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: HeaderHdrEhn - Detailed Descriptions

Draft as of 2024-12-20

Definitions for the Header logical model.

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

0. Header
Definition

Hospital Discharge Report - Hospital Discharge Report header data element - A.1 eHN

ShortA.1 - Hospital Discharge Report header data element
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Header.subject
Definition

Identification of the patient/subject and Patient/subject related contact information

ShortA.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Subject
4. Header.payer
Definition

Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

ShortA.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Control0..1
TypeBackboneElement
6. Header.payer.insuranceCode
Definition

Unique health insurance company identification code.

ShortA.1.3.1 - Health insurance code
Control0..1
TypeIdentifier
8. Header.payer.insuranceName
Definition

Full, official name of the healthcare insurance provider.

ShortA.1.3.2 - Health insurance name
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. Header.payer.insuranceNumber
Definition

Number or code under which the insured person is registered at the insurance provider.

ShortA.1.3.3 - Health insurance number
Control0..1
TypeIdentifier
12. Header.informationRecipient
Definition

Information recipient - (intended recipient or recipients of the report), if applicable

ShortA.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
Control0..*
TypeBackboneElement
14. Header.informationRecipient.identifier
Definition

The health professional or patient identifier. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier could be used.

ShortA.1.4.1 - Recipient identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
16. Header.informationRecipient.name
Definition

Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

ShortA.1.4.2 - Recipient name
Control0..1
TypeHumanName
18. Header.informationRecipient.organizationID
Definition

The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

ShortA.1.4.3 - Recipient organisation ID
Control0..*
TypeIdentifier
20. Header.informationRecipient.organization
Definition

The healthcare provider organisation information.

ShortA.1.4.4 - Recipient organisation
Control0..1
TypeBackboneElement
22. Header.informationRecipient.address
Definition

Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

ShortA.1.4.5 - Address
Control0..1
TypeAddress
24. Header.informationRecipient.country
Definition

Country of the intended recipient as part of the address.

ShortA.1.4.6 - Country
Control1..1
TypeCodeableConcept
26. Header.informationRecipient.telecom
Definition

Telecommunication contact information (addresses) associated to a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

ShortA.1.4.7 - Telecom
Control0..*
TypeContactPoint
28. Header.author
Definition

Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.

ShortA.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
Control1..*
TypeBackboneElement
30. Header.author.identifier
Definition

The health professional identifier that will allow addressing recipients within a national or international data exchange infrastructure, such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier should be used.

ShortA.1.5.1 - Author identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
32. Header.author.name
Definition

Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

ShortA.1.5.2 - Author name
Control1..1
TypeHumanName
34. Header.author.organizationID
Definition

The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

ShortA.1.5.3 - Author organisation ID
Control0..*
TypeIdentifier
36. Header.author.organization
Definition

The healthcare provider organisation information.

ShortA.1.5.4 - Author organisation
Control1..1
TypeBackboneElement
38. Header.author.dateTime
Definition

Date and time of the last modification of the document by its Author.

ShortA.1.5.5 - Date Time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. Header.attester
Definition

Attester (multiple attesters could be provided)

ShortA.1.6 - Attester (multiple attesters could be provided)
Control0..*
TypeBackboneElement
42. Header.attester.identifier
Definition

The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

ShortA.1.6.1 - Attester identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
44. Header.attester.name
Definition

Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

ShortA.1.6.2 - Attester name
Control1..1
TypeHumanName
46. Header.attester.organizationID
Definition

The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

ShortA.1.6.3 - Attester organisation ID
Control0..*
TypeIdentifier
48. Header.attester.organization
Definition

The healthcare provider organisation information.

ShortA.1.6.4 - Attester organisation
Control1..1
TypeBackboneElement
50. Header.attester.dateTime
Definition

Date and time of the approval of the document by Attester.

