EHDS Logical Information Models
0.2.1 - qa-preview

EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/ and changes regularly. See the Directory of published versions

## Logical Model: Discharge Report model

Official URL: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReport | Version: 0.2.1
Draft as of 2026-02-05 | Computable Name: EHDSDischargeReport

A generic, flexible model for any kind of discharge report. Different types of encounters may require adding relevant sections and elements, or omitting irrelevant ones, depending on their data needs.

Usages:

- This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSDischargeReport |  | 0..* | EHDSDocument | Discharge Report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Document header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | The author of the report.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
source |  | 0..1 | CodeableConcept | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time of encounter)
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
intendedRecipient[x] |  | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Structured body of the discharge report document
alerts |  | 0..1 | Base | Section: Alerts.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
encounterInformation |  | 1..1 | Base | Section: Encounter information.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter |  | 0..1 | EHDSEncounter | Encounter information
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation |  | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory |  | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter |  | 0..1 | Base | Course of inpatient or outpatient encounter.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary |  | 0..* | EHDSCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
procedures |  | 0..* | EHDSProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
medicalDevicesAndImplants |  | 0..* | EHDSDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
pharmacotherapy |  | 0..* | EHDSMedicationStatement | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
testResults[x] |  | 0..* |  | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
testResultsEHDSObservation |  |  | EHDSObservation |
testResultsEHDSLaboratoryObservation |  |  | EHDSLaboratoryObservation |
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails |  | 0..1 | Base | Discharge details
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse |  | 1..1 | EHDSMedicationStatement | Details about medication and dosaging
note |  | 0..1 | string | Free text notes by the health professional
carePlan |  | 0..1 | Base | Care plan and other recommendations after discharge.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | EHDSCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSDischargeReport |  | 0..* | EHDSDocument | Discharge Report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  |  |  |
author[x] |  | 1..* | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | The author of the report.
status |  | 1..1 | CodeableConcept | Status of the document
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time of encounter)
intendedRecipient[x] |  | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
body |  | 0..1 | Base | Structured body of the discharge report document
alerts |  | 0..1 | Base | Section: Alerts.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
encounterInformation |  | 1..1 | Base | Section: Encounter information.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter |  | 0..1 | EHDSEncounter | Encounter information
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation |  | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory |  | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter |  | 0..1 | Base | Course of inpatient or outpatient encounter.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary |  | 0..* | EHDSCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
procedures |  | 0..* | EHDSProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
medicalDevicesAndImplants |  | 0..* | EHDSDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
pharmacotherapy |  | 0..* | EHDSMedicationStatement | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
testResults[x] |  | 0..* |  | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
testResultsEHDSObservation |  |  | EHDSObservation |
testResultsEHDSLaboratoryObservation |  |  | EHDSLaboratoryObservation |
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails |  | 0..1 | Base | Discharge details
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse |  | 1..1 | EHDSMedicationStatement | Details about medication and dosaging
note |  | 0..1 | string | Free text notes by the health professional
carePlan |  | 0..1 | Base | Care plan and other recommendations after discharge.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | EHDSCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSDischargeReport |  | 0..* | EHDSDocument | Discharge Report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Document header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | The author of the report.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
source |  | 0..1 | CodeableConcept | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time of encounter)
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
intendedRecipient[x] |  | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Structured body of the discharge report document
alerts |  | 0..1 | Base | Section: Alerts.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
encounterInformation |  | 1..1 | Base | Section: Encounter information.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter |  | 0..1 | EHDSEncounter | Encounter information
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation |  | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory |  | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter |  | 0..1 | Base | Course of inpatient or outpatient encounter.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary |  | 0..* | EHDSCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
procedures |  | 0..* | EHDSProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
medicalDevicesAndImplants |  | 0..* | EHDSDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
pharmacotherapy |  | 0..* | EHDSMedicationStatement | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
testResults[x] |  | 0..* |  | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
testResultsEHDSObservation |  |  | EHDSObservation |
testResultsEHDSLaboratoryObservation |  |  | EHDSLaboratoryObservation |
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails |  | 0..1 | Base | Discharge details
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse |  | 1..1 | EHDSMedicationStatement | Details about medication and dosaging
note |  | 0..1 | string | Free text notes by the health professional
carePlan |  | 0..1 | Base | Care plan and other recommendations after discharge.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | EHDSCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(2 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSDischargeReport |  | 0..* | EHDSDocument | Discharge Report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Document header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | The author of the report.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
source |  | 0..1 | CodeableConcept | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time of encounter)
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
intendedRecipient[x] |  | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Structured body of the discharge report document
alerts |  | 0..1 | Base | Section: Alerts.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
encounterInformation |  | 1..1 | Base | Section: Encounter information.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter |  | 0..1 | EHDSEncounter | Encounter information
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation |  | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory |  | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter |  | 0..1 | Base | Course of inpatient or outpatient encounter.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary |  | 0..* | EHDSCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
procedures |  | 0..* | EHDSProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
medicalDevicesAndImplants |  | 0..* | EHDSDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
pharmacotherapy |  | 0..* | EHDSMedicationStatement | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
testResults[x] |  | 0..* |  | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
testResultsEHDSObservation |  |  | EHDSObservation |
testResultsEHDSLaboratoryObservation |  |  | EHDSLaboratoryObservation |
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails |  | 0..1 | Base | Discharge details
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse |  | 1..1 | EHDSMedicationStatement | Details about medication and dosaging
note |  | 0..1 | string | Free text notes by the health professional
carePlan |  | 0..1 | Base | Care plan and other recommendations after discharge.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | EHDSCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

