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/stakeholder-consultation-D6-1 and changes regularly. See the Directory of published versions

## Logical Model: EHDSPatientSummary - Detailed Descriptions

Draft as of 2025-07-08

Definitions for the EHDSPatientSummary logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSPatientSummary
Definition | EHDS refined base model for Patient Summary Base definition for all types defined in FHIR type system.
Short | Patient summary modelBase for all types and resources
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSPatientSummary.header
Definition | Common header for all patient-related data
Short | Document header elements
Control | 1..1
Type | Base
4. EHDSPatientSummary.header.subject
Definition | Patient/subject information
Short | Subject
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSPatientSummary.header.identifier
Definition | Unique identifier of the document
Short | Document ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
8. EHDSPatientSummary.header.authorship
Definition | Resource authoring details
Short | Authorship
Control | 1..*
Type | Base
10. EHDSPatientSummary.header.authorship.author[x]
Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Short | Author
Control | 1..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
12. EHDSPatientSummary.header.authorship.datetime
Definition | Date and time of the issuing the document/resource by its author.
Short | Date and time of authoring/issuing
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSPatientSummary.header.lastUpdate
Definition | Date and time of the last update to the document/information
Short | Date and time of the last update to the resource
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. EHDSPatientSummary.header.status
Definition | Status of the resource
Short | Status of the resource
Control | 1..1
Type | CodeableConcept
18. EHDSPatientSummary.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | Reason for the current status of the resource.
Control | 0..1
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSPatientSummary.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
22. EHDSPatientSummary.header.version
Definition | Business version of the resource.
Short | Version
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. EHDSPatientSummary.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSPatientSummary.header.documentType
Definition | Identifies the type of document at hand, e.g. Hospital discharge report.
Short | Document type
Control | 1..1
Binding | LOINC
Type | CodeableConcept
28. EHDSPatientSummary.header.documentTitle
Definition | Document title, such as Hospital Discharge Report, Laboratory Result Report, etc.
Short | Document title
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSPatientSummary.header.documentStatus
Definition | The status of the Hospital discharge report. E.g., preliminary, final.
Short | Document status
Control | 1..1
Binding | hl7:CompositionStatus
Type | CodeableConcept
32. EHDSPatientSummary.header.period
Definition | Time of service that is being documented
Short | Period
Control | 0..1
Type | Period
34. EHDSPatientSummary.header.attestation
Definition | Document attestation details
Short | Attestation
Control | 0..*
Type | Base
36. EHDSPatientSummary.header.attestation.attester
Definition | Attester who validated the document. Mulitple attesters could be provided.
Short | Attester
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
38. EHDSPatientSummary.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. EHDSPatientSummary.header.legalAuthentication
Definition | Document legal authentication
Short | Legal authentication
Control | 0..1
Type | Base
42. EHDSPatientSummary.header.legalAuthentication.legalAuthenticator
Definition | The person taking responsibility for the medical content of the document
Short | Legal authenticator
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
44. EHDSPatientSummary.header.legalAuthentication.datetime
Definition | Date and time when the document was authorised.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. EHDSPatientSummary.header.eventType
Definition | Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.
Short | Event type
Control | 0..*
Binding | LOINC, SNOMED CT, dicom-cid-33-Modality
Type | CodeableConcept
48. EHDSPatientSummary.header.authorSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Specialty
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
50. EHDSPatientSummary.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Document custodian
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
52. EHDSPatientSummary.header.documentFormat
Definition | An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.
Short | Document format
Control | 0..1
Binding | HL7 Document Format Codes
Type | CodeableConcept
54. EHDSPatientSummary.header.confidentiality
Definition | Level of confidentiality of the document. Implicit value is normal.
Short | Confidentiality
Control | 0..1
Binding | hl7:Confidentiality
Type | CodeableConcept
56. EHDSPatientSummary.knowledgeResources
Definition | Related documents and information sources
Short | Related documents and information sources
Control | 0..*
Type | Base
58. EHDSPatientSummary.knowledgeResources.externalReference
Definition | A reference leading to Clinical Practice Guidelines (CPG), emergency and anesthesia guidelines or other clinical relevant guidelines. This should be used only for providing specific guidance which may not be readily available to the health professional caring for the patient.
