Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept United Kingdom flag

Care Coordination and 360 Referrals (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: Patient Summary - Detailed Descriptions

Draft as of 2026-11-03

Definitions for the PatientSummary logical model

See the documentation on how to interpret the contents of this table

0. PatientSummary
Definition

Proof of concept - not an authoritative source.

The patient's background - problems, medicines, allergies and other headline information - for a clinician who does not hold the patient's record. Sent as referral input (ServiceRequest.supportingInfo) when the Referral Recipient cannot query the record, and expected to be available from shared care records.

Based on the HL7 Europe Patient Summary (EPS, 1.0.0-ballot) and the International Patient Summary (IPS 2.0.1) sections, with the PRSB Core Information Standard v2.01 headings (mapping To confirm). The Mappings tab shows each element in FHIR and PRSB.

ShortPatient Summary
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. PatientSummary.documentId
Definition

Unique identifier of this summary

ShortDocument ID
Control1..1
TypeIdentifier
4. PatientSummary.date
Definition

When the summary was produced

ShortDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. PatientSummary.author
Definition

Organisation (ODS code) or clinician producing the summary

ShortAuthor
Control1..*
TypeIdentifier
8. PatientSummary.patient
Definition

NHS Number and local identifiers

ShortPatient
Control1..1
TypeIdentifier
10. PatientSummary.problems
Definition

Current problems and diagnoses

ShortProblems
Control1..1
TypeBackboneElement
12. PatientSummary.allergies
Definition

Including no known allergies

ShortAllergies and intolerances
Control1..1
TypeBackboneElement
14. PatientSummary.medications
Definition

Current medicines

ShortMedication summary
Control1..1
TypeBackboneElement
16. PatientSummary.immunizations
Definition

Vaccination history

ShortImmunisations
Control0..1
TypeBackboneElement
18. PatientSummary.results
Definition

Relevant test results

ShortResults
Control0..1
TypeBackboneElement
20. PatientSummary.proceduresHistory
Definition

Past procedures

ShortHistory of procedures
Control0..1
TypeBackboneElement
22. PatientSummary.medicalDevices
Definition

Devices and implants

ShortMedical devices
Control0..1
TypeBackboneElement
24. PatientSummary.pastProblems
Definition

Resolved problems

ShortPast problems
Control0..1
TypeBackboneElement
26. PatientSummary.vitalSigns
Definition

Latest vital signs

ShortVital signs
Control0..1
TypeBackboneElement
28. PatientSummary.functionalStatus
Definition

Disabilities and ability to perform activities of daily living

ShortFunctional status
Control0..1
TypeBackboneElement
30. PatientSummary.socialHistory
Definition

Social context - see the Social Context questionnaire

ShortSocial history
Control0..1
TypeBackboneElement
32. PatientSummary.pregnancyHistory
Definition

Current pregnancy status and history

ShortPregnancy
Control0..1
TypeBackboneElement
34. PatientSummary.planOfCare
Definition

Current care plans

ShortPlan of care
Control0..1
TypeBackboneElement
36. PatientSummary.advanceDirectives
Definition

Advance decisions, ReSPECT, DNACPR

ShortAdvance directives
Control0..1
TypeBackboneElement
38. PatientSummary.alerts
Definition

Substantial alerts and warnings

ShortAlerts
Control0..1
TypeBackboneElement
40. PatientSummary.patientStory
Definition

What matters to the patient (PRSB About Me)

ShortPatient story
Control0..1
TypeBackboneElement

See the documentation on how to interpret the contents of this table

0. PatientSummary
Definition

Proof of concept - not an authoritative source.

The patient's background - problems, medicines, allergies and other headline information - for a clinician who does not hold the patient's record. Sent as referral input (ServiceRequest.supportingInfo) when the Referral Recipient cannot query the record, and expected to be available from shared care records.

Based on the HL7 Europe Patient Summary (EPS, 1.0.0-ballot) and the International Patient Summary (IPS 2.0.1) sections, with the PRSB Core Information Standard v2.01 headings (mapping To confirm). The Mappings tab shows each element in FHIR and PRSB.

ShortPatient Summary
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. PatientSummary.documentId
Definition

Unique identifier of this summary

ShortDocument ID
Control1..1
TypeIdentifier
4. PatientSummary.date
Definition

When the summary was produced

ShortDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. PatientSummary.author
Definition

Organisation (ODS code) or clinician producing the summary

ShortAuthor
Control1..*
TypeIdentifier
8. PatientSummary.patient
Definition

NHS Number and local identifiers

ShortPatient
Control1..1
TypeIdentifier
10. PatientSummary.problems
Definition

Current problems and diagnoses

ShortProblems
Control1..1
TypeBackboneElement
12. PatientSummary.allergies
Definition

Including no known allergies

ShortAllergies and intolerances
Control1..1
TypeBackboneElement
14. PatientSummary.medications
Definition

Current medicines

ShortMedication summary
Control1..1
TypeBackboneElement
16. PatientSummary.immunizations
Definition