Differential View

This structure is derived from EHDSDocument

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSDischargeReport |  | 0..* | EHDSDocument | Discharge Report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  |  |  |
author[x] |  | 1..* | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | The author of the report.
status |  | 1..1 | CodeableConcept | Status of the document
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time of encounter)
intendedRecipient[x] |  | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
body |  | 0..1 | Base | Structured body of the discharge report document
alerts |  | 0..1 | Base | Section: Alerts.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
encounterInformation |  | 1..1 | Base | Section: Encounter information.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter |  | 0..1 | EHDSEncounter | Encounter information
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation |  | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory |  | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter |  | 0..1 | Base | Course of inpatient or outpatient encounter.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary |  | 0..* | EHDSCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
procedures |  | 0..* | EHDSProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
medicalDevicesAndImplants |  | 0..* | EHDSDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
pharmacotherapy |  | 0..* | EHDSMedicationStatement | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
testResults[x] |  | 0..* |  | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
testResultsEHDSObservation |  |  | EHDSObservation |
testResultsEHDSLaboratoryObservation |  |  | EHDSLaboratoryObservation |
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails |  | 0..1 | Base | Discharge details
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse |  | 1..1 | EHDSMedicationStatement | Details about medication and dosaging
note |  | 0..1 | string | Free text notes by the health professional
carePlan |  | 0..1 | Base | Care plan and other recommendations after discharge.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | EHDSCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
EHDSDischargeReport |  | 0..* | EHDSDocument | Discharge Report model Elements defined in Ancestors:header, header, presentedForm Instances of this logical model can be the target of a Reference
header |  | 1..1 | Base | Document header
subject |  | 1..1 | EHDSPatient | Patient/subject information
identifier |  | 1..* | Identifier | Unique identifier of the document
author[x] |  | 1..* |  | The author of the report.
authorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
authorEHDSOrganisation |  |  | EHDSOrganisation |
authorEHDSDevice |  |  | EHDSDevice |
date |  | 1..1 | dateTime | Date of finalising/issuing the document
status |  | 1..1 | CodeableConcept | Status of the document
source |  | 0..1 | CodeableConcept | Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.
language |  | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
documentType |  | 1..1 | CodeableConcept | Type of document at hand, e.g. 60591-5 Patient summary document. Binding Description: (preferred): LOINC
documentTitle |  | 1..1 | string | Human readable document title that can be displayed in search results, etc. This can be documentType's display name, or it can be assembled from multiple elements. Examples: 'Laboratory Result Report', 'Patient Summary of Jane Green 10.12.2024'
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time of encounter)
version |  | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian.
attestation |  | 0..* | Base | Document attestation details
attester[x] |  | 1..1 |  | Attester who validated the document. Multiple attesters could be provided.
attesterEHDSHealthProfessional |  |  | EHDSHealthProfessional |
attesterEHDSDevice |  |  | EHDSDevice |
datetime |  | 1..1 | dateTime | Date and time of the approval of the document by Attester.
legalAuthentication |  | 0..* | Base | Document legal authentication details
legalAuthenticator[x] |  | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
legalAuthenticatorEHDSHealthProfessional |  |  | EHDSHealthProfessional |
legalAuthenticatorEHDSOrganisation |  |  | EHDSOrganisation |
datetime |  | 1..1 | dateTime | Date and time when the document was authorised.
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian |  | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report.
intendedRecipient[x] |  | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
intendedRecipientEHDSPatient |  |  | EHDSPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientEHDSHealthProfessional |  |  | EHDSHealthProfessional |
intendedRecipientEHDSOrganisation |  |  | EHDSOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body |  | 0..1 | Base | Structured body of the discharge report document
alerts |  | 0..1 | Base | Section: Alerts.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert |  | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
encounterInformation |  | 1..1 | Base | Section: Encounter information.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter |  | 0..1 | EHDSEncounter | Encounter information
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation |  | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory |  | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter |  | 0..1 | Base | Course of inpatient or outpatient encounter.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary |  | 0..* | EHDSCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
procedures |  | 0..* | EHDSProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
medicalDevicesAndImplants |  | 0..* | EHDSDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
pharmacotherapy |  | 0..* | EHDSMedicationStatement | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
testResults[x] |  | 0..* |  | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
testResultsEHDSObservation |  |  | EHDSObservation |
testResultsEHDSLaboratoryObservation |  |  | EHDSLaboratoryObservation |
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails |  | 0..1 | Base | Discharge details
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
functionalStatus |  | 0..* | EHDSFunctionalStatus | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary |  | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse |  | 1..1 | EHDSMedicationStatement | Details about medication and dosaging
note |  | 0..1 | string | Free text notes by the health professional
carePlan |  | 0..1 | Base | Care plan and other recommendations after discharge.
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan |  | 0..* | EHDSCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments[x] |  | 0..* |  | Report attachments data elements
attachmentsEHDSAttachment |  |  | EHDSAttachment |
attachmentsEHDSMedia |  |  | EHDSMedia |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
EHDSDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
EHDSDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDocument

Summary

Mandatory: 0 element(2 nested mandatory elements)

Other representations of profile: CSV, Excel