Patient summary in FHIR

Patient summary is a priority category of the European Health Data Space (Article 14(1) point (a) of Regulation (EU) 2025/327). It applies from March 26, 2029. HL7 Europe covers it with eps 1.0.0-ballot.

Regulation: Regulation (EU) 2025/327, Article 14(1)(a), Annex I
Applies from: March 26, 2029
HL7 Europe guides: hl7.fhir.eu.eps 1.0.0-ballot, ballot
Xt-EHR logical models: EHDSPatientSummary
Document type: LOINC 60591-5 Patient summary Document
Validator: Open the EHDS profile validator

What the Regulation says

Annex I of the Regulation describes the main characteristics of this category. The text is the English original.

Patient summaries
Electronic health data that include significant clinical facts related to an identified natural person and that are essential for the provision of safe and efficient healthcare to that person. The following information is part of a patient summary:
1. Personal details.
2. Contact information.
3. Information on insurance.
4. Allergies.
5. Medical alerts.
6. Vaccination/prophylaxis information, possibly in the form of a vaccination card.
7. Current, resolved, closed or inactive problems, including in an international classification coding.
8. Textual information related to medical history.
9. Medical devices and implants.
10. Medical or care procedures.
11. Functional status.
12. Current and relevant past medicines.
13. Social history observations related to health.
14. Pregnancy history.
15. Patient-provided data.
16. Observation results pertaining to the health condition.
17. Plan of care.
18. Information on a rare disease, such as details about the impact or characteristics of the disease.

FHIR profiles 23

Profiles defined by the guides above. The rules column counts the elements where the profile goes beyond base FHIR (required, forbidden or limited), which the validator checks; of the slices, only the required ones that a fixed value or the resource type identifies are checked.

Profile	Resource	HL7 Europe guide	Rules checked	Slices checked / defined
AllergyIntolerance - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/allergyintolerance-obl-eu-eps`	`AllergyIntolerance`	eps	1	0 / 3
Bundle (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/bundle-eu-eps`	`Bundle`	eps	6	2 / 26
Composition (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/composition-eu-eps`	`Composition`	eps	8	5 / 61
Condition - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/condition-obl-eu-eps`	`Condition`	eps	1	0 / 5
Consent: Advance Directives (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps`	`Consent`	eps	0	0 / 2
Device (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/device-eu-eps`	`Device`	eps	0	0 / 0
DeviceUseStatement (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/deviceUseStatement-eu-eps`	`DeviceUseStatement`	eps	2	0 / 2
DiagnosticReport (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/diagnosticReport-eu-eps`	`DiagnosticReport`	eps	3	0 / 8
Flag : Alert - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/flag-alert-obl-eu-eps`	`Flag`	eps	0	0 / 3
Immunization - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/immunization-obl-eu-eps`	`Immunization`	eps	0	0 / 11
Medication - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/medication-obl-eu-eps`	`Medication`	eps	0	0 / 12
MedicationRequest - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/medicationrequest-obl-eu-eps`	`MedicationRequest`	eps	0	0 / 4
MedicationStatement (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/MedicationStatement-eu-eps`	`MedicationStatement`	eps	2	0 / 5
Observation: Pregnancy - Expected Delivery Date (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-edd-eu-eps`	`Observation`	eps	9	0 / 1
Observation: Pregnancy - Gestational Age (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-gestationalAge-eu-eps`	`Observation`	eps	9	0 / 1
Observation: Pregnancy - Outcome (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-outcome-eu-eps`	`Observation`	eps	8	0 / 1
Observation: Pregnancy - Status (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/observation-pregnancy-status-eu-ips`	`Observation`	eps	9	0 / 1
Observation: Country Visited (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/observation-travel-eu-eps`	`Observation`	eps	3	0 / 1
Organization - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/organization-obl-eu-eps`	`Organization`	eps	1	0 / 0
Patient (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/patient-eu-eps`	`Patient`	eps	2	0 / 7
Practitioner - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/practitioner-obl-eu-eps`	`Practitioner`	eps	1	0 / 0
PractitionerRole - Obligations (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/practitionerrole-obl-eu-eps`	`PractitionerRole`	eps	0	0 / 0
Procedure (EPS)`http://hl7.eu/fhir/eps/StructureDefinition/procedure-eu-eps`	`Procedure`	eps	3	0 / 3

Document structure

The document profiles of this category: the sections a Composition can carry and the entries a Bundle can hold, as the profiles state them. Names are slice names; the section code is the LOINC code the profile fixes.