ShortA.1.6.5 - Approval date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. Header.legalAuthenticator
Definition

Legal authenticator (The person taking responsibility for the medical content of the document)

ShortA.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
Control0..1
TypeBackboneElement
54. Header.legalAuthenticator.identifier
Definition

The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. Multiple identifiers could be provided.

ShortA.1.7.1 - Legal authenticator identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..*
TypeIdentifier
56. Header.legalAuthenticator.name
Definition

Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

ShortA.1.7.2 - Legal authenticator name
Control1..1
TypeHumanName
58. Header.legalAuthenticator.organizationID
Definition

The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

ShortA.1.7.3 - Legal authenticator organisation ID
Control0..*
TypeIdentifier
60. Header.legalAuthenticator.organization
Definition

The healthcare provider organisation information.

ShortA.1.7.4 - Legal authenticator organisation
Control1..1
TypeBackboneElement
62. Header.legalAuthenticator.dateTime
Definition

Date and time when the document was authorised.

ShortA.1.7.5 - Authentication date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
64. Header.documentMetadata
Definition

Document metadata

ShortA.1.8 - Document metadata
Control1..1
TypeBackboneElement
66. Header.documentMetadata.identifier
Definition

Unique identifier of the document

ShortA.1.8.1 - Document ID
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
TypeIdentifier
68. Header.documentMetadata.type
Definition

Identifies the type of document at hand, e.g. Hospital discharge report.

ShortA.1.8.2 - Document type
Control1..1
TypeCodeableConcept
70. Header.documentMetadata.status
Definition

The status of the Hospital discharge report. E.g., preliminary, final.

ShortA.1.8.3 - Document status
Control1..1
TypeCodeableConcept
72. Header.documentMetadata.dateTime
Definition

Date and time of the Hospital discharge report creation.

ShortA.1.8.4 - Report date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
74. Header.documentMetadata.title
Definition

Document title, fix value "Hospital discharge report".

ShortA.1.8.5 - Document title
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
76. Header.documentMetadata.custodian
Definition

Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

ShortA.1.8.6 - Report custodian
Control1..1
TypeBackboneElement
78. Header.documentMetadata.confidentiality
Definition

Level of confidentiality of the document. Implicit value is normal.

ShortA.1.8.7 - Confidentiality
Control1..1
TypeCodeableConcept
80. Header.documentMetadata.language
Definition

Language in which the document is written. Language is expressed by the ISO language code.

ShortA.1.8.8 - Language
Control1..1
TypeCodeableConcept
82. Header.documentMetadata.version
Definition

Version of the document

ShortA.1.8.9 - Version
NoteThis is a business version Id, not a resource version Id (see discussion)
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. Header
Definition

Hospital Discharge Report - Hospital Discharge Report header data element - A.1 eHN

ShortA.1 - Hospital Discharge Report header data element
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Header.subject
Definition

Identification of the patient/subject and Patient/subject related contact information

ShortA.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Subject
4. Header.payer
Definition

Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

ShortA.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Header.payer.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
8. Header.payer.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 Header.payer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. Header.payer.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())
    12. Header.payer.insuranceCode
    Definition

    Unique health insurance company identification code.

    ShortA.1.3.1 - Health insurance code
    Control0..1
    TypeIdentifier
    14. Header.payer.insuranceName
    Definition

    Full, official name of the healthcare insurance provider.

    ShortA.1.3.2 - Health insurance name
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. Header.payer.insuranceNumber
    Definition

    Number or code under which the insured person is registered at the insurance provider.

    ShortA.1.3.3 - Health insurance number
    Control0..1
    TypeIdentifier
    18. Header.informationRecipient
    Definition

    Information recipient - (intended recipient or recipients of the report), if applicable

    ShortA.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Header.informationRecipient.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
    22. Header.informationRecipient.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 Header.informationRecipient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 24. Header.informationRecipient.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. Header.informationRecipient.identifier
      Definition

      The health professional or patient identifier. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier could be used.

