EHDS Logical Information Models
0.1.0 - ci-build

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/tree/main 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 2025-06-10 Computable Name: EHDSPatientSummary

EHDS refined base model for Patient Summary

Usages:

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

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..* Base Metadata for the patient summary document
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganization EHDSOrganization
...... 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
.... custodian 1..1 EHDSOrganization 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
.... natureOfTheDocument 1..1 Base Nature of the document
... 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() ...
.... preferredHealthProfessionalEHDSHealthProfessional EHDSHealthProfessional
.... preferredHealthProfessionalEHDSOrganization EHDSOrganization
... 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..* EHDSAlertFlag 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 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
.... allergy 0..* EHDSAllergyIntolerance Allergy or intolerance information
... medicalHistory 0..1 Base Section: Medical History.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... pastProblems 0..* EHDSCondition Problems or diagnoses that the patient suffered in the past, and which have been resolved, closed or declared as inactive (not included in current problems or diagnosis)
.... description 0..1 string Narrative description of past problems.
... immunisations 0..1 Base Section: Immunisations.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunization Immunizations given to the patient and their status at the point of care.
... currentProblems 1..1 Base Section: Current medical problems.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... healthConditions 0..* EHDSCondition Health conditions affecting the health of the patient.
... 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 Major procedures.
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicationTreatment 0..* EHDSMedicationAdministration 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.
... 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
.... description 1..1 string Textual description of the social history.
.... observation 0..* EHDSObservation Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... currentPregnancyStatus 0..1 Base Current pregnancy status
..... status 0..* EHDSObservation Current state at the date the observation was made: e.g. pregnant, not pregnant, unknown
..... expectedDateOfDelivery 0..1 dateTime Expected date of delivery
.... previousPregnancies 0..1 Base History of previous pregnancies
..... status 0..1 EHDSObservation Previous pregnancies status: Yes, previous pregnancies; No, previous pregnancies; Unknown
..... description 0..* Base Previous pregnancy's descriptions in detail
...... outcome 0..1 EHDSObservation Outcome of the pregnancy
...... numberOfChildren 0..1 integer Number of children/fetuses in this specific pregnancy
... patientProvidedData 0..1 Base Section: Patient provided data
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... travelHistory 0..* Base 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.
..... country 0..1 CodeableConcept Country code
Binding Description: (preferred): ISO 3166
..... period 0..* Period Date of entry and departure
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... documentation 0..* CodeableConcept May take the form of a reference to a legal document (e.g., Living Will) or an external textual description.
Binding Description: (preferred): SNOMED CT
... 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.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.patientProvidedData.travelHistory.countrypreferred
EHDSPatientSummary.advanceDirectives.documentationpreferred

