EHNPatientSummary
Official URL: http://hl7.eu/fhir/ig/xborder-ps/StructureDefinition/EHNPatientSummary
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Version: 0.1.0 | |
| Parent: |
Computable Name: EHNPatientSummary |
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Logical model representing the full eHealth Network Patient Summary dataset (Release 3.4, Nov 2024) as defined in Directive 2011/24/EU and the eHN PS Guidelines. Covers both the PS Header (A.1) and PS Body (A.2).
Views of Logical Model Content
| EHNPatientSummary | http://hl7.org/fhir/StructureDefinition/Base | ||
| header | 1..1 | BackboneElement | |
| patientIdentification | 1..1 | BackboneElement | |
| familyName | 1..* | string | |
| givenName | 1..* | string | |
| dateOfBirth | 1..1 | date | |
| administrativeGender | 1..1 | CodeableConceptBinding | |
| nationalIdentifier | 0..* | Identifier | |
| countryOfAffiliation | 0..1 | CodeableConceptBinding | |
| contactInformation | 0..1 | BackboneElement | |
| patientAddress | 0..* | BackboneElement | |
| street | 0..1 | string | |
| houseNumber | 0..1 | string | |
| city | 0..1 | string | |
| postCode | 0..1 | string | |
| stateOrProvince | 0..1 | string | |
| country | 0..1 | CodeableConceptBinding | |
| telephone | 0..* | string | |
| 0..* | string | ||
| preferredHP | 0..* | BackboneElement | |
| name | 0..1 | string | |
| role | 0..1 | CodeableConcept | |
| organisation | 0..1 | string | |
| telephone | 0..* | string | |
| 0..* | string | ||
| networkAffiliation | 0..* | string | |
| relatedWith | 0..* | string | |
| contactPerson | 0..* | BackboneElement | |
| role | 0..1 | CodeableConcept | |
| relationshipLevel | 0..1 | CodeableConcept | |
| givenName | 0..* | string | |
| familyName | 0..* | string | |
| telephone | 0..* | string | |
| 0..* | string | ||
| insuranceInformation | 0..1 | BackboneElement | |
| insuranceNumber | 0..1 | Identifier | |
| documentData | 1..1 | BackboneElement | |
| dateCreated | 1..1 | dateTime | |
| dateLastUpdated | 0..1 | dateTime | |
| natureOfPS | 0..1 | CodeableConceptBinding | |
| authorAndOrganisation | 1..* | BackboneElement | |
| authorOrganisation | 1..1 | string | |
| legalAuthenticator | 0..1 | string | |
| additionalInformation | 0..* | BackboneElement | |
| externalReference | 1..1 | url | |
| relatedWith | 0..* | string | |
| body | 1..1 | BackboneElement | |
| alerts | 0..1 | BackboneElement | |
| allergy | 0..* | BackboneElement | |
| allergyDescription | 0..1 | string | |
| typeOfPropensity | 0..1 | CodeableConceptBinding | |
| allergyManifestation | 0..* | CodeableConcept | |
| severity | 0..1 | CodeableConceptBinding | |
| criticality | 0..1 | CodeableConceptBinding | |
| onsetDate | 0..1 | dateTime | |
| endDate | 0..1 | dateTime | |
| status | 0..1 | CodeableConceptBinding | |
| certainty | 0..1 | CodeableConceptBinding | |
| agentOrAllergen | 1..1 | CodeableConcept | |
| medicalAlert | 0..* | BackboneElement | |
| healthcareAlertDescription | 1..1 | string | |
| medicalHistory | 0..1 | BackboneElement | |
| vaccination | 0..* | BackboneElement | |
| diseaseOrAgentTargeted | 1..1 | CodeableConcept | |
| vaccineProphylaxis | 1..1 | CodeableConcept | |
| vaccineMedicinalProductName | 0..1 | string | |
| vaccineProductIdentifier | 0..* | Identifier | |
| marketingAuthorisationHolder | 0..1 | string | |
| doseNumber | 0..1 | positiveInt | |
| batchLotNumber | 0..1 | string | |
| dateOfVaccination | 1..1 | date | |
| administeringCentre | 0..1 | string | |
| healthProfessionalIdentification | 0..1 | string | |
| countryOfVaccination | 0..1 | CodeableConceptBinding | |
| nextVaccinationDate | 0..1 | date | |
| resolvedProblems | 0..* | BackboneElement | |
| problemDescription | 1..1 | CodeableConcept | |
| onsetDate | 0..1 | date | |
| endDate | 0..1 | date | |
| resolutionCircumstances | 0..1 | string | |
| medicalHistoryNarrative | 0..1 | BackboneElement | |
| medicalHistory | 0..1 | string | |
| medicalProblems | 0..1 | BackboneElement | |
| currentProblems | 0..* | BackboneElement | |
| problemDiagnosisDescription | 1..1 | CodeableConcept | |
| onsetDate | 0..1 | date | |
| diagnosisAssertionStatus | 0..1 | CodeableConceptBinding | |
| medicalDevices | 0..* | BackboneElement | |
| deviceAndImplantDescription | 1..1 | CodeableConcept | |
| deviceId | 0..1 | Identifier | |
| implantDate | 0..1 | date | |
| endDate | 0..1 | date | |
| procedures | 0..* | BackboneElement | |
| procedureDescription | 1..1 | CodeableConcept | |
| bodySite | 0..* | CodeableConcept | |
| procedureDate | 0..1 | date | |
| functionalStatus | 0..* | BackboneElement | |
| description | 0..1 | string | |
| onsetDate | 0..1 | date | |
| functionalAssessmentDescription | 0..1 | CodeableConcept | |
| functionalAssessmentDate | 0..1 | date | |
| functionalAssessmentResult | 0..1 | CodeableConcept | |
| medicationSummary | 0..1 | BackboneElement | |
| medication | 0..* | BackboneElement | |
| medicationReason | 0..* | CodeableConcept | |
| intendedUse | 0..1 | CodeableConcept | |
| brandName | 0..1 | string | |
| activeIngredientList | 1..* | CodeableConcept | |
| strength | 0..1 | Ratio | |
| pharmaceuticalDoseForm | 0..1 | CodeableConcept | |
| dosageRegimen | 0..1 | Dosage | |
| routeOfAdministration | 0..1 | CodeableConcept | |
| dateOfOnsetOfTreatment | 0..1 | date | |
| socialHistory | 0..1 | BackboneElement | |
| socialHistoryObservation | 0..* | CodeableConcept | |
| referenceDateRange | 0..1 | Period | |
| pregnancyHistory | 0..1 | BackboneElement | |
| currentPregnancyStatus | 0..1 | BackboneElement | |
| dateOfObservation | 0..1 | dateTime | |
| status | 0..1 | CodeableConcept | |
| expectedDateOfDelivery | 0..1 | date | |
| previousPregnancies | 0..1 | BackboneElement | |
| previousPregnanciesStatus | 0..1 | CodeableConcept | |
| previousPregnancyDescription | 0..* | BackboneElement | |
| outcomeDate | 0..1 | date | |
| outcome | 0..1 | CodeableConcept | |
| numberOfChildren | 0..1 | integer | |
| patientProvidedData | 0..1 | BackboneElement | |
| travelHistory | 0..* | BackboneElement | |
| country | 1..1 | CodeableConceptBinding | |
| period | 0..1 | Period | |
| advanceDirective | 0..* | BackboneElement | |
| documentation | 1..1 | CodeableConcept | |
| results | 0..1 | BackboneElement | |
| resultObservation | 0..* | BackboneElement | |
| date | 1..1 | dateTime | |
| resultType | 1..1 | CodeableConcept | |
| resultName | 1..1 | CodeableConcept | |
| resultValue | 0..1 | boolean | CodeableConcept | Quantity | Range | string | |
| resultUnit | 0..1 | CodeableConcept | |
| referenceRange | 0..1 | Range | |
| interpretation | 0..1 | CodeableConceptBinding | |
| planOfCare | 0..* | BackboneElement | |
