MyHealth@Eu Patient Summary
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Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

Advance directive model

MyHealth@EU refined base model for Advance Directive concerning life or after life wishes of the patient

Allergy intolerance model

MyHealth@EU refined base model for the Allergy and Intolerance clinical section

Care plan model

MyHealth@EU refined base model for the Care plan

Condition model

MyHealthEu refined base model for a clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern

Current pregnancy status

MyHealthEu Current pregnancy status

Device model

MyHealthEu refined base model for Device Information

Device use model

MyHealthEu refined base model for Device Use Information

Dosaging model

MyHealthEu refined model for usage instructions for administring the requested product

Immunisation model

MyHealthEu refined base model for the Immunisations clinical sections

Observation model

MyHealth@Eu refined base model for Observation information

Patient summary model

MyHealth@Eu refined base model for Patient Summary

Pregnancy history model

MyHealth@Eu refined base model to represent the Pregnancy history

Procedure model

MyHealth@Eu refined base model for an action that is or was performed on or for a patient

Travel history model

MyHealth@EU refined base model to represent relevant information about the patient's recent travel history, for one visit

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Allergy Intolerance: MyHealth@EU EPS

This profile constrains the AllergyIntolerance resource for the purpose of the MyHealth@EU EPS.

Bundle Eps (MyHealth@EU)

Clinical document used to represent a Patient Summary for the scope of this project.

Composition: EPS

Clinical document used to represent a Patient Summary (EPS) for the scope of MyHealth@EU.

Condition: EPS

This profile represents the constraint applied to the Condition in the scope of this guide. It support the Diagnostic summary part of the eHN data model adding two additional categories: First category distinguishes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatment during hospital stay (treated, untreated).

Device: EPS

This profile represents the constraints applied to the Device resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

DeviceUseStatement: EPS

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

Flag:Patient (EPS)

This profile introduce essential constraints and extensions for the Flag resource - for patient related alerts - that apply across multiple use cases. Other specialized flag profiles may be specified in the future for other kind of subjtects (e.g. related to practitioners, devices, etc.).

Immunization (EPS)

This profile introduce essential constraints and extensions for the Immunization resource that apply across multiple use cases.

Medication: EPS

This profile constrains the Medication resource for the purpose of this guide, adapted from the MPD work.

MedicationAdministration: EPS

This profile constrains the MedicationAdministration resource for the purpose of this guide.

MedicationDispense: EPS

This profile constrains the MedicationDispense resource for the purpose of this guide, adapted from the EPS work.

MedicationRequest: EPS

This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.

MedicationStatement (MyHealthEU EPS)

This profile sets minimum expectations for the MedicationStatement resource common to most of the use cases.

Observation: Vital Signs HDR

This profile sets minimum expectations for the Observation resource to be used for represeting vital signs for the purpose of this guide.

Organization (EPS)

This profile sets minimum expectations for the Organization resource common to most of the use cases.

Patient (EPS)

This profile sets minimum expectations for the Patient resource common to most of the use cases. When the ips-pat-1 invariant is satisfied (Patient.name.given, Patient.name.family or Patient.name.text SHALL be present) then this profile complies with the IPS patient profile.

Practitioner (MyHealthEu EPS)

This profile sets minimum expectations for the Practitioner resource common to most of the use cases.

PractitionerRole (MyHealthEu EPS)

This profile sets minimum expectations for the PractitionerRole resource common to most of the use cases.

Procedure (EPS)

This profile introduce essential constraints and extensions for the Procedure resource that apply across multiple use cases.

Structures: Data Type Profiles

These define constraints on FHIR data types for systems conforming to this implementation guide.

Dosage: EPS

This profile constrains the Dosage datatype for the purpose of this guide.

Timing: EPS

This profile constrains the Timing datatype for the purpose of this guide.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

eHDSI Absent Or Unknown Device

The Value set is used to encode absent or unknown medical devices.

eHDSI Absent Or Unknown Problem

The Value set is used to encode absent or unknown problems.

eHDSI Absent Or Unknown Procedure

The Value set is used to encode absent or unknown procedures.

eHDSI Active Ingredient

The Value Set is used as a mandatory code for the Active Ingredient of medications in the Medications Summary as well as the prescription Sections. Also used to code allergy agents in the Allergies and Other Adverse Reactions Section of the patient Summary.

eHDSI Admission Reason With Exceptions

The Value Set is used for coding reason or reasons for admission, e.g. problem, procedure or finding. It is defined as the union of: (a) eHDSIIllnessesAndDisorder (b) eHDSIRareDisease (c) eHDSIProcedure (d) eHDSIExceptionalValue

eHDSI Admission Urgency

The Value Set is used to indicate the urgency of the encounter.

