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: DischargeDetailsEhn - Detailed Descriptions

Draft as of 2024-11-06

Definitions for the DischargeDetails logical model.

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

0. DischargeDetails
Definition

Hospital Discharge Report - Discharge details - A.2.8 eHN

ShortA.2.8 - Discharge details (eHN)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. DischargeDetails.dischargeDetails
Definition

Discharge details (structured information should be provided, however if not available, at least a summary note should be present).

ShortA.2.8 - Discharge details (structured information should be provided, however if not available, at least a summary note should be present).
Control1..1
TypeBackboneElement
4. DischargeDetails.dischargeDetails.objectiveFindings
Definition

Objective findings

ShortA.2.8.1 - Objective findings
Control0..1
TypeBackboneElement
6. DischargeDetails.dischargeDetails.objectiveFindings.date
Definition

Date and time of the examination at or before discharge

ShortA.2.8.1.1 - Date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations
Definition

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

ShortA.2.8.1.3 - Anthropometric observations
Control0..*
TypeBackboneElement
10. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.3.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.3.2 - Observation details
Control1..1
TypeBackboneElement
14. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.3.3 - Observation result
Control1..1
TypeBackboneElement
16. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns
Definition

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

ShortA.2.8.1.4 - Vital signs
Control0..*
TypeBackboneElement
18. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.4.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.4.2 - Observation details
Control1..1
TypeBackboneElement
22. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.4.3 - Observation result
Control1..1
TypeBackboneElement
24. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination
Definition

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

ShortA.2.8.1.5 - Physical examination
Control0..1
TypeBackboneElement
26. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.description
Definition

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

ShortA.2.8.1.5.1 - Observation Note
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. DischargeDetails.dischargeDetails.functionalStatus
Definition

Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs. For details see: https://paciowg.github.io/functional-status-ig/

ShortA.2.8.2 - Functional status
Control0..1
TypeBackboneElement
30. DischargeDetails.dischargeDetails.functionalStatus.description
Definition

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments

ShortA.2.8.2.1 - Description
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. DischargeDetails.dischargeDetails.functionalStatus.onsetDate
Definition

Onset date of a condition

ShortA.2.8.2.2 - Onset Date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. DischargeDetails.dischargeDetails.functionalStatus.assessmetType
Definition

Description of the functional assessment

ShortA.2.8.2.3 - Functional assessment description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. DischargeDetails.dischargeDetails.functionalStatus.assessmentDate
Definition

Date of the functional assessment

ShortA.2.8.2.4 - Functional assessment date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. DischargeDetails.dischargeDetails.functionalStatus.assessmentResult
Definition

Functional assessment result value

ShortA.2.8.2.5 - Functional assessment result
Control1..1
TypeCodeableConcept
40. DischargeDetails.dischargeDetails.dischargeNote
Definition

Discharge summary note

ShortA.2.8.3 - Discharge note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. DischargeDetails
Definition

Hospital Discharge Report - Discharge details - A.2.8 eHN

ShortA.2.8 - Discharge details (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. DischargeDetails.dischargeDetails
Definition

Discharge details (structured information should be provided, however if not available, at least a summary note should be present).

ShortA.2.8 - Discharge details (structured information should be provided, however if not available, at least a summary note should be present).
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DischargeDetails.dischargeDetails.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. DischargeDetails.dischargeDetails.objectiveFindings
Definition

Objective findings

ShortA.2.8.1 - Objective findings
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. DischargeDetails.dischargeDetails.objectiveFindings.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. DischargeDetails.dischargeDetails.objectiveFindings.date
Definition

Date and time of the examination at or before discharge

ShortA.2.8.1.1 - Date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations
Definition

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

ShortA.2.8.1.3 - Anthropometric observations
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.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())
16. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.3.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.3.2 - Observation details
Control1..1
TypeBackboneElement
20. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.3.3 - Observation result
Control1..1
TypeBackboneElement
22. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns
Definition

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

ShortA.2.8.1.4 - Vital signs
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.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())
26. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.4.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.4.2 - Observation details
Control1..1
TypeBackboneElement
30. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.4.3 - Observation result
Control1..1
TypeBackboneElement
32. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination
Definition

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

ShortA.2.8.1.5 - Physical examination
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.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())
36. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.description
Definition

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

ShortA.2.8.1.5.1 - Observation Note
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. DischargeDetails.dischargeDetails.functionalStatus
Definition

Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs. For details see: https://paciowg.github.io/functional-status-ig/

ShortA.2.8.2 - Functional status
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. DischargeDetails.dischargeDetails.functionalStatus.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())
42. DischargeDetails.dischargeDetails.functionalStatus.description
Definition

Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments

ShortA.2.8.2.1 - Description
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. DischargeDetails.dischargeDetails.functionalStatus.onsetDate
Definition

Onset date of a condition

ShortA.2.8.2.2 - Onset Date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. DischargeDetails.dischargeDetails.functionalStatus.assessmetType
Definition

Description of the functional assessment

ShortA.2.8.2.3 - Functional assessment description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
48. DischargeDetails.dischargeDetails.functionalStatus.assessmentDate
Definition

Date of the functional assessment

ShortA.2.8.2.4 - Functional assessment date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. DischargeDetails.dischargeDetails.functionalStatus.assessmentResult
Definition

Functional assessment result value

ShortA.2.8.2.5 - Functional assessment result
Control1..1
TypeCodeableConcept
52. DischargeDetails.dischargeDetails.dischargeNote
Definition

Discharge summary note

ShortA.2.8.3 - Discharge note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. DischargeDetails
Definition

Hospital Discharge Report - Discharge details - A.2.8 eHN

ShortA.2.8 - Discharge details (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. DischargeDetails.dischargeDetails
Definition

Discharge details (structured information should be provided, however if not available, at least a summary note should be present).

ShortA.2.8 - Discharge details (structured information should be provided, however if not available, at least a summary note should be present).
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DischargeDetails.dischargeDetails.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. DischargeDetails.dischargeDetails.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 DischargeDetails.dischargeDetails.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. DischargeDetails.dischargeDetails.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. DischargeDetails.dischargeDetails.objectiveFindings
    Definition

    Objective findings

    ShortA.2.8.1 - Objective findings
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. DischargeDetails.dischargeDetails.objectiveFindings.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
    14. DischargeDetails.dischargeDetails.objectiveFindings.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 DischargeDetails.dischargeDetails.objectiveFindings.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 16. DischargeDetails.dischargeDetails.objectiveFindings.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())
      18. DischargeDetails.dischargeDetails.objectiveFindings.date
      Definition

      Date and time of the examination at or before discharge

      ShortA.2.8.1.1 - Date
      Control1..1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      20. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations
      Definition

      Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

      ShortA.2.8.1.3 - Anthropometric observations
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.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
      24. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.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 DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 26. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.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())
        28. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.description
        Definition

        Narrative representation of the observation result and findings.

        ShortA.2.8.1.3.1 - Result description
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        30. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.details
        Definition

        Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

        ShortA.2.8.1.3.2 - Observation details
        Control1..1
        TypeBackboneElement
        32. DischargeDetails.dischargeDetails.objectiveFindings.anthropometricObservations.result
        Definition

        Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

        ShortA.2.8.1.3.3 - Observation result
        Control1..1
        TypeBackboneElement
        34. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns
        Definition

        Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

        ShortA.2.8.1.4 - Vital signs
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.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
        38. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.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 DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 40. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.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())
          42. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.description
          Definition

          Narrative representation of the observation result and findings.

          ShortA.2.8.1.4.1 - Result description
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          44. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.details
          Definition

          Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

          ShortA.2.8.1.4.2 - Observation details
          Control1..1
          TypeBackboneElement
          46. DischargeDetails.dischargeDetails.objectiveFindings.vitalSigns.result
          Definition

          Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

          ShortA.2.8.1.4.3 - Observation result
          Control1..1
          TypeBackboneElement
          48. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination
          Definition

          Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

          ShortA.2.8.1.5 - Physical examination
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.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
          52. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.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 DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 54. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.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())
            56. DischargeDetails.dischargeDetails.objectiveFindings.physicalExamination.description
            Definition

            A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

            ShortA.2.8.1.5.1 - Observation Note
            Control1..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            58. DischargeDetails.dischargeDetails.functionalStatus
            Definition

            Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs. For details see: https://paciowg.github.io/functional-status-ig/

            ShortA.2.8.2 - Functional status
            Control0..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            60. DischargeDetails.dischargeDetails.functionalStatus.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
            62. DischargeDetails.dischargeDetails.functionalStatus.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 DischargeDetails.dischargeDetails.functionalStatus.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 64. DischargeDetails.dischargeDetails.functionalStatus.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())
              66. DischargeDetails.dischargeDetails.functionalStatus.description
              Definition

              Need for the patient to be continuously assessed by third parties; functional status may influence decisions about how to plan and administer treatments

              ShortA.2.8.2.1 - Description
              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              68. DischargeDetails.dischargeDetails.functionalStatus.onsetDate
              Definition

              Onset date of a condition

              ShortA.2.8.2.2 - Onset Date
              Control0..1
              TypedateTime
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              70. DischargeDetails.dischargeDetails.functionalStatus.assessmetType
              Definition

              Description of the functional assessment

              ShortA.2.8.2.3 - Functional assessment description
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              72. DischargeDetails.dischargeDetails.functionalStatus.assessmentDate
              Definition

              Date of the functional assessment

              ShortA.2.8.2.4 - Functional assessment date
              Control0..1
              TypedateTime
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              74. DischargeDetails.dischargeDetails.functionalStatus.assessmentResult
              Definition

              Functional assessment result value

              ShortA.2.8.2.5 - Functional assessment result
              Control1..1
              TypeCodeableConcept
              76. DischargeDetails.dischargeDetails.dischargeNote
              Definition

              Discharge summary note

              ShortA.2.8.3 - Discharge note
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension