MyHealth@Eu Patient Summary
1.0.0-ci-build - ci-build 150

MyHealth@Eu Patient Summary - Local Development build (v1.0.0-ci-build) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Logical Model: Patient summary model

Official URL: http://fhir.ehdsi.eu/eps/StructureDefinition/MyHealthEuPatientSummary | Version: 1.0.0-ci-build
Draft as of 2026-03-31 | Computable Name: MyHealthEuPatientSummary

MyHealth@Eu refined base model for Patient Summary

Usages:

- This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuPatientSummary |  | 0..* | EHDSPatientSummary | Patient summary model Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans
header |  | 1..1 | Base | Document header
subject |  | 1..1 | MyHealthEuPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | Author(s) of the document
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time period of information covered in the document
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
alerts |  | 0..1 | Base | Section: Alerts
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
note |  | 0..1 | string | Free text notes by the health professional
allergiesAndIntolerances |  | 1..1 | Base | Section: Allergies and intolerances
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
allergyIntolerance |  | 0..* | MyHealthEuAllergyIntolerance | List of structured allergies and intolerances
emptyReason |  | 0..1 | CodeableConcept | Use if no Allergies are listed Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
note |  | 0..1 | string | Free text notes by the health professional
problems |  | 1..1 | Base | Section: Medical problems
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no conditions are listed
problem |  | 0..* | MyHealthEuCondition | Health conditions affecting the health of the patient.
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 1..1 | MyHealthEuMedication | Section: Medication summary
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no medicines are listed
medicationUse |  | 0..* | EHDSMedicationUse | Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
note |  | 0..1 | string | Free text notes by the health professional
medicalDevicesAndImplants |  | 1..1 | Base | Section: Medical devices and implants
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
deviceUse |  | 0..* | MyHealthEuDeviceUse | Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
note |  | 0..1 | string | Free text notes by the health professional
procedures |  | 1..1 | Base | Section: Procedures
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
procedure |  | 0..* | MyHealthEuProcedure | List of procedures
note |  | 0..1 | string | Free text notes by the health professional
immunisations |  | 0..1 | Base | Section: Immunisations
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
immunisation |  | 0..* | MyHealthEuImmunisation | Immunisations given to the patient and their status at the point of care.
note |  | 0..1 | string | Free text notes by the health professional
functionalStatus |  | 0..1 | Base | Section: Functional status
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
condition |  | 0..* | EHDSCondition | Condition information describing patient's functional status or disability.
assessment |  | 0..* | EHDSObservation | Assessment results regarding functional status.
note |  | 0..1 | string | Free text notes by the health professional
socialHistory |  | 0..1 | Base | Section: Social history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
observation |  | 0..* | EHDSObservation | Social history observations related to health
note |  | 0..1 | string | Free text notes by the health professional
pregnancyHistory |  | 0..1 | Base | Section: Pregnancy history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
currentPregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
previousPregnancies |  | 0..* | MyHealthEuPregnancyHistory | History of previous pregnancies
note |  | 0..1 | string | Free text notes by the health professional
travelHistory |  | 0..1 | Base | Section: Travel history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
travelHistory |  | 0..* | EHDSTravelHistory | Travel history for one country
note |  | 0..1 | string | Free text notes by the health professional
patientStory |  | 0..1 | Base | Section: Patient story
note |  | 0..1 | string | Free text notes by the health professional
advanceDirectives |  | 0..1 | Base | Section: Advance Directives
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
advanceDirective |  | 0..* | MyHealthEuAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
note |  | 0..1 | string | Free text notes by the health professional
observationResults |  | 0..1 | Base | Section: Observation results
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
result |  | 0..* | MyHealthEuObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
note |  | 0..1 | string | Free text notes by the health professional
carePlans |  | 0..1 | Base | Section: Care plans
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | MyHealthEuCarePlan | Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
note |  | 0..1 | string | Free text notes by the health professional
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuPatientSummary.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​allergiesAndIntolerances.​emptyReason | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSPatientSummary

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuPatientSummary |  | 0..* | EHDSPatientSummary | Patient summary model Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans
header |  |  |  |
subject |  | 1..1 | MyHealthEuPatient | Patient/subject information
allergiesAndIntolerances |  |  |  |
allergyIntolerance |  | 0..* | MyHealthEuAllergyIntolerance | List of structured allergies and intolerances
problems |  |  |  |
problem |  | 0..* | MyHealthEuCondition | Health conditions affecting the health of the patient.
medicationSummary |  | 1..1 | MyHealthEuMedication | Section: Medication summary
medicalDevicesAndImplants |  |  |  |
deviceUse |  | 0..* | MyHealthEuDeviceUse | Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
procedures |  |  |  |
procedure |  | 0..* | MyHealthEuProcedure | List of procedures
immunisations |  |  |  |
immunisation |  | 0..* | MyHealthEuImmunisation | Immunisations given to the patient and their status at the point of care.
pregnancyHistory |  |  |  |
previousPregnancies |  | 0..* | MyHealthEuPregnancyHistory | History of previous pregnancies
advanceDirectives |  |  |  |
advanceDirective |  | 0..* | MyHealthEuAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
observationResults |  |  |  |
result |  | 0..* | MyHealthEuObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
carePlans |  |  |  |
carePlan |  | 0..* | MyHealthEuCarePlan | Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuPatientSummary |  | 0..* | EHDSPatientSummary | Patient summary model Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans
header |  | 1..1 | Base | Document header
subject |  | 1..1 | MyHealthEuPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | Author(s) of the document
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time period of information covered in the document
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
alerts |  | 0..1 | Base | Section: Alerts
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
note |  | 0..1 | string | Free text notes by the health professional
allergiesAndIntolerances |  | 1..1 | Base | Section: Allergies and intolerances
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
allergyIntolerance |  | 0..* | MyHealthEuAllergyIntolerance | List of structured allergies and intolerances
emptyReason |  | 0..1 | CodeableConcept | Use if no Allergies are listed Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
note |  | 0..1 | string | Free text notes by the health professional
problems |  | 1..1 | Base | Section: Medical problems
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no conditions are listed
problem |  | 0..* | MyHealthEuCondition | Health conditions affecting the health of the patient.
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 1..1 | MyHealthEuMedication | Section: Medication summary
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no medicines are listed
medicationUse |  | 0..* | EHDSMedicationUse | Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
note |  | 0..1 | string | Free text notes by the health professional
medicalDevicesAndImplants |  | 1..1 | Base | Section: Medical devices and implants
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
deviceUse |  | 0..* | MyHealthEuDeviceUse | Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
note |  | 0..1 | string | Free text notes by the health professional
procedures |  | 1..1 | Base | Section: Procedures
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
procedure |  | 0..* | MyHealthEuProcedure | List of procedures
note |  | 0..1 | string | Free text notes by the health professional
immunisations |  | 0..1 | Base | Section: Immunisations
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
immunisation |  | 0..* | MyHealthEuImmunisation | Immunisations given to the patient and their status at the point of care.
note |  | 0..1 | string | Free text notes by the health professional
functionalStatus |  | 0..1 | Base | Section: Functional status
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
condition |  | 0..* | EHDSCondition | Condition information describing patient's functional status or disability.
assessment |  | 0..* | EHDSObservation | Assessment results regarding functional status.
note |  | 0..1 | string | Free text notes by the health professional
socialHistory |  | 0..1 | Base | Section: Social history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
observation |  | 0..* | EHDSObservation | Social history observations related to health
note |  | 0..1 | string | Free text notes by the health professional
pregnancyHistory |  | 0..1 | Base | Section: Pregnancy history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
currentPregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
previousPregnancies |  | 0..* | MyHealthEuPregnancyHistory | History of previous pregnancies
note |  | 0..1 | string | Free text notes by the health professional
travelHistory |  | 0..1 | Base | Section: Travel history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
travelHistory |  | 0..* | EHDSTravelHistory | Travel history for one country
note |  | 0..1 | string | Free text notes by the health professional
patientStory |  | 0..1 | Base | Section: Patient story
note |  | 0..1 | string | Free text notes by the health professional
advanceDirectives |  | 0..1 | Base | Section: Advance Directives
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
advanceDirective |  | 0..* | MyHealthEuAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
note |  | 0..1 | string | Free text notes by the health professional
observationResults |  | 0..1 | Base | Section: Observation results
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
result |  | 0..* | MyHealthEuObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
note |  | 0..1 | string | Free text notes by the health professional
carePlans |  | 0..1 | Base | Section: Care plans
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | MyHealthEuCarePlan | Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
note |  | 0..1 | string | Free text notes by the health professional
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuPatientSummary.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​allergiesAndIntolerances.​emptyReason | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSPatientSummary

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuPatientSummary |  | 0..* | EHDSPatientSummary | Patient summary model Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans
header |  | 1..1 | Base | Document header
subject |  | 1..1 | MyHealthEuPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | Author(s) of the document
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time period of information covered in the document
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
alerts |  | 0..1 | Base | Section: Alerts
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
note |  | 0..1 | string | Free text notes by the health professional
allergiesAndIntolerances |  | 1..1 | Base | Section: Allergies and intolerances
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
allergyIntolerance |  | 0..* | MyHealthEuAllergyIntolerance | List of structured allergies and intolerances
emptyReason |  | 0..1 | CodeableConcept | Use if no Allergies are listed Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
note |  | 0..1 | string | Free text notes by the health professional
problems |  | 1..1 | Base | Section: Medical problems
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no conditions are listed
problem |  | 0..* | MyHealthEuCondition | Health conditions affecting the health of the patient.
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 1..1 | MyHealthEuMedication | Section: Medication summary
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no medicines are listed
medicationUse |  | 0..* | EHDSMedicationUse | Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
note |  | 0..1 | string | Free text notes by the health professional
medicalDevicesAndImplants |  | 1..1 | Base | Section: Medical devices and implants
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
deviceUse |  | 0..* | MyHealthEuDeviceUse | Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
note |  | 0..1 | string | Free text notes by the health professional
procedures |  | 1..1 | Base | Section: Procedures
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
procedure |  | 0..* | MyHealthEuProcedure | List of procedures
note |  | 0..1 | string | Free text notes by the health professional
immunisations |  | 0..1 | Base | Section: Immunisations
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
immunisation |  | 0..* | MyHealthEuImmunisation | Immunisations given to the patient and their status at the point of care.
note |  | 0..1 | string | Free text notes by the health professional
functionalStatus |  | 0..1 | Base | Section: Functional status
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
condition |  | 0..* | EHDSCondition | Condition information describing patient's functional status or disability.
assessment |  | 0..* | EHDSObservation | Assessment results regarding functional status.
note |  | 0..1 | string | Free text notes by the health professional
socialHistory |  | 0..1 | Base | Section: Social history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
observation |  | 0..* | EHDSObservation | Social history observations related to health
note |  | 0..1 | string | Free text notes by the health professional
pregnancyHistory |  | 0..1 | Base | Section: Pregnancy history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
currentPregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
previousPregnancies |  | 0..* | MyHealthEuPregnancyHistory | History of previous pregnancies
note |  | 0..1 | string | Free text notes by the health professional
travelHistory |  | 0..1 | Base | Section: Travel history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
travelHistory |  | 0..* | EHDSTravelHistory | Travel history for one country
note |  | 0..1 | string | Free text notes by the health professional
patientStory |  | 0..1 | Base | Section: Patient story
note |  | 0..1 | string | Free text notes by the health professional
advanceDirectives |  | 0..1 | Base | Section: Advance Directives
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
advanceDirective |  | 0..* | MyHealthEuAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
note |  | 0..1 | string | Free text notes by the health professional
observationResults |  | 0..1 | Base | Section: Observation results
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
result |  | 0..* | MyHealthEuObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
note |  | 0..1 | string | Free text notes by the health professional
carePlans |  | 0..1 | Base | Section: Care plans
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | MyHealthEuCarePlan | Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
note |  | 0..1 | string | Free text notes by the health professional
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuPatientSummary.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​allergiesAndIntolerances.​emptyReason | Base | preferred |  | Not State | Unknown

