EHDSDischargeReport
type: StructureDefinition
node role: treeRoot
id:
  v: EHDSDischargeReport
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition EHDSDischargeReport Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> EHDSDischargeReport 0..* EHDSDocument Discharge Report model Elements defined in Ancestors:header, header, presentedForm #xD; header #xD; author[x] 1..* EHDSHealthProfessional, EHDSOrganisation, EHDSDevice The author of the report. #xD; status 1..1 CodeableConcept Status of the document #xD; documentType 1..1 CodeableConcept Type of the document (e.g. '34105-7 Hospital discharge summary) #xD; documentTitle 1..1 string Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025') #xD; period 0..1 Period Time of service that is being documented (typically the same as the time/period of encounter) #xD; <a href="StructureDefinition-EHDSDischargeReport-definitions.html#EHDSDischargeReport.header.intendedRecipient[x]" title="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.">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. #xD; intendedRecipientEHDSPatient EHDSPatient #xD; intendedRecipientEHDSRelatedPerson EHDSRelatedPerson #xD; intendedRecipientEHDSHealthProfessional EHDSHealthProfessional #xD; intendedRecipientEHDSOrganisation EHDSOrganisation #xD; body 0..1 Base Structured bod…
url:
  v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReport
  l: EHDSDischargeReport
version:
  v: 0.4.0
name:
  v: EHDSDischargeReport
title:
  v: Discharge Report model
status:
  v: draft
date:
  v: 2026-03-03T22:34:02+00:00
publisher:
  v: Xt-EHR
contact:
  name:
    v: Xt-EHR
  telecom:
    system:
      v: url
    value:
      v: http://www.xt-ehr.eu/
description:
  v: 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.
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReport
  l: EHDSDischargeReport
base definition:
  v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDocument
  l: EHDSDocument
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 0.4.0
  element:
    id:
      v: EHDSDischargeReport
    path:
      v: EHDSDischargeReport
    short:
      v: Discharge Report model
    definition:
      v: 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.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: EHDSDischargeReport.header
    path:
      v: EHDSDischargeReport.header
    short:
      v: Document header
    definition:
      v: Basic metadata for this information
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: EHDSDataSet.header
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: Base
        l: Base
  element:
    id:
      v: EHDSDischargeReport.header.subject
    path:
      v: EHDSDischargeReport.header.subject
    short:
      v: Patient/subject information
    definition:
      v: Patient/subject information
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: EHDSDataSet.header.subject
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
        l: EHDSPatient
  element:
    id:
      v: EHDSDischargeReport.header.identifier
    path:
      v: EHDSDischargeReport.header.identifier
    short:
      v: Unique identifier of the document
    definition:
      v: Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: EHDSDataSet.header.identifier
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: Identifier
        l: Identifier
  element:
    id:
      v: EHDSDischargeReport.header.author[x]
    path:
      v: EHDSDischargeReport.header.author[x]
    short:
      v: The author of the report.
    definition:
      v: The author of the report.
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: EHDSDataSet.header.author[x]
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
        l: EHDSHealthProfessional
    type:
      code:
        v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
        l: EHDSOrganisation
    type:
      code:
        v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
        l: EHDSDevice
  element:
    id:
      v: EHDSDischargeReport.header.date
    path:
      v: EHDSDischargeReport.header.date
    short:
      v: Date of finalising/issuing the document
    definition:
      v: Date and optionally time of authoring/issuing

v: 1

v: 1

path:
  v: EHDSDataSet.header.date
min:
  v: 0
max:
  v: 1

code:
  v: dateTime
  l: dateTime

id:
  v: EHDSDischargeReport.header.status
path:
  v: EHDSDischargeReport.header.status
short:
  v: Status of the document
definition:
  v: Status of the document
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSDischargeReport.header.source
path:
  v: EHDSDischargeReport.header.source
short:
  v: 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.
definition:
  v: 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.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: EHDSDataSet.header.source
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: EHDSDischargeReport.header.language
path:
  v: EHDSDischargeReport.header.language
short:
  v: Language in which the resource is written. Language is expressed by the IETF language tag.
definition:
  v: Language in which the resource is written. Language is expressed by the IETF language tag.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDataSet.header.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: BCP 47

