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

EHDSDischargeReport Mapping

EHDSDischargeReport -> Composition (HDR)
Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.

EHDSDischargeReport -> Composition (HDR)

This page explains how conceptual elements from the EHDSDischargeReport logical model are expressed in the corresponding FHIR CompositionEuHdr profile used by this Implementation Guide.

Mapping Context

EHDSDischargeReport -> Composition (HDR)
EHDSDischargeReport (Logical Model) Relationship Composition (HDR)
Element Description Relation Resource Element Description Notes
header Document header elements. related-to Composition . Composition-level metadata. CompositionEuHdr constrains header elements for HDR.
header.author[x] The author of the report. equivalent Composition author Who authored the HDR. Reference to Practitioner/PractitionerRole/Organization/Device per profile.
header.status Status of the document. equivalent Composition status Workflow/clinical status of the HDR.
header.documentType Type of document (e.g. LOINC 34105-7). equivalent Composition type Document type code. Fixed to LOINC 34105-7 in CompositionEuHdr.
header.documentTitle Title of the document. equivalent Composition title Human-readable HDR title.
header.period Time of service being documented. related-to Composition event.period Period covered by the composition. Map to the primary Composition.event entry.
header.intendedRecipient[x] Intended recipient(s) of the information. related-to Composition extension:information-recipient Explicit communication intent. Uses the information-recipient extension in CompositionEuHdr.
body.encounterInformation Section: Encounter information. related-to Composition encounter Encounter referenced by the HDR. Use EncounterEuHdr.
body.encounterInformation.generatedNarrative Narrative of encounter information. related-to Encounter text
body.encounterInformation.encounter Encounter information. equivalent Composition encounter
body.encounterInformation.note Free text notes by the health professional. related-to Composition extension:note
body.alerts Section: Alerts. equivalent Composition section:sectionAlert Alerts section. Use LOINC 104605-1.
body.alerts.generatedNarrative Narrative content of the section. equivalent Composition section:sectionAlert.text Alerts narrative.
body.alerts.medicalAlert Description of medical alerts. equivalent Composition section:sectionAlert Alert entries. Reference to Flag (EHDSAlert).
body.admissionEvaluation Section: Admission evaluation. equivalent Composition section:sectionAdmissionEvaluation Admission evaluation section. Reported only if relevant.
body.admissionEvaluation.generatedNarrative Narrative content of the section. equivalent Composition section:sectionAdmissionEvaluation.text Admission evaluation narrative.
body.admissionEvaluation.objectiveFindings Objective findings. related-to Composition section:sectionVitalSigns Vital signs section. Use Observation where appropriate.
body.admissionEvaluation.objectiveFindings Objective findings. related-to Composition section:sectionAnthropometry Anthropometry section. Use Observation where appropriate.
body.admissionEvaluation.objectiveFindings Objective findings. related-to Composition section:sectionPhysicalFindings Physical findings section. Use Observation where appropriate.
body.admissionEvaluation.functionalStatus[x] Functional status assessment. related-to Composition section:sectionFunctionalStatus Functional status entries. Condition/Observation/ClinicalImpression as allowed.
body.admissionEvaluation.note Free text notes by the evaluation performer. related-to Composition section:sectionAdmissionEvaluation.text Admission evaluation narrative.
body.patientHistory Section: Patient health history. equivalent Composition section:sectionPatientHx Hx general Reported section.
body.patientHistory.generatedNarrative Narrative content of the section. equivalent Composition section:sectionPatientHx.text Hx general Reported narrative.
body.patientHistory.note Free text notes by the health professional. related-to Composition section:sectionPatientHx.extension:note Hx general Reported notes.
body.courseOfEncounter Course of encounter. equivalent Composition section:sectionHospitalCourse Hospital course section.
body.courseOfEncounter.generatedNarrative Narrative content of the section. equivalent Composition section:sectionHospitalCourse.text Hospital course narrative.
body.courseOfEncounter.diagnosticSummary Problems treated or affecting care. equivalent Composition section:sectionDiagnosticSummary Diagnostic summary section. Reference to ConditionEuCore.
body.courseOfEncounter.procedures Procedures performed during encounter. equivalent Composition section:sectionSignificantProcedures Significant procedures section. Reference to ProcedureEuCore.
body.courseOfEncounter.medicalDevicesAndImplants Medical devices and implants. equivalent Composition section:sectionMedicalDevices Medical devices section. Reference to DeviceUseStatementEuHdr.
body.courseOfEncounter.pharmacotherapy Medication treatments during encounter. equivalent Composition section:sectionPharmacotherapy Pharmacotherapy section. MedicationStatement/Request/Dispense/Administration.
body.courseOfEncounter.objectiveFindings Objective findings during encounter. related-to Composition section:sectionVitalSigns Vital signs section. Use Observation where appropriate.
body.courseOfEncounter.objectiveFindings Objective findings during encounter. related-to Composition section:sectionAnthropometry Anthropometry section. Use Observation where appropriate.
body.courseOfEncounter.objectiveFindings Objective findings during encounter. related-to Composition section:sectionPhysicalFindings Physical findings section. Use Observation where appropriate.
body.courseOfEncounter.testResults Significant medical test results. equivalent Composition section:sectionSignificantResults Significant results section. Observation/DiagnosticReport/DocumentReference.
body.courseOfEncounter.note Free text notes. related-to Composition section:sectionHospitalCourse.text Hospital course narrative.
body.dischargeDetails Discharge details. equivalent Composition section:sectionDischargeDetails Discharge details section.
body.dischargeDetails.generatedNarrative Narrative content of the section. equivalent Composition section:sectionDischargeDetails.text Discharge details narrative.
body.dischargeDetails.objectiveFindings Objective findings at discharge. related-to Composition section:sectionPhysicalFindings / section:sectionVitalSigns Discharge findings. Use Observation where appropriate.
body.dischargeDetails.functionalStatus[x] Functional status at discharge. related-to Composition section:sectionFunctionalStatus Functional status entries.
body.dischargeDetails.note Free text notes. related-to Composition section:sectionDischargeDetails.text Discharge details narrative.
body.medicationSummary Medication summary after discharge. related-to Composition section:sectionDischargeMedications Discharge medications section. Post-discharge medications summary.
body.medicationSummary.generatedNarrative Narrative content of the section. equivalent Composition section:sectionDischargeMedications.text Discharge medications narrative.
body.medicationSummary.medicationUse Details about medication and dosage. equivalent Composition section:sectionDischargeMedications Discharge medications section. MedicationRequest/MedicationDispense/MedicationStatement.
body.medicationSummary.note Free text notes. related-to Composition section:sectionDischargeMedications.text Discharge medications narrative.
body.carePlan Care plan and recommendations after discharge. equivalent Composition section:sectionPlanOfCare Plan of care section.
body.carePlan.generatedNarrative Narrative content of the section. equivalent Composition section:sectionPlanOfCare.text Plan of care narrative.
body.carePlan.carePlan Structured care plan after discharge. equivalent Composition section:sectionPlanOfCare Plan of care section. Reference to CarePlanEuHdr.
body.carePlan.otherRecommendations Other recommendations after discharge. related-to Composition section:sectionPlanOfCare.text Plan of care narrative. May also be represented in Discharge Instructions narrative.
body.synthesis Clinical synthesis. equivalent Composition section:sectionSynthesis.text Synthesis narrative.
attachments Report attachments. equivalent Composition section:sectionAttachments Attachments section. DocumentReference/Binary in CompositionEuHdr.

Return to overview: EHDS Logical Models -> FHIR Profiles