      ShortA.1.4.1 - Recipient identifier
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier
      28. Header.informationRecipient.name
      Definition

      Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

      ShortA.1.4.2 - Recipient name
      Control0..1
      TypeHumanName
      30. Header.informationRecipient.organizationID
      Definition

      The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

      ShortA.1.4.3 - Recipient organisation ID
      Control0..*
      TypeIdentifier
      32. Header.informationRecipient.organization
      Definition

      The healthcare provider organisation information.

      ShortA.1.4.4 - Recipient organisation
      Control0..1
      TypeBackboneElement
      34. Header.informationRecipient.address
      Definition

      Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

      ShortA.1.4.5 - Address
      Control0..1
      TypeAddress
      36. Header.informationRecipient.country
      Definition

      Country of the intended recipient as part of the address.

      ShortA.1.4.6 - Country
      Control1..1
      TypeCodeableConcept
      38. Header.informationRecipient.telecom
      Definition

      Telecommunication contact information (addresses) associated to a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

      ShortA.1.4.7 - Telecom
      Control0..*
      TypeContactPoint
      40. Header.author
      Definition

      Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.

      ShortA.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
      Control1..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Header.author.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
      44. Header.author.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 Header.author.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 46. Header.author.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())
        48. Header.author.identifier
        Definition

        The health professional identifier that will allow addressing recipients within a national or international data exchange infrastructure, such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier should be used.

        ShortA.1.5.1 - Author identifier
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control1..*
        TypeIdentifier
        50. Header.author.name
        Definition

        Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

        ShortA.1.5.2 - Author name
        Control1..1
        TypeHumanName
        52. Header.author.organizationID
        Definition

        The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

        ShortA.1.5.3 - Author organisation ID
        Control0..*
        TypeIdentifier
        54. Header.author.organization
        Definition

        The healthcare provider organisation information.

        ShortA.1.5.4 - Author organisation
        Control1..1
        TypeBackboneElement
        56. Header.author.dateTime
        Definition

        Date and time of the last modification of the document by its Author.

        ShortA.1.5.5 - Date Time
        Control1..1
        TypedateTime
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        58. Header.attester
        Definition

        Attester (multiple attesters could be provided)

        ShortA.1.6 - Attester (multiple attesters could be provided)
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. Header.attester.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. Header.attester.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 Header.attester.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 64. Header.attester.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. Header.attester.identifier
          Definition

          The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

          ShortA.1.6.1 - Attester identifier
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control1..*
          TypeIdentifier
          68. Header.attester.name
          Definition

          Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

          ShortA.1.6.2 - Attester name
          Control1..1
          TypeHumanName
          70. Header.attester.organizationID
          Definition

          The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

          ShortA.1.6.3 - Attester organisation ID
          Control0..*
          TypeIdentifier
          72. Header.attester.organization
          Definition

          The healthcare provider organisation information.

          ShortA.1.6.4 - Attester organisation
          Control1..1
          TypeBackboneElement
          74. Header.attester.dateTime
          Definition

          Date and time of the approval of the document by Attester.

          ShortA.1.6.5 - Approval date and time
          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          76. Header.legalAuthenticator
          Definition

          Legal authenticator (The person taking responsibility for the medical content of the document)

          ShortA.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          78. Header.legalAuthenticator.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
          80. Header.legalAuthenticator.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 Header.legalAuthenticator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 82. Header.legalAuthenticator.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())
            84. Header.legalAuthenticator.identifier
            Definition

            The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. Multiple identifiers could be provided.

            ShortA.1.7.1 - Legal authenticator identifier
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control1..*
            TypeIdentifier
            86. Header.legalAuthenticator.name
            Definition

            Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

            ShortA.1.7.2 - Legal authenticator name
            Control1..1
            TypeHumanName
            88. Header.legalAuthenticator.organizationID
            Definition

            The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

            ShortA.1.7.3 - Legal authenticator organisation ID
            Control0..*
            TypeIdentifier
            90. Header.legalAuthenticator.organization
            Definition

            The healthcare provider organisation information.