Short | Reference to external knowledge resource
Control | 0..*
Type | RelatedArtifact
60. EHDSPatientSummary.knowledgeResources.relatedTo
Definition | Identify the entry or entries of this Patient Summary for which this additional information relates with, for example a link between a rare disease problem and guidelines for that particular rare disease.
Short | Reference to part of the patient summary
Control | 0..*
Type | Reference
62. EHDSPatientSummary.alerts
Definition | Information about substantial alerts or warnings that health professionals should be aware of.
Short | Section: Alerts.
Control | 1..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
64. EHDSPatientSummary.alerts.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
66. EHDSPatientSummary.alerts.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
68. EHDSPatientSummary.alerts.medicalAlert
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlert
Requirements | ISO IPS
70. EHDSPatientSummary.allergiesAndIntolerances
Definition | Section: Allergies and intolerances
Short | Section: Allergies and intolerances
Control | 1..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
72. EHDSPatientSummary.allergiesAndIntolerances.narrative
Definition | Text summary of the content in section
Short | Text summary of the content in section
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
Definition | List of structured allergies and intolerances
Short | List of structured allergies and intolerances
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
76. EHDSPatientSummary.allergiesAndIntolerances.emptyReason
Definition | Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
Short | Use if no Allergies are listed
Control | 0..1
Binding | 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
Type | CodeableConcept
Requirements | This element is present in MyHealth@EU specifications and ISO IPS. The proposed way of modelling is identical to the newest version of FHIR IPS IG. See general description of Patient summary modelling for more information about this element. MH@EU has a similar concept, but it is modelled in slightly different way.
78. EHDSPatientSummary.problems
Definition | Conditions that are important to be known for a health professional during a health encounter.
Short | Medical problems.
Control | 1..1
Type | Base
80. EHDSPatientSummary.problems.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. EHDSPatientSummary.problems.emptyReason
Definition | Use if no conditions are listed
Short | Use if no conditions are listed
Control | 0..1
Type | CodeableConcept
84. EHDSPatientSummary.problems.problems
Definition | !!Health conditions affecting the health of the patient.!!
Short | !!Health conditions affecting the health of the patient.!!
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
86. EHDSPatientSummary.medicationSummary
Definition | Current and relevant past medicine.
Short | Section: Medication Summary.
Control | 1..1
Type | Base
88. EHDSPatientSummary.medicationSummary.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
90. EHDSPatientSummary.medicationSummary.emptyReason
Definition | Use if no medicines are listed
Short | Use if no medicines are listed
Control | 0..1
Type | CodeableConcept
92. EHDSPatientSummary.medicationSummary.medicationTreatment
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationStatement
94. EHDSPatientSummary.medicalDevicesAndImplants
Definition | Section: Medical devices and implants
Short | Section: Medical devices and implants
Control | 1..1
Type | Base
96. EHDSPatientSummary.medicalDevicesAndImplants.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
100. EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDeviceUse
102. EHDSPatientSummary.procedures
Definition | Section: Procedures
Short | Section: Procedures
Control | 1..1
Type | Base
104. EHDSPatientSummary.procedures.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
106. EHDSPatientSummary.procedures.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
108. EHDSPatientSummary.procedures.procedure
Definition | List of procedures
Short | List of procedures
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
110. EHDSPatientSummary.vaccination
Definition | A patient's immunisation status. The section should include current immunization status and may contain the entire immunization history that is relevant to the period of time being summarised. Adverse reactions against vaccines should be documented in the allergy section.
Short | Section: Vaccination/prophylaxis.
Control | 0..1
Type | Base
112. EHDSPatientSummary.vaccination.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
114. EHDSPatientSummary.vaccination.vaccination
Definition | Immunisations given to the patient and their status at the point of care.