| planDescription | 1..1 | string | |
| plannedDate | 0..1 | dateTime | |
| careType | 0..1 | CodeableConcept |
| EHNPatientSummary | ||
| Short | eHN Patient Summary | |
| Definition | Root element of the eHN Patient Summary logical model covering header (A.1) and body (A.2) sections. | |
| Cardinality | 1..1 | |
| EHNPatientSummary.header | ||
| Short | A.1 Patient Summary Header | |
| Definition | Header section of the Patient Summary containing patient identification, contact information, insurance, document metadata, authorship, and knowledge resources. | |
| Cardinality | 1..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.header.patientIdentification | ||
| Short | A.1.1 Patient identification | |
| Definition | Identification data elements for the patient subject of the Patient Summary. | |
| Cardinality | 1..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.header.patientIdentification.familyName | ||
| Short | A.1.1.1 Family name / surname | |
| Definition | Family name(s) of the patient. May contain more than one element. | |
| Cardinality | 1..* | |
| Type | string | |
| EHNPatientSummary.header.patientIdentification.givenName | ||
| Short | A.1.1.2 Given name | |
| Definition | Given name(s) of the patient. | |
| Cardinality | 1..* | |
| Type | string | |
| EHNPatientSummary.header.patientIdentification.dateOfBirth | ||
| Short | A.1.1.3 Date of birth | |
| Definition | Date of birth of the patient (ISO 8601). | |
| Cardinality | 1..1 | |
| Type | date | |
| EHNPatientSummary.header.patientIdentification.administrativeGender | ||
| Short | A.1.1.4 Gender | |
| Definition | Administrative gender of the patient. | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.header.patientIdentification.nationalIdentifier | ||
| Short | A.1.1.5 National patient identifier | |
| Definition | National patient identifier(s) used in the country of affiliation. | |
| Cardinality | 0..* | |
| Type | Identifier | |
| EHNPatientSummary.header.patientIdentification.countryOfAffiliation | ||
| Short | A.1.1.6 Country of affiliation | |
| Definition | Name of the country of affiliation (ISO 3166). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.header.contactInformation | ||
| Short | A.1.2 Contact information | |
| Definition | Contact information for the patient, preferred health professional, and legal guardian/contact person. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.header.contactInformation.patientAddress | ||
| Short | A.1.2.1 Patient address | |
| Definition | Patient address details. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.header.contactInformation.patientAddress.street | ||
| Short | A.1.2.1.1 Street | |
| Definition | Street name. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.patientAddress.houseNumber | ||
| Short | A.1.2.1.2 House number | |
| Definition | House number. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.patientAddress.city | ||
| Short | A.1.2.1.3 City | |
| Definition | City. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.patientAddress.postCode | ||
| Short | A.1.2.1.4 Post code | |
| Definition | Postal code. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.patientAddress.stateOrProvince | ||
| Short | A.1.2.1.5 State or province | |
| Definition | State or province. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.patientAddress.country | ||
| Short | A.1.2.1.6 Country | |
| Definition | Country code (ISO 3166). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.header.contactInformation.patientAddress.telephone | ||
| Short | A.1.2.1.7 Telephone | |
| Definition | Telephone number. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.patientAddress.email | ||
| Short | A.1.2.1.8 Email | |
| Definition | Email address. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.preferredHP | ||
| Short | A.1.2.2 Preferred HP to contact | |
| Definition | Preferred health professional to contact. Repeatable and linkable to specific PS entries. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.header.contactInformation.preferredHP.name | ||
| Short | A.1.2.2.1 Name of the HP | |
| Definition | Name of the Health Professional. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.preferredHP.role | ||
| Short | A.1.2.2.2 Role of the HP | |
| Definition | Health professional role. | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.header.contactInformation.preferredHP.organisation | ||
| Short | A.1.2.2.3 HP Organisation | |
| Definition | Health professional organisation. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.preferredHP.telephone | ||
| Short | A.1.2.2.4 Telephone | |
| Definition | Telephone number of the HP. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.preferredHP.email | ||
| Short | A.1.2.2.5 Email | |
| Definition | Email of the HP or legal organisation. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.preferredHP.networkAffiliation | ||
| Short | A.1.2.2.6 Network affiliation | |
| Definition | The HP organisation is affiliated with a European network (e.g. ERN). | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.preferredHP.relatedWith | ||
| Short | A.1.2.2.7 Related with | |
| Definition | Reference to the PS entry or entries for which this HP is the preferred contact. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.contactPerson | ||
| Short | A.1.2.3 Contact person / legal guardian | |
| Definition | Contact person or legal guardian of the patient. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.header.contactInformation.contactPerson.role | ||
| Short | A.1.2.3.1 Role of that person | |
| Definition | Role of the contact person: legal guardian, next of kin, other person to contact (HL7 RoleClass). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.header.contactInformation.contactPerson.relationshipLevel | ||
| Short | A.1.2.3.2 Relationship level | |
| Definition | Relationship type with the patient (HL7 RoleCode). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.header.contactInformation.contactPerson.givenName | ||
| Short | A.1.2.3.3 Given name | |
| Definition | Given name(s) of the contact person or guardian. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.contactPerson.familyName | ||
| Short | A.1.2.3.4 Family name / surname | |
| Definition | Family name(s) of the contact person or guardian. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.contactPerson.telephone | ||
| Short | A.1.2.3.5 Telephone | |
| Definition | Telephone number of the contact person. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.contactInformation.contactPerson.email | ||
| Short | A.1.2.3.6 Email | |
| Definition | Email of the contact person or legal guardian. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.header.insuranceInformation | ||
| Short | A.1.3 Insurance information | |
| Definition | Patient insurance information. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.header.insuranceInformation.insuranceNumber | ||
| Short | A.1.3.1 Insurance number | |
| Definition | Insurance or social security number (e.g. EHIC number). | |
| Cardinality | 0..1 | |
| Type | Identifier | |
| EHNPatientSummary.header.documentData | ||
| Short | A.1.4 Document data | |
| Definition | Metadata describing the Patient Summary document itself. | |
| Cardinality | 1..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.header.documentData.dateCreated | ||
| Short | A.1.4.1 Date created | |
| Definition | Date on which the PS was generated (ISO 8601). | |
| Cardinality | 1..1 | |
| Type | dateTime | |
| EHNPatientSummary.header.documentData.dateLastUpdated | ||
| Short | A.1.4.2 Date of last update | |
| Definition | Date on which the PS was last updated (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | dateTime | |
| EHNPatientSummary.header.documentData.natureOfPS | ||
| Short | A.1.4.3 Nature of the PS | |
| Definition | Methodological approach used to generate the PS: direct human intervention, automatically generated, or mixed. | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | http://hl7.eu/fhir/ig/xborder-ps/ValueSet/ps-nature-lm (required) | |
| EHNPatientSummary.header.authorAndOrganisation | ||
| Short | A.1.5 Author and Organisation | |
| Definition | Author(s) and organisation(s) responsible for the Patient Summary. At least one author or organisation shall be listed. | |
| Cardinality | 1..* | |
| Type | BackboneElement | |
| EHNPatientSummary.header.authorAndOrganisation.authorOrganisation | ||
| Short | A.1.5.1 Author organisation | |
| Definition | Organisation (and optionally named author) who created or contributed to the Patient Summary. | |
| Cardinality | 1..1 | |
| Type | string | |
| EHNPatientSummary.header.authorAndOrganisation.legalAuthenticator | ||
| Short | A.1.5.2 Legal authenticator | |
| Definition | Legal entity (Health Professional or Health Care Provider) who authenticated the Patient Summary. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.header.additionalInformation | ||
| Short | A.1.6 Additional information / Knowledge resources | |
| Definition | External references to clinical practice guidelines, emergency guidelines, or other clinically relevant knowledge resources. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.header.additionalInformation.externalReference | ||
| Short | A.1.6.1 External reference | |
| Definition | A reference leading to Clinical Practice Guidelines, emergency and anaesthesia guidelines, or other clinically relevant guidelines. | |
| Cardinality | 1..1 | |
| Type | url | |
| EHNPatientSummary.header.additionalInformation.relatedWith | ||
| Short | A.1.6.2 Related with | |
| Definition | Reference to the PS entry or entries to which this additional information relates. | |
| Cardinality | 0..* | |
| Type | string | |
| EHNPatientSummary.body | ||
| Short | A.2 Patient Summary Body | |
| Definition | Body section of the Patient Summary containing clinical data elements including alerts, medical history, problems, medications, social history, pregnancy, patient-provided data, results, and plan of care. | |
| Cardinality | 1..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.alerts | ||
| Short | A.2.1 Alerts | |
| Definition | Alerts section including allergies/intolerances and other medical alerts. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.alerts.allergy | ||
| Short | A.2.1.1 Allergy | |
| Definition | Allergy or intolerance entries. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.alerts.allergy.allergyDescription | ||
| Short | A.2.1.1.1 Allergy description | |
| Definition | Textual description of the allergy or intolerance. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.alerts.allergy.typeOfPropensity | ||
| Short | A.2.1.1.3 Type of propensity | |
| Definition | Whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.alerts.allergy.allergyManifestation | ||
| Short | A.2.1.1.3 Allergy manifestation | |
| Definition | Clinical manifestation of the allergic reaction (SNOMED CT GPS). | |
| Cardinality | 0..* | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.alerts.allergy.severity | ||
| Short | A.2.1.1.4 Severity | |
| Definition | Severity of the clinical manifestation of the allergic reaction (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.alerts.allergy.criticality | ||
| Short | A.2.1.1.5 Criticality | |
| Definition | Potential risk for future life-threatening adverse reactions (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.alerts.allergy.onsetDate | ||
| Short | A.2.1.1.6 Onset date | |
| Definition | Date of the observation of the reaction (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | dateTime | |
| EHNPatientSummary.body.alerts.allergy.endDate | ||
| Short | A.2.1.1.7 End date | |
| Definition | Date of resolution of the allergy (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | dateTime | |
| EHNPatientSummary.body.alerts.allergy.status | ||
| Short | A.2.1.1.8 Status | |
| Definition | Current status of the allergy or intolerance (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.alerts.allergy.certainty | ||
| Short | A.2.1.1.9 Certainty | |
| Definition | Assertion about the certainty associated with a propensity or potential risk of a reaction (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.alerts.allergy.agentOrAllergen | ||
| Short | A.2.1.1.10 Agent or allergen | |
| Definition | Specific allergen or substance to which the patient has an adverse reaction propensity (SNOMED CT GPS for non-drug; ATC for drug). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.alerts.medicalAlert | ||
| Short | A.2.1.2 Medical alert information | |
| Definition | Other alerts not included in allergies. Any clinical information imperative to know for patient safety. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.alerts.medicalAlert.healthcareAlertDescription | ||
| Short | A.2.1.2.1 Healthcare alert description | |
| Definition | Description of the medical alert in textual format. | |
| Cardinality | 1..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalHistory | ||
| Short | A.2.2 Medical history | |
| Definition | Medical history section including vaccination, resolved problems, and medical history narrative. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalHistory.vaccination | ||
| Short | A.2.2.1 Vaccination / prophylaxis information | |
| Definition | Vaccination and prophylaxis records. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalHistory.vaccination.diseaseOrAgentTargeted | ||
| Short | A.2.2.1.1 Disease or agent targeted | |
| Definition | Disease or agent that the vaccination provides protection against (ICD-10, SNOMED CT GPS). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalHistory.vaccination.vaccineProphylaxis | ||
| Short | A.2.2.1.2 Vaccine / prophylaxis | |
| Definition | Generic description of the vaccine or prophylaxis (SNOMED CT GPS, ATC). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalHistory.vaccination.vaccineMedicinalProductName | ||
| Short | A.2.2.1.3 Vaccine medicinal product name | |
| Definition | Brand name of the vaccine medicinal product. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalHistory.vaccination.vaccineProductIdentifier | ||
| Short | A.2.2.1.3.1 Identifier of the vaccine medicinal product | |
| Definition | Identifier for the vaccine medicinal product (MPID per ISO 11615, EMA PMS ID, or national identifier). | |
| Cardinality | 0..* | |
| Type | Identifier | |
| EHNPatientSummary.body.medicalHistory.vaccination.marketingAuthorisationHolder | ||
| Short | A.2.2.1.4 Marketing Authorisation Holder | |
| Definition | Marketing Authorisation Holder (EMA SPOR). | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalHistory.vaccination.doseNumber | ||
| Short | A.2.2.1.5 Dose number | |
| Definition | Order in the vaccination course. | |
| Cardinality | 0..1 | |
| Type | positiveInt | |
| EHNPatientSummary.body.medicalHistory.vaccination.batchLotNumber | ||
| Short | A.2.2.1.6 Batch / lot number | |
| Definition | Combination of numbers/letters identifying the batch. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalHistory.vaccination.dateOfVaccination | ||
| Short | A.2.2.1.7 Date of vaccination | |
| Definition | Date when the vaccination was administered (ISO 8601). | |
| Cardinality | 1..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalHistory.vaccination.administeringCentre | ||
| Short | A.2.2.1.8 Administering centre | |
| Definition | Name or code of the administering centre or health authority responsible for the vaccination event. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalHistory.vaccination.healthProfessionalIdentification | ||
| Short | A.2.2.1.9 Health professional identification | |
| Definition | Name or code of the health professional who administered the vaccine. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalHistory.vaccination.countryOfVaccination | ||
| Short | A.2.2.1.10 Country of vaccination | |
| Definition | Country in which the vaccination was given (ISO 3166). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.medicalHistory.vaccination.nextVaccinationDate | ||
| Short | A.2.2.1.11 Next vaccination date | |
| Definition | Date when the next vaccination dose is planned (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalHistory.resolvedProblems | ||
| Short | A.2.2.2 Resolved, closed or inactive problems | |
| Definition | Problems or diagnoses that the patient suffered in the past and which have been resolved, closed, or declared inactive. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalHistory.resolvedProblems.problemDescription | ||
| Short | A.2.2.2.1 Problem description | |
| Definition | Resolved problem or diagnosis (ICD-10, SNOMED CT GPS, Orphacode for rare diseases). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalHistory.resolvedProblems.onsetDate | ||
| Short | A.2.2.2.2 Onset date | |
| Definition | Date of problem onset (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalHistory.resolvedProblems.endDate | ||
| Short | A.2.2.2.3 End date | |
| Definition | Problem resolution date (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalHistory.resolvedProblems.resolutionCircumstances | ||
| Short | A.2.2.2.4 Resolution circumstances | |
| Definition | Reason for the problem status change from current to inactive. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalHistory.medicalHistoryNarrative | ||
| Short | A.2.2.3 Medical history narrative | |
| Definition | Synthetic anamnesis or narrative medical history as described in section 2, chapter III, art 7(c). | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalHistory.medicalHistoryNarrative.medicalHistory | ||
| Short | A.2.2.3.1 Medical history | |
| Definition | Narrative medical history text. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalProblems | ||
| Short | A.2.3 Medical problems | |
| Definition | Current medical problems and related data including current problems, medical devices, procedures, and functional status. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalProblems.currentProblems | ||
| Short | A.2.3.1 Current problems | |
| Definition | Current health conditions affecting the patient and important for care delivery. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalProblems.currentProblems.problemDiagnosisDescription | ||
| Short | A.2.3.1.1 Problem / diagnosis description | |
| Definition | Current health condition (ICD-10, SNOMED CT GPS, Orphacode for rare diseases). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalProblems.currentProblems.onsetDate | ||
| Short | A.2.3.1.2 Onset date | |
| Definition | Date of problem onset (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalProblems.currentProblems.diagnosisAssertionStatus | ||
| Short | A.2.3.1.3 Diagnosis assertion status | |
| Definition | Assertion about the certainty associated with a diagnosis (HL7). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.medicalProblems.medicalDevices | ||
| Short | A.2.3.2 Medical devices and implants | |
| Definition | Patient's implanted and external medical devices and equipment. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalProblems.medicalDevices.deviceAndImplantDescription | ||
| Short | A.2.3.2.1 Device and implant description | |
| Definition | Description of the implanted/external medical device (SNOMED CT GPS, EMDN). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalProblems.medicalDevices.deviceId | ||
| Short | A.2.3.2.2 Device ID | |
| Definition | Normalised device instance identifier such as UDI per EU MDR 2017/745. | |
| Cardinality | 0..1 | |
| Type | Identifier | |
| EHNPatientSummary.body.medicalProblems.medicalDevices.implantDate | ||
| Short | A.2.3.2.3 Implant date | |
| Definition | Date when the device was implanted or applied (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalProblems.medicalDevices.endDate | ||
