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
Draft as of 2024-11-06 |
Definitions for the Recommendations logical model.
Guidance on how to interpret the contents of this table can be found here
0. Recommendations | |
Definition | Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN |
Short | A.2.9 - Care plan and other recommendations after discharge (eHN) |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. Recommendations.carePlan | |
Definition | Care plan after discharge. Multiple care plans could be provided. |
Short | A.2.9.1 - Care plan |
Control | 0..* |
Type | BackboneElement |
4. Recommendations.carePlan.title | |
Definition | Human-friendly name for the care plan (e.g. Hip replacement care plan) |
Short | A.2.9.1.1 - Title |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
6. Recommendations.carePlan.addresses | |
Definition | Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. This element provides a linkage to the conditions recorded in the diagnostic summary section. |
Short | A.2.9.1.2 - Addresses |
Control | 0..* |
Type | CodeableConcept |
8. Recommendations.carePlan.description | |
Definition | A description of the scope and nature of the plan. |
Short | A.2.9.1.3 - Description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
10. Recommendations.carePlan.planPeriod | |
Definition | Indicates when the plan did (or is intended to) come into effect and end. |
Short | A.2.9.1.4 - Plan Period |
Control | 0..1 |
Type | Period |
12. Recommendations.carePlan.details | |
Definition | Other structured and coded details, care team, goals to be achieved. |
Short | A.2.9.1.5 - Other details |
Control | 0..* |
Type | BackboneElement |
14. Recommendations.carePlan.activity | |
Definition | Actions to occur as part of the plan. |
Short | A.2.9.1.6 - Activity |
Control | 0..* |
Type | BackboneElement |
16. Recommendations.carePlan.activity.kind | |
Definition | A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. |
Short | A.2.9.1.6.1 - Kind |
Control | 0..1 |
Type | CodeableConcept |
18. Recommendations.carePlan.activity.description | |
Definition | A detailed description of the activity. |
Short | A.2.9.1.6.2 - Activity description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
20. Recommendations.carePlan.activity.attribute | |
Definition | Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc. |
Short | A.2.9.1.6.3 - Specific attributes |
Control | 0..* |
Type | BackboneElement |
22. 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. |
Short | A.2.9.2 - Medication summary |
Control | 1..* |
Type | BackboneElement |
24. Recommendations.medicationSummary.reason | |
Definition | The reason why the medication is or was prescribed or used. It provides a link to the Past or current health condition(s) or problem(s) that the patient has had or has and for which this medication was prescribed. |
Short | A.2.9.2.1 - Medication reason |
Control | 0..* |
Type | CodeableConcept |
26. Recommendations.medicationSummary.changeReason | |
Definition | Reason for change of medication |
Short | A.2.9.2.2 - Reason for change |
Control | 0..1 |
Type | CodeableConcept |
28. Recommendations.medicationSummary.productCode | |
Definition | Product code. |
Short | A.2.9.2.3 - Code |
Control | 1..1 |
Type | CodeableConcept |
30. Recommendations.medicationSummary.productName | |
Definition | Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU) |
Short | A.2.9.2.4 - Brand name |
Control | 1..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
32. Recommendations.medicationSummary.activeIngredient | |
Definition | Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: 'paracetamol' |
Short | A.2.9.2.5 - Active ingredient list |
Control | 0..* |
Type | CodeableConcept |
34. Recommendations.medicationSummary.strength | |
Definition | The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet |
Short | A.2.9.2.6 - Strength |
Control | 0..* |
Type | Ratio |
36. Recommendations.medicationSummary.doseForm | |
Definition | The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup) |
Short | A.2.9.2.7 - Pharmaceutical dose form |
Control | 0..1 |
Type | CodeableConcept |
38. Recommendations.medicationSummary.dosageRegimen | |
Definition | Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days |
Short | A.2.9.2.8 - Dosage Regimen |
Control | 0..* |
Type | BackboneElement |
40. Recommendations.medicationSummary.route | |
Definition | Path by which the pharmaceutical product is taken into or makes contact with the body. |
Short | A.2.9.2.9 - Route of administration |
Control | 0..1 |
Type | CodeableConcept |
42. Recommendations.medicationSummary.period | |
Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking). |
Short | A.2.9.2.10 - Period of treatment |
Control | 0..1 |
Type | Period |
44. Recommendations.medicationSummary.daysSupplied | |
Definition | Number of days for which the patient was provided with the drug. Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug) |
Short | A.2.9.2.11 - Days supplied |
Control | 1..1 |
Type | BackboneElement |
46. Recommendations.Recommendations | |
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. |
Short | A.2.9.3 - Other recommendations |
Control | 0..* |
Type | string |
Primitive Value | This 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. Recommendations | |
Definition | Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN |
Short | A.2.9 - Care plan and other recommendations after discharge (eHN) |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. Recommendations.carePlan | |
Definition | Care plan after discharge. Multiple care plans could be provided. |
Short | A.2.9.1 - Care plan |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
4. Recommendations.carePlan.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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
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 Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
6. Recommendations.carePlan.title | |
Definition | Human-friendly name for the care plan (e.g. Hip replacement care plan) |
Short | A.2.9.1.1 - Title |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
8. Recommendations.carePlan.addresses | |
Definition | Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. This element provides a linkage to the conditions recorded in the diagnostic summary section. |
Short | A.2.9.1.2 - Addresses |
Control | 0..* |
Type | CodeableConcept |
10. Recommendations.carePlan.description | |
Definition | A description of the scope and nature of the plan. |
Short | A.2.9.1.3 - Description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
12. Recommendations.carePlan.planPeriod | |
Definition | Indicates when the plan did (or is intended to) come into effect and end. |
Short | A.2.9.1.4 - Plan Period |
Control | 0..1 |
Type | Period |
14. Recommendations.carePlan.details | |
Definition | Other structured and coded details, care team, goals to be achieved. |
Short | A.2.9.1.5 - Other details |
Control | 0..* |
Type | BackboneElement |
16. Recommendations.carePlan.activity | |
Definition | Actions to occur as part of the plan. |
Short | A.2.9.1.6 - Activity |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
18. Recommendations.carePlan.activity.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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
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 Names | extensions, user content, modifiers |
Invariants | ele-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()) |
20. Recommendations.carePlan.activity.kind | |
Definition | A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. |
Short | A.2.9.1.6.1 - Kind |
Control | 0..1 |
Type | CodeableConcept |
22. Recommendations.carePlan.activity.description | |
Definition | A detailed description of the activity. |
Short | A.2.9.1.6.2 - Activity description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
24. Recommendations.carePlan.activity.attribute | |
Definition | Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc. |
Short | A.2.9.1.6.3 - Specific attributes |
Control | 0..* |
Type | BackboneElement |
26. 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. |
Short | A.2.9.2 - Medication summary |
Control | 1..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
28. Recommendations.medicationSummary.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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
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 Names | extensions, user content, modifiers |
Invariants | ele-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()) |
30. Recommendations.medicationSummary.reason | |
Definition | The reason why the medication is or was prescribed or used. It provides a link to the Past or current health condition(s) or problem(s) that the patient has had or has and for which this medication was prescribed. |
Short | A.2.9.2.1 - Medication reason |
Control | 0..* |
Type | CodeableConcept |
32. Recommendations.medicationSummary.changeReason | |
Definition | Reason for change of medication |
Short | A.2.9.2.2 - Reason for change |
Control | 0..1 |
Type | CodeableConcept |
34. Recommendations.medicationSummary.productCode | |
Definition | Product code. |
Short | A.2.9.2.3 - Code |
Control | 1..1 |
Type | CodeableConcept |
36. Recommendations.medicationSummary.productName | |
Definition | Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU) |
Short | A.2.9.2.4 - Brand name |
Control | 1..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
38. Recommendations.medicationSummary.activeIngredient | |
Definition | Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: 'paracetamol' |
Short | A.2.9.2.5 - Active ingredient list |
Control | 0..* |
Type | CodeableConcept |
40. Recommendations.medicationSummary.strength | |
Definition | The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet |
Short | A.2.9.2.6 - Strength |
Control | 0..* |
Type | Ratio |
42. Recommendations.medicationSummary.doseForm | |
Definition | The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup) |
Short | A.2.9.2.7 - Pharmaceutical dose form |
Control | 0..1 |
Type | CodeableConcept |
44. Recommendations.medicationSummary.dosageRegimen | |
Definition | Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days |
Short | A.2.9.2.8 - Dosage Regimen |
Control | 0..* |
Type | BackboneElement |
46. Recommendations.medicationSummary.route | |
Definition | Path by which the pharmaceutical product is taken into or makes contact with the body. |
Short | A.2.9.2.9 - Route of administration |
Control | 0..1 |
Type | CodeableConcept |
48. Recommendations.medicationSummary.period | |
Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking). |
Short | A.2.9.2.10 - Period of treatment |
Control | 0..1 |
Type | Period |
50. Recommendations.medicationSummary.daysSupplied | |
Definition | Number of days for which the patient was provided with the drug. Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug) |
Short | A.2.9.2.11 - Days supplied |
Control | 1..1 |
Type | BackboneElement |
52. Recommendations.Recommendations | |
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. |
Short | A.2.9.3 - Other recommendations |
Control | 0..* |
Type | string |
Primitive Value | This 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. Recommendations | |
Definition | Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN |
Short | A.2.9 - Care plan and other recommendations after discharge (eHN) |
Control | 0..* |
Is Modifier | false |
Logical Model | Instances of this logical model are not marked to be the target of a Reference |
2. Recommendations.carePlan | |
Definition | Care plan after discharge. Multiple care plans could be provided. |
Short | A.2.9.1 - Care plan |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
4. Recommendations.carePlan.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
6. Recommendations.carePlan.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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Recommendations.carePlan.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
8. Recommendations.carePlan.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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
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 Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
10. Recommendations.carePlan.title | |
Definition | Human-friendly name for the care plan (e.g. Hip replacement care plan) |
Short | A.2.9.1.1 - Title |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
12. Recommendations.carePlan.addresses | |
Definition | Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. This element provides a linkage to the conditions recorded in the diagnostic summary section. |
Short | A.2.9.1.2 - Addresses |
Control | 0..* |
Type | CodeableConcept |
14. Recommendations.carePlan.description | |
Definition | A description of the scope and nature of the plan. |
Short | A.2.9.1.3 - Description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
16. Recommendations.carePlan.planPeriod | |
Definition | Indicates when the plan did (or is intended to) come into effect and end. |
Short | A.2.9.1.4 - Plan Period |
Control | 0..1 |
Type | Period |
18. Recommendations.carePlan.details | |
Definition | Other structured and coded details, care team, goals to be achieved. |
Short | A.2.9.1.5 - Other details |
Control | 0..* |
Type | BackboneElement |
20. Recommendations.carePlan.activity | |
Definition | Actions to occur as part of the plan. |
Short | A.2.9.1.6 - Activity |
Control | 0..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
22. Recommendations.carePlan.activity.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
24. Recommendations.carePlan.activity.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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Recommendations.carePlan.activity.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
26. Recommendations.carePlan.activity.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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
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 Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
28. Recommendations.carePlan.activity.kind | |
Definition | A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. |
Short | A.2.9.1.6.1 - Kind |
Control | 0..1 |
Type | CodeableConcept |
30. Recommendations.carePlan.activity.description | |
Definition | A detailed description of the activity. |
Short | A.2.9.1.6.2 - Activity description |
Control | 0..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
32. Recommendations.carePlan.activity.attribute | |
Definition | Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc. |
Short | A.2.9.1.6.3 - Specific attributes |
Control | 0..* |
Type | BackboneElement |
34. 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. |
Short | A.2.9.2 - Medication summary |
Control | 1..* |
Type | BackboneElement |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |
36. Recommendations.medicationSummary.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Short | Unique id for inter-element referencing |
Control | 0..1 |
Type | string |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
38. Recommendations.medicationSummary.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. |
Short | Additional 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. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-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() ) |
Slicing | This element introduces a set of slices on Recommendations.medicationSummary.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
40. Recommendations.medicationSummary.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). |
Short | Extensions 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
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 Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
42. Recommendations.medicationSummary.reason | |
Definition | The reason why the medication is or was prescribed or used. It provides a link to the Past or current health condition(s) or problem(s) that the patient has had or has and for which this medication was prescribed. |
Short | A.2.9.2.1 - Medication reason |
Control | 0..* |
Type | CodeableConcept |
44. Recommendations.medicationSummary.changeReason | |
Definition | Reason for change of medication |
Short | A.2.9.2.2 - Reason for change |
Control | 0..1 |
Type | CodeableConcept |
46. Recommendations.medicationSummary.productCode | |
Definition | Product code. |
Short | A.2.9.2.3 - Code |
Control | 1..1 |
Type | CodeableConcept |
48. Recommendations.medicationSummary.productName | |
Definition | Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU) |
Short | A.2.9.2.4 - Brand name |
Control | 1..1 |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
50. Recommendations.medicationSummary.activeIngredient | |
Definition | Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: 'paracetamol' |
Short | A.2.9.2.5 - Active ingredient list |
Control | 0..* |
Type | CodeableConcept |
52. Recommendations.medicationSummary.strength | |
Definition | The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet |
Short | A.2.9.2.6 - Strength |
Control | 0..* |
Type | Ratio |
54. Recommendations.medicationSummary.doseForm | |
Definition | The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup) |
Short | A.2.9.2.7 - Pharmaceutical dose form |
Control | 0..1 |
Type | CodeableConcept |
56. Recommendations.medicationSummary.dosageRegimen | |
Definition | Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days |
Short | A.2.9.2.8 - Dosage Regimen |
Control | 0..* |
Type | BackboneElement |
58. Recommendations.medicationSummary.route | |
Definition | Path by which the pharmaceutical product is taken into or makes contact with the body. |
Short | A.2.9.2.9 - Route of administration |
Control | 0..1 |
Type | CodeableConcept |
60. Recommendations.medicationSummary.period | |
Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking). |
Short | A.2.9.2.10 - Period of treatment |
Control | 0..1 |
Type | Period |
62. Recommendations.medicationSummary.daysSupplied | |
Definition | Number of days for which the patient was provided with the drug. Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug) |
Short | A.2.9.2.11 - Days supplied |
Control | 1..1 |
Type | BackboneElement |
64. Recommendations.Recommendations | |
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. |
Short | A.2.9.3 - Other recommendations |
Control | 0..* |
Type | string |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |