HL7 Europe Hospital Discharge Report
0.0.1-ci - ci-build
150
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
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_bd69ab8e-3835-4fb6-be83-1852a2893a65"> </a><p class="res-header-id"><b>Generated Narrative: Composition bd69ab8e-3835-4fb6-be83-1852a2893a65</b></p><a name="bd69ab8e-3835-4fb6-be83-1852a2893a65"> </a><a name="hcbd69ab8e-3835-4fb6-be83-1852a2893a65"> </a><a name="bd69ab8e-3835-4fb6-be83-1852a2893a65-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-composition-eu-hdr.html">Composition (HDR)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 34105-7}">Hospital Discharge summary</span></p><p><b>encounter</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-12fef60c-1fe7-4988-8286-af691889a3f3">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>date</b>: 2025-04-29 13:30:00+0100</p><p><b>author</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>title</b>: Hospital Discharge Report</p><p><b>custodian</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-3f30e341-19c6-484f-827a-0c58545fb2bc">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p></div>
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<title value="Hospital Discharge Report"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Mr. Reijer Wolff was admitted on April 20, 2025, following a fall that resulted in a closed fracture of the tibia and fibula of the left leg.<table class="hl7__hdr"><thead><tr><th>Problems</th><th>SNOMED</th></tr></thead><tbody><tr><td>Fracture of lower leg, Left lower limb</td><td>414292006</td></tr></tbody></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml">On April 23, 2025, a fixateur externe was applied to stabilize the fracture. The procedure was performed under general anesthesia without complications.<table class="hl7__hdr"><thead><tr><th>Procedures</th><th>SNOMED</th></tr></thead><tbody><tr><td>Application of external fixator device, Left lower limb</td><td>304527002</td></tr></tbody></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml">The patient received paracetamol for pain relief and cefazolin as a prophylactic antibiotic post-surgery.<table class="hl7__hdr"><thead><tr><th>Medication administrations</th><th>SNOMED</th></tr></thead><tbody><tr><td>Paracetamol</td><td>387517004</td></tr><tr><td>Cefazolin</td><td>387458008</td></tr></tbody></table></div>
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<section>
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<code value="8648-8"/>
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<div xmlns="http://www.w3.org/1999/xhtml">The patient was monitored for signs of infection, received regular wound care, and started physiotherapy during the stay. No adverse events occurred.</div>
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<div xmlns="http://www.w3.org/1999/xhtml">Mr. Doe was discharged in stable condition with instructions to avoid weight-bearing on the left leg and to follow up in the orthopedic clinic.</div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_a1438872-05b1-4868-857d-521c9d586a7e"> </a><p class="res-header-id"><b>Generated Narrative: Patient a1438872-05b1-4868-857d-521c9d586a7e</b></p><a name="a1438872-05b1-4868-857d-521c9d586a7e"> </a><a name="hca1438872-05b1-4868-857d-521c9d586a7e"> </a><a name="a1438872-05b1-4868-857d-521c9d586a7e-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Reijer Wolff Male, DoB: 1969-02-25 ( Jurisdictional health number)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Medical record number/395922e4-846a-4c18-81e8-9121c77e7bf9</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li><a href="tel:+3106-58675866">+31 06-58675866</a></li><li>Nieuweweg 134 Hoogerheide 4631 TC Netherlands (home)</li></ul></td></tr></table></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15</b></p><a name="cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15"> </a><a name="hccc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15"> </a><a name="cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15-en-US"> </a><p><b>practitioner</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-b60f89db-36c7-4a23-ab59-ace7089d2387">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>organization</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-3f30e341-19c6-484f-827a-0c58545fb2bc">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p></div>