| Short | A.2.3.2.4 End date | |
| Definition | Date when the device was explanted or no longer in use (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalProblems.procedures | ||
| Short | A.2.3.3 Procedures | |
| Definition | Procedures relevant to the patient's current or past health status. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalProblems.procedures.procedureDescription | ||
| Short | A.2.3.3.1 Procedure description | |
| Definition | Type of procedure performed (SNOMED CT GPS). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalProblems.procedures.bodySite | ||
| Short | A.2.3.3.2 Body site | |
| Definition | Target body site of the procedure (SNOMED CT GPS). | |
| Cardinality | 0..* | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalProblems.procedures.procedureDate | ||
| Short | A.2.3.3.3 Procedure date | |
| Definition | Date when the procedure was performed (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalProblems.functionalStatus | ||
| Short | A.2.3.4 Functional status | |
| Definition | Patient's functional status relevant to treatment planning. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicalProblems.functionalStatus.description | ||
| Short | A.2.3.4.1 Description | |
| Definition | Need for the patient to be continuously assessed by third parties. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicalProblems.functionalStatus.onsetDate | ||
| Short | A.2.3.4.2 Onset date | |
| Definition | Onset date of the functional condition (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalProblems.functionalStatus.functionalAssessmentDescription | ||
| Short | A.2.3.4.3 Functional assessment description | |
| Definition | Description of the functional assessment (ICF). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicalProblems.functionalStatus.functionalAssessmentDate | ||
| Short | A.2.3.4.4 Functional assessment date | |
| Definition | Date of the functional assessment (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.medicalProblems.functionalStatus.functionalAssessmentResult | ||
| Short | A.2.3.4.5 Functional assessment result | |
| Definition | Functional assessment result value (ICF). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicationSummary | ||
| Short | A.2.4 Medication summary | |
| Definition | Current and relevant past medications. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicationSummary.medication | ||
| Short | A.2.4.1 Current and relevant past medicines | |
| Definition | Medicines whose treatment period has not expired, or which influence current health status or clinical decisions. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.medicationSummary.medication.medicationReason | ||
| Short | A.2.4.1.1 Medication reason | |
| Definition | Reason the medication is or was prescribed (ICD-10, SNOMED CT GPS, Orphacode). | |
| Cardinality | 0..* | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicationSummary.medication.intendedUse | ||
| Short | A.2.4.1.2 Intended use | |
| Definition | Indication for intended use: prevention, treatment, prophylaxis, diagnostic, anaesthesia, etc. | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicationSummary.medication.brandName | ||
| Short | A.2.4.1.3 Brand name | |
| Definition | Brand name for biological medicinal products or when required by the HP. | |
| Cardinality | 0..1 | |
| Type | string | |
| EHNPatientSummary.body.medicationSummary.medication.activeIngredientList | ||
| Short | A.2.4.1.4 Active ingredient list | |
| Definition | Active ingredient(s) of the medicinal product (ATC; IDMP when available). | |
| Cardinality | 1..* | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicationSummary.medication.strength | ||
| Short | A.2.4.1.5 Strength | |
| Definition | Content of the active ingredient per dosage unit/volume/weight (UCUM, EDQM Standard Terms). | |
| Cardinality | 0..1 | |
| Type | Ratio | |
| EHNPatientSummary.body.medicationSummary.medication.pharmaceuticalDoseForm | ||
| Short | A.2.4.1.6 Pharmaceutical dose form | |
| Definition | Form in which the pharmaceutical product is presented (EDQM Standard Terms). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicationSummary.medication.dosageRegimen | ||
| Short | A.2.4.1.7 Dosage regimen | |
| Definition | Number of units per intake and frequency over a specified duration. | |
| Cardinality | 0..1 | |
| Type | Dosage | |
| EHNPatientSummary.body.medicationSummary.medication.routeOfAdministration | ||
| Short | A.2.4.1.8 Route of administration | |
| Definition | Path by which the pharmaceutical product is taken into or contacts the body (EDQM Standard Terms). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.medicationSummary.medication.dateOfOnsetOfTreatment | ||
| Short | A.2.4.1.9 Date of onset of treatment | |
| Definition | Date when the patient starts taking the prescribed medicine (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.socialHistory | ||
| Short | A.2.5 Social history | |
| Definition | Health-related lifestyle factors and social determinants of health. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.socialHistory.socialHistoryObservation | ||
| Short | A.2.5.1 Social history observations related to health | |
| Definition | Health-related lifestyle factors (e.g. smoking, alcohol) (SNOMED CT GPS). | |
| Cardinality | 0..* | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.socialHistory.referenceDateRange | ||
| Short | A.2.5.2 Reference date range | |
| Definition | Date range applicable to the social history observation (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | Period | |
| EHNPatientSummary.body.pregnancyHistory | ||
| Short | A.2.6 Pregnancy history | |
| Definition | Pregnancy-related observations: current status and history of previous pregnancies. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.pregnancyHistory.currentPregnancyStatus | ||
| Short | A.2.6.1 Current pregnancy status | |
| Definition | Current pregnancy state of the patient. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.pregnancyHistory.currentPregnancyStatus.dateOfObservation | ||
| Short | A.2.6.1.1 Date of observation | |
| Definition | Date on which the observation of the pregnancy state was made (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | dateTime | |
| EHNPatientSummary.body.pregnancyHistory.currentPregnancyStatus.status | ||
| Short | A.2.6.1.2 Status | |
| Definition | Current pregnancy state: pregnant, not pregnant, unknown (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.pregnancyHistory.currentPregnancyStatus.expectedDateOfDelivery | ||
| Short | A.2.6.1.3 Expected date of delivery | |