Vaccination history

ShortImmunisations
Control0..1
TypeBackboneElement
18. PatientSummary.results
Definition

Relevant test results

ShortResults
Control0..1
TypeBackboneElement
20. PatientSummary.proceduresHistory
Definition

Past procedures

ShortHistory of procedures
Control0..1
TypeBackboneElement
22. PatientSummary.medicalDevices
Definition

Devices and implants

ShortMedical devices
Control0..1
TypeBackboneElement
24. PatientSummary.pastProblems
Definition

Resolved problems

ShortPast problems
Control0..1
TypeBackboneElement
26. PatientSummary.vitalSigns
Definition

Latest vital signs

ShortVital signs
Control0..1
TypeBackboneElement
28. PatientSummary.functionalStatus
Definition

Disabilities and ability to perform activities of daily living

ShortFunctional status
Control0..1
TypeBackboneElement
30. PatientSummary.socialHistory
Definition

Social context - see the Social Context questionnaire

ShortSocial history
Control0..1
TypeBackboneElement
32. PatientSummary.pregnancyHistory
Definition

Current pregnancy status and history

ShortPregnancy
Control0..1
TypeBackboneElement
34. PatientSummary.planOfCare
Definition

Current care plans

ShortPlan of care
Control0..1
TypeBackboneElement
36. PatientSummary.advanceDirectives
Definition

Advance decisions, ReSPECT, DNACPR

ShortAdvance directives
Control0..1
TypeBackboneElement
38. PatientSummary.alerts
Definition

Substantial alerts and warnings

ShortAlerts
Control0..1
TypeBackboneElement
40. PatientSummary.patientStory
Definition

What matters to the patient (PRSB About Me)

ShortPatient story
Control0..1
TypeBackboneElement

See the documentation on how to interpret the contents of this table

0. PatientSummary
Definition

Proof of concept - not an authoritative source.

The patient's background - problems, medicines, allergies and other headline information - for a clinician who does not hold the patient's record. Sent as referral input (ServiceRequest.supportingInfo) when the Referral Recipient cannot query the record, and expected to be available from shared care records.

Based on the HL7 Europe Patient Summary (EPS, 1.0.0-ballot) and the International Patient Summary (IPS 2.0.1) sections, with the PRSB Core Information Standard v2.01 headings (mapping To confirm). The Mappings tab shows each element in FHIR and PRSB.

ShortPatient Summary
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. PatientSummary.documentId
Definition

Unique identifier of this summary

ShortDocument ID
Control1..1
TypeIdentifier
4. PatientSummary.date
Definition

When the summary was produced

ShortDate
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. PatientSummary.author
Definition

Organisation (ODS code) or clinician producing the summary

ShortAuthor
Control1..*
TypeIdentifier
8. PatientSummary.patient
Definition

NHS Number and local identifiers

ShortPatient
Control1..1
TypeIdentifier
10. PatientSummary.problems
Definition

Current problems and diagnoses

ShortProblems
Control1..1
TypeBackboneElement
12. PatientSummary.allergies
Definition

Including no known allergies

ShortAllergies and intolerances
Control1..1
TypeBackboneElement
14. PatientSummary.medications
Definition

Current medicines

ShortMedication summary
Control1..1
TypeBackboneElement
16. PatientSummary.immunizations
Definition

Vaccination history

ShortImmunisations
Control0..1
TypeBackboneElement
18. PatientSummary.results
Definition

Relevant test results

ShortResults
Control0..1
TypeBackboneElement
20. PatientSummary.proceduresHistory
Definition

Past procedures

ShortHistory of procedures
Control0..1
TypeBackboneElement
22. PatientSummary.medicalDevices
Definition

Devices and implants

ShortMedical devices
Control0..1
TypeBackboneElement
24. PatientSummary.pastProblems
Definition

Resolved problems

ShortPast problems
Control0..1
TypeBackboneElement
26. PatientSummary.vitalSigns
Definition

Latest vital signs

ShortVital signs
Control0..1
TypeBackboneElement
28. PatientSummary.functionalStatus
Definition

Disabilities and ability to perform activities of daily living

ShortFunctional status
Control0..1
TypeBackboneElement
30. PatientSummary.socialHistory
Definition

Social context - see the Social Context questionnaire

ShortSocial history
Control0..1
TypeBackboneElement
32. PatientSummary.pregnancyHistory
Definition

Current pregnancy status and history

ShortPregnancy
Control0..1
TypeBackboneElement
34. PatientSummary.planOfCare
Definition

Current care plans

ShortPlan of care
Control0..1
TypeBackboneElement
36. PatientSummary.advanceDirectives
Definition

Advance decisions, ReSPECT, DNACPR

ShortAdvance directives
Control0..1
TypeBackboneElement
38. PatientSummary.alerts
Definition

Substantial alerts and warnings

ShortAlerts
Control0..1
TypeBackboneElement
40. PatientSummary.patientStory
Definition

What matters to the patient (PRSB About Me)

ShortPatient story
Control0..1
TypeBackboneElement