Short | Immunisations given to the patient and their status at the point of care.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImmunisation
Requirements | eHN PS Guideline
116. EHDSPatientSummary.functionalStatus
Definition | Section: Functional status
Short | Section: Functional status
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
118. EHDSPatientSummary.functionalStatus.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. EHDSPatientSummary.functionalStatus.functionalStatusAssessment
Definition | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Short | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus
122. EHDSPatientSummary.socialHistory
Definition | Observations on social factors such as alcohol consumption or smoking. From the healthcare perspective, life-style factors relate to well-being but can also provide a source of risk factors.
Short | Section: Social history.
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
124. EHDSPatientSummary.socialHistory.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
126. EHDSPatientSummary.socialHistory.socialHistoryObservation
Definition | Health related lifestyle factors or lifestyle observations and social determinants of health. Example: cigarette smoker, alcohol consumption
Short | Social history observations related to health
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSocialHistory
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
128. EHDSPatientSummary.pregnancyHistory
Definition | To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.
Short | Section: Pregnancy history
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, ISO IPS
130. EHDSPatientSummary.pregnancyHistory.generatedNarrative
Definition | Generated text summary of the content in the section, for human interpretation
Short | Generated text summary of the content in the section, for human interpretation
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
132. EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
Definition | Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.
Short | Current pregnancy status
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
Requirements | eHN PS Guideline, ISO IPS
134. EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
Definition | Overall status of previous pregnancies, including — Yes, previous pregnancies — No, previous pregnancies — Unknown
Short | Overall status of previous pregnancies
Control | 0..1
Type | CodeableConcept
Requirements | eHN PS Guideline, ISO IPS
136. EHDSPatientSummary.pregnancyHistory.previousPregnancies
Definition | Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.
Short | History of previous pregnancies
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPregnancyHistory
138. EHDSPatientSummary.travelHistory
Definition | 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.
Short | Relevant information about the patient's recent travel history
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, ISO IPS
140. EHDSPatientSummary.travelHistory.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
142. EHDSPatientSummary.travelHistory.travelHistory
Definition | Travel history for one country
Short | Travel history for one country
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSTravelHistory
Requirements | eHN PS Guideline, ISO IPS
144. EHDSPatientSummary.patientStory
Definition | A concise narrative from the patient’s perspective about their present health state. This is a record of the things that a person feels it is important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.
Short | What the patient believes to be important for the attending clinician to know.
Control | 0..1
Type | Base
Requirements | ISO IPS
146. EHDSPatientSummary.patientStory.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
148. EHDSPatientSummary.advanceDirectives
Definition | Provision for healthcare decisions if, in the future, a person is unable to make those decisions.
Short | Section: Advance Directives.
Control | 0..1
Type | Base
150. EHDSPatientSummary.advanceDirectives.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
152. EHDSPatientSummary.advanceDirectives.advanceDirective
Definition | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
Short | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective
154. EHDSPatientSummary.results
Definition | Relevant observation results obtained on the patient. These may be measurements, laboratory results, anatomic pathology results, radiology results or other imaging or clinical results.
Short | Section: Observation results.
Control | 0..1
Type | Base
156. EHDSPatientSummary.results.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
158. EHDSPatientSummary.results.resultObservation[x]
Definition | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
Short | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSLaboratoryObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
160. EHDSPatientSummary.carePlan
Definition | Therapeutic recommendations that do not include pharmacologic treatments, such as diet, physical exercise, planned surgeries
Short | Section: Care plans.
Control | 0..1
Type | Base
162. EHDSPatientSummary.carePlan.narrative
Definition | 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.
Short | 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.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
164. EHDSPatientSummary.carePlan.carePlanEntry
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSPatientSummary
Definition | EHDS refined base model for Patient Summary
Short | Patient summary model
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSPatientSummary.alerts
Definition | Information about substantial alerts or warnings that health professionals should be aware of.
Short | Section: Alerts.
