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 2024-11-06

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.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())
8. Header.payer.insuranceCode
Definition

Unique health insurance company identification code.

ShortA.1.3.1 - Health insurance code
Control0..1
TypeIdentifier
10. 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
12. 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
14. 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()))
16. 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())
18. 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
20. 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
22. 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
24. Header.informationRecipient.organization
Definition

The healthcare provider organisation information.

ShortA.1.4.4 - Recipient organisation
Control0..1
TypeBackboneElement
26. 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
28. Header.informationRecipient.country
Definition

Country of the intended recipient as part of the address.

ShortA.1.4.6 - Country
Control1..1
TypeCodeableConcept
30. 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
32. 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()))
34. 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())
36. 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
38. 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
40. 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
42. Header.author.organization
Definition

The healthcare provider organisation information.

ShortA.1.5.4 - Author organisation
Control1..1
TypeBackboneElement
44. 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
46. 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()))
48. 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())
50. 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
52. 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
54. 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
56. Header.attester.organization
Definition

The healthcare provider organisation information.

ShortA.1.6.4 - Attester organisation
Control1..1
TypeBackboneElement
58. 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
60. 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()))
62. 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())
64. 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
66. 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
68. 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
70. Header.legalAuthenticator.organization
Definition

The healthcare provider organisation information.

ShortA.1.7.4 - Legal authenticator organisation
Control1..1
TypeBackboneElement
72. 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
74. 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()))
76. 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())
78. 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
80. 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
82. Header.documentMetadata.status
Definition

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

ShortA.1.8.3 - Document status
Control1..1
TypeCodeableConcept
84. 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
86. 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
88. 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
90. Header.documentMetadata.confidentiality
Definition

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

ShortA.1.8.7 - Confidentiality
Control1..1
TypeCodeableConcept
92. 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
94. 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