| Definition | Date on which the woman is due to give birth (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.pregnancyHistory.previousPregnancies | ||
| Short | A.2.6.2 History of previous pregnancies | |
| Definition | Information on previous pregnancies. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnanciesStatus | ||
| Short | A.2.6.2.1 Previous pregnancies status | |
| Definition | Whether there have been previous pregnancies (yes/no/unknown) (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription | ||
| Short | A.2.6.2.2 Previous pregnancies description | |
| Definition | Details of individual previous pregnancies. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcomeDate | ||
| Short | A.2.6.2.2.1 Outcome date | |
| Definition | Date of the previous pregnancy outcome (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | date | |
| EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcome | ||
| Short | A.2.6.2.2.2 Outcome | |
| Definition | Outcome of the previous pregnancy (SNOMED CT GPS). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.numberOfChildren | ||
| Short | A.2.6.2.2.3 Number of children | |
| Definition | Number of children/fetuses in this specific pregnancy. | |
| Cardinality | 0..1 | |
| Type | integer | |
| EHNPatientSummary.body.patientProvidedData | ||
| Short | A.2.7 Patient provided data | |
| Definition | Data provided by the patient including travel history and advance directives. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.patientProvidedData.travelHistory | ||
| Short | A.2.7.1 Travel history | |
| Definition | Countries visited by the patient. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.patientProvidedData.travelHistory.country | ||
| Short | A.2.7.1.1 Country | |
| Definition | Country visited (ISO 3166). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.patientProvidedData.travelHistory.period | ||
| Short | A.2.7.1.2 Period | |
| Definition | Date of entry and departure (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | Period | |
| EHNPatientSummary.body.patientProvidedData.advanceDirective | ||
| Short | A.2.7.2 Advance directive | |
| Definition | Existence and documentation of living will or advance directive. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.patientProvidedData.advanceDirective.documentation | ||
| Short | A.2.7.2.1 Documentation | |
| Definition | Existence of documentation on living will (SNOMED CT GPS). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.results | ||
| Short | A.2.8 Results | |
| Definition | Observation results pertaining to the patient's health condition. | |
| Cardinality | 0..1 | |
| Type | BackboneElement | |
| EHNPatientSummary.body.results.resultObservation | ||
| Short | A.2.8.1 Result observations | |
| Definition | List of observation results that might impact future treatments. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.results.resultObservation.date | ||
| Short | A.2.8.1.1 Date | |
| Definition | Date and time of the observation (ISO 8601). | |
| Cardinality | 1..1 | |
| Type | dateTime | |
| EHNPatientSummary.body.results.resultObservation.resultType | ||
| Short | A.2.8.1.2 Result type | |
| Definition | Type of observation result: laboratory, imaging, vital signs, or other (LOINC). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.results.resultObservation.resultName | ||
| Short | A.2.8.1.3 Result name | |
| Definition | Name of the result (LOINC, SNOMED CT GPS). | |
| Cardinality | 1..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.results.resultObservation.resultValue | ||
| Short | A.2.8.1.4 Result value | |
| Definition | Value of the observation result (UCUM for units). | |
| Cardinality | 0..1 | |
| Type | boolean | CodeableConcept | Quantity | Range | string | |
| EHNPatientSummary.body.results.resultObservation.resultUnit | ||
| Short | A.2.8.1.5 Result unit | |
| Definition | Unit of the observation result value (UCUM). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| EHNPatientSummary.body.results.resultObservation.referenceRange | ||
| Short | A.2.8.1.6 Reference range | |
| Definition | Reference range for the observation. | |
| Cardinality | 0..1 | |
| Type | Range | |
| EHNPatientSummary.body.results.resultObservation.interpretation | ||
| Short | A.2.8.1.7 Interpretation | |
| Definition | Clinical interpretation of the observation result (e.g. normal, abnormal). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
| Binding | ||
| EHNPatientSummary.body.planOfCare | ||
| Short | A.2.9 Plan of care | |
| Definition | Plan of care entries describing intended future clinical activities. | |
| Cardinality | 0..* | |
| Type | BackboneElement | |
| EHNPatientSummary.body.planOfCare.planDescription | ||
| Short | A.2.9.1 Plan description | |
| Definition | Description of planned care activities, goals, or interventions. | |
| Cardinality | 1..1 | |
| Type | string | |
| EHNPatientSummary.body.planOfCare.plannedDate | ||
| Short | A.2.9.2 Planned date | |
| Definition | Date or period for which the care activity is planned (ISO 8601). | |
| Cardinality | 0..1 | |
| Type | dateTime | |
| EHNPatientSummary.body.planOfCare.careType | ||
| Short | A.2.9.3 Care type | |
| Definition | Type of planned care activity (SNOMED CT GPS, LOINC). | |
| Cardinality | 0..1 | |
| Type | CodeableConcept | |
<description value="Logical model representing the full eHealth Network Patient Summary dataset (Release 3.4, Nov 2024) as defined in Directive 2011/24/EU and the eHN PS Guidelines. Covers both the PS Header (A.1) and PS Body (A.2)." />
<definition value="Root element of the eHN Patient Summary logical model covering header (A.1) and body (A.2) sections." />
</element>
<definition value="Header section of the Patient Summary containing patient identification, contact information, insurance, document metadata, authorship, and knowledge resources." />
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</element>
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</element>
<definition value="Contact information for the patient, preferred health professional, and legal guardian/contact person." />
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</element>
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</element>
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</element>
<definition value="Preferred health professional to contact. Repeatable and linkable to specific PS entries." />
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</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Reference to the PS entry or entries for which this HP is the preferred contact." />
</type>
</element>
</type>
</element>
<definition value="Role of the contact person: legal guardian, next of kin, other person to contact (HL7 RoleClass)." />
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</element>
</type>
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<definition value="Methodological approach used to generate the PS: direct human intervention, automatically generated, or mixed." />
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</element>
<definition value="Author(s) and organisation(s) responsible for the Patient Summary. At least one author or organisation shall be listed." />
</type>
</element>
<definition value="Organisation (and optionally named author) who created or contributed to the Patient Summary." />
</type>
</element>
<definition value="Legal entity (Health Professional or Health Care Provider) who authenticated the Patient Summary." />
</type>
</element>
<definition value="External references to clinical practice guidelines, emergency guidelines, or other clinically relevant knowledge resources." />
</type>
</element>
<definition value="A reference leading to Clinical Practice Guidelines, emergency and anaesthesia guidelines, or other clinically relevant guidelines." />
</type>
</element>
<definition value="Reference to the PS entry or entries to which this additional information relates." />
</type>
</element>
<definition value="Body section of the Patient Summary containing clinical data elements including alerts, medical history, problems, medications, social history, pregnancy, patient-provided data, results, and plan of care." />
</type>
</element>
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</element>
</type>
</element>
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<definition value="Whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (SNOMED CT GPS)." />
</type>
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</element>
</type>
</element>
<definition value="Severity of the clinical manifestation of the allergic reaction (SNOMED CT GPS)." />
</type>
</binding>
</element>
<definition value="Potential risk for future life-threatening adverse reactions (SNOMED CT GPS)." />
</type>
</binding>
</element>
</type>
</element>
</type>
</element>
</type>
</binding>
</element>
<definition value="Assertion about the certainty associated with a propensity or potential risk of a reaction (SNOMED CT GPS)." />
</type>
</binding>
</element>
<definition value="Specific allergen or substance to which the patient has an adverse reaction propensity (SNOMED CT GPS for non-drug; ATC for drug)." />
</type>
</element>
<definition value="Other alerts not included in allergies. Any clinical information imperative to know for patient safety." />
</type>
</element>
</type>
</element>
<definition value="Medical history section including vaccination, resolved problems, and medical history narrative." />
</type>
</element>
</type>
</element>
<definition value="Disease or agent that the vaccination provides protection against (ICD-10, SNOMED CT GPS)." />
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Identifier for the vaccine medicinal product (MPID per ISO 11615, EMA PMS ID, or national identifier)." />
</type>
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</element>
</type>
</element>
</type>
</element>
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</element>
<definition value="Name or code of the administering centre or health authority responsible for the vaccination event." />
</type>
</element>
</type>
</element>
</type>
</binding>
</element>
</type>
</element>
<definition value="Problems or diagnoses that the patient suffered in the past and which have been resolved, closed, or declared inactive." />
</type>
</element>
<definition value="Resolved problem or diagnosis (ICD-10, SNOMED CT GPS, Orphacode for rare diseases)." />
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Synthetic anamnesis or narrative medical history as described in section 2, chapter III, art 7(c)." />
</type>
</element>
</type>
</element>
<definition value="Current medical problems and related data including current problems, medical devices, procedures, and functional status." />
</type>
</element>
<definition value="Current health conditions affecting the patient and important for care delivery." />
</type>
</element>
<definition value="Current health condition (ICD-10, SNOMED CT GPS, Orphacode for rare diseases)." />
</type>
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</type>
</element>
</type>
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</element>
</type>
</element>
</type>
</element>
</type>
</element>
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</type>
</element>
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</element>
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</element>
</type>
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</element>
</type>
</element>
<element id="EHNPatientSummary.body.medicalProblems.functionalStatus.functionalAssessmentDescription">
<path value="EHNPatientSummary.body.medicalProblems.functionalStatus.functionalAssessmentDescription" />
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Medicines whose treatment period has not expired, or which influence current health status or clinical decisions." />
</type>
</element>
<definition value="Reason the medication is or was prescribed (ICD-10, SNOMED CT GPS, Orphacode)." />
</type>
</element>
<definition value="Indication for intended use: prevention, treatment, prophylaxis, diagnostic, anaesthesia, etc." />
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Content of the active ingredient per dosage unit/volume/weight (UCUM, EDQM Standard Terms)." />
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Path by which the pharmaceutical product is taken into or contacts the body (EDQM Standard Terms)." />
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Pregnancy-related observations: current status and history of previous pregnancies." />
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
<element id="EHNPatientSummary.body.pregnancyHistory.currentPregnancyStatus.expectedDateOfDelivery">
<path value="EHNPatientSummary.body.pregnancyHistory.currentPregnancyStatus.expectedDateOfDelivery" />
</type>
</element>
</type>
</element>
<element id="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnanciesStatus">
<path value="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnanciesStatus" />
<definition value="Whether there have been previous pregnancies (yes/no/unknown) (SNOMED CT GPS)." />
</type>
</element>
