HL7 Europe Patient Summary
1.0.0-alpha - qa-preview 150

HL7 Europe Patient Summary - Downloaded Version 1.0.0-alpha See the Directory of published versions

## EHDSPatientSummary to Composition (EPS)

EHDSPatientSummary → Composition (EPS)
Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.

### EHDSPatientSummary → Composition, Bundle (EPS)

This page explains how conceptual elements from the EHDSPatientSummary logical model are expressed in the corresponding FHIR CompositionEuEps and BundleEuEps profiles used by this Implementation Guide.

Mapping Context

- Source logical model: EHDSPatientSummary
- Target FHIR profile: CompositionEuEps
- Target FHIR profile: BundleEuEps

EHDSPatientSummary → Composition, Bundle (EPS)
EHDSPatientSummary (Logical Model) | Relationship | Composition, Bundle (EPS)
--- | --- | ---
Element | Description | Relation | Resource | Element | Description | Notes
header | Document header elements inherited through the base model. | related-to | Composition | . | Composition-level metadata. |
header.subject | Patient/subject information. | equivalent | Composition | subject | Who or what the composition is about. |
header.identifier | Unique identifier of the document. | equivalent | Composition | identifier | Version-independent identifier for the Patient Summary. |
header.identifier | Unique identifier of the document. | equivalent | Bundle | identifier | Persistent identifier for the Patient Summary document bundle. | Represents a specific rendition/version of the document.
header.author[x] | Author(s) responsible for the document content. | equivalent | Composition | author | Who and/or what authored the composition. |
header.date | Date and time when the document was created. | equivalent | Composition | date | Composition creation time. |
header.status | Status of the resource or document. | equivalent | Composition | status | The workflow/clinical status of this composition. |
header.language | Language of the resource (IETF BCP-47). | equivalent | Composition | language | Language of the narrative. |
header.documentType | Type of document at hand (e.g., LOINC 60591-5 Patient summary document). | equivalent | Composition | type | Type of document. |
header.documentTitle | Human readable document title. | equivalent | Composition | title | Official human-readable label. |
header.period | Time of service that is being documented. | related-to | Composition | event.period | Period covered by the composition content. | Map to the primary Composition.event entry.
header.version | Business version of the document. | related-to | Composition | extension:version | Document business version. |
header.attestation | Document attestation details. | related-to | Composition | attester | Participants responsible for attesting the composition. |
header.attestation.attester | Attester who validated the document. | equivalent | Composition | attester.party | Who attested the composition. |
header.attestation.datetime | Date and time of the approval of the document by Attester. | equivalent | Composition | attester.time | When the composition was attested. |
header.legalAuthentication | Document legal authentication details. | related-to | Composition | attester | Legal authenticator. |
header.legalAuthentication.legalAuthenticator | The person taking responsibility for the medical content of the document. | related-to | Composition | attester.party | Legal authenticator party. |
header.legalAuthentication.datetime | Date and time when the document was authorised. | equivalent | Composition | attester.time | When the composition was attested. |
header.eventType | Categorisation of the event covered by the document. | related-to | Composition | event.code | Codes describing the event(s) related to the composition. | Not clear if it is a type of event - PCPR for Patient Summary - or a classification of the document.
header.serviceSpecialty | Additional details about where the content was created (e.g. clinical specialty). | source-is-narrower-than-target | Composition | category | Categorizes the composition. | Do not apply to Patient Summary.
header.custodian | Organisation that is in charge of maintaining the document/report. | equivalent | Composition | custodian | Organization responsible for maintenance. |
alerts | Section: Alerts. | equivalent | Composition | section:sectionAlerts | Alert section | Use LOINC 104605-1
alerts.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionAlerts.text | Narrative for Alerts section. |
alerts.emptyReason | Reason for absence of data. | equivalent | Composition | section:sectionAlerts.emptyReason | Why no alerts are present. |
alerts.medicalAlert | Description of medical alerts. | equivalent | Composition | section:sectionAlerts.entry:flag | Alert entries. | Reference to `FlagPatientEuCore.`
alerts.note | Free text notes by the health professional. | related-to | Composition | section:sectionAlerts.text | Additional narrative note for Alerts section. |
allergiesAndIntolerances | Section: Allergies and intolerances. | equivalent | Composition | section:sectionAllergies | Allergy and intolerance section. | Mandatory slice in CompositionEuEps.
allergiesAndIntolerances.generatedNarrative | Text summary of the content in section. | equivalent | Composition | section:sectionAllergies.text | Narrative for Allergies section. |
