Cross Border Data Exchange IG
1.0.0 - CI Build
Cross Border Data Exchange IG
1.0.0 - CI Build
Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions
{
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"id" : "69208519",
"meta" : {
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🔗 "http://interopehrate.eu/fhir/StructureDefinition/Composition-HospitalDischargeReport-IEHR"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"69208519\"> </a><a name=\"hc69208519\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition "69208519" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-HospitalDischargeReport-IEHR.html\">HospitalDischargeReport-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: <a href=\"Provenance-16.html\">Provenance/16</a></p><p><b>status</b>: final</p><p><b>type</b>: Discharge Sum C-CDA R2.1 Sections <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#81218-0)</span></p><p><b>date</b>: 2022-05-31 11:16:01+0200</p><p><b>author</b>: <a href=\"Practitioner-21.html\">Practitioner/21</a> " ANTONIO"</p><p><b>title</b>: Hospital discharge summary</p></div>"
},
"extension" : [
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"url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
"valueReference" : {
🔗 "reference" : "Provenance/16"
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],
"status" : "final",
"type" : {
"coding" : [
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"code" : "81218-0",
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"date" : "2022-05-31T11:16:01+02:00",
"author" : [
{
🔗 "reference" : "Practitioner/21"
}
],
"title" : "Hospital discharge summary",
"section" : [
{
"title" : "Hospital Admission Dx",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46241-6",
"display" : "Hospital admission Dx Reported"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Hospital Admission section</div>"
},
"entry" : [
{
🔗 "reference" : "Condition/69208519"
}
]
},
{
"title" : "Hospital Admission History And Physical Note",
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"coding" : [
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"system" : "http://loinc.org",
"code" : "47039-3",
"display" : "Hosp Admit H&P note"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the Hospital Admission History section</div>"
}
},
{
"title" : "History General",
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"coding" : [
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"system" : "http://loinc.org",
"code" : "11329-0",
"display" : "Hx general Reported"
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the general history section</div>"
}
},
{
"title" : "Physical Examination",
"code" : {
"coding" : [
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"system" : "http://loinc.org",
"code" : "29545-1",
"display" : "Phys find"
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]
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the physical examination section</div>"
}
},
{
"title" : "Medications On Admission",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42346-7",
"display" : "Medications on admission (narrative)"
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]
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the medications on admission section</div>"
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},
{
"title" : "Hospital Course",
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"coding" : [
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"system" : "http://loinc.org",
"code" : "8648-8",
"display" : "Hospital course"
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]
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"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the hospital course section</div>"
}
},
{
"title" : "Relevant Diagnostic Tests And/Or Laboratory Data",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant Dx tests/lab data"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the laboratory data section</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/69208519"
}
]
},
{
"title" : "Hospital Discharge Studies Summary",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11493-4",
"display" : "Hospital discharge studies summary"
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]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the studies summary section</div>"
}
},
{
"title" : "Selected Medicine Administered During Hospitalization",
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"code" : "8677-7",
"display" : "Hx of Medication use"
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"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the medicine administered during hospitalisation section</div>"
}
},
{
"title" : "Hospital Discharge Dx",
"code" : {
"coding" : [
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"system" : "http://loinc.org",
"code" : "11535-2",
"display" : "Hospital discharge Dx"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the hospital discharge Dx section</div>"
}
},
{
"title" : "Discharge Medications",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10183-2",
"display" : "Hospital discharge medications"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the discharge medications section</div>"
},
"entry" : [
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🔗 "reference" : "MedicationRequest/69208519"
}
]
},
{
"title" : "Treatment Plan",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the treatment plan section</div>"
}
},
{
"title" : "Allergies",
"code" : {
"coding" : [
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"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies &or adverse reactions Doc"
}
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is the allergy section</div>"
}
}
]
}