HL7 Europe Hospital Discharge Report
1.0.0-ci-build - 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 1.0.0-ci-build 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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Hospital Discharge Report

Hospital Discharge Report entry profiles.

Bundle (HDR)

Clinical document used to represent a Hospital Discharge Report for the scope of this guide.

Composition (HDR)

Clinical document used to represent a Hospital Discharge Report (HDR) for the scope of this guide.

Actors and Obligations (Informative)

Actors and Obligations used to describe the Hospital Discharge Report functional requirements for the specified data elements. Informative for this version of the guide.

Allergy Intolerance: obligations

This profile defines obligations for the AllergyIntolerance resource for the purpose of this project.

Bundle: obligations

This profile defines obligations for the Hospital Discharge Report for the scope of this guide.

Care Plan: obligations

This profile defines obligations for the CarePlan resource for the purpose of this guide.

Composition: obligations

This profile defines obligations for a Hospital Discharge Report (HDR) for the scope of this guide.

Condition: obligations

This profile defines obligations for the Condition in the scope of this guide. It support the Diagnostic summary part of the eHN data model adding two additional categories: First category distingueshes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatement during hospital stay (treated, untreated).

Device: obligations

This profile represents the constraints applied to the Device resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

DeviceUseStatement: obligations

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

Encounter: obligations

This profile defines obligations for Inpatient Encounter in HL7 FHIR for the scope of this guide.

Flag: obligations

This profile defines obligations for the Flag resource to represent alerts or warnings in FHIR for the purpose of this project.

HDR Consumer

Hospital Discharge Report Report Consumer: a system receiving/querying and using a Hospital Discharge Report.

HDR Creator

Hospital Discharge Report Creator: a system generating and sending/providing a Hospital Discharge Report to a Consumer or to a Repository for report storage and sharing.

HDR Repository

Hospital Discharge Report Report Repository: a system maintaining a copy of the received Hospital Discharge Report, to store and make it available for the consumers.

Human Name: obligations

This profile defines obligations for an human Patient name in FHIR for the purpose of this guide.

Immunization: obligations

This profile defines obligations for the Immunization resource for the purpose of this guide.

Medication: obligations

This profile defines obligations for the Medication resource for the purpose of this guide, adapted from the MPD work.

MedicationAdministration: obligations

This profile defines obligations for the MedicationAdministration resource for the purpose of this guide, adapted from the MPD work.

MedicationDispense: obligations

This profile defines obligations for the MedicationDispense resource for the purpose of this guide, adapted from the MPD work.

MedicationRequest: obligations

This profile defines obligations for the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.

MedicationStatement: obligations

This profile defines obligations for the MedicationStatement resource for the purpose of this guide, adapted from the MPD work.

Patient: obligations

This profile defines obligations for an human Patient in FHIR for the purpose of this guide.

Procedure: obligations

This profile defines obligations for the Procedure resource by this guide.

Specimen: obligations

This profile defines obligations for Specimen in FHIR for the purpose of this guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Care Plan (HDR)

This profile constrains the CarePlan resource for the purpose of this guide.

Device (HDR)

This profile represents the constraints applied to the Device resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

DeviceUseStatement (HDR)

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

Encounter (HDR)

This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide.

Medication (HDR)

This profile constrains the Medication resource for the purpose of this guide, adapted from the MPD work.

MedicationAdministration (HDR)

This profile constrains the MedicationAdministration resource for the purpose of this guide, adapted from the MPD work.

MedicationDispense (HDR)

This profile constrains the MedicationDispense resource for the purpose of this guide, adapted from the MPD work.

MedicationRequest (HDR)

This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Admission Urgency Value Set

Hospital Discharge Report Admission Urgency value set includes selected codes from HL7 v3-ActPriority code system.

Condition Value Set

Hospital Discharge Report Condition value set includes selected codes from recommended EU code systems for health conditions (WHO-ICD-10, SNOMED CT and Orphacodes).

Encounter Class Value Set

Hospital Discharge Report Encounter Class specifies a general class of inpatient encounter as being accute, nonaccute, emergency, short stay …

In-patient Encounter Status Value Set

Hospital Discharge Report Encounter Type allows to classify encounter using general type of care provision regimen during the inpatient encounter. Value set includes concepts from the SNOMED CT descendants of 225351009 (Care provision regime) but needs to be further dicsussed

In-patient Encounter Type Value Set

Hospital Discharge Report Encounter Type allows to classify encounter using general type of care provision regimen during the inpatient encounter. Value set includes concepts from the SNOMED CT descendants of 225351009 (Care provision regime) but needs to be further dicsussed

Medical Devices (SNOMED CT)

This value set includes codes from SNOMED Clinical Terms®: all descendants of 49062001 |Device (physical object)|.

Medical Devices - SNOMED CT + Absent/Unknown - IPS

This value set includes codes from SNOMED Clinical Terms (SNOMED CT®) that are included in: all descendants of 49062001 |Device (physical object)|, plus IPS codes for absent/unknown devices.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Temporary HDR Code System

This is a temporary code system defined to collect concepts expected required by this project, but for which international coded concepts have not been identified yet.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AllergyIntolerance: Critical Allergy to Penicillin

A high-priority allergy to Penicillin, with a specific reaction and severity.

Bundle: complete HL7 Europe Hospital Discharge Report (1)

HL7 FHIR Bundle example for HL7 Europe Hospital Discharge Report (HDR) Luigi De Luca

Bundle: complete HL7 Europe Hospital Discharge Report (2)

HL7 FHIR Bundle example for HL7 Europe Hospital Discharge Report (HDR) Reijer Wolff

Bundle: complete HL7 Europe Hospital Discharge Report (3)

HL7 FHIR Bundle example for HL7 Europe Hospital Discharge Report (HDR) Paolo Marcheschi

Bundle: complete HL7 Europe Hospital Discharge Report (4)

HL7 FHIR Bundle example for HL7 Europe Hospital Discharge Report (HDR) Fiona Swart

CarePlan: Diabetes Management Care Plan

Care plan for diabetes including referrals and HbA1c measurement.

Composition: HDR (1)

HL7 FHIR Composition example for HL7 Europe Hospital Discharge Report (HDR) Luigi De Luca

Condition: Type 2 Diabetes Mellitus

Condition for Type 2 Diabetes Mellitus, double coding with ICD-10 and SNOMED CT.

Device: Implantable Pacemaker

A sample Device resource for an implantable pacemaker, referenced in a DeviceUseStatement.

DeviceUseStatement: Implanted Pacemaker

A DeviceUseStatement documenting the use of an implanted pacemaker in the hospital discharge report.

Encounter: Hospital Admission and Discharge

A sample Encounter resource for a hospital admission and discharge.

FamilyMemberHistory: Family History of Type 2 Diabetes Mellitus - Mother

Mother has a history of type 2 diabetes mellitus.

Flag: Critical Allergy to Penicillin

A high-priority allergy alert referencing the specific AllergyIntolerance resource.

Flag: Do Not Use Left Arm

A clinical flag advising care teams to avoid using the patient's left arm for procedures.

Immunization: COVID-19

An example record of an administered COVID-19 vaccine dose.

Medication: 01A-Cefuroxime1500GenericExplicit

1A. Cefuroxime 1500mg (1.5g) powder for solution in a vial. Generic product, defined by attributes.

Medication: 01C-Cefuroxime1500Branded

1C. Cefuroxime 1500mg (1.5g) powder for solution in a vial (10 vials per package). Branded packaged product, defined by attributes.

MedicationAdministration: Paracetamol

A sample MedicationAdministration resource for Paracetamol.

MedicationDispense: 400D-dispense-1

400D-1. Medication dispense fulfilling the first part of the order: 1 package containing 10 vials

MedicationRequest: 400C-prescription-cefuroxime-singleline

400C. A prescription/request with one medication and changing dosaging. Uses 'actionable' tag. Cefuroxime sodium.

MedicationStatement: Enalapril

A sample MedicationStatement for a patient taking Enalapril, used in the context of the European Hospital Discharge Report.

Observation: ABO group

ABO blood group type in blood.

Observation: Body weight

Vital Signs observation representng the Body weight of the patient.

Organization: Erasmus MC

Organization representing the Erasmus MC, Sophia kinderziekenhuis.

Patient: Dutch Patient

Patine reosurce representing Fiona Swart, a Dutch patient.

Procedure: Sectio caesarea

A planned cesarean section procedure.