Control | 1..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
4. EHDSPatientSummary.alerts.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. EHDSPatientSummary.alerts.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
8. EHDSPatientSummary.alerts.medicalAlert
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlert
Requirements | ISO IPS
10. EHDSPatientSummary.allergiesAndIntolerances
Definition | Section: Allergies and intolerances
Short | Section: Allergies and intolerances
Control | 1..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
12. EHDSPatientSummary.allergiesAndIntolerances.narrative
Definition | Text summary of the content in section
Short | Text summary of the content in section
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
Definition | List of structured allergies and intolerances
Short | List of structured allergies and intolerances
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
16. EHDSPatientSummary.allergiesAndIntolerances.emptyReason
Definition | Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
Short | Use if no Allergies are listed
Control | 0..1
Binding | 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
Type | CodeableConcept
Requirements | This element is present in MyHealth@EU specifications and ISO IPS. The proposed way of modelling is identical to the newest version of FHIR IPS IG. See general description of Patient summary modelling for more information about this element. MH@EU has a similar concept, but it is modelled in slightly different way.
18. EHDSPatientSummary.problems
Definition | Conditions that are important to be known for a health professional during a health encounter.
Short | Medical problems.
Control | 1..1
Type | Base
20. EHDSPatientSummary.problems.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. EHDSPatientSummary.problems.emptyReason
Definition | Use if no conditions are listed
Short | Use if no conditions are listed
Control | 0..1
Type | CodeableConcept
24. EHDSPatientSummary.problems.problems
Definition | !!Health conditions affecting the health of the patient.!!
Short | !!Health conditions affecting the health of the patient.!!
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
26. EHDSPatientSummary.medicationSummary
Definition | Current and relevant past medicine.
Short | Section: Medication Summary.
Control | 1..1
Type | Base
28. EHDSPatientSummary.medicationSummary.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSPatientSummary.medicationSummary.emptyReason
Definition | Use if no medicines are listed
Short | Use if no medicines are listed
Control | 0..1
Type | CodeableConcept
32. EHDSPatientSummary.medicationSummary.medicationTreatment
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationStatement
34. EHDSPatientSummary.medicalDevicesAndImplants
Definition | Section: Medical devices and implants
Short | Section: Medical devices and implants
Control | 1..1
Type | Base
36. EHDSPatientSummary.medicalDevicesAndImplants.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
40. EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDeviceUse
42. EHDSPatientSummary.procedures
Definition | Section: Procedures
Short | Section: Procedures
Control | 1..1
Type | Base
44. EHDSPatientSummary.procedures.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. EHDSPatientSummary.procedures.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
48. EHDSPatientSummary.procedures.procedure
Definition | List of procedures
Short | List of procedures
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
50. EHDSPatientSummary.vaccination
Definition | A patient's immunisation status. The section should include current immunization status and may contain the entire immunization history that is relevant to the period of time being summarised. Adverse reactions against vaccines should be documented in the allergy section.
Short | Section: Vaccination/prophylaxis.
Control | 0..1
Type | Base
52. EHDSPatientSummary.vaccination.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
54. EHDSPatientSummary.vaccination.vaccination
Definition | Immunisations given to the patient and their status at the point of care.
Short | Immunisations given to the patient and their status at the point of care.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImmunisation
Requirements | eHN PS Guideline
56. EHDSPatientSummary.functionalStatus
Definition | Section: Functional status
Short | Section: Functional status
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
58. EHDSPatientSummary.functionalStatus.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. EHDSPatientSummary.functionalStatus.functionalStatusAssessment
Definition | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Short | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus
62. EHDSPatientSummary.socialHistory
Definition | Observations on social factors such as alcohol consumption or smoking. From the healthcare perspective, life-style factors relate to well-being but can also provide a source of risk factors.
Short | Section: Social history.
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
64. EHDSPatientSummary.socialHistory.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
66. EHDSPatientSummary.socialHistory.socialHistoryObservation
Definition | Health related lifestyle factors or lifestyle observations and social determinants of health. Example: cigarette smoker, alcohol consumption
Short | Social history observations related to health
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSocialHistory
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
68. EHDSPatientSummary.pregnancyHistory
Definition | To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.
Short | Section: Pregnancy history
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, ISO IPS
70. EHDSPatientSummary.pregnancyHistory.generatedNarrative
Definition | Generated text summary of the content in the section, for human interpretation
Short | Generated text summary of the content in the section, for human interpretation
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
Definition | Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.
