PatientSummaryDocument

Official URL: http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PatientSummaryDocument Version: 0.1.0
Parent:

http://hl7.org/fhir/StructureDefinition/Base

 Computable Name:

PatientSummaryDocument

Views of Logical Model Content

DocumentIdentifier1..1Identifier
LanguageOfContent1..1code
Patient1..1PatientIdentification
Header1..1DocumentMetadata
Alerts0..*Allergy
MedicalAlerts0..*MedicalAlert
Vaccinations0..*Vaccination
ResolvedProblems0..*ResolvedProblem
MedicalHistory0..1MedicalHistory
CurrentProblems0..*CurrentProblem
MedicalDevices0..*MedicalDevice
Procedures0..*Procedure
FunctionalStatus0..*FunctionalStatus
MedicationSummary0..*MedicationSummaryEntry
SocialHistory0..*SocialHistoryObservation
PregnancyHistory0..1PregnancyStatus
TravelHistory0..*TravelHistory
AdvanceDirectives0..*AdvanceDirective
Results0..*ResultObservation
PlanOfCare0..*PlanOfCare
PatientSummaryDocument
ShortCross-Border Patient Summary Document
Definition

Top-level container grouping all header and body sections of the Patient Summary (eHN PS Guidelines Release 3.4).

PatientSummaryDocument.DocumentIdentifier
ShortUnique identifier for this PS instance
Definition

Business identifier for version tracking of this Patient Summary instance.

Cardinality1..1
TypeIdentifier
PatientSummaryDocument.LanguageOfContent
ShortPrimary language of the PS narrative
Definition

Primary language of the PS narrative. Country A language; translation may be added. BCP-47 / RFC 5646.

Cardinality1..1
Typecode
PatientSummaryDocument.Patient
ShortPatient identification
Definition

Reference to PatientIdentification data.

Cardinality1..1
TypePatientIdentification
PatientSummaryDocument.Header
ShortPS header data group
Definition

Document metadata describing this Patient Summary.

Cardinality1..1
TypeDocumentMetadata
PatientSummaryDocument.Alerts
ShortAllergy and medical alert entries
Definition

Allergy and intolerance entries in the Patient Summary.

Cardinality0..*
TypeAllergy
PatientSummaryDocument.MedicalAlerts
ShortMedical alert entries
Definition

Medical alert entries not captured as allergies.

Cardinality0..*
TypeMedicalAlert
PatientSummaryDocument.Vaccinations
ShortVaccination/prophylaxis entries
Definition

Vaccination and prophylaxis entries.

Cardinality0..*
TypeVaccination
PatientSummaryDocument.ResolvedProblems
ShortResolved/inactive problem entries
Definition

Problems or diagnoses that have been resolved, closed, or declared inactive.

Cardinality0..*
TypeResolvedProblem
PatientSummaryDocument.MedicalHistory
ShortNarrative medical history
Definition

Narrative or synthetic anamnesis of the patient's medical history.

Cardinality0..1
TypeMedicalHistory
PatientSummaryDocument.CurrentProblems
ShortCurrent problem/diagnosis entries
Definition

Active health conditions affecting the patient.

Cardinality0..*
TypeCurrentProblem
PatientSummaryDocument.MedicalDevices
ShortMedical device/implant entries
Definition

Implanted or external medical devices upon which the patient's health depends.

Cardinality0..*
TypeMedicalDevice
PatientSummaryDocument.Procedures
ShortProcedure entries
Definition

Clinically relevant procedures performed on the patient.

Cardinality0..*
TypeProcedure
PatientSummaryDocument.FunctionalStatus
ShortFunctional status entries
Definition

Assessment of the patient's functional capacity and dependency.

Cardinality0..*
TypeFunctionalStatus
PatientSummaryDocument.MedicationSummary
ShortMedication summary entries
Definition

Current and relevant past medication entries.

Cardinality0..*
TypeMedicationSummaryEntry
PatientSummaryDocument.SocialHistory
ShortSocial history observations
Definition

Health-related lifestyle factors and social determinants of health.

Cardinality0..*
TypeSocialHistoryObservation
PatientSummaryDocument.PregnancyHistory
ShortPregnancy status and history
Definition

Current pregnancy status and previous pregnancy history.