Differential View

This structure is derived from EHDSPatientSummary

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuPatientSummary |  | 0..* | EHDSPatientSummary | Patient summary model Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans
header |  |  |  |
subject |  | 1..1 | MyHealthEuPatient | Patient/subject information
allergiesAndIntolerances |  |  |  |
allergyIntolerance |  | 0..* | MyHealthEuAllergyIntolerance | List of structured allergies and intolerances
problems |  |  |  |
problem |  | 0..* | MyHealthEuCondition | Health conditions affecting the health of the patient.
medicationSummary |  | 1..1 | MyHealthEuMedication | Section: Medication summary
medicalDevicesAndImplants |  |  |  |
deviceUse |  | 0..* | MyHealthEuDeviceUse | Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
procedures |  |  |  |
procedure |  | 0..* | MyHealthEuProcedure | List of procedures
immunisations |  |  |  |
immunisation |  | 0..* | MyHealthEuImmunisation | Immunisations given to the patient and their status at the point of care.
pregnancyHistory |  |  |  |
previousPregnancies |  | 0..* | MyHealthEuPregnancyHistory | History of previous pregnancies
advanceDirectives |  |  |  |
advanceDirective |  | 0..* | MyHealthEuAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
observationResults |  |  |  |
result |  | 0..* | MyHealthEuObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
carePlans |  |  |  |
carePlan |  | 0..* | MyHealthEuCarePlan | Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuPatientSummary |  | 0..* | EHDSPatientSummary | Patient summary model Elements defined in Ancestors:header, header, presentedForm, alerts, allergiesAndIntolerances, problems, medicationSummary, medicalDevicesAndImplants, procedures, immunisations, functionalStatus, socialHistory, pregnancyHistory, travelHistory, patientStory, advanceDirectives, observationResults, carePlans
header |  | 1..1 | Base | Document header
subject |  | 1..1 | MyHealthEuPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | Author(s) of the document
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time period of information covered in the document
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
alerts |  | 0..1 | Base | Section: Alerts
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
note |  | 0..1 | string | Free text notes by the health professional
allergiesAndIntolerances |  | 1..1 | Base | Section: Allergies and intolerances
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
allergyIntolerance |  | 0..* | MyHealthEuAllergyIntolerance | List of structured allergies and intolerances
emptyReason |  | 0..1 | CodeableConcept | Use if no Allergies are listed Binding Description: (preferred): 1.3.6.1.4.1.12559.11.10.1.3.1.42.47eHDSIAbsentOrUnknownAllergy; http://hl7.org/fhir/ValueSet/list-empty-reason
note |  | 0..1 | string | Free text notes by the health professional
problems |  | 1..1 | Base | Section: Medical problems
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no conditions are listed
problem |  | 0..* | MyHealthEuCondition | Health conditions affecting the health of the patient.
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 1..1 | MyHealthEuMedication | Section: Medication summary
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Use if no medicines are listed
medicationUse |  | 0..* | EHDSMedicationUse | Medication treatment/prescription relevant for this patient summary. Typically, medications whose period of time indicated for the treatment has not yet expired whether it has been dispensed or not.
note |  | 0..1 | string | Free text notes by the health professional
medicalDevicesAndImplants |  | 1..1 | Base | Section: Medical devices and implants
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
deviceUse |  | 0..* | MyHealthEuDeviceUse | Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices (such as cardiac pacemakers, implantable defibrillator, prothesis, ferromagnetic bone implants etc.) that are important to know by the HP.
note |  | 0..1 | string | Free text notes by the health professional
procedures |  | 1..1 | Base | Section: Procedures
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
emptyReason |  | 0..1 | CodeableConcept | Reason for absence of data
procedure |  | 0..* | MyHealthEuProcedure | List of procedures
note |  | 0..1 | string | Free text notes by the health professional
immunisations |  | 0..1 | Base | Section: Immunisations
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
immunisation |  | 0..* | MyHealthEuImmunisation | Immunisations given to the patient and their status at the point of care.
note |  | 0..1 | string | Free text notes by the health professional
functionalStatus |  | 0..1 | Base | Section: Functional status
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
condition |  | 0..* | EHDSCondition | Condition information describing patient's functional status or disability.
assessment |  | 0..* | EHDSObservation | Assessment results regarding functional status.
note |  | 0..1 | string | Free text notes by the health professional
socialHistory |  | 0..1 | Base | Section: Social history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
observation |  | 0..* | EHDSObservation | Social history observations related to health
note |  | 0..1 | string | Free text notes by the health professional
pregnancyHistory |  | 0..1 | Base | Section: Pregnancy history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
currentPregnancyStatus |  | 0..1 | EHDSCurrentPregnancy | Current pregnancy status
previousPregnancies |  | 0..* | MyHealthEuPregnancyHistory | History of previous pregnancies
note |  | 0..1 | string | Free text notes by the health professional
travelHistory |  | 0..1 | Base | Section: Travel history
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
travelHistory |  | 0..* | EHDSTravelHistory | Travel history for one country
note |  | 0..1 | string | Free text notes by the health professional
patientStory |  | 0..1 | Base | Section: Patient story
note |  | 0..1 | string | Free text notes by the health professional
advanceDirectives |  | 0..1 | Base | Section: Advance Directives
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
advanceDirective |  | 0..* | MyHealthEuAdvanceDirective | Provision for healthcare decisions if, in the future, a person is unable to make those decisions
note |  | 0..1 | string | Free text notes by the health professional
observationResults |  | 0..1 | Base | Section: Observation results
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
result |  | 0..* | MyHealthEuObservation | Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
note |  | 0..1 | string | Free text notes by the health professional
carePlans |  | 0..1 | Base | Section: Care plans
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | MyHealthEuCarePlan | Describes the intention of how one or more practitioners intend to deliver care for a particular patient for a period of time, possibly limited to care for a specific condition or set of conditions.
note |  | 0..1 | string | Free text notes by the health professional
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuPatientSummary.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown
MyHealthEuPatientSummary.​allergiesAndIntolerances.​emptyReason | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSPatientSummary

Summary

Other representations of profile: CSV, Excel