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

Artifacts Summary

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

eHN Hospital Discharge Report Guidelines (Informative)

Logical models representing the eHN Hospital Discharge Report Guidelines. This is informative material.

A - Hospital Discharge Report (eHN)

Hospital Discharge Report

A.1 - Hospital Discharge Report header data element

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

A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject

Hospital Discharge Report - Hospital Discharge Report subject data element - A.1.1 and A.1.2 eHN

A.2.1 - Advance Directives (eHN)

Hospital Discharge Report - Advance Directives - A.2.1 eHN

A.2.2 - Alerts (eHN)

Hospital Discharge Report - Alerts - A.2.2 eHN

A.2.3 - Encounter (eHN)

Hospital Discharge Report - Encounter - A.2.3 eHN

A.2.4 - Admission evaluation (eHN)

Hospital Discharge Report - Admission evaluation - A.2.4 eHN

A.2.5 - Patient history (eHN)

Hospital Discharge Report - Patient history - A.2.5 eHN

A.2.6 - Hospital stay (eHN)

Hospital Discharge Report - Hospital stay - A.2.6 eHN

A.2.7 - Discharge details (eHN)

Hospital Discharge Report - Discharge details - A.2.7 eHN

A.2.7.1 - Objective findings

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

A.2.7.2 - Functional status

Hospital Discharge Report - Functional status - A.2.7.2 eHN

A.2.8.1 - Care plan

Hospital Discharge Report - Care plan after discharge - A.2.8.1 eHN

A.2.8.2 - Medication summary

Hospital Discharge Report - Medication Summary after discharge - A.2.8.2 eHN

eHN Logical Model mappings (Informative)

Concept Maps describing how the data set specified by the eHN Laboratory Guidelines is supposed to be implemented by using this guide. Informative for this version of the guide.

eHN Advance Directives Model to this guide Map

eHN HDR Advance Directives Model to this guide mapping

eHN Alerts Model to this guide Map

eHN HDR Alerts Model to this guide mapping

eHN Encounter Model to this guide Map

eHN HDR Encounter Model to this guide mapping

eHN HDR Model to this guide Map

eHN Hospital Discharge Report Model to this guide mapping

eHN Header Model to this guide Map

eHN HDR Header Model to this guide mapping

eHN Medication Summary Model to this guide Map

eHN HDR Medication Summary Model to this guide Map

eHN Plan of Care Model to this guide Map

eHN HDR Plan of Care Model to this guide Map

eHN Subject Model to this guide Map

eHN HDR Subject Model to this guide mapping

Structures: Resource Profiles

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

Allergy Intolerance (EU PS)

This profile constrains the AllergyIntolerance resource for the purpose of the European patient summary.

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.

Encounter (HDR)

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

Flag (EU PS)

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

Location (HDR)

This profile sets minimum expectations for the Location resource to be used for the purpose of this guide.

Medication (HDR)

This profile constrains the Medication 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.

Organization (HDR)

This profile sets minimum expectations for the Organization resource to searching for and fetching an Organization associated with a patient or provider for the purpose of this guide.

Patient (HDR)

This profile defines how to represent a human Patient in HL7 FHIR for the purpose of this guide. When the ips-pat-1 invariant is satisfied (Patient.name.given, Patient.name.family or Patient.name.text SHALL be present) then this profile complies with the IPS patient profile.

Practitioner (HDR)

This profile defines how to represent Practitioners in FHIR for the purpose of the HL7 Europe project.

PractitionerRole: (HDR)

This profile defines how to represent Practitioners (with their roles) in FHIR for the purpose of the HL7 Europe project.

Structures: Extension Definitions

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

Medication - Characteristic

Any characteristic of the medicinal product prescribed or dispensed (for example, price, textual package description, special program information, etc)

Medication - Classification

Medication classification/category. Allows the product to be classified by various systems, e.g ATC, narcotic class, legal status of supply, etc..

Medication - Device

Device, typically an administration device, included in the medicinal product.

Medication - Product Name

Name of the medicinal product. This is typically the name of a real product as registered. This element should not contain display names of virtual product concepts.

Medication - Size of Item

Size of a manufactured item or unit of presentation. For example, size of one vial in a package that may contain several vials.

Medication - Strength substance

Substance for marking the basis of strength. When the precise active ingredient is a salt, the strength is often provided for the active moiety (basis of strength).

Medication - Strength type

Strength type (e.g. concentration strength, presentation strength)

Medication - Unit of presentation

Unit of presentation, typically describing the smallest countable package item (e.g tablet, vial, ampoule, etc). Unit of presentation is also often used in describing pack size and the denominator of strength. If the size of presentation unit is relevant, it should be described in sizeOfItem extension.

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.

Allergy Intolerance

Allergy intolerance substances value set. This value set includes codes from SNOMED Clinical Terms®: all descendants of 373873005 |Pharmaceutical / biologic product (product)|; all descendants of 105590001 |Substance (substance)|; all descendants of 418038007 |Propensity to adverse reactions to substance (finding)|

Allergy Intolerance (with exceptions)

Allergy intolerance codes value set. This value set includes codes from SNOMED Clinical Terms®: all descendants of 373873005 |Pharmaceutical / biologic product (product)|; all descendants of 105590001 |Substance (substance)|; all descendants of 418038007 |Propensity to adverse reactions to substance (finding)| plus codes for absent and unknown allergies.

Anthropometric Observation Value Set

Anthropometric observation codes from the XpanDH anthropometric observations.

BMI Observation Unit Value Set

Body mass index observation units for the XpanDH BMI observations.

BMI Observation Value Set

Body mass index observation codes from the XpanDH BMI observation.

Body Height Observation Value Set

Body height observation codes from the XpanDH body height observations.

Body Weight Observation Value Set

Body weight observation codes from the XpanDH body weight observations.

Body Weight Observation Value Set

Body weight observation codes from the XpanDH body weight observations.

Cancer Stage Grading: Snomed CT

Identifying codes based on the timing of classification for stage group observations.

Cancer Stage Group: SNOMED CT

Identifying codes based on the timing of classification for stage group observations.

Circumference Observation Value Set

Circumference observation codes from the XpanDH Circumference observations.

Clinical M

Distant metastazis (M) clinical category

Clinical N

Regional lymph nodes (N) clinical category

Clinical T

Primary tumor (T) clinical category

Clinical T

Primary tumor (T) pathological category

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 …

Encounter Voluntary Status Value Set

Value set of voluntary nature of the encounter.

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

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

Mandatory Condition Value Set

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

Medical Devices (SNOMED CT) - Xpandh

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.

Observation Codes for Distant Metastases Category

Identifying codes based on the timing of classification for distant metastases (M) staging observations.

Observation Codes for Primary Tumor Category

Identifying codes based on the timing of classification for primary tumor (T) staging observations.

Observation Codes for Regional Node Category

Identifying codes based on the timing of classification for regional node (N) staging observations.

Pathological M

Distant metastazis (M) pathological category

Pathological N

Regional lymph nodes (N) pathological category

Primary tumor T

Primary tumor (T) category

Skinfold Thickness Units Value Set

Skinfold Thickness observation units for the XpanDH Skinfold Thickness observations.

Skinfold Thickness Value Set

Skinfold Thickness observation codes from the XpanDH Skinfold Thickness observations.

TNM M Category

Distant metastazis (M) category

TNM N Category

Regional lymph nodes (N) category

Treatment Class Value Set

Value set for category of treatement of the conditoin during encounter.

Vital Signs Observation Value Set

The vital sign obsevrvation codes from the XpanDH Vital Signs.

Xpandh Assessment Observation Category

Used to classify the context of a survey, screening or assessment for assessment observations and may be used to assist with indexing and searching for appropriate instances.

Xpandh Functional Assessment Scales

Used to specify type of functional assessment scale. May be used to assist with indexing and searching for appropriate instances.

Terminology: Code Systems

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

Present on Admission (POA) Indicator

Present on Admission (POA) indicators

WHO Disability Assessment Schedule 2.0

WHODAS 2.0 provides a common metric of the impact of any health condition in terms of functioning. HODAS 2.0 produces domain-specific scores for six different functioning domains – cognition, mobility, self-care, getting along, life activities (household and work) and participation.

Xpandh Assessment Category

Category codes used in Xpandh Profiles such as the Xpandh Assessment Observation Profile. The are typically used when there is a need for categorization for searching and finding resources or workflow hints.