Resumen del paciente en FHIR

Resumen del paciente es una categoría prioritaria del Espacio Europeo de Datos de Salud (artículo 14(1), letra (a) del Reglamento (UE) 2025/327). Se aplica desde el 26 de marzo de 2029. HL7 Europe la cubre con eps 1.0.0-ballot.

Reglamento: Regulation (EU) 2025/327, Article 14(1)(a), Annex I
Se aplica desde: 26 de marzo de 2029
Guías HL7 Europe: hl7.fhir.eu.eps 1.0.0-ballot, en ballot
Modelos lógicos Xt-EHR: EHDSPatientSummary
Tipo de documento: LOINC 60591-5 Patient summary Document
Validador: Abrir el validador de perfiles EHDS

Qué dice el Reglamento

El anexo I del Reglamento describe las características principales de esta categoría. El texto es el original en inglés.

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.

Perfiles FHIR 23

Perfiles definidos por las guías anteriores. La columna de reglas cuenta los elementos en los que el perfil va más allá de FHIR base (obligatorios, prohibidos o limitados), que el validador comprueba; de los slices solo se comprueban los obligatorios que un valor fijo o el tipo de recurso permiten identificar.

Perfil	Recurso	Guía HL7 Europe	Reglas comprobadas	Slices comprobados / definidos
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

Estructura del documento

Los perfiles de documento de esta categoría: las secciones que puede llevar una Composition y las entradas que puede contener un Bundle, tal como los perfiles las establecen. Los nombres son nombres de slice; el código de sección es el código LOINC que fija el perfil.

Bundle (EPS): entradas del Bundle 26

Entrada	Card.	Recurso FHIR	Perfil
`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): secciones 17

Sección	Card.	Código de sección	Descripción
`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

Bindings de terminología 6

Value sets a los que los perfiles de esta categoría enlazan elementos con un binding required o extensible. Un binding required solo admite códigos del value set; uno extensible los espera salvo que ninguno encaje. Los value sets que definen los paquetes de HL7 Europe se listan con sus códigos en la referencia de value sets.

Los perfiles también declaran 14 bindings preferred y 6 example.

Value set	Binding	Usado por	Códigos
Gestational Age (LOINC)`http://hl7.eu/fhir/eps/ValueSet/gestational-age-loinc`	`required`	ObservationPregnancyGestationalAgeEuEps `code`	definido por reglas
edd-method-uv-ips`http://hl7.org/fhir/uv/ips/ValueSet/edd-method-uv-ips`	`required`	ObservationPregnancyEddEuEps `code`	definido fuera de los paquetes de HL7 Europe
pregnancies-summary-uv-ips`http://hl7.org/fhir/uv/ips/ValueSet/pregnancies-summary-uv-ips`	`required`	ObservationPregnancyOutcomeEuEps `code`	definido fuera de los paquetes de HL7 Europe
condition-clinical`http://hl7.org/fhir/ValueSet/condition-clinical`	`required`	ConditionOblEuEps `clinicalStatus`	definido fuera de los paquetes de HL7 Europe
condition-ver-status`http://hl7.org/fhir/ValueSet/condition-ver-status`	`required`	ConditionOblEuEps `verificationStatus`	definido fuera de los paquetes de HL7 Europe
iso3166-1-2`http://hl7.org/fhir/ValueSet/iso3166-1-2`	`required`	ObservationTravelEuEps `value[x]`	definido fuera de los paquetes de HL7 Europe

Extensiones 5

Extensiones de HL7 Europe que llevan los perfiles de esta categoría, con el elemento que contiene cada una.

Extensión	Contexto	Valor	Usada en
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

Modelo lógico EHDSPatientSummary 87

Elementos del modelo lógico Xt-EHR con su cardinalidad y obligaciones. Las obligaciones indican a productores y consumidores de los datos qué DEBE o DEBERÍA hacer un sistema con cada elemento.

Obligaciones por actor

Cuántos elementos de EHDSPatientSummary llevan cada obligación para cada actor.

Obligación	Actor	Elementos
`SHALL:able-to-populate`	productor	27
`SHALL:process`	consumidor	27
`SHOULD:able-to-populate`	productor	21
`SHOULD:display`	consumidor	7
`SHOULD:process`	consumidor	16

Elementos 87

Elemento	Card.	Obligaciones	Descripción
`header`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Document header
`subject`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Patient/subject information
`identifier`	`1..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Unique identifier of the document
`author[x]`	`1..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Author(s) of the document
`date`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Date of finalising/issuing the document
`status`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	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` productor`SHOULD:process` consumidor	Language in which the resource is written. Language is expressed by the IETF language tag.
`documentType`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Type of document at hand, e.g. 60591-5 Patient summary document.
`documentTitle`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	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` productor`SHALL:process` consumidor	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` productor`SHOULD:display` consumidor	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` productor`SHOULD:process` consumidor	Section: Alerts
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor System shall be able to populate generatedNarrative if the structured content is not supported by the system.`SHOULD:display` consumidor 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` productor`SHALL:process` consumidor	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` productor`SHOULD:display` consumidor	Free text notes by the health professional
`allergiesAndIntolerances`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Section: Allergies and intolerances
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:display` consumidor	Narrative, potentially formatted, content of the whole section.
`allergyIntolerance`	`0..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	List of structured allergies and intolerances
`emptyReason`	`0..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Use if no Allergies are listed
`note`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:display` consumidor	Free text notes by the health professional
`problems`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Section: Medical problems
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Use if no conditions are listed
`problem`	`0..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Health conditions affecting the health of the patient.
`note`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Free text notes by the health professional
`medicationSummary`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Section: Medication summary
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:display` consumidor	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Use if no medicines are listed
`medicationUse`	`0..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	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` productor`SHOULD:display` consumidor	Free text notes by the health professional
`medicalDevicesAndImplants`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Section: Medical devices and implants
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Use if no conditions are listed
`deviceUse`	`0..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	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` productor`SHOULD:process` consumidor	Free text notes by the health professional
`procedures`	`1..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Section: Procedures
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Narrative, potentially formatted, content of the whole section.
`emptyReason`	`0..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Reason for absence of data
`procedure`	`0..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	List of procedures
`note`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Free text notes by the health professional
`immunisations`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Section: Immunisations
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Narrative, potentially formatted, content of the whole section.
`immunisation`	`0..*`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Immunisations given to the patient and their status at the point of care.
`note`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	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` productor`SHOULD:process` consumidor	Section: Pregnancy history
`generatedNarrative`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	Narrative, potentially formatted, content of the whole section.
`currentPregnancyStatus`	`0..1`	`SHALL:able-to-populate` productor`SHALL:process` consumidor	Current pregnancy status
`previousPregnancies`	`0..*`		History of previous pregnancies
`note`	`0..1`	`SHOULD:able-to-populate` productor`SHOULD:process` consumidor	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` consumidor	Section: Patient story
`note`	`0..1`		Free text notes by the health professional
`advanceDirectives`	`0..1`	`SHOULD:process` consumidor	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

Mapeo de EHDSPatientSummary a FHIR 89

Cómo aterriza cada elemento lógico en FHIR, según lo publicado en la guía de HL7 Europe. Mapeado a: BundleEuEps, CompositionEuEps.

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

Documentos CDA (eHDSI)

La misma categoría se transporta en CDA con estas plantillas de documento eHDSI. Su estructura, sus conjuntos de valores y un validador de documentos CDA están en la guía CDA.

eHDSI Patient Summary eHDSI Patient Summary PDF embedded

Fuentes

Reglamento (UE) 2025/327, Diario Oficial de la Unión Europea; guías de implementación FHIR de HL7 Europe; modelos lógicos Xt-EHR (xtehr.eu.ehds.models). Las guías en ballot aún pueden cambiar. Esta guía es informativa: no es asesoramiento jurídico ni una certificación de conformidad.