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: HospitalDischargeReportEhn - Detailed Descriptions

Draft as of 2024-11-21

Definitions for the HospitalDischargeReport logical model.

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

0. HospitalDischargeReport
Definition

Hospital Discharge Report

ShortA - Hospital Discharge Report (eHN)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HospitalDischargeReport.header
Definition

Hospital Discharge Report header data element

ShortA.1 - Hospital Discharge Report header data element
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Header
4. HospitalDischargeReport.body
Definition

Hospital Discharge Report body data element

ShortA.2 - Hospital Discharge Report body data element
Control1..1
TypeBackboneElement
6. HospitalDischargeReport.body.presentedForm
Definition

Hospital Discharge Report in its narrative form

ShortA.2.0 - Hospital Discharge Report in its narrative form
Control0..1
TypeBackboneElement
8. HospitalDischargeReport.body.advanceDirectives
Definition

Advance directives

ShortA.2.1 - Advance directives
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives
10. HospitalDischargeReport.body.alerts
Definition

Alerts

ShortA.2.2 - Alerts
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Alerts
12. HospitalDischargeReport.body.encounter
Definition

Encounter

ShortA.2.3 - Encounter
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter
14. HospitalDischargeReport.body.admissionEvaluation
Definition

Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.

ShortA.2.4 - Admission evaluation
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation
16. HospitalDischargeReport.body.patientHistory
Definition

Patient history (might include information about provenance of the information)

ShortA.2.5 - Patient history
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory
18. HospitalDischargeReport.body.hospitalStay
Definition

Course of hospitalisation (Hospital stay)

ShortA.2.6 - Course of hospitalisation (Hospital stay)
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay
20. HospitalDischargeReport.body.dischargeDetails
Definition

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

ShortA.2.7 - Discharge details
Control0..1
TypeBackboneElement
22. HospitalDischargeReport.body.dischargeDetails.objectiveFindings
Definition

Objective findings

ShortA.2.7.1 - Objective findings
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings
24. HospitalDischargeReport.body.dischargeDetails.functionalStatus
Definition

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

ShortA.2.7.2 - Functional status
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus
26. HospitalDischargeReport.body.dischargeDetails.dischargeNote
Definition

Discharge summary note

ShortA.2.7.3 - Discharge note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. HospitalDischargeReport.body.recommendations
Definition

Care plan and other recommendations after discharge.

ShortA.2.8 - Care plan and other recommendations after discharge.
Control0..1
TypeBackboneElement
30. HospitalDischargeReport.body.recommendations.carePlan
Definition

Care plan after discharge. Multiple care plans could be provided.

ShortA.2.8.1 - Care plan
Control0..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare
32. HospitalDischargeReport.body.recommendations.medicationSummary
Definition

Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

ShortA.2.8.2 - Medication summary
Control0..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary
34. HospitalDischargeReport.body.recommendations.otherRecommendations
Definition

Other recommendations (advice) after discharge. Multiple recommendations could be provided. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.

ShortA.2.8.3 - Other recommendations
Control0..*
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. HospitalDischargeReport
Definition

Hospital Discharge Report

ShortA - Hospital Discharge Report (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HospitalDischargeReport.header
Definition

Hospital Discharge Report header data element

ShortA.1 - Hospital Discharge Report header data element
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Header
4. HospitalDischargeReport.body
Definition

Hospital Discharge Report body data element

ShortA.2 - Hospital Discharge Report body data element
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. HospitalDischargeReport.body.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. HospitalDischargeReport.body.presentedForm
Definition

Hospital Discharge Report in its narrative form

ShortA.2.0 - Hospital Discharge Report in its narrative form
Control0..1
TypeBackboneElement
10. HospitalDischargeReport.body.advanceDirectives
Definition

Advance directives

ShortA.2.1 - Advance directives
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives
12. HospitalDischargeReport.body.alerts
Definition

Alerts

ShortA.2.2 - Alerts
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Alerts
14. HospitalDischargeReport.body.encounter
Definition

Encounter

ShortA.2.3 - Encounter
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter
16. HospitalDischargeReport.body.admissionEvaluation
Definition

Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.

ShortA.2.4 - Admission evaluation
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation
18. HospitalDischargeReport.body.patientHistory
Definition

Patient history (might include information about provenance of the information)

ShortA.2.5 - Patient history
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory
20. HospitalDischargeReport.body.hospitalStay
Definition

Course of hospitalisation (Hospital stay)

ShortA.2.6 - Course of hospitalisation (Hospital stay)
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay
22. HospitalDischargeReport.body.dischargeDetails
Definition

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

ShortA.2.7 - Discharge details
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. HospitalDischargeReport.body.dischargeDetails.modifierExtension
Definition

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

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

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

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

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

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

Objective findings

ShortA.2.7.1 - Objective findings
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings
28. HospitalDischargeReport.body.dischargeDetails.functionalStatus
Definition

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

ShortA.2.7.2 - Functional status
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus
30. HospitalDischargeReport.body.dischargeDetails.dischargeNote
Definition

Discharge summary note

ShortA.2.7.3 - Discharge note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. HospitalDischargeReport.body.recommendations
Definition

Care plan and other recommendations after discharge.

ShortA.2.8 - Care plan and other recommendations after discharge.
Control0..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. HospitalDischargeReport.body.recommendations.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. HospitalDischargeReport.body.recommendations.carePlan
Definition

Care plan after discharge. Multiple care plans could be provided.

ShortA.2.8.1 - Care plan
Control0..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare
38. HospitalDischargeReport.body.recommendations.medicationSummary
Definition

Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

ShortA.2.8.2 - Medication summary
Control0..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary
40. HospitalDischargeReport.body.recommendations.otherRecommendations
Definition

Other recommendations (advice) after discharge. Multiple recommendations could be provided. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.

ShortA.2.8.3 - Other recommendations
Control0..*
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. HospitalDischargeReport
Definition

Hospital Discharge Report

ShortA - Hospital Discharge Report (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HospitalDischargeReport.header
Definition

Hospital Discharge Report header data element

ShortA.1 - Hospital Discharge Report header data element
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Header
4. HospitalDischargeReport.body
Definition

Hospital Discharge Report body data element

ShortA.2 - Hospital Discharge Report body data element
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. HospitalDischargeReport.body.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. HospitalDischargeReport.body.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 HospitalDischargeReport.body.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. HospitalDischargeReport.body.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. HospitalDischargeReport.body.presentedForm
    Definition

    Hospital Discharge Report in its narrative form

    ShortA.2.0 - Hospital Discharge Report in its narrative form
    Control0..1
    TypeBackboneElement
    14. HospitalDischargeReport.body.advanceDirectives
    Definition

    Advance directives

    ShortA.2.1 - Advance directives
    Control0..1
    Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives
    16. HospitalDischargeReport.body.alerts
    Definition

    Alerts

    ShortA.2.2 - Alerts
    Control0..1
    Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Alerts
    18. HospitalDischargeReport.body.encounter
    Definition

    Encounter

    ShortA.2.3 - Encounter
    Control1..1
    Typehttp://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter
    20. HospitalDischargeReport.body.admissionEvaluation
    Definition

    Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.

    ShortA.2.4 - Admission evaluation
    Control0..1
    Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation
    22. HospitalDischargeReport.body.patientHistory
    Definition

    Patient history (might include information about provenance of the information)

    ShortA.2.5 - Patient history
    Control0..1
    Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory
    24. HospitalDischargeReport.body.hospitalStay
    Definition

    Course of hospitalisation (Hospital stay)

    ShortA.2.6 - Course of hospitalisation (Hospital stay)
    Control0..1
    Typehttp://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay
    26. HospitalDischargeReport.body.dischargeDetails
    Definition

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

    ShortA.2.7 - Discharge details
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. HospitalDischargeReport.body.dischargeDetails.id
    Definition

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

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

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

    ShortAdditional content defined by implementations
    Comments

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

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

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

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

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

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

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

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

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

      Objective findings

      ShortA.2.7.1 - Objective findings
      Control0..1
      Typehttp://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings
      36. HospitalDischargeReport.body.dischargeDetails.functionalStatus
      Definition

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

      ShortA.2.7.2 - Functional status
      Control0..1
      Typehttp://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus
      38. HospitalDischargeReport.body.dischargeDetails.dischargeNote
      Definition

      Discharge summary note

      ShortA.2.7.3 - Discharge note
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      40. HospitalDischargeReport.body.recommendations
      Definition

      Care plan and other recommendations after discharge.

      ShortA.2.8 - Care plan and other recommendations after discharge.
      Control0..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. HospitalDischargeReport.body.recommendations.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. HospitalDischargeReport.body.recommendations.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 HospitalDischargeReport.body.recommendations.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 46. HospitalDischargeReport.body.recommendations.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. HospitalDischargeReport.body.recommendations.carePlan
        Definition

        Care plan after discharge. Multiple care plans could be provided.

        ShortA.2.8.1 - Care plan
        Control0..*
        Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare
        50. HospitalDischargeReport.body.recommendations.medicationSummary
        Definition

        Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

        ShortA.2.8.2 - Medication summary
        Control0..*
        Typehttp://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary
        52. HospitalDischargeReport.body.recommendations.otherRecommendations
        Definition

        Other recommendations (advice) after discharge. Multiple recommendations could be provided. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.

        ShortA.2.8.3 - Other recommendations
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension