Hospital Discharge Report Maturity Level: 0 Draft

Hospital Discharge Report - Advance Directives - A.2.1 eHN Maturity Level: 0 Draft

Hospital Discharge Report - Alerts - A.2.2 eHN Maturity Level: 0 Draft

Hospital Discharge Report - Encounter - A.2.3 eHN Maturity Level: 0 Draft

Hospital Discharge Report - Admission evaluation - A.2.4 eHN Maturity Level: 0 Draft

Hospital Discharge Report - Patient history - A.2.6 eHN Maturity Level: 0 Draft

Hospital Discharge Report - Hospital stay - A.2.7 eHN Maturity Level: 0 Draft

Hospital Discharge Report - Discharge details - A.2.8 eHN Maturity Level: 0 Draft

Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN Maturity Level: 0 Draft

Hospital Discharge Report SK Maturity Level: 0 Draft

Proposed relationship between the HDR Encounter data set defined by the EU eHN guidelines and this guide

Clinical document used to represent a Hospital Discharge Report for the scope of the XpanDH project.

This profile constrains the CareTeam resource for the purpose of the XpanDH project.

Clinical document used to represent a Hospital Discharge Report (HDR) for the scope of the XpanDH project.

This profile represents the constraint applied to the Condition in the scope of Xpandh hospital discharge encounter resource. Encounter conditions implements Diagnostic summary part of the eHN data model adding two additional categories: First category distingueshes conditions present at admission and acquired during hospital stay (POA, HAC, NA - Not applicable or unknown) while second category is used to indicate impact of the condition to the treatement during hospital stay (treated, untreated).

This profile represents the constraint applied to the Condition in the scope of Xpandh hospital discharge report.

Coverage used to represent the payer for this Encounter for the scope of the XpanDH project.

This profile represents the constraints applied to the Device resource by the Xpandh FHIR Implementation Guide, based on FHIR R4. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

This profile constrains the Flag resource to represent alerts or warnings in FHIR for the purpose of the XpanDH project.

This profile defines how to represent Inpatient Encounter in FHIR for the purpose of the XpanDH Hospital Discharge Report.

This profile represents the constraints applied to the Medication resource by the Xpandh project FHIR Implementation Guide, based on FHIR R4.

This profile constrains the MedicationDispense FHIR profile for the purpose of the XpanDH project.

This profile constrains the MedicationRequest IPS FHIR profile for the purpose of the XpanDH project.

This profile constrains the MedicationStatement IPS FHIR profile for the purpose of the XpanDH project.

This profile constrains the Observation resource to represent various types of results and associated observations in a patient summary. This is the base profile from which the other results profiles are derived.

This profile constrains the Observation resource to represent results produced by pathology studies for the XpanDH project.

This profile constrains the Observation resource to represent results produced by pathology studies for the XpanDH project.

The extent of the cancer in the body, according to a given cancer staging classification system, based on evidence such as physical examination, imaging, and/or biopsy or based on pathologic analysis of a specimen.

Category describing the extent of a tumor metastasis in remote anatomical locations, based on evidence such as physical examination, imaging, and/or biopsy.

Category of the primary tumor, based on its size and extent, based on evidence such as physical examination, imaging, and/or biopsy.

Category of the presence or absence of metastases in regional lymph nodes, based on evidence such as physical examination, imaging, and/or biopsy.

This profile defines how to represent Patient in FHIR for the purpose of the XpanDH project.

This profile defines how to represent Practitioners in FHIR for the purpose of the XpanDH project.

This profile defines how to represent Practitioners (with thier roles) in FHIR for the purpose of the XpanDH project.

This profile represents the constraints applied to the Procedure resource by the Xpandh project. This profile is based on International patient Summary (IPS) procedure profile.

ServiceRequest used to represent a the request that triggered this HDR for the scope of the XpanDH project. Thsi is also used to link the HDR witht the payer

This profile constrains the Observation resource to represent various types of vital signs observations. This is the base profile from which the other specific vital sign profiles are derived.