allergiesAndIntolerances.allergyIntolerance | List of structured allergies and intolerances. | equivalent | Composition | section:sectionAllergies.entry:allergyOrIntolerance | Allergy intolerance entries. | Reference to AllergyIntoleranceEuCore.
allergiesAndIntolerances.emptyReason | Use if no Allergies are listed. | equivalent | Composition | section:sectionAllergies.emptyReason | Reason for missing allergy data. |
allergiesAndIntolerances.note | Free text notes by the health professional. | related-to | Composition | section:sectionAllergies.text | Additional narrative note for Allergies section. |
problems | Medical problems. | equivalent | Composition | section:sectionProblems | Active problems section. | Use LOINC 11450-4
problems.generatedNarrative | Text summary of the content in the section. | equivalent | Composition | section:sectionProblems.text | Narrative for Problems section. |
problems.emptyReason | Reason for absence of data. | equivalent | Composition | section:sectionProblems.emptyReason | Why no problems are listed. |
problems.problem | Health conditions affecting the patient. | equivalent | Composition | section:sectionProblems.entry:problem | Problem entries. | Reference to ConditionEuCore.
problems.note | Free text notes by the health professional. | related-to | Composition | section:sectionProblems.text | Additional narrative note for Problems section. |
medicationSummary | Section: Medication Summary. | equivalent | Composition | section:sectionMedications | Medication summary section. | Use LOINC 10160-0
medicationSummary.generatedNarrative | Text summary of the content in the section. | equivalent | Composition | section:sectionMedications.text | Narrative for Medication section. |
medicationSummary.emptyReason | Use if no medicines are listed. | equivalent | Composition | section:sectionMedications.emptyReason | Reason for missing medication data. |
medicationSummary.medicationUse | Medication treatment/prescription relevant for this patient summary. | equivalent | Composition | section:sectionMedications.entry:medicationStatementOrRequest | Medication entries. | Reference to MedicationStatementEuEps.
medicationSummary.note | Free text notes by the health professional. | related-to | Composition | section:sectionMedications.text | Additional narrative note for Medication section. |
medicalDevicesAndImplants | Section: Medical devices and implants. | equivalent | Composition | section:sectionMedicalDevices | Medical devices section. | Use LOINC 46264-8
medicalDevicesAndImplants.generatedNarrative | Narrative content of the section. | equivalent | Composition | section.text | Narrative for devices and implants. |
medicalDevicesAndImplants.emptyReason | Reason for absence of data. | equivalent | Composition | section.emptyReason | Why no devices are listed. |
medicalDevicesAndImplants.deviceUse | Implanted and external medical devices. | equivalent | Composition | section:sectionMedicalDevices.entry:deviceStatement | Device use entries. | Reference to DeviceUseStatementEuEps.
medicalDevicesAndImplants.note | Free text notes by the health professional. | related-to | Composition | section:sectionMedicalDevices.text | Additional narrative note for Medical Devices section. |
procedures | Section: Procedures. | equivalent | Composition | section:sectionProceduresHx | Procedures section. | Use LOINC 47519-4
procedures.generatedNarrative | Narrative content of the section. | equivalent | Composition | section.text | Narrative for Procedures section. |
procedures.emptyReason | Reason for absence of data. | equivalent | Composition | section.emptyReason | Why no procedures are listed. |
procedures.procedure | List of procedures. | equivalent | Composition | section:sectionProceduresHx.entry:procedure | Procedure entries. | Reference to ProcedureEuCore.
procedures.note | Free text notes by the health professional. | related-to | Composition | section:sectionProceduresHx.text | Additional narrative note for Procedures section. |
immunisations | Section: Vaccination/prophylaxis. | equivalent | Composition | section:sectionImmunizations | Immunizations section. | Use LOINC 11369-6
immunisations.generatedNarrative | Narrative content of the section. | equivalent | Composition | section.text | Narrative for Immunizations section. |
immunisations.immunisation | Immunisations given to the patient and their status. | equivalent | Composition | section:sectionImmunizations.entry:immunization | Immunization entries. | Reference to ImmunizationEuCore.
immunisations.note | Free text notes by the health professional. | related-to | Composition | section:sectionImmunizations.text | Additional narrative note for Immunizations section. |
functionalStatus | Section: Functional status. | equivalent | Composition | section:sectionFunctionalStatus | Functional status section. | Use LOINC 47420-5
functionalStatus.generatedNarrative | Narrative content of the section. | equivalent | Composition | section.text | Narrative for Functional Status section. |
functionalStatus.condition | Condition information describing functional status or disability. | related-to | Composition | section:sectionFunctionalStatus.entry | Functional status condition entries. | Target slice/profile alignment may need clarification.
functionalStatus.assessment | Functional status assessments. | equivalent | Composition | section:sectionFunctionalStatus.entry:functionalStatus | Functional status entries. | The actual content maps better into an Observation profile, not allowed in this section