Short | Current pregnancy status
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
Requirements | eHN PS Guideline, ISO IPS
74. EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
Definition | Overall status of previous pregnancies, including — Yes, previous pregnancies — No, previous pregnancies — Unknown
Short | Overall status of previous pregnancies
Control | 0..1
Type | CodeableConcept
Requirements | eHN PS Guideline, ISO IPS
76. EHDSPatientSummary.pregnancyHistory.previousPregnancies
Definition | Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.
Short | History of previous pregnancies
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPregnancyHistory
78. EHDSPatientSummary.travelHistory
Definition | 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.
Short | Relevant information about the patient's recent travel history
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, ISO IPS
80. EHDSPatientSummary.travelHistory.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. EHDSPatientSummary.travelHistory.travelHistory
Definition | Travel history for one country
Short | Travel history for one country
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSTravelHistory
Requirements | eHN PS Guideline, ISO IPS
84. EHDSPatientSummary.patientStory
Definition | A concise narrative from the patient’s perspective about their present health state. This is a record of the things that a person feels it is important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.
Short | What the patient believes to be important for the attending clinician to know.
Control | 0..1
Type | Base
Requirements | ISO IPS
86. EHDSPatientSummary.patientStory.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
88. EHDSPatientSummary.advanceDirectives
Definition | Provision for healthcare decisions if, in the future, a person is unable to make those decisions.
Short | Section: Advance Directives.
Control | 0..1
Type | Base
90. EHDSPatientSummary.advanceDirectives.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. EHDSPatientSummary.advanceDirectives.advanceDirective
Definition | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
Short | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective
94. EHDSPatientSummary.results
Definition | Relevant observation results obtained on the patient. These may be measurements, laboratory results, anatomic pathology results, radiology results or other imaging or clinical results.
Short | Section: Observation results.
Control | 0..1
Type | Base
96. EHDSPatientSummary.results.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. EHDSPatientSummary.results.resultObservation[x]
Definition | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
Short | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSLaboratoryObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
100. EHDSPatientSummary.carePlan
Definition | Therapeutic recommendations that do not include pharmacologic treatments, such as diet, physical exercise, planned surgeries
Short | Section: Care plans.
Control | 0..1
Type | Base
102. EHDSPatientSummary.carePlan.narrative
Definition | 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.
Short | 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.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
104. EHDSPatientSummary.carePlan.carePlanEntry
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan

Guidance on how to interpret the contents of this table can be foundhere

0. EHDSPatientSummary
Definition | EHDS refined base model for Patient Summary
Short | Patient summary model
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. EHDSPatientSummary.header
Definition | Common header for all patient-related data
Short | Document header elements
Control | 1..1
Type | Base
4. EHDSPatientSummary.header.subject
Definition | Patient/subject information
Short | Subject
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPatient
6. EHDSPatientSummary.header.identifier
Definition | Unique identifier of the document
Short | Document ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 1..*
Type | Identifier
8. EHDSPatientSummary.header.authorship
Definition | Resource authoring details
Short | Authorship
Control | 1..*
Type | Base
10. EHDSPatientSummary.header.authorship.author[x]
Definition | Author(s) by whom the resource was/were authored. Multiple authors could be provided.
Short | Author
Control | 1..1
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDevice
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
12. EHDSPatientSummary.header.authorship.datetime
Definition | Date and time of the issuing the document/resource by its author.
Short | Date and time of authoring/issuing
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. EHDSPatientSummary.header.lastUpdate
Definition | Date and time of the last update to the document/information
Short | Date and time of the last update to the resource
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. EHDSPatientSummary.header.status
Definition | Status of the resource
Short | Status of the resource
Control | 1..1
Type | CodeableConcept
18. EHDSPatientSummary.header.statusReason[x]
Definition | Reason for the current status of the resource.
Short | Reason for the current status of the resource.
Control | 0..1
Type | Choice of: CodeableConcept, string
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. EHDSPatientSummary.header.language
Definition | Language in which the resource is written. Language is expressed by the IETF language tag.
Short | Language
Control | 0..1
Binding | BCP 47
Type | CodeableConcept
22. EHDSPatientSummary.header.version
Definition | Business version of the resource.
Short | Version
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. EHDSPatientSummary.presentedForm
Definition | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Short | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment
26. EHDSPatientSummary.header.documentType
Definition | Identifies the type of document at hand, e.g. Hospital discharge report.
Short | Document type
Control | 1..1
Binding | LOINC
Type | CodeableConcept
28. EHDSPatientSummary.header.documentTitle
Definition | Document title, such as Hospital Discharge Report, Laboratory Result Report, etc.
Short | Document title
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. EHDSPatientSummary.header.documentStatus
Definition | The status of the Hospital discharge report. E.g., preliminary, final.
Short | Document status
Control | 1..1
Binding | hl7:CompositionStatus
Type | CodeableConcept
32. EHDSPatientSummary.header.period
Definition | Time of service that is being documented
Short | Period
Control | 0..1
Type | Period
34. EHDSPatientSummary.header.attestation
Definition | Document attestation details
Short | Attestation
Control | 0..*
Type | Base
36. EHDSPatientSummary.header.attestation.attester
Definition | Attester who validated the document. Mulitple attesters could be provided.
Short | Attester
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
38. EHDSPatientSummary.header.attestation.datetime
Definition | Date and time of the approval of the document by Attester.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. EHDSPatientSummary.header.legalAuthentication
Definition | Document legal authentication
Short | Legal authentication
Control | 0..1
Type | Base
42. EHDSPatientSummary.header.legalAuthentication.legalAuthenticator
Definition | The person taking responsibility for the medical content of the document
Short | Legal authenticator
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional
44. EHDSPatientSummary.header.legalAuthentication.datetime
Definition | Date and time when the document was authorised.
Short | DateTime
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. EHDSPatientSummary.header.eventType
Definition | Categorization of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement betwen data sharing parties. This meta-data element serves primarily for searching and filtering purpuses.
Short | Event type
Control | 0..*
Binding | LOINC, SNOMED CT, dicom-cid-33-Modality
Type | CodeableConcept
48. EHDSPatientSummary.header.authorSpecialty
Definition | Additional details about where the content was created (e.g. clinical specialty)
Short | Specialty
Control | 0..*
Binding | SNOMED CT
Type | CodeableConcept
50. EHDSPatientSummary.header.custodian
Definition | Organisation that is in charge of maintaining the document/report.
Short | Document custodian
Control | 1..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSOrganisation
52. EHDSPatientSummary.header.documentFormat
Definition | An identifier of the document constraints, encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.
Short | Document format
Control | 0..1
Binding | HL7 Document Format Codes
Type | CodeableConcept
54. EHDSPatientSummary.header.confidentiality
Definition | Level of confidentiality of the document. Implicit value is normal.
Short | Confidentiality
Control | 0..1
Binding | hl7:Confidentiality
Type | CodeableConcept
56. EHDSPatientSummary.knowledgeResources
Definition | Related documents and information sources
Short | Related documents and information sources
Control | 0..*
Type | Base
58. EHDSPatientSummary.knowledgeResources.externalReference
Definition | A reference leading to Clinical Practice Guidelines (CPG), emergency and anesthesia guidelines or other clinical relevant guidelines. This should be used only for providing specific guidance which may not be readily available to the health professional caring for the patient.
Short | Reference to external knowledge resource
Control | 0..*
Type | RelatedArtifact
60. EHDSPatientSummary.knowledgeResources.relatedTo
Definition | Identify the entry or entries of this Patient Summary for which this additional information relates with, for example a link between a rare disease problem and guidelines for that particular rare disease.
Short | Reference to part of the patient summary
Control | 0..*
Type | Reference
62. EHDSPatientSummary.alerts
Definition | Information about substantial alerts or warnings that health professionals should be aware of.
Short | Section: Alerts.
Control | 1..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
64. EHDSPatientSummary.alerts.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
66. EHDSPatientSummary.alerts.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
68. EHDSPatientSummary.alerts.medicalAlert
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlert
Requirements | ISO IPS
70. EHDSPatientSummary.allergiesAndIntolerances
Definition | Section: Allergies and intolerances
Short | Section: Allergies and intolerances
Control | 1..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
72. EHDSPatientSummary.allergiesAndIntolerances.narrative
Definition | Text summary of the content in section
Short | Text summary of the content in section
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. EHDSPatientSummary.allergiesAndIntolerances.allergyIntolerance
Definition | List of structured allergies and intolerances
Short | List of structured allergies and intolerances
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
76. EHDSPatientSummary.allergiesAndIntolerances.emptyReason
Definition | Reason for absence of data (indicates whether the person is known to have no allergies or the data is considered incomplete)
Short | Use if no Allergies are listed
Control | 0..1
Binding | 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
Type | CodeableConcept
Requirements | This element is present in MyHealth@EU specifications and ISO IPS. The proposed way of modelling is identical to the newest version of FHIR IPS IG. See general description of Patient summary modelling for more information about this element. MH@EU has a similar concept, but it is modelled in slightly different way.
78. EHDSPatientSummary.problems
Definition | Conditions that are important to be known for a health professional during a health encounter.
Short | Medical problems.
Control | 1..1
Type | Base
80. EHDSPatientSummary.problems.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. EHDSPatientSummary.problems.emptyReason
Definition | Use if no conditions are listed
Short | Use if no conditions are listed
Control | 0..1
Type | CodeableConcept
84. EHDSPatientSummary.problems.problems
Definition | !!Health conditions affecting the health of the patient.!!
Short | !!Health conditions affecting the health of the patient.!!
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition
86. EHDSPatientSummary.medicationSummary
Definition | Current and relevant past medicine.
Short | Section: Medication Summary.
Control | 1..1
Type | Base
88. EHDSPatientSummary.medicationSummary.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
90. EHDSPatientSummary.medicationSummary.emptyReason
Definition | Use if no medicines are listed
Short | Use if no medicines are listed
Control | 0..1
Type | CodeableConcept
92. EHDSPatientSummary.medicationSummary.medicationTreatment
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationStatement
94. EHDSPatientSummary.medicalDevicesAndImplants
Definition | Section: Medical devices and implants
Short | Section: Medical devices and implants
Control | 1..1
Type | Base
96. EHDSPatientSummary.medicalDevicesAndImplants.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. EHDSPatientSummary.medicalDevicesAndImplants.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
100. EHDSPatientSummary.medicalDevicesAndImplants.medicalDevice
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDeviceUse
102. EHDSPatientSummary.procedures
Definition | Section: Procedures
Short | Section: Procedures
Control | 1..1
Type | Base
104. EHDSPatientSummary.procedures.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
106. EHDSPatientSummary.procedures.emptyReason
Definition | Reason for absence of data
Short | Reason for absence of data
Control | 0..1
Type | CodeableConcept
108. EHDSPatientSummary.procedures.procedure
Definition | List of procedures
Short | List of procedures
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure
110. EHDSPatientSummary.vaccination
Definition | A patient's immunisation status. The section should include current immunization status and may contain the entire immunization history that is relevant to the period of time being summarised. Adverse reactions against vaccines should be documented in the allergy section.
Short | Section: Vaccination/prophylaxis.
Control | 0..1
Type | Base
112. EHDSPatientSummary.vaccination.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
114. EHDSPatientSummary.vaccination.vaccination
Definition | Immunisations given to the patient and their status at the point of care.
Short | Immunisations given to the patient and their status at the point of care.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImmunisation
Requirements | eHN PS Guideline
116. EHDSPatientSummary.functionalStatus
Definition | Section: Functional status
Short | Section: Functional status
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
118. EHDSPatientSummary.functionalStatus.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. EHDSPatientSummary.functionalStatus.functionalStatusAssessment
Definition | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Short | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus
122. EHDSPatientSummary.socialHistory
Definition | Observations on social factors such as alcohol consumption or smoking. From the healthcare perspective, life-style factors relate to well-being but can also provide a source of risk factors.