This profile represents the constraints applied to the AllergyIntolerance resource by the Xpandh Hospital Discharge Report FHIR Implementation Guide.

It documents the relevant allergies or intolerances (conditions) for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.

This profile promotes interoperability and adoption through common implementation by setting minimum expectations for the Observation resource to record, search, and retrieve observations representing a practitioner’s clinical observation or assertion about a patient’s health status. These observations may or may not be associated with a formal survey, screening, or assessment tool. For example, a social history status such as education or food insecurity or an assessment of the patient’s cognitive, functional, or disability status. This profile identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource when using this profile. It provides the floor for standards development for specific use cases.

This profile sets minimum expectations for the Observation resource to record, search, and fetch Body Mass Index (BMI) observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch diastolic and systolic blood pressure observations with standard SNOMED CT codes and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile represents the constraints applied to the ClinicalImpression resource by the Xpandh FHIR Implementation Guide.

Xpandh Condition Problems Profile is based upon the core FHIR Condition Resource and meets the Xpandh project requirements.

This profile promotes interoperability and adoption through common implementation by setting minimum expectations for the Functional Status Observation resource to record, search, and retrieve observations representing a practitioner’s assertion about a patient’s functional status. These observations may or may not be associated with a formal survey, screening, or assessment tool. For example, an assessment of the patient’s cognitive, functional, or disability status. This profile identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource when using this profile. It provides the floor for standards development for specific use cases.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Organization resource to searching for and fetching an Organization associated with a patient or provider to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile sets minimum expectations for the Observation resource to record, search, and fetch body height observations with a standard SNOMED CT code and UCUM units of measure. It is based on the Observation Vital Signs Xpandh profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets which SHALL be present in the Observation resource when using this profile.

This profile is an Xpandh implementation of World Health Organization Disability Assessment Schedule (WHODAS 2.0) resource to record, search, and retrieve observations representing a practitioner’s assertion about a patient’s functional status. This profile identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource when using this profile. It provides the floor for standards development for specific use cases.

This extension provides information about voluntary or involuntary nature of the encounter.

Hospital Discharge Report Admission Urgency value set includes selected codes from HL7 v3-ActPriority code system.

Xpandh allergy intolerance codes value set. This value set includes codes from SNOMED Clinical Terms®: all descendants of 373873005 |Pharmaceutical / biologic product (product)|; all descendants of 105590001 |Substance (substance)|; all descendants of 418038007 |Propensity to adverse reactions to substance (finding)| plus codes for absent and unknown allergies.

Anthropometric observation codes from the XpanDH anthropometric observations.

Body mass index observation units for the XpanDH BMI observations.

Body mass index observation codes from the XpanDH BMI observation.

Body height observation codes from the XpanDH body height observations.

Body weight observation codes from the XpanDH body weight observations.

Body weight observation codes from the XpanDH body weight observations.

Identifying codes based on the timing of classification for stage group observations.

Identifying codes based on the timing of classification for stage group observations.

Circumference observation codes from the XpanDH Circumference observations.

Distant metastazis (M) clinical category

Regional lymph nodes (N) clinical category

Primary tumor (T) clinical category

Primary tumor (T) pathological category

Hospital Discharge Report Condition Present on Admission value set includes codes from Present on Admission code system.

Hospital Discharge Report Condition value set includes selected codes from recommended EU code systems for health conditions (WHO-ICD-10, SNOMED CT and Orphacodes).

Hospital Discharge Report Encounter Class specifies a general class of inpatient encounter as being accute, nonaccute, emergency, short stay …

Value set of voluntary nature of the encounter.

Hospital Discharge Report Encounter Type allows to classify encounter using general type of care provision regimen during the inpatient encounter. Value set includes concepts from the SNOMED CT descendants of 225351009 (Care provision regime) but needs to be further dicsussed

Hospital Discharge Report Mandatory Condition value set includes selected codes from recommended EU code systems for health conditions (WHO-ICD-10, SNOMED CT and Orphacodes) and IPS Absent and Unknown Data.