functionalStatus.note | Free text notes by the health professional. | related-to | Composition | section:sectionFunctionalStatus.text | Additional narrative note for Functional Status section. |
socialHistory | Section: Social history. | equivalent | Composition | section:sectionSocialHistory | Social history section. |
socialHistory.generatedNarrative | Narrative content of the section. | equivalent | Composition | section.text | Narrative for Social History section. |
socialHistory.observation | Social history observations related to health. | equivalent | Composition | section:sectionSocialHistory.entry | Social history entries. |
socialHistory.note | Free text notes by the health professional. | related-to | Composition | section:sectionSocialHistory.text | Additional narrative note for Social History section. |
pregnancyHistory | Section: Pregnancy history. | equivalent | Composition | section:sectionPregnancyHx | Pregnancy history section. | Use LOINC 10162-6
pregnancyHistory.generatedNarrative | Generated text summary of the section. | equivalent | Composition | section.text | Narrative for Pregnancy section. |
pregnancyHistory.currentPregnancyStatus | Current pregnancy status. | equivalent | Composition | section:sectionPregnancyHx.entry:pregnancyStatus | Pregnancy status entry. |
pregnancyHistory.note | Free text notes by the health professional. | related-to | Composition | section:sectionPregnancyHx.text | Additional narrative note for pregnancy history. | Narrative text used when no structured mapping is needed.
pregnancyHistory.previousPregnancies | History of previous pregnancies. | equivalent | Composition | section:sectionPregnancyHx.entry:pregnancyOutcome | Pregnancy outcome entries. |
travelHistory | Relevant information about the patient's recent travel history. | equivalent | Composition | section:sectionTravelHx | Travel history section. | Uses LOINC 10182-4.
travelHistory.generatedNarrative | Text summary of the content in the section. | equivalent | Composition | section.text | Narrative for Travel History section. |
travelHistory.travelHistory | Travel history for one country. | equivalent | Composition | section:sectionTravelHx.entry | Travel history entries. | Reference to ObservationTravelEuEps.
travelHistory.note | Free text notes by the health professional. | related-to | Composition | section:sectionTravelHx.text | Additional narrative note for Travel History section. |
patientStory | What the patient believes to be important for the attending clinician to know. | equivalent | Composition | section:sectionPatientHx | Patient story section. | check if the propoer loinc code is used and the patient history section is added.
patientStory.note | Free text notes by the health professional. | equivalent | Composition | section:sectionPatientHx.text | Additional narrative note for Patient Story. |
advanceDirectives | Section: Advance Directives. | equivalent | Composition | section:sectionAdvanceDirectives | Advance directives section. | Use LOINC 42348-3
advanceDirectives.generatedNarrative | Narrative content of the section. | equivalent | Composition | section.text | Narrative for Advance Directives section. |
advanceDirectives.advanceDirective | Provision for healthcare decisions. | equivalent | Composition | section:sectionAdvanceDirectives.entry | Advance directive entries. | Reference to ConsentEuEps or DocumentReference.
advanceDirectives.note | Free text notes by the health professional. | related-to | Composition | section:sectionAdvanceDirectives.text | Additional narrative note for Advance Directives section. |
observationResults | Section: Observation results. | source-is-broader-than-target | Composition | section:sectionResults | Results section. | When the result is a diagnostic result.
observationResults | Section: Observation results. | source-is-broader-than-target | Composition | section:sectionVitalSigns | Vital Signs section. | When the result is a vital sign
observationResults.generatedNarrative | Narrative content of the section. | equivalent | Composition | section.text | Narrative for Results section. |
observationResults.result | Observation results pertaining to the subject of care. | equivalent | Composition | section:sectionResults.entry | Result observation entries. | When the result is a diagnostic result.
observationResults.result | Observation results pertaining to the subject of care. | equivalent | Composition | section:sectionVitalSigns.entry | Result observation entries. | When the result is a vital sign, target profile is http://hl7.org/fhir/StructureDefinition/vitalsigns.
observationResults.note | Free text notes by the health professional. | related-to | Composition | section.text | Additional narrative note for Results section. |
carePlans | Section: Care plans. | equivalent | Composition | section:sectionPlanOfCare | Care plan section. |
carePlans.generatedNarrative | Narrative containing the plan including proposals, goals, and order requests. | equivalent | Composition | section.text | Narrative for Care Plan section. |
carePlans.carePlan | Describes the intention of how care will be delivered. | equivalent | Composition | section:sectionPlanOfCare.entry | Care plan entries. |
carePlans.note | Free text notes by the health professional. | related-to | Composition | section:sectionPlanOfCare.text | Additional narrative note for Care Plans section. |

Return to overview: EHDS Logical Models → FHIR Profiles