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
... header 1..* Base Metadata for the patient summary document
.... attestation 0..0
.... legalAuthentication 0..0
.... eventType 0..0
.... authorSpecialty 0..0
.... natureOfTheDocument 1..1 Base Nature of the document
... preferredHealthProfessional[x] 0..* A.1.3 - Preferred Health Professional
.... preferredHealthProfessionalEHDSHealthProfessional EHDSHealthProfessional
.... preferredHealthProfessionalEHDSOrganization EHDSOrganization
... 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..* EHDSAlertFlag 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.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
.... allergy 0..* EHDSAllergyIntolerance Allergy or intolerance information
... medicalHistory 0..1 Base Section: Medical History.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... pastProblems 0..* EHDSCondition Problems or diagnoses that the patient suffered in the past, and which have been resolved, closed or declared as inactive (not included in current problems or diagnosis)
.... description 0..1 string Narrative description of past problems.
... immunisations 0..1 Base Section: Immunisations.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunization Immunizations given to the patient and their status at the point of care.
... currentProblems 1..1 Base Section: Current medical problems.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... healthConditions 0..* EHDSCondition Health conditions affecting the health of the patient.
... 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 Major procedures.
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicationTreatment 0..* EHDSMedicationAdministration 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.
... 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
.... description 1..1 string Textual description of the social history.
.... observation 0..* EHDSObservation Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... currentPregnancyStatus 0..1 Base Current pregnancy status
..... status 0..* EHDSObservation Current state at the date the observation was made: e.g. pregnant, not pregnant, unknown
..... expectedDateOfDelivery 0..1 dateTime Expected date of delivery
.... previousPregnancies 0..1 Base History of previous pregnancies
..... status 0..1 EHDSObservation Previous pregnancies status: Yes, previous pregnancies; No, previous pregnancies; Unknown
..... description 0..* Base Previous pregnancy's descriptions in detail
...... outcome 0..1 EHDSObservation Outcome of the pregnancy
...... numberOfChildren 0..1 integer Number of children/fetuses in this specific pregnancy
... patientProvidedData 0..1 Base Section: Patient provided data
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... travelHistory 0..* Base 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.
..... country 0..1 CodeableConcept Country code
Binding Description: (preferred): ISO 3166
..... period 0..* Period Date of entry and departure
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... documentation 0..* CodeableConcept May take the form of a reference to a legal document (e.g., Living Will) or an external textual description.
Binding Description: (preferred): SNOMED CT
... 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.patientProvidedData.travelHistory.countrypreferred
EHDSPatientSummary.advanceDirectives.documentationpreferred
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..* Base Metadata for the patient summary document
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganization EHDSOrganization
...... 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
.... custodian 1..1 EHDSOrganization 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
.... natureOfTheDocument 1..1 Base Nature of the document
... 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() ...
.... preferredHealthProfessionalEHDSHealthProfessional EHDSHealthProfessional
.... preferredHealthProfessionalEHDSOrganization EHDSOrganization
... 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..* EHDSAlertFlag 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 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
.... allergy 0..* EHDSAllergyIntolerance Allergy or intolerance information
... medicalHistory 0..1 Base Section: Medical History.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... pastProblems 0..* EHDSCondition Problems or diagnoses that the patient suffered in the past, and which have been resolved, closed or declared as inactive (not included in current problems or diagnosis)
.... description 0..1 string Narrative description of past problems.
... immunisations 0..1 Base Section: Immunisations.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunization Immunizations given to the patient and their status at the point of care.
... currentProblems 1..1 Base Section: Current medical problems.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... healthConditions 0..* EHDSCondition Health conditions affecting the health of the patient.
... 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 Major procedures.
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicationTreatment 0..* EHDSMedicationAdministration 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.
... 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
.... description 1..1 string Textual description of the social history.
.... observation 0..* EHDSObservation Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... currentPregnancyStatus 0..1 Base Current pregnancy status
..... status 0..* EHDSObservation Current state at the date the observation was made: e.g. pregnant, not pregnant, unknown
..... expectedDateOfDelivery 0..1 dateTime Expected date of delivery
.... previousPregnancies 0..1 Base History of previous pregnancies
..... status 0..1 EHDSObservation Previous pregnancies status: Yes, previous pregnancies; No, previous pregnancies; Unknown
..... description 0..* Base Previous pregnancy's descriptions in detail
...... outcome 0..1 EHDSObservation Outcome of the pregnancy
...... numberOfChildren 0..1 integer Number of children/fetuses in this specific pregnancy
... patientProvidedData 0..1 Base Section: Patient provided data
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... travelHistory 0..* Base 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.
..... country 0..1 CodeableConcept Country code
Binding Description: (preferred): ISO 3166
..... period 0..* Period Date of entry and departure
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... documentation 0..* CodeableConcept May take the form of a reference to a legal document (e.g., Living Will) or an external textual description.
Binding Description: (preferred): SNOMED CT
... 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.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.patientProvidedData.travelHistory.countrypreferred
EHDSPatientSummary.advanceDirectives.documentationpreferred