Short | Section: Social history.
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
124. EHDSPatientSummary.socialHistory.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
126. EHDSPatientSummary.socialHistory.socialHistoryObservation
Definition | Health related lifestyle factors or lifestyle observations and social determinants of health. Example: cigarette smoker, alcohol consumption
Short | Social history observations related to health
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSSocialHistory
Requirements | eHN PS Guideline, MyHealth@EU, ISO IPS
128. EHDSPatientSummary.pregnancyHistory
Definition | To present the current health state of the patient with respect to pregnancy and to provide chronological and outcome information about past pregnancies.
Short | Section: Pregnancy history
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, ISO IPS
130. EHDSPatientSummary.pregnancyHistory.generatedNarrative
Definition | Generated text summary of the content in the section, for human interpretation
Short | Generated text summary of the content in the section, for human interpretation
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
132. EHDSPatientSummary.pregnancyHistory.currentPregnancyStatus
Definition | Current state of the pregnancy at the date the observation was made, e.g. pregnant, not pregnant, unknown.
Short | Current pregnancy status
Control | 0..1
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCurrentPregnancy
Requirements | eHN PS Guideline, ISO IPS
134. EHDSPatientSummary.pregnancyHistory.previousPregnanciesStatus
Definition | Overall status of previous pregnancies, including — Yes, previous pregnancies — No, previous pregnancies — Unknown
Short | Overall status of previous pregnancies
Control | 0..1
Type | CodeableConcept
Requirements | eHN PS Guideline, ISO IPS
136. EHDSPatientSummary.pregnancyHistory.previousPregnancies
Definition | Information about previous pregnancies, including outcomes and number of children/fetuses in each pregnancy.
Short | History of previous pregnancies
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSPregnancyHistory
138. EHDSPatientSummary.travelHistory
Definition | 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.
Short | Relevant information about the patient's recent travel history
Control | 0..1
Type | Base
Requirements | eHN PS Guideline, ISO IPS
140. EHDSPatientSummary.travelHistory.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
142. EHDSPatientSummary.travelHistory.travelHistory
Definition | Travel history for one country
Short | Travel history for one country
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSTravelHistory
Requirements | eHN PS Guideline, ISO IPS
144. EHDSPatientSummary.patientStory
Definition | A concise narrative from the patient’s perspective about their present health state. This is a record of the things that a person feels it is important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.
Short | What the patient believes to be important for the attending clinician to know.
Control | 0..1
Type | Base
Requirements | ISO IPS
146. EHDSPatientSummary.patientStory.narrative
Definition | Text summary of the content in the section
Short | Text summary of the content in the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
148. EHDSPatientSummary.advanceDirectives
Definition | Provision for healthcare decisions if, in the future, a person is unable to make those decisions.
Short | Section: Advance Directives.
Control | 0..1
Type | Base
150. EHDSPatientSummary.advanceDirectives.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
152. EHDSPatientSummary.advanceDirectives.advanceDirective
Definition | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
Short | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAdvanceDirective
154. EHDSPatientSummary.results
Definition | Relevant observation results obtained on the patient. These may be measurements, laboratory results, anatomic pathology results, radiology results or other imaging or clinical results.
Short | Section: Observation results.
Control | 0..1
Type | Base
156. EHDSPatientSummary.results.narrative
Definition | Narrative, potentially formatted, content of the section
Short | Narrative, potentially formatted, content of the section
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
158. EHDSPatientSummary.results.resultObservation[x]
Definition | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
Short | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
Control | 0..*
Type | Choice of: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation, https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSLaboratoryObservation
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
160. EHDSPatientSummary.carePlan
Definition | Therapeutic recommendations that do not include pharmacologic treatments, such as diet, physical exercise, planned surgeries
Short | Section: Care plans.
Control | 0..1
Type | Base
162. EHDSPatientSummary.carePlan.narrative
Definition | 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.
Short | 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.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
164. EHDSPatientSummary.carePlan.carePlanEntry
Definition | 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.
Short | 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.
Control | 0..*
Type | https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan