HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.0.1-ci built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

Logical Model: AdvanceDirectivesEhn - Detailed Descriptions

Draft as of 2024-11-21

Definitions for the AdvanceDirectives logical model.

Guidance on how to interpret the contents of this table can be found here

0. AdvanceDirectives
Definition

Hospital Discharge Report - Advance Directives - A.2.1 eHN

ShortA.2.1 - Advance Directives (eHN)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. AdvanceDirectives.livingWill
Definition

Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.

ShortA.2.1.1 - Living will
Control1..*
TypeBackboneElement
4. AdvanceDirectives.livingWill.date
Definition

The date and time on which the living will was recorded.

ShortA.2.1.1.1 - Date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. AdvanceDirectives.livingWill.type
Definition

Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.

ShortA.2.1.1.2 - Type
Control1..1
TypeCodeableConcept
8. AdvanceDirectives.livingWill.comment
Definition

Comment on the living will.

ShortA.2.1.1.3 - Comment
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. AdvanceDirectives.livingWill.conditions
Definition

The problem or disorder to which the living will applies. Multiple fields could be provided.

ShortA.2.1.1.4 - Related conditions
Control0..*
TypeCodeableConcept
12. AdvanceDirectives.livingWill.document
Definition

Scanned source document with the living will and the patient's signature, such as a PDF.

ShortA.2.1.1.5 - Living will document
Control1..1
TypeBackboneElement

Guidance on how to interpret the contents of this table can be found here

0. AdvanceDirectives
Definition

Hospital Discharge Report - Advance Directives - A.2.1 eHN

ShortA.2.1 - Advance Directives (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. AdvanceDirectives.livingWill
Definition

Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.

ShortA.2.1.1 - Living will
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. AdvanceDirectives.livingWill.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. AdvanceDirectives.livingWill.date
Definition

The date and time on which the living will was recorded.

ShortA.2.1.1.1 - Date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. AdvanceDirectives.livingWill.type
Definition

Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.

ShortA.2.1.1.2 - Type
Control1..1
TypeCodeableConcept
10. AdvanceDirectives.livingWill.comment
Definition

Comment on the living will.

ShortA.2.1.1.3 - Comment
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. AdvanceDirectives.livingWill.conditions
Definition

The problem or disorder to which the living will applies. Multiple fields could be provided.

ShortA.2.1.1.4 - Related conditions
Control0..*
TypeCodeableConcept
14. AdvanceDirectives.livingWill.document
Definition

Scanned source document with the living will and the patient's signature, such as a PDF.

ShortA.2.1.1.5 - Living will document
Control1..1
TypeBackboneElement

Guidance on how to interpret the contents of this table can be found here

0. AdvanceDirectives
Definition

Hospital Discharge Report - Advance Directives - A.2.1 eHN

ShortA.2.1 - Advance Directives (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. AdvanceDirectives.livingWill
Definition

Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.

ShortA.2.1.1 - Living will
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. AdvanceDirectives.livingWill.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. AdvanceDirectives.livingWill.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on AdvanceDirectives.livingWill.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. AdvanceDirectives.livingWill.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. AdvanceDirectives.livingWill.date
    Definition

    The date and time on which the living will was recorded.

    ShortA.2.1.1.1 - Date and time
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. AdvanceDirectives.livingWill.type
    Definition

    Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.

    ShortA.2.1.1.2 - Type
    Control1..1
    TypeCodeableConcept
    14. AdvanceDirectives.livingWill.comment
    Definition

    Comment on the living will.

    ShortA.2.1.1.3 - Comment
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. AdvanceDirectives.livingWill.conditions
    Definition

    The problem or disorder to which the living will applies. Multiple fields could be provided.

    ShortA.2.1.1.4 - Related conditions
    Control0..*
    TypeCodeableConcept
    18. AdvanceDirectives.livingWill.document
    Definition

    Scanned source document with the living will and the patient's signature, such as a PDF.

    ShortA.2.1.1.5 - Living will document
    Control1..1
    TypeBackboneElement