Bundle (EPS): Bundle entries 26

Entry	Card.	FHIR resource	Profile
`composition`	`1..1`	`Composition`	`CompositionEuEps`
`patient`	`1..1`	`Patient`	`PatientEuEps`
`allergyintolerance`	`0..*`	`AllergyIntolerance`	`AllergyIntoleranceOblEuEps`
`careplan`	`0..*`	`CarePlan`
`condition`	`0..*`	`Condition`	`ConditionOblEuEps`
`device`	`0..*`	`Device`	`DeviceEuEps`
`deviceusestatement`	`0..*`	`DeviceUseStatement`	`DeviceUseStatementEuEps`
`diagnosticreport`	`0..*`	`DiagnosticReport`	`DiagnosticReportEuEps`
`flag`	`0..*`	`Flag`	`FlagAlertOblEuEps`
`imagingstudy`	`0..*`	`ImagingStudy`	`ImagingStudy-uv-ips`
`immunization`	`0..*`	`Immunization`	`ImmunizationOblEuEps`
`medication`	`0..*`	`Medication`	`MedicationOblEuEps`
`medicationrequest`	`0..*`	`MedicationRequest`	`MedicationRequestOblEuEps`
`medicationstatement`	`0..*`	`MedicationStatement`	`MedicationStatementEuEps`
`practitioner`	`0..*`	`Practitioner`	`PractitionerOblEuEps`
`practitionerrole`	`0..*`	`PractitionerRole`	`PractitionerRoleOblEuEps`
`procedure`	`0..*`	`Procedure`	`ProcedureEuEps`
`observation-pregnancy-edd`	`0..*`	`Observation`	`ObservationPregnancyEddEuEps`
`observation-pregnancy-outcome`	`0..*`	`Observation`	`ObservationPregnancyOutcomeEuEps`
`observation-pregnancy-status`	`0..*`	`Observation`	`ObservationPregnancyStatusEuEps`
`observation-alcohol-use`	`0..*`	`Observation`	`Observation-alcoholuse-uv-ips`
`observation-tobacco-use`	`0..*`	`Observation`	`Observation-tobaccouse-uv-ips`
`observation-vital-signs`	`0..*`	`Observation`	`vitalsigns`
`organization`	`0..*`	`Organization`	`OrganizationOblEuEps`
`specimen`	`0..*`	`Specimen`	`Specimen-uv-ips`
`observation-pregnancy-age`	`0..*`	`Observation`	`ObservationPregnancyGestationalAgeEuEps`

Composition (EPS): sections 17

Section	Card.	Section code	Description
`sectionProblems`	`1..1`	`LOINC 11450-4`	EPS Problems Section
`sectionAllergies`	`1..1`	`LOINC 48765-2`	EPS Allergies and Intolerances Section
`sectionMedications`	`1..1`	`LOINC 10160-0`	EPS Medication Summary Section
`sectionImmunizations`	`0..1`	`LOINC 11369-6`	EPS Immunizations Section
`sectionResults`	`0..1`	`LOINC 30954-2`	EPS Results Section
`sectionProceduresHx`	`1..1`	`LOINC 47519-4`	EPS History of Procedures Section
`sectionMedicalDevices`	`1..1`	`LOINC 46264-8`	EPS Medical Devices Section
`sectionAdvanceDirectives`	`0..1`	`LOINC 42348-3`	EPS Advance Directives Section
`sectionAlert`	`0..1`	`LOINC 104605-1`	EPS Alerts Section
`sectionFunctionalStatus`	`0..1`	`LOINC 47420-5`	EPS Functional Status
`sectionPregnancyHx`	`0..1`	`LOINC 10162-6`	EPS History of Pregnancy Section
`sectionPatientStory`	`0..1`	`LOINC 81338-6`	EPS Patient Story Section
`sectionPlanOfCare`	`0..1`	`LOINC 18776-5`	EPS Plan of Care Section
`sectionSocialHistory`	`0..1`	`LOINC 29762-2`	EPS Social History Section
`sectionVitalSigns`	`0..1`	`LOINC 8716-3`	EPS Vital Signs Section
`sectionTravelHx`	`0..1`	`LOINC 10182-4`	EPS Travel History Section
`sectionPatientHx`	`0..1`	`LOINC 11329-0`	EPS Patient History Section

Terminology bindings 6

Value sets that the profiles of this category bind elements to with a required or extensible binding. A required binding only allows codes of the value set; an extensible one expects them unless none fits. Value sets that the HL7 Europe packages define are listed with their codes in the value set reference.

The profiles also state 14 preferred and 6 example bindings.

Value set	Binding	Used by	Codes
Gestational Age (LOINC)`http://hl7.eu/fhir/eps/ValueSet/gestational-age-loinc`	`required`	ObservationPregnancyGestationalAgeEuEps `code`	defined by rules
edd-method-uv-ips`http://hl7.org/fhir/uv/ips/ValueSet/edd-method-uv-ips`	`required`	ObservationPregnancyEddEuEps `code`	defined outside the HL7 Europe packages
pregnancies-summary-uv-ips`http://hl7.org/fhir/uv/ips/ValueSet/pregnancies-summary-uv-ips`	`required`	ObservationPregnancyOutcomeEuEps `code`	defined outside the HL7 Europe packages
condition-clinical`http://hl7.org/fhir/ValueSet/condition-clinical`	`required`	ConditionOblEuEps `clinicalStatus`	defined outside the HL7 Europe packages
condition-ver-status`http://hl7.org/fhir/ValueSet/condition-ver-status`	`required`	ConditionOblEuEps `verificationStatus`	defined outside the HL7 Europe packages
iso3166-1-2`http://hl7.org/fhir/ValueSet/iso3166-1-2`	`required`	ObservationTravelEuEps `value[x]`	defined outside the HL7 Europe packages

Extensions 5

HL7 Europe extensions that the profiles of this category carry, with the element that holds each one.

Extension	Context	Value	Used in
Consent: Related Condition`http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition`	`Consent`	`Reference`	ConsentEuEps `extension:relatedCondition` 0..*
Document DiagnosticReport Reference`http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference`	`Composition`	`Reference`	CompositionEuEps `extension:diagnosticReport` 0..1
Composition: Information recipient`http://hl7.eu/fhir/StructureDefinition/information-recipient`	`Composition`	`Reference`	CompositionEuEps `extension:informationRecipient` 0..*
Medication: Package type`http://hl7.eu/fhir/StructureDefinition/medication-package-type`	`Medication`	`CodeableConcept`	MedicationOblEuEps `extension:packageType` 0..1
Many: Periods of Life`http://hl7.eu/fhir/extensions/StructureDefinition/periods-of-life`	`AgePeriodRangeRange.lowRange.highdateTime`	`CodeableConcept`	ImmunizationOblEuEps `occurrence[x]:occurrenceDateTime.extension:periodOfLife` 0..1

Logical model EHDSPatientSummary 87

Elements of the Xt-EHR logical model with their cardinality and obligations. Obligations tell producers and consumers of the data what a system SHALL or SHOULD do with each element.

Obligations by actor

How many elements of EHDSPatientSummary carry each obligation for each actor.

Obligation	Actor	Elements
`SHALL:able-to-populate`	producer	27
`SHALL:process`	consumer	27
`SHOULD:able-to-populate`	producer	21
`SHOULD:display`	consumer	7
`SHOULD:process`	consumer	16

