Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
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
| Draft as of 2026-11-03 |
JSON representation of the PatientSummary logical model.
{
"resourceType" : "StructureDefinition",
"id" : "PatientSummary",
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition PatientSummary</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary\" title=\"**Proof of concept - not an authoritative source.**\n\nThe patient's **background** - problems, medicines, allergies and other headline\ninformation - for a clinician who does not hold the patient's record. Sent as referral\ninput (`ServiceRequest.supportingInfo`) when the Referral Recipient cannot query the\nrecord, and expected to be available from shared care records.\n\nBased on the [HL7 Europe Patient Summary](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,\n1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)\n(IPS 2.0.1) sections, with the PRSB\n[Core Information Standard](https://theprsb.org/standards/core-information-standard/)\nv2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in\nFHIR and PRSB.\">PatientSummary</a><a name=\"PatientSummary\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Patient Summary<br/><span class=\"xhtPieceBold\">Instances of this type can be the target of a Reference</span></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.documentId\" title=\"Unique identifier of this summary\">documentId</a><a name=\"PatientSummary.documentId\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Document ID</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.date\" title=\"When the summary was produced\">date</a><a name=\"PatientSummary.date\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Date</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.author\" title=\"Organisation (ODS code) or clinician producing the summary\">author</a><a name=\"PatientSummary.author\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Author<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.patient\" title=\"NHS Number and local identifiers\">patient</a><a name=\"PatientSummary.patient\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Patient</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.problems\" title=\"Current problems and diagnoses\">problems</a><a name=\"PatientSummary.problems\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Problems</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.allergies\" title=\"Including no known allergies\">allergies</a><a name=\"PatientSummary.allergies\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Allergies and intolerances</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.medications\" title=\"Current medicines\">medications</a><a name=\"PatientSummary.medications\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Medication summary</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.immunizations\" title=\"Vaccination history\">immunizations</a><a name=\"PatientSummary.immunizations\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Immunisations</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.results\" title=\"Relevant test results\">results</a><a name=\"PatientSummary.results\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Results</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.proceduresHistory\" title=\"Past procedures\">proceduresHistory</a><a name=\"PatientSummary.proceduresHistory\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">History of procedures</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.medicalDevices\" title=\"Devices and implants\">medicalDevices</a><a name=\"PatientSummary.medicalDevices\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Medical devices</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.pastProblems\" title=\"Resolved problems\">pastProblems</a><a name=\"PatientSummary.pastProblems\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Past problems</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.vitalSigns\" title=\"Latest vital signs\">vitalSigns</a><a name=\"PatientSummary.vitalSigns\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Vital signs</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.functionalStatus\" title=\"Disabilities and ability to perform activities of daily living\">functionalStatus</a><a name=\"PatientSummary.functionalStatus\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Functional status</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.socialHistory\" title=\"Social context - see the Social Context questionnaire\">socialHistory</a><a