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-D6-2 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 2025-05-26 | Computable Name: EHDSPatientSummary

EHDS refined base model for Patient Summary

Usage:

- This Logical Model Profile 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.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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() | ...
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.
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 (No ValueSet): (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 (No ValueSet): (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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSPatientSummary.header.language | preferred |
EHDSPatientSummary.header.documentType | preferred |
EHDSPatientSummary.header.documentStatus | preferred |
EHDSPatientSummary.header.documentFormat | preferred |
EHDSPatientSummary.header.confidentiality | preferred |
EHDSPatientSummary.patientProvidedData.travelHistory.country | preferred |
EHDSPatientSummary.advanceDirectives.documentation | preferred |

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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.
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 (No ValueSet): (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 (No ValueSet): (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.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSPatientSummary.patientProvidedData.travelHistory.country | preferred |
EHDSPatientSummary.advanceDirectives.documentation | preferred |

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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() | ...
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.
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 (No ValueSet): (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 (No ValueSet): (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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSPatientSummary.header.language | preferred |
EHDSPatientSummary.header.documentType | preferred |
EHDSPatientSummary.header.documentStatus | preferred |
EHDSPatientSummary.header.documentFormat | preferred |
EHDSPatientSummary.header.confidentiality | preferred |
EHDSPatientSummary.patientProvidedData.travelHistory.country | preferred |
EHDSPatientSummary.advanceDirectives.documentation | preferred |

This structure is derived from EHDSDocument

Summary

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

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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() | ...
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.
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 (No ValueSet): (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 (No ValueSet): (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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSPatientSummary.header.language | preferred |
EHDSPatientSummary.header.documentType | preferred |
EHDSPatientSummary.header.documentStatus | preferred |
EHDSPatientSummary.header.documentFormat | preferred |
EHDSPatientSummary.header.confidentiality | preferred |
EHDSPatientSummary.patientProvidedData.travelHistory.country | preferred |
EHDSPatientSummary.advanceDirectives.documentation | preferred |

Differential View

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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.
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 (No ValueSet): (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 (No ValueSet): (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.
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
EHDSPatientSummary.patientProvidedData.travelHistory.country | preferred |
EHDSPatientSummary.advanceDirectives.documentation | preferred |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
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 (No ValueSet): (preferred): BCP 47
version |  | 0..1 | string | Version
documentType |  | 1..1 | CodeableConcept | Document type Binding Description (No ValueSet): (preferred): LOINC
documentTitle |  | 1..1 | string | Document title
documentStatus |  | 1..1 | CodeableConcept | Document status Binding Description (No ValueSet): (preferred): hl7:CompositionStatus
period |  | 0..1 | Period | Period
custodian |  | 1..1 | EHDSOrganization | Document custodian
documentFormat |  | 0..1 | CodeableConcept | Document format Binding Description (No ValueSet): (preferred): HL7 Document Format Codes
confidentiality |  | 0..1 | CodeableConcept | Confidentiality Binding Description (No ValueSet): (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() | ...
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.
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 (No ValueSet): (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 (No ValueSet): (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.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
EHDSPatientSummary.header.language | preferred |
EHDSPatientSummary.header.documentType | preferred |
EHDSPatientSummary.header.documentStatus | preferred |
EHDSPatientSummary.header.documentFormat | preferred |
EHDSPatientSummary.header.confidentiality | preferred |
EHDSPatientSummary.patientProvidedData.travelHistory.country | preferred |
EHDSPatientSummary.advanceDirectives.documentation | preferred |

This structure is derived from EHDSDocument

Summary

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

Other representations of profile: CSV, Excel