<element id="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription">
<path value="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription" />
</type>
</element>
<element id="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcomeDate">
<path value="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcomeDate" />
</type>
</element>
<element id="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcome">
<path value="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcome" />
</type>
</element>
<element id="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.numberOfChildren">
<path value="EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.numberOfChildren" />
</type>
</element>
<definition value="Data provided by the patient including travel history and advance directives." />
</type>
</element>
</type>
</element>
</type>
</binding>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
<definition value="Type of observation result: laboratory, imaging, vital signs, or other (LOINC)." />
</type>
</element>
</type>
</element>
</type>
</type>
</type>
</type>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</binding>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</type>
</element>
</differential>
</StructureDefinition>
{
"description": "Logical model representing the full eHealth Network Patient Summary dataset (Release 3.4, Nov 2024) as defined in Directive 2011/24/EU and the eHN PS Guidelines. Covers both the PS Header (A.1) and PS Body (A.2).",
{
"definition": "Root element of the eHN Patient Summary logical model covering header (A.1) and body (A.2) sections.",
},
{
"definition": "Header section of the Patient Summary containing patient identification, contact information, insurance, document metadata, authorship, and knowledge resources.",
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
],
}
},
{
]
},
{
],
}
},
{
"definition": "Contact information for the patient, preferred health professional, and legal guardian/contact person.",
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
],
}
},
{
]
},
{
]
},
{
"definition": "Preferred health professional to contact. Repeatable and linkable to specific PS entries.",
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
"definition": "Role of the contact person: legal guardian, next of kin, other person to contact (HL7 RoleClass).",
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
"definition": "Methodological approach used to generate the PS: direct human intervention, automatically generated, or mixed.",
],
}
},
{
"definition": "Author(s) and organisation(s) responsible for the Patient Summary. At least one author or organisation shall be listed.",
]
},
{
"definition": "Organisation (and optionally named author) who created or contributed to the Patient Summary.",
]
},
{
"definition": "Legal entity (Health Professional or Health Care Provider) who authenticated the Patient Summary.",
]
},
{
"definition": "External references to clinical practice guidelines, emergency guidelines, or other clinically relevant knowledge resources.",
]
},
{
"definition": "A reference leading to Clinical Practice Guidelines, emergency and anaesthesia guidelines, or other clinically relevant guidelines.",
]
},
{
]
},
{
"definition": "Body section of the Patient Summary containing clinical data elements including alerts, medical history, problems, medications, social history, pregnancy, patient-provided data, results, and plan of care.",
]
},
{
]
},
{
]
},
{
]
},
{
"definition": "Whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (SNOMED CT GPS).",
],
}
},
{
]
},
{
],
}
},
{
],
}
},
{
]
},
{
]
},
{
],
}
},
{
"definition": "Assertion about the certainty associated with a propensity or potential risk of a reaction (SNOMED CT GPS).",
],
}
},
{
"definition": "Specific allergen or substance to which the patient has an adverse reaction propensity (SNOMED CT GPS for non-drug; ATC for drug).",
]
},
{
"definition": "Other alerts not included in allergies. Any clinical information imperative to know for patient safety.",
]
},
{
]
},
{
"definition": "Medical history section including vaccination, resolved problems, and medical history narrative.",
]
},
{
]
},
{
"definition": "Disease or agent that the vaccination provides protection against (ICD-10, SNOMED CT GPS).",
]
},
{
]
},
{
]
},
{
"definition": "Identifier for the vaccine medicinal product (MPID per ISO 11615, EMA PMS ID, or national identifier).",
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
"definition": "Name or code of the administering centre or health authority responsible for the vaccination event.",
]
},
{
]
},
{
],
}
},
{
]
},
{
"definition": "Problems or diagnoses that the patient suffered in the past and which have been resolved, closed, or declared inactive.",
]
},
{
"definition": "Resolved problem or diagnosis (ICD-10, SNOMED CT GPS, Orphacode for rare diseases).",
]
},
{
]
},
{
]
},
{
]
},
{
"definition": "Synthetic anamnesis or narrative medical history as described in section 2, chapter III, art 7(c).",
]
},
{
]
},
{
"definition": "Current medical problems and related data including current problems, medical devices, procedures, and functional status.",
]
},
{
]
},
{
]
},
{
]
},
{
],
}
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
"definition": "Medicines whose treatment period has not expired, or which influence current health status or clinical decisions.",
]
},
{
]
},
{
"definition": "Indication for intended use: prevention, treatment, prophylaxis, diagnostic, anaesthesia, etc.",
]
},
{
]
},
{
]
},
{
"definition": "Content of the active ingredient per dosage unit/volume/weight (UCUM, EDQM Standard Terms).",
]
},
{
]
},
{
]
},
{
"definition": "Path by which the pharmaceutical product is taken into or contacts the body (EDQM Standard Terms).",
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
"definition": "Pregnancy-related observations: current status and history of previous pregnancies.",
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
"id": "EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcomeDate",
"path": "EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcomeDate",
]
},
{
"id": "EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcome",
"path": "EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.outcome",
]
},
{
"id": "EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.numberOfChildren",
"path": "EHNPatientSummary.body.pregnancyHistory.previousPregnancies.previousPregnancyDescription.numberOfChildren",
]
},
{
]
},
{
]
},
{
],
}
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
]
},
{
{
},
{
},
{
},
{
},
{
}
]
},
{
]
},
{
]
},
{
],
}
},
{
]
},
{
]
},
{
]
},
{
]
}
]
}
}