eHDSI Agent or Allergen With Exceptions

The Value Set is used for coding s specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity. It is defined as the union of: (a) eHDSIAllergenNoDrug (b) eHDSISubstance (c) eHDSIActiveIngredient (d) eHDSIAbsentOrUnknownAllergy (e) eHDSIExceptionalValue

eHDSI Allergen No Drug

The value set is used to code the patient's kind of adverse reactions against substance, food or drugs

eHDSI Allergy Reaction With Exceptions

The Value Set is used for coding clinical manifestation of the allergic reaction. It is defined as the union of: (a) eHDSIIllnessandDisorder (b) eHDSIReactionAllergy (c) eHDSIExceptionalValue

eHDSI Anthropometric Observation Code

The Value Set is used for the standard anthropometric observation codes.

eHDSI Body Site

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary.

eHDSI Body Site Laterality

This Value Set is used for the body structure site laterality qualifier. It indicates the body site laterality from which a laboratory specimen is collected.

eHDSI Body Site with exceptions

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary. It includes also exceptional values.

eHDSI Body Structure Location Qualifier

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location.

eHDSI Body Structure Location Qualifier with exceptions

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location. It also includes exceptional values.

eHDSI Clinical Location Role Type With Exceptions

TThe Value Set is used to encode a role of a place that further classifies the clinical setting in which care is delivered during an encounter. It also includes exceptional values.

eHDSI Condition Present On Admission

The Value Set is used to assert if a condition is Present on Admission

eHDSI Country

The Value Set is used to identify the nationality of all persons and organizations.

eHDSI Data Absent Reason

The Value Set is used to specify why the normally expected content of the data element is missing

eHDSI Dedicated Clinical Location Role Type

The Value Set is used to encode a role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter.

eHDSI Discharge Disposition

The Value Set is used to encode category or kind of location after discharge

eHDSI Discharge Disposition With Exceptions

The Value Set is used for encoding category or kind of location after discharge. It also includes exceptional values.

eHDSI Dose Form

The Value Set describes the form of the medication item

eHDSI Encounter Class

The Value Set is used to specify a general class of inpatient encounter

eHDSI Event Timing

This Value Set is used for coding event timing of dosage regimen

eHDSI Event Timing Combination

This Value Set is used for coding event timing of dosage regimen. It is defined as the union of: (a) eHDSITimingEvent (b) eHDSIEventTiming

eHDSI Exceptional Value

The Value Set is used to code exceptional values for the required binding in FHIR IGs

eHDSI Healthcare Professional Role

This Value Set is used to define Healthcare Professional Role

eHDSI Hospital Discharge Report Type

eHDSI Hospital Discharge Report Type

eHDSI Illness and Disorder

The complete content of ICD-10, excluding Chapter XX.

eHDSI Imaging Code

This Value Set is used for the standard imaging codes

eHDSI Imaging Finding

The Value Set is used for coding coded imaging results

eHDSI Imaging Observation Method

The Value Set is used for coding imaging observation method to obtain the result

eHDSI Imaging Observation Method With Exceptions

The Value Set is used for coding imaging observation method to obtain the result. It also includes exceptional values.

eHDSI Imaging Procedure

The Value Set is used to encode the imaging procedures

eHDSI Language

The Value Set is used to identify the language the document will be written with.

eHDSI Medical Device

eHDSI Medical Device

eHDSI Medical Device with exceptions

The Value Set is used for coding implanted and external medical devices and equipmen. It also includes exceptional values.

eHDSI Medication Reason With Exceptions

The Value Set is used for coding reason or reasons for medication. It is defined as the union of: (a) eHDSIIllnessandDisorder (b) eHDSIReactionAllergy (c) eHDSIRareDisease (c) eHDSIExceptionalValue

eHDSI Medication Status Reason Code

The Value Set is used for coding reasons for the current state of the medication used

eHDSI Medication Status Reason With Exceptions

The Value Set is used for coding reasons for the current state of the medication used. It also includes exceptional values.

eHDSI Morphologic Abnormality

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken.

eHDSI Morphologic Abnormality with exceptions

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken. It also includes exceptional values.

eHDSI Observation Interpretation

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results

eHDSI Observation Interpretation with exceptions

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results. It also includes exceptional values.

eHDSI Observation category

This Value Set is used for the Observation Results Category code

eHDSI Oncology Disease

The Value Set is used for coding the site (topography) and the histology (morphology) of neoplasms

eHDSI Performer Function

Laboratory Performer Function

eHDSI Personal Relationship

The Value Set is used (optionally) for coding the type of contact relationship between a person and the patient.