name=\"PatientSummary.socialHistory\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Social history</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.pregnancyHistory\" title=\"Current pregnancy status and history\">pregnancyHistory</a><a name=\"PatientSummary.pregnancyHistory\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Pregnancy</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.planOfCare\" title=\"Current care plans\">planOfCare</a><a name=\"PatientSummary.planOfCare\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Plan of care</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.advanceDirectives\" title=\"Advance decisions, ReSPECT, DNACPR\">advanceDirectives</a><a name=\"PatientSummary.advanceDirectives\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Advance directives</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.alerts\" title=\"Substantial alerts and warnings\">alerts</a><a name=\"PatientSummary.alerts\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Alerts</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PatientSummary.</span><a href=\"StructureDefinition-PatientSummary-definitions.html#PatientSummary.patientStory\" title=\"What matters to the patient (PRSB About Me)\">patientStory</a><a name=\"PatientSummary.patientStory\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Patient story</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode" : "can-be-target"
}
],
"url" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PatientSummary",
"version" : "0.1.0",
"name" : "PatientSummary",
"title" : "Patient Summary",
"status" : "draft",
"experimental" : true,
"date" : "2026-11-03T05:48:20+00:00",
"publisher" : "Kevin Mayfield",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://github.com/KevinMayfield/PatientCareCoordination"
}
]
}
],
"description" : "**Proof of concept - not an authoritative source.**\n\nThe patient's **background** - problems, medicines, allergies and other headline\ninformation - for a clinician who does not hold the patient's record. Sent as referral\ninput (`ServiceRequest.supportingInfo`) when the Referral Recipient cannot query the\nrecord, and expected to be available from shared care records.\n\nBased on the [HL7 Europe Patient Summary](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,\n1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)\n(IPS 2.0.1) sections, with the PRSB\n[Core Information Standard](https://theprsb.org/standards/core-information-standard/)\nv2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in\nFHIR and PRSB.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "fhir-eps",
"uri" : "https://hl7.eu/fhir/eps/",
"name" : "FHIR R4 (HL7 Europe EPS / IPS)"
},
{
"identity" : "prsb-cis",
"uri" : "https://theprsb.org/standards/core-information-standard/",
"name" : "PRSB Core Information Standard v2.01"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PatientSummary",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "PatientSummary",
"path" : "PatientSummary",
"short" : "Patient Summary",
"definition" : "**Proof of concept - not an authoritative source.**\n\nThe patient's **background** - problems, medicines, allergies and other headline\ninformation - for a clinician who does not hold the patient's record. Sent as referral\ninput (`ServiceRequest.supportingInfo`) when the Referral Recipient cannot query the\nrecord, and expected to be available from shared care records.\n\nBased on the [HL7 Europe Patient Summary](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,\n1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)\n(IPS 2.0.1) sections, with the PRSB\n[Core Information Standard](https://theprsb.org/standards/core-information-standard/)\nv2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in\nFHIR and PRSB.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false,
"mapping" : [
{
"identity" : "prsb-cis",
"map" : "Core Information Standard sections. Not in the IPS / EPS sections: Individual requirements, Legal information (other than advance decisions), Professional and personal contacts, Participation in research, Family history, Risks, Services and care, Equipment and adaptations - To confirm. Mapping indicative - To confirm"
}
]
},
{
"id" : "PatientSummary.documentId",
"path" : "PatientSummary.documentId",
"short" : "Document ID",
"definition" : "Unique identifier of this summary",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PatientSummary.documentId",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.identifier; Bundle.identifier"
}
]
},
{
"id" : "PatientSummary.date",
"path" : "PatientSummary.date",
"short" : "Date",