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(8 nested mandatory elements)
Prohibited: 4 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..* Base Metadata for the patient summary document
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganization EHDSOrganization
...... 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
.... custodian 1..1 EHDSOrganization 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
.... natureOfTheDocument 1..1 Base Nature of the document
... 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() ...
.... preferredHealthProfessionalEHDSHealthProfessional EHDSHealthProfessional
.... preferredHealthProfessionalEHDSOrganization EHDSOrganization
... 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..* EHDSAlertFlag 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 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
.... allergy 0..* EHDSAllergyIntolerance Allergy or intolerance information
... medicalHistory 0..1 Base Section: Medical History.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... pastProblems 0..* EHDSCondition Problems or diagnoses that the patient suffered in the past, and which have been resolved, closed or declared as inactive (not included in current problems or diagnosis)
.... description 0..1 string Narrative description of past problems.
... immunisations 0..1 Base Section: Immunisations.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunization Immunizations given to the patient and their status at the point of care.
... currentProblems 1..1 Base Section: Current medical problems.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... healthConditions 0..* EHDSCondition Health conditions affecting the health of the patient.
... 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 Major procedures.
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicationTreatment 0..* EHDSMedicationAdministration 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.
... 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
.... description 1..1 string Textual description of the social history.
.... observation 0..* EHDSObservation Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... currentPregnancyStatus 0..1 Base Current pregnancy status
..... status 0..* EHDSObservation Current state at the date the observation was made: e.g. pregnant, not pregnant, unknown
..... expectedDateOfDelivery 0..1 dateTime Expected date of delivery
.... previousPregnancies 0..1 Base History of previous pregnancies
..... status 0..1 EHDSObservation Previous pregnancies status: Yes, previous pregnancies; No, previous pregnancies; Unknown
..... description 0..* Base Previous pregnancy's descriptions in detail
...... outcome 0..1 EHDSObservation Outcome of the pregnancy
...... numberOfChildren 0..1 integer Number of children/fetuses in this specific pregnancy
... patientProvidedData 0..1 Base Section: Patient provided data
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... travelHistory 0..* Base 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.
..... country 0..1 CodeableConcept Country code
Binding Description: (preferred): ISO 3166
..... period 0..* Period Date of entry and departure
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... documentation 0..* CodeableConcept May take the form of a reference to a legal document (e.g., Living Will) or an external textual description.
Binding Description: (preferred): SNOMED CT
... 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.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.patientProvidedData.travelHistory.countrypreferred
EHDSPatientSummary.advanceDirectives.documentationpreferred

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
... header 1..* Base Metadata for the patient summary document
.... attestation 0..0
.... legalAuthentication 0..0
.... eventType 0..0
.... authorSpecialty 0..0
.... natureOfTheDocument 1..1 Base Nature of the document
... preferredHealthProfessional[x] 0..* A.1.3 - Preferred Health Professional
.... preferredHealthProfessionalEHDSHealthProfessional EHDSHealthProfessional
.... preferredHealthProfessionalEHDSOrganization EHDSOrganization
... 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..* EHDSAlertFlag 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.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
.... allergy 0..* EHDSAllergyIntolerance Allergy or intolerance information
... medicalHistory 0..1 Base Section: Medical History.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... pastProblems 0..* EHDSCondition Problems or diagnoses that the patient suffered in the past, and which have been resolved, closed or declared as inactive (not included in current problems or diagnosis)
.... description 0..1 string Narrative description of past problems.
... immunisations 0..1 Base Section: Immunisations.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunization Immunizations given to the patient and their status at the point of care.
... currentProblems 1..1 Base Section: Current medical problems.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... healthConditions 0..* EHDSCondition Health conditions affecting the health of the patient.
... 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 Major procedures.
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicationTreatment 0..* EHDSMedicationAdministration 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.
... 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
.... description 1..1 string Textual description of the social history.
.... observation 0..* EHDSObservation Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... currentPregnancyStatus 0..1 Base Current pregnancy status
..... status 0..* EHDSObservation Current state at the date the observation was made: e.g. pregnant, not pregnant, unknown
..... expectedDateOfDelivery 0..1 dateTime Expected date of delivery
.... previousPregnancies 0..1 Base History of previous pregnancies
..... status 0..1 EHDSObservation Previous pregnancies status: Yes, previous pregnancies; No, previous pregnancies; Unknown
..... description 0..* Base Previous pregnancy's descriptions in detail
...... outcome 0..1 EHDSObservation Outcome of the pregnancy
...... numberOfChildren 0..1 integer Number of children/fetuses in this specific pregnancy
... patientProvidedData 0..1 Base Section: Patient provided data
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... travelHistory 0..* Base 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.
..... country 0..1 CodeableConcept Country code
Binding Description: (preferred): ISO 3166
..... period 0..* Period Date of entry and departure
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... documentation 0..* CodeableConcept May take the form of a reference to a legal document (e.g., Living Will) or an external textual description.
Binding Description: (preferred): SNOMED CT
... 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.patientProvidedData.travelHistory.countrypreferred
EHDSPatientSummary.advanceDirectives.documentationpreferred

