergiesAndIntolerances.emptyReasonpreferred

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EHDSPatientSummary 0..* EHDSDocument
Elements defined in Ancestors:header, presentedForm, header, knowledgeResources
Patient summary model
Instances of this logical model can be the target of a Reference
... header 1..1 Base Document header elements
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganisation EHDSOrganisation
...... authorEHDSDevice EHDSDevice
..... datetime 1..1 dateTime Date and time of authoring/issuing
.... lastUpdate 0..1 dateTime Date and time of the last update to the resource
.... status 1..1 CodeableConcept Status of the resource
.... statusReason[x] 0..1 Reason for the current status of the resource.
..... statusReasonCodeableConcept CodeableConcept
..... statusReasonString string
.... language 0..1 CodeableConcept Language
Binding Description: (preferred): BCP 47
.... version 0..1 string Version
.... documentType 1..1 CodeableConcept Document type
Binding Description: (preferred): LOINC
.... documentTitle 1..1 string Document title
.... documentStatus 1..1 CodeableConcept Document status
Binding Description: (preferred): hl7:CompositionStatus
.... period 0..1 Period Period
.... attestation 0..* Base Attestation
..... attester 1..1 EHDSHealthProfessional Attester
..... datetime 1..1 dateTime DateTime
.... legalAuthentication 0..1 Base Legal authentication
..... legalAuthenticator 1..1 EHDSHealthProfessional Legal authenticator
..... datetime 1..1 dateTime DateTime
.... eventType 0..* CodeableConcept Event type
Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
.... authorSpecialty 0..* CodeableConcept Specialty
Binding Description: (preferred): SNOMED CT
.... custodian 1..1 EHDSOrganisation Document custodian
.... documentFormat 0..1 CodeableConcept Document format
Binding Description: (preferred): HL7 Document Format Codes
.... confidentiality 0..1 CodeableConcept Confidentiality
Binding Description: (preferred): hl7:Confidentiality
... presentedForm 0..* EHDSAttachment A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
... knowledgeResources 0..* Base Related documents and information sources
.... externalReference 0..* RelatedArtifact ...
.... relatedTo 0..* Reference() ...
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... 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.
... allergiesAndIntolerances 1..1 Base Section: Allergies and intolerances
.... narrative 1..1 string Text summary of the content in section
.... allergyIntolerance 0..* EHDSAllergyIntolerance List of structured allergies and intolerances
.... 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
... problems 1..1 Base Medical problems.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no conditions are listed
.... problems 0..* EHDSCondition !!Health conditions affecting the health of the patient.!!
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Text summary of the content in the section
.... emptyReason 0..1 CodeableConcept Use if no medicines are listed
.... 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.
... medicalDevicesAndImplants 1..1 Base Section: Medical devices and implants
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicalDevice 0..* EHDSDeviceUse 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.
... procedures 1..1 Base Section: Procedures
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... procedure 0..* EHDSProcedure List of procedures
... vaccination 0..1 Base Section: Vaccination/prophylaxis.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunisation Immunisations given to the patient and their status at the point of care.
... functionalStatus 0..1 Base Section: Functional status
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... functionalStatusAssessment 0..* EHDSFunctionalStatus An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
... socialHistory 0..1 Base Section: Social history.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... socialHistoryObservation 0..* EHDSSocialHistory Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... generatedNarrative 0..1 string Generated text summary of the content in the section, for human interpretation
.... currentPregnancyStatus 0..1 EHDSCurrentPregnancy Current pregnancy status
.... previousPregnanciesStatus 0..1 CodeableConcept Overall status of previous pregnancies
.... previousPregnancies 0..* EHDSPregnancyHistory History of previous pregnancies
... travelHistory 0..1 Base Relevant information about the patient's recent travel history
.... narrative 0..1 string Text summary of the content in the section
.... travelHistory 0..* EHDSTravelHistory Travel history for one country
... patientStory 0..1 Base What the patient believes to be important for the attending clinician to know.
.... narrative 0..1 string Text summary of the content in the section
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... advanceDirective 0..* EHDSAdvanceDirective Provision for healthcare decisions if, in the future, a person is unable to make those decisions
... results 0..1 Base Section: Observation results.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... resultObservation[x] 0..* Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
..... resultObservationEHDSObservation EHDSObservation
..... resultObservationEHDSLaboratoryObservation EHDSLaboratoryObservation
... carePlan 0..1 Base Section: Care plans.
.... narrative 0..1 string 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.
.... carePlanEntry 0..* EHDSCarePlan 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.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EHDSPatientSummary.header.languagepreferred
EHDSPatientSummary.header.documentTypepreferred
EHDSPatientSummary.header.documentStatuspreferred
EHDSPatientSummary.header.eventTypepreferred
EHDSPatientSummary.header.authorSpecialtypreferred
EHDSPatientSummary.header.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.allergiesAndIntolerances.emptyReasonpreferred

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(7 nested mandatory elements)

 

Other representations of profile: CSV, Excel