eHDSI Presence Absence

The Value Set is used to describe presence and absence findings (qualifier values) of the Laboratory Test Results

eHDSI Problems and Diagnoses With Exceptions

The Value Set is used for coding the patient's relevant problems or diagnoses. It is defined as the union of: (a) eHDSIIllnessandDisorder (b) eHDSIRareDisease (c) eHDSIOncologyDisease (d) eHDSIAbsentOrUnknownProblem (e) eHDSIExceptionalValue

eHDSI Procedure

The Value Set is used to code the significant surgical & non-surgical procedures

eHDSI Procedure with exceptions

The Value Set is used to code procedures. It also includes exceptional values.

eHDSI Quantity Unit

The Value Set is used to describe the discrete countible entity in which a pharmaceutical product or manufactured item is presented.

eHDSI Rare Disease

The Value Set is used to describe the problems and medication reasons.

eHDSI Reaction Allergy

The Value Set is used to encode clinical manifestation of the allergic reaction.

eHDSI Reaction allergy with exceptions

The Value Set is used to allergy reaction manifestation. It also includes exceptional values.

eHDSI Reference Range Applies To

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to

eHDSI Reference Range Applies To with exceptions

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to. It also includes exceptional values.

eHDSI Reference Range Meaning

This value set defines a set of codes for a reference range qualifier

eHDSI Reference Range Meaning with exceptions

This value set defines a set of codes for a reference range qualifier. It also includes exceptional values.

eHDSI Results Coded Value Imaging with exceptions

The Value Set is used to code the value of imaging observation result. It is defined as the union of: (a) eHDSIImagingFinding (b) eHDSIPresenceAbsence (c) eHDSIExceptionalValue

eHDSI Role Class

The Value Set is used to make the distinction other contacts of the patient and the next of kin.

eHDSI Route of Administration

The Value Set is used for coding routes and methods of medication administration

eHDSI Substance

The Value Set is used for coding substances.

eHDSI Substance with exceptions

The Value Set is used for coding substances. It also includes exceptional values.

eHDSI Timing Event

This Value Set is used for coding event timing of dosage regimen

eHDSI Treatment Class

The Value set is used to encode category of treatment of the condition during encounter

eHDSI Unit

The Value Set is used for coding units of measures

eHDSI Vital Sign Code

The Value set is used for the standard vital sign and anthropometric observation codes

eHDSI Vital Signs and Anthropometric Observation Codes With Exceptions

The Value set is used for the standard vital sign and anthropometric observation codes. It is defined as the union of: (a) eHDSIVitalSignCode (b) eHDSIAnthropometricCode (c) eHDSIExceptionalValue

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AllergyIntolerance

HL7 FHIR AllergyIntolerance example for MyHealth@EU Patient Summary (EPS).

BodyStructure

HL7 FHIR BodyStructure example for MyHealth@EU Patient Summary (EPS).

Bundle: complete MyHealth@EU Hospital Discharge Report

HL7 FHIR Bundle example for MyHealth@EU Patient Summary (EPS)

Composition

HL7 FHIR Composition example for MyHealth@EU Patient Summary (EPS).

Condition

HL7 FHIR Condition example for MyHealth@EU Patient Summary (EPS).

Device

HL7 FHIR Device example for MyHealth@EU Patient Summary (EPS).

DeviceUseStatement

HL7 FHIR DeviceUseStatement example for MyHealth@EU Patient Summary (EPS).

Diagnostic Report EPS Example

Example laboratory diagnostic report for the European Patient Summary

EHDSI Handler

EHDSI Handler: a generic system dealing with EHDSI data, such as ePrescription or eDispensation.

Hemoglobin Concentration Observation

An example of a Hemoglobin concentration laboratory observation conforming to the MyHealth@EU profile.

Medication

HL7 FHIR Medication example for MyHealth@EU Patient Summary (EPS).

MedicationAdministration

HL7 FHIR MedicationAdministration example for MyHealth@EU Patient Summary (EPS).

MedicationDispense

HL7 FHIR MedicationDispense example for MyHealth@EU Patient Summary (EPS).

MedicationRequest

HL7 FHIR MedicationRequest example for MyHealth@EU Patient Summary (EPS)

MedicationStatement

HL7 FHIR MedicationStatement example for MyHealth@EU Patient Summary (EPS).

Organization

HL7 FHIR Organization example for MyHealth@EU Patient Summary (EPS).

Patient

HL7 FHIR Patient example for MyHealth@EU Patient Summary (EPS)

Practitioner

HL7 FHIR Practitioner example for MyHealth@EU Patient Summary (EPS).

PractitionerRole

HL7 FHIR PractionerRole example for MyHealth@EU Patient Summary (EPS).

Procedure

HL7 FHIR Procedure example for MyHealth@EU Patient Summary (EPS).

Procedure Imaging

HL7 FHIR Imaging Procedure example for MyHealth@EU Patient Summary (EPS).

Vital Signs Observation

HL7 FHIR Vital Observation example for MyHealth@EU Patient Summary (EPS).