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<Practitioner>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_b60f89db-36c7-4a23-ab59-ace7089d2387"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner b60f89db-36c7-4a23-ab59-ace7089d2387</b></p><a name="b60f89db-36c7-4a23-ab59-ace7089d2387"> </a><a name="hcb60f89db-36c7-4a23-ab59-ace7089d2387"> </a><a name="b60f89db-36c7-4a23-ab59-ace7089d2387-en-US"> </a><p><b>name</b>: Anna Smit </p><p><b>telecom</b>: <a href="mailto:anna.smit@olv-hulst.org">anna.smit@olv-hulst.org</a></p></div>
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<id value="3f30e341-19c6-484f-827a-0c58545fb2bc"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_3f30e341-19c6-484f-827a-0c58545fb2bc"> </a><p class="res-header-id"><b>Generated Narrative: Organization 3f30e341-19c6-484f-827a-0c58545fb2bc</b></p><a name="3f30e341-19c6-484f-827a-0c58545fb2bc"> </a><a name="hc3f30e341-19c6-484f-827a-0c58545fb2bc"> </a><a name="3f30e341-19c6-484f-827a-0c58545fb2bc-en-US"> </a><p><b>name</b>: Onze Lieve Lucas Gasthuis Hulst</p><p><b>address</b>: Hulst 4561 nl </p></div>
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<name value="Onze Lieve Lucas Gasthuis Hulst"/>
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value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_12fef60c-1fe7-4988-8286-af691889a3f3"> </a><p class="res-header-id"><b>Generated Narrative: Encounter 12fef60c-1fe7-4988-8286-af691889a3f3</b></p><a name="12fef60c-1fe7-4988-8286-af691889a3f3"> </a><a name="hc12fef60c-1fe7-4988-8286-af691889a3f3"> </a><a name="12fef60c-1fe7-4988-8286-af691889a3f3-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-encounter-eu-hdr.html">Encounter (HDR)</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.2.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode IMP</a>: inpatient encounter</p><p><b>subject</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-a1438872-05b1-4868-857d-521c9d586a7e">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>period</b>: 2025-04-20 10:00:00+0100 --> 2025-04-29 11:00:00+0100</p><p><b>reasonReference</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-38d0593b-7949-489e-9306-95df81a109df">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>serviceProvider</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-3f30e341-19c6-484f-827a-0c58545fb2bc">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p></div>
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<end value="2025-04-29T11:00:00+01:00"/>
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<Condition>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_38d0593b-7949-489e-9306-95df81a109df"> </a><p class="res-header-id"><b>Generated Narrative: Condition 38d0593b-7949-489e-9306-95df81a109df</b></p><a name="38d0593b-7949-489e-9306-95df81a109df"> </a><a name="hc38d0593b-7949-489e-9306-95df81a109df"> </a><a name="38d0593b-7949-489e-9306-95df81a109df-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-condition-eu-hdr.html">Condition (HDR)</a></p></div><p><b>clinicalStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}">Active</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 414292006}">Fracture of lower leg (disorder)</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 362785004}">Entire left lower limb (body structure)</span></p><p><b>subject</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-a1438872-05b1-4868-857d-521c9d586a7e">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>onset</b>: 2025-04-20</p></div>
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<code value="active"/>
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<code>
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<system value="http://snomed.info/sct"/>
<code value="414292006"/>
<display value="Fracture of lower leg (disorder)"/>
</coding>
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<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="362785004"/>
<display value="Entire left lower limb (body structure)"/>
</coding>
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<subject>
<reference value="urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e"/>
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<onsetDateTime value="2025-04-20"/>
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<entry>
<fullUrl value="urn:uuid:1493fed2-e9ed-4dc1-b107-f077cb1d0d40"/>
<resource>
<Procedure>
<id value="1493fed2-e9ed-4dc1-b107-f077cb1d0d40"/>
<meta>
<profile
value="http://hl7.eu/fhir/hdr/StructureDefinition/procedure-eu-hdr"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Procedure_1493fed2-e9ed-4dc1-b107-f077cb1d0d40"> </a><p class="res-header-id"><b>Generated Narrative: Procedure 1493fed2-e9ed-4dc1-b107-f077cb1d0d40</b></p><a name="1493fed2-e9ed-4dc1-b107-f077cb1d0d40"> </a><a name="hc1493fed2-e9ed-4dc1-b107-f077cb1d0d40"> </a><a name="1493fed2-e9ed-4dc1-b107-f077cb1d0d40-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-procedure-eu-hdr.html">Procedure (HDR)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 302617002}">Application of external fixator system (procedure)</span></p><p><b>subject</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-a1438872-05b1-4868-857d-521c9d586a7e">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>performed</b>: 2025-04-23</p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 362785004}">Entire left lower limb (body structure)</span></p></div>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="302617002"/>
<display
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<subject>
<reference value="urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e"/>
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<performedDateTime value="2025-04-23"/>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="362785004"/>
<display value="Entire left lower limb (body structure)"/>
</coding>
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</entry>
<entry>
<fullUrl value="urn:uuid:1bcfb26f-6958-4604-a40b-712170c1e536"/>
<resource>
<MedicationAdministration>
<id value="1bcfb26f-6958-4604-a40b-712170c1e536"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_1bcfb26f-6958-4604-a40b-712170c1e536"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration 1bcfb26f-6958-4604-a40b-712170c1e536</b></p><a name="1bcfb26f-6958-4604-a40b-712170c1e536"> </a><a name="hc1bcfb26f-6958-4604-a40b-712170c1e536"> </a><a name="1bcfb26f-6958-4604-a40b-712170c1e536-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medicationAdministration-eu-hdr.html">MedicationAdministration (HDR)</a></p></div><p><b>status</b>: Completed</p><p><b>medication</b>: <span title="Codes:{http://snomed.info/sct 387517004}">Paracetamol (substance)</span></p><p><b>subject</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-a1438872-05b1-4868-857d-521c9d586a7e">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>effective</b>: 2025-04-21</p></div>
</text>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387517004"/>
<display value="Paracetamol (substance)"/>
</coding>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e"/>
</subject>
<effectiveDateTime value="2025-04-21"/>
</MedicationAdministration>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4578e7cd-0d00-4221-9a7f-3e3d6e14a21b"/>
<resource>
<MedicationAdministration>
<id value="4578e7cd-0d00-4221-9a7f-3e3d6e14a21b"/>
<meta>
<profile
value="http://hl7.eu/fhir/hdr/StructureDefinition/medicationAdministration-eu-hdr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationAdministration_4578e7cd-0d00-4221-9a7f-3e3d6e14a21b"> </a><p class="res-header-id"><b>Generated Narrative: MedicationAdministration 4578e7cd-0d00-4221-9a7f-3e3d6e14a21b</b></p><a name="4578e7cd-0d00-4221-9a7f-3e3d6e14a21b"> </a><a name="hc4578e7cd-0d00-4221-9a7f-3e3d6e14a21b"> </a><a name="4578e7cd-0d00-4221-9a7f-3e3d6e14a21b-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-medicationAdministration-eu-hdr.html">MedicationAdministration (HDR)</a></p></div><p><b>status</b>: Completed</p><p><b>medication</b>: <span title="Codes:{http://snomed.info/sct 387470007}">Cefazolin (substance)</span></p><p><b>subject</b>: <a href="Bundle-HDR-Reijer-Wolff-Example.html#urn-uuid-a1438872-05b1-4868-857d-521c9d586a7e">Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100</a></p><p><b>effective</b>: 2025-04-23</p></div>
</text>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387470007"/>
<display value="Cefazolin (substance)"/>
</coding>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e"/>
</subject>
<effectiveDateTime value="2025-04-23"/>
</MedicationAdministration>
</resource>
</entry>
</Bundle>
IG © 2024+ HL7 Europe. Package hl7.fhir.eu.hdr#0.0.1-ci based on FHIR 4.0.1. Generated 2025-05-15