Cardinality0..1
TypePregnancyStatus
PatientSummaryDocument.TravelHistory
ShortTravel history entries
Definition

Patient-provided travel history.

Cardinality0..*
TypeTravelHistory
PatientSummaryDocument.AdvanceDirectives
ShortAdvance directive entries
Definition

Documentation of the patient's advance directive / living will.

Cardinality0..*
TypeAdvanceDirective
PatientSummaryDocument.Results
ShortResult observations
Definition

Observation results relevant to the patient's health condition.

Cardinality0..*
TypeResultObservation
PatientSummaryDocument.PlanOfCare
ShortPlan of care entries
Definition

Plan of care entries for the patient.

Cardinality0..*
TypePlanOfCare
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="PatientSummaryDocument" />
<url value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PatientSummaryDocument" />
<version value="0.1.0" />
<name value="PatientSummaryDocument" />
<title value="Patient Summary Document" />
<status value="draft" />
<fhirVersion value="4.0.1" />
<kind value="logical" />
<abstract value="false" />
<type value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PatientSummaryDocument" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base" />
<derivation value="specialization" />
<differential>
<element id="PatientSummaryDocument">
<path value="PatientSummaryDocument" />
<short value="Cross-Border Patient Summary Document" />
<definition value="Top-level container grouping all header and body sections of the Patient Summary (eHN PS Guidelines Release 3.4)." />
</element>
<element id="PatientSummaryDocument.DocumentIdentifier">
<path value="PatientSummaryDocument.DocumentIdentifier" />
<short value="Unique identifier for this PS instance" />
<definition value="Business identifier for version tracking of this Patient Summary instance." />
<min value="1" />
<max value="1" />
<type>
<code value="Identifier" />
</type>
</element>
<element id="PatientSummaryDocument.LanguageOfContent">
<path value="PatientSummaryDocument.LanguageOfContent" />
<short value="Primary language of the PS narrative" />
<definition value="Primary language of the PS narrative. Country A language; translation may be added. BCP-47 / RFC 5646." />
<min value="1" />
<max value="1" />
<type>
<code value="code" />
</type>
</element>
<element id="PatientSummaryDocument.Patient">
<path value="PatientSummaryDocument.Patient" />
<short value="Patient identification" />
<definition value="Reference to PatientIdentification data." />
<min value="1" />
<max value="1" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PatientIdentification" />
</type>
</element>
<element id="PatientSummaryDocument.Header">
<path value="PatientSummaryDocument.Header" />
<short value="PS header data group" />
<definition value="Document metadata describing this Patient Summary." />
<min value="1" />
<max value="1" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/DocumentMetadata" />
</type>
</element>
<element id="PatientSummaryDocument.Alerts">
<path value="PatientSummaryDocument.Alerts" />
<short value="Allergy and medical alert entries" />
<definition value="Allergy and intolerance entries in the Patient Summary." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/Allergy" />
</type>
</element>
<element id="PatientSummaryDocument.MedicalAlerts">
<path value="PatientSummaryDocument.MedicalAlerts" />
<short value="Medical alert entries" />
<definition value="Medical alert entries not captured as allergies." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicalAlert" />
</type>
</element>
<element id="PatientSummaryDocument.Vaccinations">
<path value="PatientSummaryDocument.Vaccinations" />
<short value="Vaccination/prophylaxis entries" />
<definition value="Vaccination and prophylaxis entries." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/Vaccination" />
</type>
</element>
<element id="PatientSummaryDocument.ResolvedProblems">
<path value="PatientSummaryDocument.ResolvedProblems" />
<short value="Resolved/inactive problem entries" />
<definition value="Problems or diagnoses that have been resolved, closed, or declared inactive." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/ResolvedProblem" />
</type>
</element>
<element id="PatientSummaryDocument.MedicalHistory">
<path value="PatientSummaryDocument.MedicalHistory" />
<short value="Narrative medical history" />
<definition value="Narrative or synthetic anamnesis of the patient's medical history." />
<min value="0" />
<max value="1" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicalHistory" />
</type>
</element>
<element id="PatientSummaryDocument.CurrentProblems">
<path value="PatientSummaryDocument.CurrentProblems" />
<short value="Current problem/diagnosis entries" />
<definition value="Active health conditions affecting the patient." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/CurrentProblem" />
</type>
</element>