This value set includes codes from SNOMED Clinical Terms®: all descendants of 49062001 |Device (physical object)|.

This value set includes codes from SNOMED Clinical Terms (SNOMED CT®) that are included in: all descendants of 49062001 |Device (physical object)|, plus IPS codes for absent/unknown devices.

This value set includes the codes from SNOMED CT that are included in: descendants of 373873005 |Pharmaceutical / biologic product (product)|, excluding the descendants of 787859002 |Vaccine product (medicinal product)|, plus IPS codes for absent/unknown medications.

Identifying codes based on the timing of classification for distant metastases (M) staging observations.

Identifying codes based on the timing of classification for primary tumor (T) staging observations.

Identifying codes based on the timing of classification for regional node (N) staging observations.

Distant metastazis (M) pathological category

Regional lymph nodes (N) pathological category

Primary tumor (T) category

This value set includes codes from SNOMED Clinical Terms®: descendants of 71388002 |Procedure (procedure)|, excluding [all subtypes of 14734007 |Administrative procedure (procedure)|, all subtypes of 59524001 |Blood bank procedure (procedure)|, all subtypes of 389067005 |Community health procedure (procedure)|, all subtypes of 442006003 |Determination of information related to transfusion (procedure)|, all subtypes of 225288009 |Environmental care procedure (procedure)|, all subtypes of 308335008 |Patient encounter procedure (procedure)|, all subtypes of 710135002 |Promotion (procedure)|, all subtypes of 389084004 |Staff related procedure (procedure)|].

This value set includes codes from SNOMED Clinical Terms®: descendants of 71388002 |Procedure (procedure)|, excluding [all subtypes of 14734007 |Administrative procedure (procedure)|, all subtypes of 59524001 |Blood bank procedure (procedure)|, all subtypes of 389067005 |Community health procedure (procedure)|, all subtypes of 442006003 |Determination of information related to transfusion (procedure)|, all subtypes of 225288009 |Environmental care procedure (procedure)|, all subtypes of 308335008 |Patient encounter procedure (procedure)|, all subtypes of 710135002 |Promotion (procedure)|, all subtypes of 389084004 |Staff related procedure (procedure)|], plus IPS codes for absent/unknown procedures.

Skinfold Thickness observation units for the XpanDH Skinfold Thickness observations.

Skinfold Thickness observation codes from the XpanDH Skinfold Thickness observations.

Distant metastazis (M) category

Regional lymph nodes (N) category

Value set for category of treatement of the conditoin during encounter.

The vital sign obsevrvation codes from the XpanDH Vital Signs.

Used to classify the context of a survey, screening or assessment for assessment observations and may be used to assist with indexing and searching for appropriate instances.

Used to specify type of functional assessment scale. May be used to assist with indexing and searching for appropriate instances.

Used to specify WHODAS Disability Assessment Schedule 2.0 assessment codes.

Used to specify WHODAS Disability Assessment Schedule 2.0 assessment domains.

Used to specify WHODAS Disability Assessment Schedule 2.0 functional assessment result codes.

Present on Admission (POA) indicators

WHODAS 2.0 provides a common metric of the impact of any health condition in terms of functioning. HODAS 2.0 produces domain-specific scores for six different functioning domains – cognition, mobility, self-care, getting along, life activities (household and work) and participation.

Category codes used in Xpandh Profiles such as the Xpandh Assessment Observation Profile. The are typically used when there is a need for categorization for searching and finding resources or workflow hints.

eHN eHN HDR header metadata Model to this guide mapping

eHN HDR Encounter Model to this guide mapping

eHN HDR Encounter Model to this guide mapping

Example of Slovak patient

Slovak hospital - example of a health provider organization

Slovak general practitioner example

Slovak hospital - example of a health provider organization

Example of Slovak hospital department

Zdravotnický pracovník id(NRZP)=123456789

SK Practitioner id=987654321