"definition" : "When the summary was produced",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PatientSummary.date",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.date"
}
]
},
{
"id" : "PatientSummary.author",
"path" : "PatientSummary.author",
"short" : "Author",
"definition" : "Organisation (ODS code) or clinician producing the summary",
"min" : 1,
"max" : "*",
"base" : {
"path" : "PatientSummary.author",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.author"
}
]
},
{
"id" : "PatientSummary.patient",
"path" : "PatientSummary.patient",
"short" : "Patient",
"definition" : "NHS Number and local identifiers",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PatientSummary.patient",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.subject"
},
{
"identity" : "prsb-cis",
"map" : "Person demographics; GP practice"
}
]
},
{
"id" : "PatientSummary.problems",
"path" : "PatientSummary.problems",
"short" : "Problems",
"definition" : "Current problems and diagnoses",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PatientSummary.problems",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionProblems (LOINC 11450-4)"
},
{
"identity" : "prsb-cis",
"map" : "Problem list"
}
]
},
{
"id" : "PatientSummary.allergies",
"path" : "PatientSummary.allergies",
"short" : "Allergies and intolerances",
"definition" : "Including no known allergies",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PatientSummary.allergies",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionAllergies (48765-2)"
},
{
"identity" : "prsb-cis",
"map" : "Allergies and adverse reactions"
}
]
},
{
"id" : "PatientSummary.medications",
"path" : "PatientSummary.medications",
"short" : "Medication summary",
"definition" : "Current medicines",
"min" : 1,
"max" : "1",
"base" : {
"path" : "PatientSummary.medications",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionMedications (10160-0)"
},
{
"identity" : "prsb-cis",
"map" : "Medications and medical devices"
}
]
},
{
"id" : "PatientSummary.immunizations",
"path" : "PatientSummary.immunizations",
"short" : "Immunisations",
"definition" : "Vaccination history",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.immunizations",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionImmunizations (11369-6)"
},
{
"identity" : "prsb-cis",
"map" : "Vaccinations"
}
]
},
{
"id" : "PatientSummary.results",
"path" : "PatientSummary.results",
"short" : "Results",
"definition" : "Relevant test results",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.results",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionResults (30954-2)"
},
{
"identity" : "prsb-cis",
"map" : "Investigation results"
}
]
},
{
"id" : "PatientSummary.proceduresHistory",
"path" : "PatientSummary.proceduresHistory",
"short" : "History of procedures",
"definition" : "Past procedures",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.proceduresHistory",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionProceduresHx (47519-4)"
},
{
"identity" : "prsb-cis",
"map" : "Procedures and therapies"
}
]
},
{
"id" : "PatientSummary.medicalDevices",
"path" : "PatientSummary.medicalDevices",
"short" : "Medical devices",
"definition" : "Devices and implants",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.medicalDevices",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionMedicalDevices (46264-8)"
},
{
"identity" : "prsb-cis",
"map" : "Medications and medical devices (medical devices); Equipment and adaptations"
}
]
},
{
"id" : "PatientSummary.pastProblems",
"path" : "PatientSummary.pastProblems",
"short" : "Past problems",
"definition" : "Resolved problems",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.pastProblems",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPastProblems (11348-0)"
},
{
"identity" : "prsb-cis",
"map" : "Problem list (past problems)"
}
]
},
{
"id" : "PatientSummary.vitalSigns",
"path" : "PatientSummary.vitalSigns",
"short" : "Vital signs",
"definition" : "Latest vital signs",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.vitalSigns",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionVitalSigns (8716-3)"
},
{
"identity" : "prsb-cis",
"map" : "Examination findings"
}
]
},
{
"id" : "PatientSummary.functionalStatus",
"path" : "PatientSummary.functionalStatus",
"short" : "Functional status",
"definition" : "Disabilities and ability to perform activities of daily living",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.functionalStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionFunctionalStatus (47420-5)"
},
{
"identity" : "prsb-cis",
"map" : "Assessments"
}
]
},
{
"id" : "PatientSummary.socialHistory",
"path" : "PatientSummary.socialHistory",
"short" : "Social history",
"definition" : "Social context - see the Social Context questionnaire",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.socialHistory",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionSocialHistory (29762-2)"
},
{
"identity" : "prsb-cis",
"map" : "Social context"
}
]
},
{
"id" : "PatientSummary.pregnancyHistory",
"path" : "PatientSummary.pregnancyHistory",
"short" : "Pregnancy",
"definition" : "Current pregnancy status and history",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.pregnancyHistory",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPregnancyHx (10162-6)"
},
{
"identity" : "prsb-cis",
"map" : "Pregnancy status"
}
]
},
{
"id" : "PatientSummary.planOfCare",
"path" : "PatientSummary.planOfCare",
"short" : "Plan of care",
"definition" : "Current care plans",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.planOfCare",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPlanOfCare (18776-5)"
},
{
"identity" : "prsb-cis",
"map" : "Plan and requested actions; Care and support plan"
}
]
},
{
"id" : "PatientSummary.advanceDirectives",
"path" : "PatientSummary.advanceDirectives",
"short" : "Advance directives",
"definition" : "Advance decisions, ReSPECT, DNACPR",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.advanceDirectives",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionAdvanceDirectives (42348-3)"
},
{
"identity" : "prsb-cis",
"map" : "Legal information; End of life care"
}
]
},
{
"id" : "PatientSummary.alerts",
"path" : "PatientSummary.alerts",
"short" : "Alerts",
"definition" : "Substantial alerts and warnings",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.alerts",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionAlerts (104605-1)"
},
{
"identity" : "prsb-cis",
"map" : "Alerts; Safeguarding"
}
]
},
{
"id" : "PatientSummary.patientStory",
"path" : "PatientSummary.patientStory",
"short" : "Patient story",
"definition" : "What matters to the patient (PRSB About Me)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "PatientSummary.patientStory",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPatientStory (81338-6)"
},
{
"identity" : "prsb-cis",
"map" : "About me"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "PatientSummary",
"path" : "PatientSummary",
"short" : "Patient Summary",
"definition" : "**Proof of concept - not an authoritative source.**\n\nThe patient's **background** - problems, medicines, allergies and other headline\ninformation - for a clinician who does not hold the patient's record. Sent as referral\ninput (`ServiceRequest.supportingInfo`) when the Referral Recipient cannot query the\nrecord, and expected to be available from shared care records.\n\nBased on the [HL7 Europe Patient Summary](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,\n1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)\n(IPS 2.0.1) sections, with the PRSB\n[Core Information Standard](https://theprsb.org/standards/core-information-standard/)\nv2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in\nFHIR and PRSB.",
"mapping" : [
{
"identity" : "prsb-cis",
"map" : "Core Information Standard sections. Not in the IPS / EPS sections: Individual requirements, Legal information (other than advance decisions), Professional and personal contacts, Participation in research, Family history, Risks, Services and care, Equipment and adaptations - To confirm. Mapping indicative - To confirm"
}
]
},
{
"id" : "PatientSummary.documentId",
"path" : "PatientSummary.documentId",
"short" : "Document ID",
"definition" : "Unique identifier of this summary",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.identifier; Bundle.identifier"
}
]
},
{
"id" : "PatientSummary.date",
"path" : "PatientSummary.date",
"short" : "Date",
"definition" : "When the summary was produced",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.date"
}
]
},
{
"id" : "PatientSummary.author",
"path" : "PatientSummary.author",
"short" : "Author",
"definition" : "Organisation (ODS code) or clinician producing the summary",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.author"
}
]
},
{
"id" : "PatientSummary.patient",
"path" : "PatientSummary.patient",
"short" : "Patient",
"definition" : "NHS Number and local identifiers",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "Composition.subject"
},
{
"identity" : "prsb-cis",
"map" : "Person demographics; GP practice"
}
]
},
{
"id" : "PatientSummary.problems",
"path" : "PatientSummary.problems",
"short" : "Problems",
"definition" : "Current problems and diagnoses",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionProblems (LOINC 11450-4)"
},
{
"identity" : "prsb-cis",
"map" : "Problem list"
}
]
},
{
"id" : "PatientSummary.allergies",
"path" : "PatientSummary.allergies",
"short" : "Allergies and intolerances",
"definition" : "Including no known allergies",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionAllergies (48765-2)"
},
{
"identity" : "prsb-cis",
"map" : "Allergies and adverse reactions"
}
]
},
{
"id" : "PatientSummary.medications",
"path" : "PatientSummary.medications",
"short" : "Medication summary",
"definition" : "Current medicines",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionMedications (10160-0)"
},
{
"identity" : "prsb-cis",
"map" : "Medications and medical devices"
}
]
},
{
"id" : "PatientSummary.immunizations",
"path" : "PatientSummary.immunizations",
"short" : "Immunisations",
"definition" : "Vaccination history",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionImmunizations (11369-6)"
},
{
"identity" : "prsb-cis",
"map" : "Vaccinations"
}
]
},
{
"id" : "PatientSummary.results",
"path" : "PatientSummary.results",
"short" : "Results",
"definition" : "Relevant test results",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionResults (30954-2)"
},
{
"identity" : "prsb-cis",
"map" : "Investigation results"
}
]
},
{
"id" : "PatientSummary.proceduresHistory",
"path" : "PatientSummary.proceduresHistory",
"short" : "History of procedures",
"definition" : "Past procedures",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionProceduresHx (47519-4)"
},
{
"identity" : "prsb-cis",
"map" : "Procedures and therapies"
}
]
},
{
"id" : "PatientSummary.medicalDevices",
"path" : "PatientSummary.medicalDevices",
"short" : "Medical devices",
"definition" : "Devices and implants",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionMedicalDevices (46264-8)"
},
{
"identity" : "prsb-cis",
"map" : "Medications and medical devices (medical devices); Equipment and adaptations"
}
]
},
{
"id" : "PatientSummary.pastProblems",
"path" : "PatientSummary.pastProblems",
"short" : "Past problems",
"definition" : "Resolved problems",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPastProblems (11348-0)"
},
{
"identity" : "prsb-cis",
"map" : "Problem list (past problems)"
}
]
},
{
"id" : "PatientSummary.vitalSigns",
"path" : "PatientSummary.vitalSigns",
"short" : "Vital signs",
"definition" : "Latest vital signs",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionVitalSigns (8716-3)"
},
{
"identity" : "prsb-cis",
"map" : "Examination findings"
}
]
},
{
"id" : "PatientSummary.functionalStatus",
"path" : "PatientSummary.functionalStatus",
"short" : "Functional status",
"definition" : "Disabilities and ability to perform activities of daily living",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionFunctionalStatus (47420-5)"
},
{
"identity" : "prsb-cis",
"map" : "Assessments"
}
]
},
{
"id" : "PatientSummary.socialHistory",
"path" : "PatientSummary.socialHistory",
"short" : "Social history",
"definition" : "Social context - see the Social Context questionnaire",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionSocialHistory (29762-2)"
},
{
"identity" : "prsb-cis",
"map" : "Social context"
}
]
},
{
"id" : "PatientSummary.pregnancyHistory",
"path" : "PatientSummary.pregnancyHistory",
"short" : "Pregnancy",
"definition" : "Current pregnancy status and history",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPregnancyHx (10162-6)"
},
{
"identity" : "prsb-cis",
"map" : "Pregnancy status"
}
]
},
{
"id" : "PatientSummary.planOfCare",
"path" : "PatientSummary.planOfCare",
"short" : "Plan of care",
"definition" : "Current care plans",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPlanOfCare (18776-5)"
},
{
"identity" : "prsb-cis",
"map" : "Plan and requested actions; Care and support plan"
}
]
},
{
"id" : "PatientSummary.advanceDirectives",
"path" : "PatientSummary.advanceDirectives",
"short" : "Advance directives",
"definition" : "Advance decisions, ReSPECT, DNACPR",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionAdvanceDirectives (42348-3)"
},
{
"identity" : "prsb-cis",
"map" : "Legal information; End of life care"
}
]
},
{
"id" : "PatientSummary.alerts",
"path" : "PatientSummary.alerts",
"short" : "Alerts",
"definition" : "Substantial alerts and warnings",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionAlerts (104605-1)"
},
{
"identity" : "prsb-cis",
"map" : "Alerts; Safeguarding"
}
]
},
{
"id" : "PatientSummary.patientStory",
"path" : "PatientSummary.patientStory",
"short" : "Patient story",
"definition" : "What matters to the patient (PRSB About Me)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-eps",
"map" : "section:sectionPatientStory (81338-6)"
},
{
"identity" : "prsb-cis",
"map" : "About me"
}
]
}
]
}
}