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..* Base Metadata for the patient summary document
.... subject 1..1 EHDSPatient Subject
.... identifier 1..* Identifier Document ID
.... authorship 1..* Base Authorship
..... author[x] 1..1 Author
...... authorEHDSHealthProfessional EHDSHealthProfessional
...... authorEHDSOrganization EHDSOrganization
...... 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
.... custodian 1..1 EHDSOrganization 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
.... natureOfTheDocument 1..1 Base Nature of the document
... 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() ...
.... preferredHealthProfessionalEHDSHealthProfessional EHDSHealthProfessional
.... preferredHealthProfessionalEHDSOrganization EHDSOrganization
... 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..* EHDSAlertFlag 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 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
.... allergy 0..* EHDSAllergyIntolerance Allergy or intolerance information
... medicalHistory 0..1 Base Section: Medical History.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... pastProblems 0..* EHDSCondition Problems or diagnoses that the patient suffered in the past, and which have been resolved, closed or declared as inactive (not included in current problems or diagnosis)
.... description 0..1 string Narrative description of past problems.
... immunisations 0..1 Base Section: Immunisations.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... vaccination 0..* EHDSImmunization Immunizations given to the patient and their status at the point of care.
... currentProblems 1..1 Base Section: Current medical problems.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... healthConditions 0..* EHDSCondition Health conditions affecting the health of the patient.
... 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 Major procedures.
... medicationSummary 1..1 Base Section: Medication Summary.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... emptyReason 0..1 CodeableConcept Reason for absence of data
.... medicationTreatment 0..* EHDSMedicationAdministration 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.
... 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
.... description 1..1 string Textual description of the social history.
.... observation 0..* EHDSObservation Social history observations related to health
... pregnancyHistory 0..1 Base Section: Pregnancy history
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... currentPregnancyStatus 0..1 Base Current pregnancy status
..... status 0..* EHDSObservation Current state at the date the observation was made: e.g. pregnant, not pregnant, unknown
..... expectedDateOfDelivery 0..1 dateTime Expected date of delivery
.... previousPregnancies 0..1 Base History of previous pregnancies
..... status 0..1 EHDSObservation Previous pregnancies status: Yes, previous pregnancies; No, previous pregnancies; Unknown
..... description 0..* Base Previous pregnancy's descriptions in detail
...... outcome 0..1 EHDSObservation Outcome of the pregnancy
...... numberOfChildren 0..1 integer Number of children/fetuses in this specific pregnancy
... patientProvidedData 0..1 Base Section: Patient provided data
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... travelHistory 0..* Base 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.
..... country 0..1 CodeableConcept Country code
Binding Description: (preferred): ISO 3166
..... period 0..* Period Date of entry and departure
... advanceDirectives 0..1 Base Section: Advance Directives.
.... narrative 0..1 string Narrative, potentially formatted, content of the section
.... documentation 0..* CodeableConcept May take the form of a reference to a legal document (e.g., Living Will) or an external textual description.
Binding Description: (preferred): SNOMED CT
... 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.documentFormatpreferred
EHDSPatientSummary.header.confidentialitypreferred
EHDSPatientSummary.patientProvidedData.travelHistory.countrypreferred
EHDSPatientSummary.advanceDirectives.documentationpreferred

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(8 nested mandatory elements)
Prohibited: 4 elements

 

Other representations of profile: CSV, Excel