            ShortA.1.7.4 - Legal authenticator organisation
            Control1..1
            TypeBackboneElement
            92. Header.legalAuthenticator.dateTime
            Definition

            Date and time when the document was authorised.

            ShortA.1.7.5 - Authentication date and time
            Control1..1
            TypedateTime
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            94. Header.documentMetadata
            Definition

            Document metadata

            ShortA.1.8 - Document metadata
            Control1..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            96. Header.documentMetadata.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
            98. Header.documentMetadata.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 Header.documentMetadata.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 100. Header.documentMetadata.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())
              102. Header.documentMetadata.identifier
              Definition

              Unique identifier of the document

              ShortA.1.8.1 - Document ID
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control1..1
              TypeIdentifier
              104. Header.documentMetadata.type
              Definition

              Identifies the type of document at hand, e.g. Hospital discharge report.

              ShortA.1.8.2 - Document type
              Control1..1
              TypeCodeableConcept
              106. Header.documentMetadata.status
              Definition

              The status of the Hospital discharge report. E.g., preliminary, final.

              ShortA.1.8.3 - Document status
              Control1..1
              TypeCodeableConcept
              108. Header.documentMetadata.dateTime
              Definition

              Date and time of the Hospital discharge report creation.

              ShortA.1.8.4 - Report date and time
              Control1..1
              TypedateTime
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              110. Header.documentMetadata.title
              Definition

              Document title, fix value "Hospital discharge report".

              ShortA.1.8.5 - Document title
              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              112. Header.documentMetadata.custodian
              Definition

              Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

              ShortA.1.8.6 - Report custodian
              Control1..1
              TypeBackboneElement
              114. Header.documentMetadata.confidentiality
              Definition

              Level of confidentiality of the document. Implicit value is normal.

              ShortA.1.8.7 - Confidentiality
              Control1..1
              TypeCodeableConcept
              116. Header.documentMetadata.language
              Definition

              Language in which the document is written. Language is expressed by the ISO language code.

              ShortA.1.8.8 - Language
              Control1..1
              TypeCodeableConcept
              118. Header.documentMetadata.version
              Definition

              Version of the document

              ShortA.1.8.9 - Version
              NoteThis is a business version Id, not a resource version Id (see discussion)
              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. Header
              Definition

              Hospital Discharge Report - Hospital Discharge Report header data element - A.1 eHN

              ShortA.1 - Hospital Discharge Report header data element
              Control0..*
              Is Modifierfalse
              Logical ModelInstances of this logical model are not marked to be the target of a Reference
              2. Header.subject
              Definition

              Identification of the patient/subject and Patient/subject related contact information

              ShortA.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
              Control1..1
              Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Subject
              4. Header.payer
              Definition

              Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.

              ShortA.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
              Control0..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. Header.payer.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
              8. Header.payer.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 Header.payer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 10. Header.payer.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())
                12. Header.payer.insuranceCode
                Definition

                Unique health insurance company identification code.

                ShortA.1.3.1 - Health insurance code
                Control0..1
                TypeIdentifier
                14. Header.payer.insuranceName
                Definition

                Full, official name of the healthcare insurance provider.

                ShortA.1.3.2 - Health insurance name
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                16. Header.payer.insuranceNumber
                Definition

                Number or code under which the insured person is registered at the insurance provider.

                ShortA.1.3.3 - Health insurance number
                Control0..1
                TypeIdentifier
                18. Header.informationRecipient
                Definition

                Information recipient - (intended recipient or recipients of the report), if applicable

                ShortA.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
                Control0..*
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                20. Header.informationRecipient.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
                22. Header.informationRecipient.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 Header.informationRecipient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 24. Header.informationRecipient.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. Header.informationRecipient.identifier
                  Definition

                  The health professional or patient identifier. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier could be used.