Elements 87

Element	Card.	Obligations	Description
`header`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Document header
`subject`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Patient/subject information
`identifier`	`1..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Unique identifier of the document
`author[x]`	`1..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Author(s) of the document
`date`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Date of finalising/issuing the document
`status`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Status of the document
`source`	`0..0`		Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
`language`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Language in which the resource is written. Language is expressed by the IETF language tag.
`documentType`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Type of document at hand, e.g. 60591-5 Patient summary document.
`documentTitle`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	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`		Time period of information covered in the document
`version`	`0..1`		Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
`attestation`	`0..*`		Document attestation details
`attester[x]`	`1..1`		Attester who validated the document
`datetime`	`1..1`		Date and time of the approval of the document by Attester
`legalAuthentication`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Document legal authentication details
`legalAuthenticator[x]`	`1..1`		The person or organisation taking responsibility for the content of the document.
`datetime`	`1..1`		Date and time when the document was authorised
`eventType`	`0..*`		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.
`serviceSpecialty`	`0..*`		Additional details about where the content was created (e.g. clinical specialty)
`custodian`	`0..1`		Organisation that is in charge of maintaining the document/report.
`presentedForm`	`0..*`	`SHOULD:able-to-populate` producer`SHOULD:display` consumer	A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
`alerts`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Section: Alerts
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer System shall be able to populate generatedNarrative if the structured content is not supported by the system.`SHOULD:display` consumer System shall display generatedNarrative if the structured content is not supported by the system.	Narrative, potentially formatted, content of the whole section.
`medicalAlert`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	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`	`SHOULD:able-to-populate` producer`SHOULD:display` consumer	Free text notes by the health professional
`allergiesAndIntolerances`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Section: Allergies and intolerances
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:display` consumer	Narrative, potentially formatted, content of the whole section.
`allergyIntolerance`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	List of structured allergies and intolerances
`emptyReason`	`0..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Use if no Allergies are listed
`note`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:display` consumer	Free text notes by the health professional
`problems`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Section: Medical problems
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Use if no conditions are listed
`problem`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Health conditions affecting the health of the patient.
`note`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Free text notes by the health professional
`medicationSummary`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Section: Medication summary
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:display` consumer	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Use if no medicines are listed
`medicationUse`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	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`	`SHOULD:able-to-populate` producer`SHOULD:display` consumer	Free text notes by the health professional
`medicalDevicesAndImplants`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Section: Medical devices and implants
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Use if no conditions are listed
`deviceUse`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	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`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Free text notes by the health professional
`procedures`	`1..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Section: Procedures
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Reason for absence of data
`procedure`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	List of procedures
`note`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Free text notes by the health professional
`immunisations`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Section: Immunisations
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Narrative, potentially formatted, content of the whole section.
`immunisation`	`0..*`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Immunisations given to the patient and their status at the point of care.
`note`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Free text notes by the health professional
`functionalStatus`	`0..1`		Section: Functional status
`generatedNarrative`	`0..1`		Narrative, potentially formatted, content of the whole section.
`condition`	`0..*`		Condition information describing patient's functional status or disability.
`assessment`	`0..*`		Assessment results regarding functional status.
`note`	`0..1`		Free text notes by the health professional
`socialHistory`	`0..1`		Section: Social history
`generatedNarrative`	`0..1`		Narrative, potentially formatted, content of the whole section.
`observation`	`0..*`		Social history observations related to health
`note`	`0..1`		Free text notes by the health professional
`pregnancyHistory`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Section: Pregnancy history
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Narrative, potentially formatted, content of the whole section.
`currentPregnancyStatus`	`0..1`	`SHALL:able-to-populate` producer`SHALL:process` consumer	Current pregnancy status
`previousPregnancies`	`0..*`		History of previous pregnancies
`note`	`0..1`	`SHOULD:able-to-populate` producer`SHOULD:process` consumer	Free text notes by the health professional
`travelHistory`	`0..1`		Section: Travel history
`generatedNarrative`	`0..1`		Narrative, potentially formatted, content of the whole section.
`travelHistory`	`0..*`		Travel history for one country
`note`	`0..1`		Free text notes by the health professional
`patientStory`	`0..1`	`SHOULD:process` consumer	Section: Patient story
`note`	`0..1`		Free text notes by the health professional
`advanceDirectives`	`0..1`	`SHOULD:process` consumer	Section: Advance Directives
`generatedNarrative`	`0..1`		Narrative, potentially formatted, content of the whole section.
`advanceDirective`	`0..*`		Provision for healthcare decisions if, in the future, a person is unable to make those decisions
`note`	`0..1`		Free text notes by the health professional
`observationResults`	`0..1`		Section: Observation results
`generatedNarrative`	`0..1`		Narrative, potentially formatted, content of the whole section.
`result`	`0..*`		Observation results pertaining to the subject of care's health condition and which might have impact on future treatments
`note`	`0..1`		Free text notes by the health professional
`carePlans`	`0..1`		Section: Care plans
`generatedNarrative`	`0..1`		Narrative, potentially formatted, content of the whole section.
`carePlan`	`0..*`		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`		Free text notes by the health professional

Mapping of EHDSPatientSummary to FHIR 89

How each logical element lands in FHIR, as published in the HL7 Europe guide. Mapped to: BundleEuEps, CompositionEuEps.

Element	Relation	FHIR resource	FHIR element	Notes
`header`	related to	`Composition`	`.`
`subject`	equivalent	`Composition`	`subject`
`identifier`	equivalent	`Composition`	`identifier`
`identifier`	equivalent	`Bundle`	`identifier`	Represents a specific rendition/version of the document.
`author[x]`	equivalent	`Composition`	`author`
`date`	equivalent	`Composition`	`date`
`status`	equivalent	`Composition`	`status`
`language`	equivalent	`Composition`	`language`
`documentType`	equivalent	`Composition`	`type`
`documentTitle`	equivalent	`Composition`	`title`
`period`	related to	`Composition`	`event.period`	Map to the primary Composition.event entry.
`version`	related to	`Composition`	`extension:version`
`attestation`	related to	`Composition`	`attester`
`attester`	equivalent	`Composition`	`attester.party`
`datetime`	equivalent	`Composition`	`attester.time`
`legalAuthentication`	related to	`Composition`	`attester`
`legalAuthenticator`	related to	`Composition`	`attester.party`
`datetime`	equivalent	`Composition`	`attester.time`
`eventType`	related to	`Composition`	`event.code`	Not clear if it is a type of event - PCPR for Patient Summary - or a classification of the document.
`serviceSpecialty`	narrower than target	`Composition`	`category`	Do not apply to Patient Summary.
`custodian`	equivalent	`Composition`	`custodian`
`alerts`	equivalent	`Composition`	`section:sectionAlerts`	Use LOINC 104605-1
`generatedNarrative`	equivalent	`Composition`	`section:sectionAlerts.text`
`emptyReason`	equivalent	`Composition`	`section:sectionAlerts.emptyReason`
`medicalAlert`	equivalent	`Composition`	`section:sectionAlerts.entry:flag`	Reference to FlagPatientEuCore.
`note`	related to	`Composition`	`section:sectionAlerts.text`
`allergiesAndIntolerances`	equivalent	`Composition`	`section:sectionAllergies`	Mandatory slice in CompositionEuEps.
`generatedNarrative`	equivalent	`Composition`	`section:sectionAllergies.text`
`allergyIntolerance`	equivalent	`Composition`	`section:sectionAllergies.entry:allergyOrIntolerance`	Reference to AllergyIntoleranceEuCore.
`emptyReason`	equivalent	`Composition`	`section:sectionAllergies.emptyReason`
`note`	related to	`Composition`	`section:sectionAllergies.text`
`problems`	equivalent	`Composition`	`section:sectionProblems`	Use LOINC 11450-4
`generatedNarrative`	equivalent	`Composition`	`section:sectionProblems.text`
`emptyReason`	equivalent	`Composition`	`section:sectionProblems.emptyReason`
`problem`	equivalent	`Composition`	`section:sectionProblems.entry:problem`	Reference to ConditionEuCore.
`note`	related to	`Composition`	`section:sectionProblems.text`
`medicationSummary`	equivalent	`Composition`	`section:sectionMedications`	Use LOINC 10160-0
`generatedNarrative`	equivalent	`Composition`	`section:sectionMedications.text`
`emptyReason`	equivalent	`Composition`	`section:sectionMedications.emptyReason`
`medicationUse`	equivalent	`Composition`	`section:sectionMedications.entry:medicationStatementOrRequest`	Reference to MedicationStatementEuEps.
`note`	related to	`Composition`	`section:sectionMedications.text`
`medicalDevicesAndImplants`	equivalent	`Composition`	`section:sectionMedicalDevices`	Use LOINC 46264-8
`generatedNarrative`	equivalent	`Composition`	`section.text`
`emptyReason`	equivalent	`Composition`	`section.emptyReason`
`deviceUse`	equivalent	`Composition`	`section:sectionMedicalDevices.entry:deviceStatement`	Reference to DeviceUseStatementEuEps.
`note`	related to	`Composition`	`section:sectionMedicalDevices.text`
`procedures`	equivalent	`Composition`	`section:sectionProceduresHx`	Use LOINC 47519-4
`generatedNarrative`	equivalent	`Composition`	`section.text`
`emptyReason`	equivalent	`Composition`	`section.emptyReason`
`procedure`	equivalent	`Composition`	`section:sectionProceduresHx.entry:procedure`	Reference to ProcedureEuCore.
`note`	related to	`Composition`	`section:sectionProceduresHx.text`