<element id="PatientSummaryDocument.MedicalDevices">
<path value="PatientSummaryDocument.MedicalDevices" />
<short value="Medical device/implant entries" />
<definition value="Implanted or external medical devices upon which the patient's health depends." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicalDevice" />
</type>
</element>
<element id="PatientSummaryDocument.Procedures">
<path value="PatientSummaryDocument.Procedures" />
<short value="Procedure entries" />
<definition value="Clinically relevant procedures performed on the patient." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/Procedure" />
</type>
</element>
<element id="PatientSummaryDocument.FunctionalStatus">
<path value="PatientSummaryDocument.FunctionalStatus" />
<short value="Functional status entries" />
<definition value="Assessment of the patient's functional capacity and dependency." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/FunctionalStatus" />
</type>
</element>
<element id="PatientSummaryDocument.MedicationSummary">
<path value="PatientSummaryDocument.MedicationSummary" />
<short value="Medication summary entries" />
<definition value="Current and relevant past medication entries." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicationSummaryEntry" />
</type>
</element>
<element id="PatientSummaryDocument.SocialHistory">
<path value="PatientSummaryDocument.SocialHistory" />
<short value="Social history observations" />
<definition value="Health-related lifestyle factors and social determinants of health." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/SocialHistoryObservation" />
</type>
</element>
<element id="PatientSummaryDocument.PregnancyHistory">
<path value="PatientSummaryDocument.PregnancyHistory" />
<short value="Pregnancy status and history" />
<definition value="Current pregnancy status and previous pregnancy history." />
<min value="0" />
<max value="1" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PregnancyStatus" />
</type>
</element>
<element id="PatientSummaryDocument.TravelHistory">
<path value="PatientSummaryDocument.TravelHistory" />
<short value="Travel history entries" />
<definition value="Patient-provided travel history." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/TravelHistory" />
</type>
</element>
<element id="PatientSummaryDocument.AdvanceDirectives">
<path value="PatientSummaryDocument.AdvanceDirectives" />
<short value="Advance directive entries" />
<definition value="Documentation of the patient's advance directive / living will." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/AdvanceDirective" />
</type>
</element>
<element id="PatientSummaryDocument.Results">
<path value="PatientSummaryDocument.Results" />
<short value="Result observations" />
<definition value="Observation results relevant to the patient's health condition." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/ResultObservation" />
</type>
</element>
<element id="PatientSummaryDocument.PlanOfCare">
<path value="PatientSummaryDocument.PlanOfCare" />
<short value="Plan of care entries" />
<definition value="Plan of care entries for the patient." />
<min value="0" />
<max value="*" />
<type>
<code value="http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PlanOfCare" />
</type>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "PatientSummaryDocument",
"url": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PatientSummaryDocument",
"version": "0.1.0",
"name": "PatientSummaryDocument",
"title": "Patient Summary Document",
"status": "draft",
"fhirVersion": "4.0.1",
"kind": "logical",
"abstract": false,
"type": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PatientSummaryDocument",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"differential": {
"element": [
{
"id": "PatientSummaryDocument",
"path": "PatientSummaryDocument",
"short": "Cross-Border Patient Summary Document",
"definition": "Top-level container grouping all header and body sections of the Patient Summary (eHN PS Guidelines Release 3.4)."
},
{
"id": "PatientSummaryDocument.DocumentIdentifier",
"path": "PatientSummaryDocument.DocumentIdentifier",
"short": "Unique identifier for this PS instance",
"definition": "Business identifier for version tracking of this Patient Summary instance.",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
}
]
},
{
"id": "PatientSummaryDocument.LanguageOfContent",
"path": "PatientSummaryDocument.LanguageOfContent",
"short": "Primary language of the PS narrative",
"definition": "Primary language of the PS narrative. Country A language; translation may be added. BCP-47 / RFC 5646.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
]
},
{
"id": "PatientSummaryDocument.Patient",
"path": "PatientSummaryDocument.Patient",
"short": "Patient identification",
"definition": "Reference to PatientIdentification data.",
"min": 1,
"max": "1",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PatientIdentification"