id:
  v: EHDSDischargeReport.header.documentType
path:
  v: EHDSDischargeReport.header.documentType
short:
  v: Type of the document (e.g. '34105-7 Hospital discharge summary)
definition:
  v: Type of the document (e.g. '34105-7 Hospital discharge summary)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentType
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: LOINC

id:
  v: EHDSDischargeReport.header.documentTitle
path:
  v: EHDSDischargeReport.header.documentTitle
short:
  v: Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
definition:
  v: Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.documentTitle
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.header.period
path:
  v: EHDSDischargeReport.header.period
short:
  v: Time of service that is being documented (typically the same as the time/period of encounter)
definition:
  v: Time of service that is being documented
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period

id:
  v: EHDSDischargeReport.header.version
path:
  v: EHDSDischargeReport.header.version
short:
  v: Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
definition:
  v: Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.version
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.header.attestation
path:
  v: EHDSDischargeReport.header.attestation
short:
  v: Document attestation details
definition:
  v: Document attestation details
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.attestation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.header.attestation.attester[x]
path:
  v: EHDSDischargeReport.header.attestation.attester[x]
short:
  v: Attester who validated the document
definition:
  v: Attester who validated the document
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.attestation.attester[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
    l: EHDSHealthProfessional
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice
    l: EHDSDevice

id:
  v: EHDSDischargeReport.header.attestation.datetime
path:
  v: EHDSDischargeReport.header.attestation.datetime
short:
  v: Date and time of the approval of the document by Attester
definition:
  v: Date and time of the approval of the document by Attester
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.attestation.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: EHDSDischargeReport.header.legalAuthentication
path:
  v: EHDSDischargeReport.header.legalAuthentication
short:
  v: Document legal authentication details
definition:
  v: Document legal authentication details
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.legalAuthentication
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.header.legalAuthentication.legalAuthenticator[x]
path:
  v: EHDSDischargeReport.header.legalAuthentication.legalAuthenticator[x]
short:
  v: The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
definition:
  v: The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication.legalAuthenticator[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
    l: EHDSHealthProfessional
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
    l: EHDSOrganisation

id:
  v: EHDSDischargeReport.header.legalAuthentication.datetime
path:
  v: EHDSDischargeReport.header.legalAuthentication.datetime
short:
  v: Date and time when the document was authorised
definition:
  v: Date and time when the document was authorised
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.legalAuthentication.datetime
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: EHDSDischargeReport.header.eventType
path:
  v: EHDSDischargeReport.header.eventType
short:
  v: 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.
definition:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.eventType
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: LOINC, SNOMED CT, dicom-cid-33-Modality

id:
  v: EHDSDischargeReport.header.serviceSpecialty
path:
  v: EHDSDischargeReport.header.serviceSpecialty
short:
  v: Additional details about where the content was created (e.g. clinical specialty)
definition:
  v: Additional details about where the content was created (e.g. clinical specialty)
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.header.serviceSpecialty
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSDischargeReport.header.custodian
path:
  v: EHDSDischargeReport.header.custodian
short:
  v: Organisation that is in charge of maintaining the document/report.
definition:
  v: Organisation that is in charge of maintaining the document/report.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDocument.header.custodian
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
    l: EHDSOrganisation

id:
  v: EHDSDischargeReport.presentedForm
path:
  v: EHDSDischargeReport.presentedForm
short:
  v: A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
definition:
  v: A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDocument.presentedForm
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
    l: EHDSAttachment

id:
  v: EHDSDischargeReport.header.intendedRecipient[x]
path:
  v: EHDSDischargeReport.header.intendedRecipient[x]
short:
  v: 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.
definition:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.header.intendedRecipient[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
    l: EHDSPatient
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson
    l: EHDSRelatedPerson
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
    l: EHDSHealthProfessional
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
    l: EHDSOrganisation

id:
  v: EHDSDischargeReport.body
path:
  v: EHDSDischargeReport.body
short:
  v: Structured body of the discharge report document
definition:
  v: Structured body of the discharge report document
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.alerts
path:
  v: EHDSDischargeReport.body.alerts
short:
  v: Section: Alerts.
definition:
  v: Information about substantial alerts or warnings (including allergies) that health professionals should be aware of.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.2
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.alerts
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.alerts.generatedNarrative
path:
  v: EHDSDischargeReport.body.alerts.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.alerts.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.alerts.medicalAlert
path:
  v: EHDSDischargeReport.body.alerts.medicalAlert
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.2.2, A.2.2.1
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.alerts.medicalAlert
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAlert
    l: EHDSAlert

id:
  v: EHDSDischargeReport.body.encounterInformation
path:
  v: EHDSDischargeReport.body.encounterInformation
short:
  v: Section: Encounter information.
definition:
  v: Section: Encounter information.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.2
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.encounterInformation
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.encounterInformation.generatedNarrative
path:
  v: EHDSDischargeReport.body.encounterInformation.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.encounterInformation.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.encounterInformation.encounter
path:
  v: EHDSDischargeReport.body.encounterInformation.encounter
short:
  v: Encounter information
definition:
  v: Encounter information
requirements:
  v: eHN Guideline HDR (v1.1): A.2.3
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.encounterInformation.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEncounter
    l: EHDSEncounter

id:
  v: EHDSDischargeReport.body.encounterInformation.note
path:
  v: EHDSDischargeReport.body.encounterInformation.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.encounterInformation.note
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.admissionEvaluation
path:
  v: EHDSDischargeReport.body.admissionEvaluation
short:
  v: Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
definition:
  v: Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.4
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.admissionEvaluation
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.admissionEvaluation.generatedNarrative
path:
  v: EHDSDischargeReport.body.admissionEvaluation.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.admissionEvaluation.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.admissionEvaluation.objectiveFindings
path:
  v: EHDSDischargeReport.body.admissionEvaluation.objectiveFindings
short:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
definition:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
requirements:
  v: eHN Guideline HDR (v1.1): A.2.4.1
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.admissionEvaluation.objectiveFindings
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]
path:
  v: EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]
short:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
definition:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
requirements:
  v: eHN Guideline HDR (v1.1): A.2.4.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
    l: EHDSCondition
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.admissionEvaluation.note
path:
  v: EHDSDischargeReport.body.admissionEvaluation.note
short:
  v: Free text notes by the evaluation performer
definition:
  v: Free text notes by the evaluation performer
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.admissionEvaluation.note
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.patientHistory
path:
  v: EHDSDischargeReport.body.patientHistory
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.5
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.patientHistory
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.patientHistory.generatedNarrative
path:
  v: EHDSDischargeReport.body.patientHistory.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
definition:
  v: Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.patientHistory.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.patientHistory.note
path:
  v: EHDSDischargeReport.body.patientHistory.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.patientHistory.note
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.courseOfEncounter
path:
  v: EHDSDischargeReport.body.courseOfEncounter
short:
  v: Course of inpatient or outpatient encounter.
definition:
  v: Course of inpatient or outpatient encounter.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.courseOfEncounter.generatedNarrative
path:
  v: EHDSDischargeReport.body.courseOfEncounter.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary
path:
  v: EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary
short:
  v: 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).
definition:
  v: 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).
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.1
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
    l: EHDSCondition

id:
  v: EHDSDischargeReport.body.courseOfEncounter.procedures
path:
  v: EHDSDischargeReport.body.courseOfEncounter.procedures
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.procedures
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure
    l: EHDSProcedure

id:
  v: EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants
path:
  v: EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants
short:
  v: Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
definition:
  v: Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.3
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceUse
    l: EHDSDeviceUse

id:
  v: EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy
path:
  v: EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy
short:
  v: Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
definition:
  v: Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.5
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse
    l: EHDSMedicationUse

id:
  v: EHDSDischargeReport.body.courseOfEncounter.objectiveFindings
path:
  v: EHDSDischargeReport.body.courseOfEncounter.objectiveFindings
short:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
definition:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.objectiveFindings
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.courseOfEncounter.testResults
path:
  v: EHDSDischargeReport.body.courseOfEncounter.testResults
short:
  v: 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.
definition:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.testResults
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.courseOfEncounter.note
path:
  v: EHDSDischargeReport.body.courseOfEncounter.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.courseOfEncounter.note
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.dischargeDetails
path:
  v: EHDSDischargeReport.body.dischargeDetails
short:
  v: Discharge details
definition:
  v: Structured information should be provided, however if not available, at least a section narrative should be present.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.7
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.dischargeDetails
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.dischargeDetails.generatedNarrative
path:
  v: EHDSDischargeReport.body.dischargeDetails.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.dischargeDetails.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.dischargeDetails.objectiveFindings
path:
  v: EHDSDischargeReport.body.dischargeDetails.objectiveFindings
short:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
definition:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
requirements:
  v: eHN Guideline HDR (v1.1): A.2.7.1
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.dischargeDetails.objectiveFindings
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]
path:
  v: EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]
short:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
definition:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
requirements:
  v: eHN Guideline HDR (v1.1): A.2.7.2
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
    l: EHDSCondition
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.dischargeDetails.note
path:
  v: EHDSDischargeReport.body.dischargeDetails.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.dischargeDetails.note
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.medicationSummary
path:
  v: EHDSDischargeReport.body.medicationSummary
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.8.1
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.medicationSummary
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.medicationSummary.generatedNarrative
path:
  v: EHDSDischargeReport.body.medicationSummary.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.medicationSummary.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.medicationSummary.medicationUse
path:
  v: EHDSDischargeReport.body.medicationSummary.medicationUse
short:
  v: Details about medication and dosage
definition:
  v: Details about medication and dosage
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.medicationSummary.medicationUse
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse
    l: EHDSMedicationUse

id:
  v: EHDSDischargeReport.body.medicationSummary.note
path:
  v: EHDSDischargeReport.body.medicationSummary.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.medicationSummary.note
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.carePlan
path:
  v: EHDSDischargeReport.body.carePlan
short:
  v: Care plan and other recommendations after discharge.
definition:
  v: Care plan and other recommendations after discharge.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.8.2 (A.2.9.2)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.carePlan
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.carePlan.generatedNarrative
path:
  v: EHDSDischargeReport.body.carePlan.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.carePlan.generatedNarrative
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.carePlan.carePlan
path:
  v: EHDSDischargeReport.body.carePlan.carePlan
short:
  v: Structured care plan after discharge. Multiple care plans could be provided.
definition:
  v: Structured care plan after discharge. Multiple care plans could be provided.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.body.carePlan.carePlan
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCarePlan
    l: EHDSCarePlan

id:
  v: EHDSDischargeReport.body.carePlan.otherRecommendations
path:
  v: EHDSDischargeReport.body.carePlan.otherRecommendations
short:
  v: Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
definition:
  v: Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.8.3
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.carePlan.otherRecommendations
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.synthesis
path:
  v: EHDSDischargeReport.body.synthesis
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.7
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSDischargeReport.body.synthesis
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.attachments
path:
  v: EHDSDischargeReport.attachments
short:
  v: Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
definition:
  v: Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSDischargeReport.attachments
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
    l: EHDSAttachment

element:
  id:
    v: EHDSDischargeReport
  path:
    v: EHDSDischargeReport
  short:
    v: Discharge Report model
  definition:
    v: 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.
element:
  id:
    v: EHDSDischargeReport.header.author[x]
  path:
    v: EHDSDischargeReport.header.author[x]
  short:
    v: The author of the report.
  definition:
    v: The author of the report.
element:
  id:
    v: EHDSDischargeReport.header.status
  path:
    v: EHDSDischargeReport.header.status
  definition:
    v: Status of the document
element:
  id:
    v: EHDSDischargeReport.header.documentType
  path:
    v: EHDSDischargeReport.header.documentType
  short:
    v: Type of the document (e.g. '34105-7 Hospital discharge summary)
  definition:
    v: Type of the document (e.g. '34105-7 Hospital discharge summary)
element:
  id:
    v: EHDSDischargeReport.header.documentTitle
  path:
    v: EHDSDischargeReport.header.documentTitle
  short:
    v: Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
  definition:
    v: Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
element:
  id:
    v: EHDSDischargeReport.header.period
  path:
    v: EHDSDischargeReport.header.period
  short:
    v: Time of service that is being documented (typically the same as the time/period of encounter)
element:
  id:
    v: EHDSDischargeReport.header.intendedRecipient[x]
  path:
    v: EHDSDischargeReport.header.intendedRecipient[x]
  short:
    v: 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.
  definition:
    v: 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.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient
      l: EHDSPatient
  type:
    code:
      v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson
      l: EHDSRelatedPerson
  type:
    code:
      v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional
      l: EHDSHealthProfessional
  type:
    code:
      v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation
      l: EHDSOrganisation
element:
  id:
    v: EHDSDischargeReport.body
  path:
    v: EHDSDischargeReport.body
  short:
    v: Structured body of the discharge report document
  definition:
    v: Structured body of the discharge report document
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: EHDSDischargeReport.body.alerts
  path:
    v: EHDSDischargeReport.body.alerts
  short:
    v: Section: Alerts.
  definition:
    v: Information about substantial alerts or warnings (including allergies) that health professionals should be aware of.
  requirements:
    v: eHN Guideline HDR (v1.1): A.2.2
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: EHDSDischargeReport.body.alerts.generatedNarrative
  path:
    v: EHDSDischargeReport.body.alerts.generatedNarrative
  short:
    v: Narrative, potentially formatted, content of the whole section.
  definition:
    v: Narrative, potentially formatted, content of the whole section.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: EHDSDischargeReport.body.alerts.medicalAlert
  path:
    v: EHDSDischargeReport.body.alerts.medicalAlert
  short:
    v: 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.
  definition:
    v: 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.
  requirements:
    v: eHN Guideline HDR (v1.1): A.2.2.2, A.2.2.1
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAlert
      l: EHDSAlert
element:
  id:
    v: EHDSDischargeReport.body.encounterInformation
  path:
    v: EHDSDischargeReport.body.encounterInformation
  short:
    v: Section: Encounter information.
  definition:
    v: Section: Encounter information.
  requirements:
    v: eHN Guideline HDR (v1.1): A.2.2
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: EHDSDischargeReport.body.encounterInformation.generatedNarrative
  path:
    v: EHDSDischargeReport.body.encounterInformation.generatedNarrative
  short:
    v: Narrative, potentially formatted, content of the whole section.
  definition:
    v: Narrative, potentially formatted, content of the whole section.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: EHDSDischargeReport.body.encounterInformation.encounter
  path:
    v: EHDSDischargeReport.body.encounterInformation.encounter
  short:
    v: Encounter information
  definition:
    v: Encounter information
  requirements:
    v: eHN Guideline HDR (v1.1): A.2.3
  min:
    v: 0
  max:
    v: 1

id:
  v: EHDSDischargeReport.body.encounterInformation.note
path:
  v: EHDSDischargeReport.body.encounterInformation.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.admissionEvaluation
path:
  v: EHDSDischargeReport.body.admissionEvaluation
short:
  v: Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
definition:
  v: Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.4
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.admissionEvaluation.generatedNarrative
path:
  v: EHDSDischargeReport.body.admissionEvaluation.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.admissionEvaluation.objectiveFindings
path:
  v: EHDSDischargeReport.body.admissionEvaluation.objectiveFindings
short:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
definition:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
requirements:
  v: eHN Guideline HDR (v1.1): A.2.4.1
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]
path:
  v: EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]
short:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
definition:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
requirements:
  v: eHN Guideline HDR (v1.1): A.2.4.2
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
    l: EHDSCondition
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.admissionEvaluation.note
path:
  v: EHDSDischargeReport.body.admissionEvaluation.note
short:
  v: Free text notes by the evaluation performer
definition:
  v: Free text notes by the evaluation performer
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.patientHistory
path:
  v: EHDSDischargeReport.body.patientHistory
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.5
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.patientHistory.generatedNarrative
path:
  v: EHDSDischargeReport.body.patientHistory.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
definition:
  v: Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.patientHistory.note
path:
  v: EHDSDischargeReport.body.patientHistory.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.courseOfEncounter
path:
  v: EHDSDischargeReport.body.courseOfEncounter
short:
  v: Course of inpatient or outpatient encounter.
definition:
  v: Course of inpatient or outpatient encounter.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.courseOfEncounter.generatedNarrative
path:
  v: EHDSDischargeReport.body.courseOfEncounter.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary
path:
  v: EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary
short:
  v: 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).
definition:
  v: 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).
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.1
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
    l: EHDSCondition

id:
  v: EHDSDischargeReport.body.courseOfEncounter.procedures
path:
  v: EHDSDischargeReport.body.courseOfEncounter.procedures
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.2
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure
    l: EHDSProcedure

id:
  v: EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants
path:
  v: EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants
short:
  v: Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
definition:
  v: Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.3
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceUse
    l: EHDSDeviceUse

id:
  v: EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy
path:
  v: EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy
short:
  v: Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
definition:
  v: Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.5
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse
    l: EHDSMedicationUse

id:
  v: EHDSDischargeReport.body.courseOfEncounter.objectiveFindings
path:
  v: EHDSDischargeReport.body.courseOfEncounter.objectiveFindings
short:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
definition:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.courseOfEncounter.testResults
path:
  v: EHDSDischargeReport.body.courseOfEncounter.testResults
short:
  v: 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.
definition:
  v: 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.
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.courseOfEncounter.note
path:
  v: EHDSDischargeReport.body.courseOfEncounter.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.dischargeDetails
path:
  v: EHDSDischargeReport.body.dischargeDetails
short:
  v: Discharge details
definition:
  v: Structured information should be provided, however if not available, at least a section narrative should be present.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.7
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.dischargeDetails.generatedNarrative
path:
  v: EHDSDischargeReport.body.dischargeDetails.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.dischargeDetails.objectiveFindings
path:
  v: EHDSDischargeReport.body.dischargeDetails.objectiveFindings
short:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
definition:
  v: Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
requirements:
  v: eHN Guideline HDR (v1.1): A.2.7.1
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]
path:
  v: EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]
short:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
definition:
  v: An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
requirements:
  v: eHN Guideline HDR (v1.1): A.2.7.2
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition
    l: EHDSCondition
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation
    l: EHDSObservation

id:
  v: EHDSDischargeReport.body.dischargeDetails.note
path:
  v: EHDSDischargeReport.body.dischargeDetails.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.medicationSummary
path:
  v: EHDSDischargeReport.body.medicationSummary
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.8.1
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.medicationSummary.generatedNarrative
path:
  v: EHDSDischargeReport.body.medicationSummary.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.medicationSummary.medicationUse
path:
  v: EHDSDischargeReport.body.medicationSummary.medicationUse
short:
  v: Details about medication and dosage
definition:
  v: Details about medication and dosage
min:
  v: 1
max:
  v: 1
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse
    l: EHDSMedicationUse

id:
  v: EHDSDischargeReport.body.medicationSummary.note
path:
  v: EHDSDischargeReport.body.medicationSummary.note
short:
  v: Free text notes by the health professional
definition:
  v: Free text notes by the health professional
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.carePlan
path:
  v: EHDSDischargeReport.body.carePlan
short:
  v: Care plan and other recommendations after discharge.
definition:
  v: Care plan and other recommendations after discharge.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.8.2 (A.2.9.2)
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: EHDSDischargeReport.body.carePlan.generatedNarrative
path:
  v: EHDSDischargeReport.body.carePlan.generatedNarrative
short:
  v: Narrative, potentially formatted, content of the whole section.
definition:
  v: Narrative, potentially formatted, content of the whole section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.carePlan.carePlan
path:
  v: EHDSDischargeReport.body.carePlan.carePlan
short:
  v: Structured care plan after discharge. Multiple care plans could be provided.
definition:
  v: Structured care plan after discharge. Multiple care plans could be provided.
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCarePlan
    l: EHDSCarePlan

id:
  v: EHDSDischargeReport.body.carePlan.otherRecommendations
path:
  v: EHDSDischargeReport.body.carePlan.otherRecommendations
short:
  v: Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
definition:
  v: Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.8.3
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.body.synthesis
path:
  v: EHDSDischargeReport.body.synthesis
short:
  v: 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.
definition:
  v: 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.
requirements:
  v: eHN Guideline HDR (v1.1): A.2.6.7
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: EHDSDischargeReport.attachments
path:
  v: EHDSDischargeReport.attachments
short:
  v: Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
definition:
  v: Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
min:
  v: 0
max:
  v: *
type:
  code:
    v: http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment
    l: EHDSAttachment