`immunisations`	equivalent	`Composition`	`section:sectionImmunizations`	Use LOINC 11369-6
`generatedNarrative`	equivalent	`Composition`	`section.text`
`immunisation`	equivalent	`Composition`	`section:sectionImmunizations.entry:immunization`	Reference to ImmunizationEuCore.
`note`	related to	`Composition`	`section:sectionImmunizations.text`
`functionalStatus`	equivalent	`Composition`	`section:sectionFunctionalStatus`	Use LOINC 47420-5
`generatedNarrative`	equivalent	`Composition`	`section.text`
`condition`	related to	`Composition`	`section:sectionFunctionalStatus.entry`	Target slice/profile alignment may need clarification.
`assessment`	equivalent	`Composition`	`section:sectionFunctionalStatus.entry:functionalStatus`	The actual content maps better into an Observation profile, not allowed in this section
`note`	related to	`Composition`	`section:sectionFunctionalStatus.text`
`socialHistory`	equivalent	`Composition`	`section:sectionSocialHistory`
`generatedNarrative`	equivalent	`Composition`	`section.text`
`observation`	equivalent	`Composition`	`section:sectionSocialHistory.entry`
`note`	related to	`Composition`	`section:sectionSocialHistory.text`
`pregnancyHistory`	equivalent	`Composition`	`section:sectionPregnancyHx`	Use LOINC 10162-6
`generatedNarrative`	equivalent	`Composition`	`section.text`
`currentPregnancyStatus`	equivalent	`Composition`	`section:sectionPregnancyHx.entry:pregnancyStatus`
`note`	related to	`Composition`	`section:sectionPregnancyHx.text`	Narrative text used when no structured mapping is needed.
`previousPregnancies`	equivalent	`Composition`	`section:sectionPregnancyHx.entry:pregnancyOutcome`
`travelHistory`	equivalent	`Composition`	`section:sectionTravelHx`	Uses LOINC 10182-4.
`generatedNarrative`	equivalent	`Composition`	`section.text`
`travelHistory`	equivalent	`Composition`	`section:sectionTravelHx.entry`	Reference to ObservationTravelEuEps.
`note`	related to	`Composition`	`section:sectionTravelHx.text`
`patientStory`	equivalent	`Composition`	`section:sectionPatientHx`	check if the propoer loinc code is used and the patient history section is added.
`note`	equivalent	`Composition`	`section:sectionPatientHx.text`
`advanceDirectives`	equivalent	`Composition`	`section:sectionAdvanceDirectives`	Use LOINC 42348-3
`generatedNarrative`	equivalent	`Composition`	`section.text`
`advanceDirective`	equivalent	`Composition`	`section:sectionAdvanceDirectives.entry`	Reference to ConsentEuEps or DocumentReference.
`note`	related to	`Composition`	`section:sectionAdvanceDirectives.text`
`observationResults`	broader than target	`Composition`	`section:sectionResults`	When the result is a diagnostic result.
`observationResults`	broader than target	`Composition`	`section:sectionVitalSigns`	When the result is a vital sign
`generatedNarrative`	equivalent	`Composition`	`section.text`
`result`	equivalent	`Composition`	`section:sectionResults.entry`	When the result is a diagnostic result.
`result`	equivalent	`Composition`	`section:sectionVitalSigns.entry`	When the result is a vital sign, target profile is http://hl7.org/fhir/StructureDefinition/vitalsigns.
`note`	related to	`Composition`	`section.text`
`carePlans`	equivalent	`Composition`	`section:sectionPlanOfCare`
`generatedNarrative`	equivalent	`Composition`	`section.text`
`carePlan`	equivalent	`Composition`	`section:sectionPlanOfCare.entry`
`note`	related to	`Composition`	`section:sectionPlanOfCare.text`

CDA documents (eHDSI)

The same category is carried in CDA by these eHDSI document templates. Their structure, value sets and a validator for CDA documents are in the CDA guide.

eHDSI Patient Summary eHDSI Patient Summary PDF embedded

Sources

Regulation (EU) 2025/327, Official Journal of the European Union; HL7 Europe FHIR implementation guides; Xt-EHR logical models (xtehr.eu.ehds.models). Ballot guides may still change. This guide is informational: it is not legal advice and not a certification of conformity.