}
]
},
{
"id": "PatientSummaryDocument.Header",
"path": "PatientSummaryDocument.Header",
"short": "PS header data group",
"definition": "Document metadata describing this Patient Summary.",
"min": 1,
"max": "1",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/DocumentMetadata"
}
]
},
{
"id": "PatientSummaryDocument.Alerts",
"path": "PatientSummaryDocument.Alerts",
"short": "Allergy and medical alert entries",
"definition": "Allergy and intolerance entries in the Patient Summary.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/Allergy"
}
]
},
{
"id": "PatientSummaryDocument.MedicalAlerts",
"path": "PatientSummaryDocument.MedicalAlerts",
"short": "Medical alert entries",
"definition": "Medical alert entries not captured as allergies.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicalAlert"
}
]
},
{
"id": "PatientSummaryDocument.Vaccinations",
"path": "PatientSummaryDocument.Vaccinations",
"short": "Vaccination/prophylaxis entries",
"definition": "Vaccination and prophylaxis entries.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/Vaccination"
}
]
},
{
"id": "PatientSummaryDocument.ResolvedProblems",
"path": "PatientSummaryDocument.ResolvedProblems",
"short": "Resolved/inactive problem entries",
"definition": "Problems or diagnoses that have been resolved, closed, or declared inactive.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/ResolvedProblem"
}
]
},
{
"id": "PatientSummaryDocument.MedicalHistory",
"path": "PatientSummaryDocument.MedicalHistory",
"short": "Narrative medical history",
"definition": "Narrative or synthetic anamnesis of the patient's medical history.",
"min": 0,
"max": "1",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicalHistory"
}
]
},
{
"id": "PatientSummaryDocument.CurrentProblems",
"path": "PatientSummaryDocument.CurrentProblems",
"short": "Current problem/diagnosis entries",
"definition": "Active health conditions affecting the patient.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/CurrentProblem"
}
]
},
{
"id": "PatientSummaryDocument.MedicalDevices",
"path": "PatientSummaryDocument.MedicalDevices",
"short": "Medical device/implant entries",
"definition": "Implanted or external medical devices upon which the patient's health depends.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicalDevice"
}
]
},
{
"id": "PatientSummaryDocument.Procedures",
"path": "PatientSummaryDocument.Procedures",
"short": "Procedure entries",
"definition": "Clinically relevant procedures performed on the patient.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/Procedure"
}
]
},
{
"id": "PatientSummaryDocument.FunctionalStatus",
"path": "PatientSummaryDocument.FunctionalStatus",
"short": "Functional status entries",
"definition": "Assessment of the patient's functional capacity and dependency.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/FunctionalStatus"
}
]
},
{
"id": "PatientSummaryDocument.MedicationSummary",
"path": "PatientSummaryDocument.MedicationSummary",
"short": "Medication summary entries",
"definition": "Current and relevant past medication entries.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/MedicationSummaryEntry"
}
]
},
{
"id": "PatientSummaryDocument.SocialHistory",
"path": "PatientSummaryDocument.SocialHistory",
"short": "Social history observations",
"definition": "Health-related lifestyle factors and social determinants of health.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/SocialHistoryObservation"
}
]
},
{
"id": "PatientSummaryDocument.PregnancyHistory",
"path": "PatientSummaryDocument.PregnancyHistory",
"short": "Pregnancy status and history",
"definition": "Current pregnancy status and previous pregnancy history.",
"min": 0,
"max": "1",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PregnancyStatus"
}
]
},
{
"id": "PatientSummaryDocument.TravelHistory",
"path": "PatientSummaryDocument.TravelHistory",
"short": "Travel history entries",
"definition": "Patient-provided travel history.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/TravelHistory"
}
]
},
{
"id": "PatientSummaryDocument.AdvanceDirectives",
"path": "PatientSummaryDocument.AdvanceDirectives",
"short": "Advance directive entries",
"definition": "Documentation of the patient's advance directive / living will.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/AdvanceDirective"
}
]
},
{
"id": "PatientSummaryDocument.Results",
"path": "PatientSummaryDocument.Results",
"short": "Result observations",
"definition": "Observation results relevant to the patient's health condition.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/ResultObservation"
}
]
},
{
"id": "PatientSummaryDocument.PlanOfCare",
"path": "PatientSummaryDocument.PlanOfCare",
"short": "Plan of care entries",
"definition": "Plan of care entries for the patient.",
"min": 0,
"max": "*",
"type": [
{
"code": "http://fire.ly/fhir/firely-ig-gen/models/StructureDefinition/PlanOfCare"
}
]
}
]
}
}