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 |
XML representation of the PatientSummary logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="PatientSummary"/>
<language value="en"/>
<text>
<status value="extensions"/>
<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.**
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](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,
1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)
(IPS 2.0.1) sections, with the PRSB
[Core Information Standard](https://theprsb.org/standards/core-information-standard/)
v2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in
FHIR 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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">
<valueCode value="can-be-target"/>
</extension>
<url
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PatientSummary"/>
<version value="0.1.0"/>
<name value="PatientSummary"/>
<title value="Patient Summary"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-11-03T05:48:20+00:00"/>
<publisher value="Kevin Mayfield"/>
<contact>
<telecom>
<system value="url"/>
<value
value="https://github.com/KevinMayfield/PatientCareCoordination"/>
</telecom>
</contact>
<description
value="**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](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,
1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)
(IPS 2.0.1) sections, with the PRSB
[Core Information Standard](https://theprsb.org/standards/core-information-standard/)
v2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in
FHIR and PRSB."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="GB"/>
<display value="United Kingdom of Great Britain and Northern Ireland"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="fhir-eps"/>
<uri value="https://hl7.eu/fhir/eps/"/>
<name value="FHIR R4 (HL7 Europe EPS / IPS)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<uri value="https://theprsb.org/standards/core-information-standard/"/>
<name value="PRSB Core Information Standard v2.01"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PatientSummary"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="PatientSummary">
<path value="PatientSummary"/>
<short value="Patient Summary"/>
<definition
value="**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](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,
1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)
(IPS 2.0.1) sections, with the PRSB
[Core Information Standard](https://theprsb.org/standards/core-information-standard/)
v2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in
FHIR and PRSB."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
<mapping>
<identity value="prsb-cis"/>
<map
value="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"/>
</mapping>
</element>
<element id="PatientSummary.documentId">
<path value="PatientSummary.documentId"/>
<short value="Document ID"/>
<definition value="Unique identifier of this summary"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PatientSummary.documentId"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.identifier; Bundle.identifier"/>
</mapping>
</element>
<element id="PatientSummary.date">
<path value="PatientSummary.date"/>
<short value="Date"/>
<definition value="When the summary was produced"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PatientSummary.date"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.date"/>
</mapping>
</element>
<element id="PatientSummary.author">
<path value="PatientSummary.author"/>
<short value="Author"/>
<definition
value="Organisation (ODS code) or clinician producing the summary"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="PatientSummary.author"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.author"/>
</mapping>
</element>
<element id="PatientSummary.patient">
<path value="PatientSummary.patient"/>
<short value="Patient"/>
<definition value="NHS Number and local identifiers"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PatientSummary.patient"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.subject"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Person demographics; GP practice"/>
</mapping>
</element>
<element id="PatientSummary.problems">
<path value="PatientSummary.problems"/>
<short value="Problems"/>
<definition value="Current problems and diagnoses"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PatientSummary.problems"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionProblems (LOINC 11450-4)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Problem list"/>
</mapping>
</element>
<element id="PatientSummary.allergies">
<path value="PatientSummary.allergies"/>
<short value="Allergies and intolerances"/>
<definition value="Including no known allergies"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PatientSummary.allergies"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionAllergies (48765-2)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Allergies and adverse reactions"/>
</mapping>
</element>
<element id="PatientSummary.medications">
<path value="PatientSummary.medications"/>
<short value="Medication summary"/>
<definition value="Current medicines"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="PatientSummary.medications"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionMedications (10160-0)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Medications and medical devices"/>
</mapping>
</element>
<element id="PatientSummary.immunizations">
<path value="PatientSummary.immunizations"/>
<short value="Immunisations"/>
<definition value="Vaccination history"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.immunizations"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionImmunizations (11369-6)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Vaccinations"/>
</mapping>
</element>
<element id="PatientSummary.results">
<path value="PatientSummary.results"/>
<short value="Results"/>
<definition value="Relevant test results"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.results"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionResults (30954-2)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Investigation results"/>
</mapping>
</element>
<element id="PatientSummary.proceduresHistory">
<path value="PatientSummary.proceduresHistory"/>
<short value="History of procedures"/>
<definition value="Past procedures"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.proceduresHistory"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionProceduresHx (47519-4)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Procedures and therapies"/>
</mapping>
</element>
<element id="PatientSummary.medicalDevices">
<path value="PatientSummary.medicalDevices"/>
<short value="Medical devices"/>
<definition value="Devices and implants"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.medicalDevices"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionMedicalDevices (46264-8)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map
value="Medications and medical devices (medical devices); Equipment and adaptations"/>
</mapping>
</element>
<element id="PatientSummary.pastProblems">
<path value="PatientSummary.pastProblems"/>
<short value="Past problems"/>
<definition value="Resolved problems"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.pastProblems"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPastProblems (11348-0)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Problem list (past problems)"/>
</mapping>
</element>
<element id="PatientSummary.vitalSigns">
<path value="PatientSummary.vitalSigns"/>
<short value="Vital signs"/>
<definition value="Latest vital signs"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.vitalSigns"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionVitalSigns (8716-3)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Examination findings"/>
</mapping>
</element>
<element id="PatientSummary.functionalStatus">
<path value="PatientSummary.functionalStatus"/>
<short value="Functional status"/>
<definition
value="Disabilities and ability to perform activities of daily living"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.functionalStatus"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionFunctionalStatus (47420-5)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Assessments"/>
</mapping>
</element>
<element id="PatientSummary.socialHistory">
<path value="PatientSummary.socialHistory"/>
<short value="Social history"/>
<definition
value="Social context - see the Social Context questionnaire"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.socialHistory"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionSocialHistory (29762-2)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Social context"/>
</mapping>
</element>
<element id="PatientSummary.pregnancyHistory">
<path value="PatientSummary.pregnancyHistory"/>
<short value="Pregnancy"/>
<definition value="Current pregnancy status and history"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.pregnancyHistory"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPregnancyHx (10162-6)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Pregnancy status"/>
</mapping>
</element>
<element id="PatientSummary.planOfCare">
<path value="PatientSummary.planOfCare"/>
<short value="Plan of care"/>
<definition value="Current care plans"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.planOfCare"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPlanOfCare (18776-5)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Plan and requested actions; Care and support plan"/>
</mapping>
</element>
<element id="PatientSummary.advanceDirectives">
<path value="PatientSummary.advanceDirectives"/>
<short value="Advance directives"/>
<definition value="Advance decisions, ReSPECT, DNACPR"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.advanceDirectives"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionAdvanceDirectives (42348-3)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Legal information; End of life care"/>
</mapping>
</element>
<element id="PatientSummary.alerts">
<path value="PatientSummary.alerts"/>
<short value="Alerts"/>
<definition value="Substantial alerts and warnings"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.alerts"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionAlerts (104605-1)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Alerts; Safeguarding"/>
</mapping>
</element>
<element id="PatientSummary.patientStory">
<path value="PatientSummary.patientStory"/>
<short value="Patient story"/>
<definition value="What matters to the patient (PRSB About Me)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="PatientSummary.patientStory"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPatientStory (81338-6)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="About me"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="PatientSummary">
<path value="PatientSummary"/>
<short value="Patient Summary"/>
<definition
value="**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](https://hl7.eu/fhir/eps/1.0.0-ballot/) (EPS,
1.0.0-ballot) and the [International Patient Summary](https://hl7.org/fhir/uv/ips/)
(IPS 2.0.1) sections, with the PRSB
[Core Information Standard](https://theprsb.org/standards/core-information-standard/)
v2.01 headings (mapping **To confirm**). The **Mappings** tab shows each element in
FHIR and PRSB."/>
<mapping>
<identity value="prsb-cis"/>
<map
value="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"/>
</mapping>
</element>
<element id="PatientSummary.documentId">
<path value="PatientSummary.documentId"/>
<short value="Document ID"/>
<definition value="Unique identifier of this summary"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.identifier; Bundle.identifier"/>
</mapping>
</element>
<element id="PatientSummary.date">
<path value="PatientSummary.date"/>
<short value="Date"/>
<definition value="When the summary was produced"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.date"/>
</mapping>
</element>
<element id="PatientSummary.author">
<path value="PatientSummary.author"/>
<short value="Author"/>
<definition
value="Organisation (ODS code) or clinician producing the summary"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.author"/>
</mapping>
</element>
<element id="PatientSummary.patient">
<path value="PatientSummary.patient"/>
<short value="Patient"/>
<definition value="NHS Number and local identifiers"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="Composition.subject"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Person demographics; GP practice"/>
</mapping>
</element>
<element id="PatientSummary.problems">
<path value="PatientSummary.problems"/>
<short value="Problems"/>
<definition value="Current problems and diagnoses"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionProblems (LOINC 11450-4)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Problem list"/>
</mapping>
</element>
<element id="PatientSummary.allergies">
<path value="PatientSummary.allergies"/>
<short value="Allergies and intolerances"/>
<definition value="Including no known allergies"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionAllergies (48765-2)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Allergies and adverse reactions"/>
</mapping>
</element>
<element id="PatientSummary.medications">
<path value="PatientSummary.medications"/>
<short value="Medication summary"/>
<definition value="Current medicines"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionMedications (10160-0)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Medications and medical devices"/>
</mapping>
</element>
<element id="PatientSummary.immunizations">
<path value="PatientSummary.immunizations"/>
<short value="Immunisations"/>
<definition value="Vaccination history"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionImmunizations (11369-6)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Vaccinations"/>
</mapping>
</element>
<element id="PatientSummary.results">
<path value="PatientSummary.results"/>
<short value="Results"/>
<definition value="Relevant test results"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionResults (30954-2)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Investigation results"/>
</mapping>
</element>
<element id="PatientSummary.proceduresHistory">
<path value="PatientSummary.proceduresHistory"/>
<short value="History of procedures"/>
<definition value="Past procedures"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionProceduresHx (47519-4)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Procedures and therapies"/>
</mapping>
</element>
<element id="PatientSummary.medicalDevices">
<path value="PatientSummary.medicalDevices"/>
<short value="Medical devices"/>
<definition value="Devices and implants"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionMedicalDevices (46264-8)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map
value="Medications and medical devices (medical devices); Equipment and adaptations"/>
</mapping>
</element>
<element id="PatientSummary.pastProblems">
<path value="PatientSummary.pastProblems"/>
<short value="Past problems"/>
<definition value="Resolved problems"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPastProblems (11348-0)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Problem list (past problems)"/>
</mapping>
</element>
<element id="PatientSummary.vitalSigns">
<path value="PatientSummary.vitalSigns"/>
<short value="Vital signs"/>
<definition value="Latest vital signs"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionVitalSigns (8716-3)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Examination findings"/>
</mapping>
</element>
<element id="PatientSummary.functionalStatus">
<path value="PatientSummary.functionalStatus"/>
<short value="Functional status"/>
<definition
value="Disabilities and ability to perform activities of daily living"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionFunctionalStatus (47420-5)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Assessments"/>
</mapping>
</element>
<element id="PatientSummary.socialHistory">
<path value="PatientSummary.socialHistory"/>
<short value="Social history"/>
<definition
value="Social context - see the Social Context questionnaire"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionSocialHistory (29762-2)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Social context"/>
</mapping>
</element>
<element id="PatientSummary.pregnancyHistory">
<path value="PatientSummary.pregnancyHistory"/>
<short value="Pregnancy"/>
<definition value="Current pregnancy status and history"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPregnancyHx (10162-6)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Pregnancy status"/>
</mapping>
</element>
<element id="PatientSummary.planOfCare">
<path value="PatientSummary.planOfCare"/>
<short value="Plan of care"/>
<definition value="Current care plans"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPlanOfCare (18776-5)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Plan and requested actions; Care and support plan"/>
</mapping>
</element>
<element id="PatientSummary.advanceDirectives">
<path value="PatientSummary.advanceDirectives"/>
<short value="Advance directives"/>
<definition value="Advance decisions, ReSPECT, DNACPR"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionAdvanceDirectives (42348-3)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Legal information; End of life care"/>
</mapping>
</element>
<element id="PatientSummary.alerts">
<path value="PatientSummary.alerts"/>
<short value="Alerts"/>
<definition value="Substantial alerts and warnings"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionAlerts (104605-1)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="Alerts; Safeguarding"/>
</mapping>
</element>
<element id="PatientSummary.patientStory">
<path value="PatientSummary.patientStory"/>
<short value="Patient story"/>
<definition value="What matters to the patient (PRSB About Me)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="fhir-eps"/>
<map value="section:sectionPatientStory (81338-6)"/>
</mapping>
<mapping>
<identity value="prsb-cis"/>
<map value="About me"/>
</mapping>
</element>
</differential>
</StructureDefinition>