                  ShortA.1.4.1 - Recipient identifier
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1
                  TypeIdentifier
                  28. Header.informationRecipient.name
                  Definition

                  Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                  ShortA.1.4.2 - Recipient name
                  Control0..1
                  TypeHumanName
                  30. Header.informationRecipient.organizationID
                  Definition

                  The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

                  ShortA.1.4.3 - Recipient organisation ID
                  Control0..*
                  TypeIdentifier
                  32. Header.informationRecipient.organization
                  Definition

                  The healthcare provider organisation information.

                  ShortA.1.4.4 - Recipient organisation
                  Control0..1
                  TypeBackboneElement
                  34. Header.informationRecipient.address
                  Definition

                  Mailing and home or office addresses. The addresses are always sequences of address parts (e.g. street address line, country, postcode, city) even if postal address formats may vary depending on the country. An address may or may not include a specific use code; if this attribute is not present it is assumed to be the default address useful for any purpose.

                  ShortA.1.4.5 - Address
                  Control0..1
                  TypeAddress
                  36. Header.informationRecipient.country
                  Definition

                  Country of the intended recipient as part of the address.

                  ShortA.1.4.6 - Country
                  Control1..1
                  TypeCodeableConcept
                  38. Header.informationRecipient.telecom
                  Definition

                  Telecommunication contact information (addresses) associated to a person, such as phone number, email, or messaging service. Multiple telecommunication addresses might be provided.

                  ShortA.1.4.7 - Telecom
                  Control0..*
                  TypeContactPoint
                  40. Header.author
                  Definition

                  Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.

                  ShortA.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
                  Control1..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  42. Header.author.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
                  44. Header.author.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 Header.author.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 46. Header.author.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())
                    48. Header.author.identifier
                    Definition

                    The health professional identifier that will allow addressing recipients within a national or international data exchange infrastructure, such as the licence or registration number. In case when the recipient is not a health professional, e.g. patient, appropriate personal identifier should be used.

                    ShortA.1.5.1 - Author identifier
                    NoteThis is a business identifier, not a resource identifier (see discussion)
                    Control1..*
                    TypeIdentifier
                    50. Header.author.name
                    Definition

                    Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                    ShortA.1.5.2 - Author name
                    Control1..1
                    TypeHumanName
                    52. Header.author.organizationID
                    Definition

                    The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

                    ShortA.1.5.3 - Author organisation ID
                    Control0..*
                    TypeIdentifier
                    54. Header.author.organization
                    Definition

                    The healthcare provider organisation information.

                    ShortA.1.5.4 - Author organisation
                    Control1..1
                    TypeBackboneElement
                    56. Header.author.dateTime
                    Definition

                    Date and time of the last modification of the document by its Author.

                    ShortA.1.5.5 - Date Time
                    Control1..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    58. Header.attester
                    Definition

                    Attester (multiple attesters could be provided)

                    ShortA.1.6 - Attester (multiple attesters could be provided)
                    Control0..*
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    60. Header.attester.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. Header.attester.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 Header.attester.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 64. Header.attester.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. Header.attester.identifier
                      Definition

                      The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.

                      ShortA.1.6.1 - Attester identifier
                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control1..*
                      TypeIdentifier
                      68. Header.attester.name
                      Definition

                      Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                      ShortA.1.6.2 - Attester name
                      Control1..1
                      TypeHumanName
                      70. Header.attester.organizationID
                      Definition

                      The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

                      ShortA.1.6.3 - Attester organisation ID
                      Control0..*
                      TypeIdentifier
                      72. Header.attester.organization
                      Definition

                      The healthcare provider organisation information.

                      ShortA.1.6.4 - Attester organisation
                      Control1..1
                      TypeBackboneElement
                      74. Header.attester.dateTime
                      Definition

                      Date and time of the approval of the document by Attester.

                      ShortA.1.6.5 - Approval date and time
                      Control1..1
                      TypedateTime
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      76. Header.legalAuthenticator
                      Definition

                      Legal authenticator (The person taking responsibility for the medical content of the document)

                      ShortA.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
                      Control0..1
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      78. Header.legalAuthenticator.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
                      80. Header.legalAuthenticator.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 Header.legalAuthenticator.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 82. Header.legalAuthenticator.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())
                        84. Header.legalAuthenticator.identifier
                        Definition

                        The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number. Multiple identifiers could be provided.

                        ShortA.1.7.1 - Legal authenticator identifier
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..*
                        TypeIdentifier
                        86. Header.legalAuthenticator.name
                        Definition

                        Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].

                        ShortA.1.7.2 - Legal authenticator name
                        Control1..1
                        TypeHumanName
                        88. Header.legalAuthenticator.organizationID
                        Definition

                        The healthcare provider organisation identifier. Identifier that is unique within a defined scope. Example: National healthcare provider ID. Multiple identifiers could be provided.

                        ShortA.1.7.3 - Legal authenticator organisation ID
                        Control0..*
                        TypeIdentifier
                        90. Header.legalAuthenticator.organization
                        Definition

                        The healthcare provider organisation information.

                        ShortA.1.7.4 - Legal authenticator organisation
                        Control1..1
                        TypeBackboneElement
                        92. Header.legalAuthenticator.dateTime
                        Definition

                        Date and time when the document was authorised.

                        ShortA.1.7.5 - Authentication date and time
                        Control1..1
                        TypedateTime
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        94. Header.documentMetadata
                        Definition

                        Document metadata

                        ShortA.1.8 - Document metadata
                        Control1..1
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        96. Header.documentMetadata.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
                        98. Header.documentMetadata.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 Header.documentMetadata.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 100. Header.documentMetadata.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())
                          102. Header.documentMetadata.identifier
                          Definition

                          Unique identifier of the document

                          ShortA.1.8.1 - Document ID
                          NoteThis is a business identifier, not a resource identifier (see discussion)
                          Control1..1
                          TypeIdentifier
                          104. Header.documentMetadata.type
                          Definition

                          Identifies the type of document at hand, e.g. Hospital discharge report.

                          ShortA.1.8.2 - Document type
                          Control1..1
                          TypeCodeableConcept
                          106. Header.documentMetadata.status
                          Definition

                          The status of the Hospital discharge report. E.g., preliminary, final.

                          ShortA.1.8.3 - Document status
                          Control1..1
                          TypeCodeableConcept
                          108. Header.documentMetadata.dateTime
                          Definition

                          Date and time of the Hospital discharge report creation.

                          ShortA.1.8.4 - Report date and time
                          Control1..1
                          TypedateTime
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          110. Header.documentMetadata.title
                          Definition

                          Document title, fix value "Hospital discharge report".

                          ShortA.1.8.5 - Document title
                          Control1..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          112. Header.documentMetadata.custodian
                          Definition

                          Organisation that is in charge of maintaining the report [this element will include organisation ID, name, address etc., as other elements describing organisations].

                          ShortA.1.8.6 - Report custodian
                          Control1..1
                          TypeBackboneElement
                          114. Header.documentMetadata.confidentiality
                          Definition

                          Level of confidentiality of the document. Implicit value is normal.

                          ShortA.1.8.7 - Confidentiality
                          Control1..1
                          TypeCodeableConcept
                          116. Header.documentMetadata.language
                          Definition

                          Language in which the document is written. Language is expressed by the ISO language code.

                          ShortA.1.8.8 - Language
                          Control1..1
                          TypeCodeableConcept
                          118. Header.documentMetadata.version
                          Definition

                          Version of the document

                          ShortA.1.8.9 - Version
                          NoteThis is a business version Id, not a resource version Id (see discussion)
                          Control0..1
                          Typestring
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension