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 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
This page explains how conceptual elements from the EHDSDischargeReport logical model are expressed in the corresponding FHIR CompositionEuHdr profile used by this Implementation Guide.
| EHDSDischargeReport (Logical Model) | Relationship | Composition (HDR) | ||
|---|---|---|---|---|
| Element | Relation | Resource | Element | Notes |
| header | related-to | Composition | . | CompositionEuHdr constrains header elements for HDR. |
| header.subject | equivalent | Composition | subject | Reference to PatientEuCore. |
| header.identifier | equivalent | Composition | identifier | |
| header.identifier | equivalent | Bundle | identifier | It identifies a specific instance (version) of the document. |
| header.author[x] | equivalent | Composition | author | |
| header.date | equivalent | Composition | date | |
| header.status | equivalent | Composition | status | |
| header.language | equivalent | Composition | language | |
| header.documentType | equivalent | Composition | type | Fixed to LOINC 34105-7 in CompositionEuHdr. |
| header.documentTitle | equivalent | Composition | title | |
| header.period | equivalent | Composition | event.period | |
| header.version | equivalent | Composition | extension:version | Business version represented with the R5 Composition version extension. |
| header.attestation | related-to | Composition | attester | |
| header.attestation.attester[x] | equivalent | Composition | attester.party | |
| header.attestation.datetime | equivalent | Composition | attester.time | |
| header.legalAuthentication | related-to | Composition | attester | Use attester.mode to indicate legal authentication. |
| header.legalAuthentication.legalAuthenticator[x] | equivalent | Composition | attester.party | Use attester.mode to indicate legal authentication. |
| header.legalAuthentication.datetime | equivalent | Composition | attester.time | Use attester.mode to indicate legal authentication. |
| header.eventType | related-to | Composition | category | If used for document categorisation/search metadata. |
| header.serviceSpecialty | related-to | Encounter | serviceType | The Encounter is referenced by the Composition.encounter element |
| header.custodian | equivalent | Composition | custodian | |
| header.intendedRecipient[x] | equivalent | Composition | extension:information-recipient | |
| body | related-to | Composition | section | CompositionEuHdr represents body content as sliced Composition sections plus the Composition.encounter reference. |
| body.alerts | equivalent | Composition | section:sectionAlert | |
| body.alerts.generatedNarrative | equivalent | Composition | section:sectionAlert.text | |
| body.alerts.medicalAlert | equivalent | Composition | section:sectionAlert.entry | See EHDSAlert Mapping for detailed mapping information. |
| body.encounterInformation | related-to | Composition | encounter | Use EncounterEuHdr. |
| body.encounterInformation.generatedNarrative | related-to | Encounter | text | |
| body.encounterInformation.encounter | equivalent | Composition | encounter | See EHDSEncounter Mapping for detailed mapping information. |
| body.encounterInformation.note | related-to | Encounter | extension:note | |
| body.admissionEvaluation | equivalent | Composition | section:sectionAdmissionEvaluation | |
| body.admissionEvaluation.generatedNarrative | equivalent | Composition | section:sectionAdmissionEvaluation.text | |
| body.admissionEvaluation.objectiveFindings | related-to | Composition | section:sectionVitalSigns | |
| body.admissionEvaluation.objectiveFindings | related-to | Composition | section:sectionPhysicalFindings | |
| body.admissionEvaluation.functionalStatus[x] | equivalent | Composition | section:sectionFunctionalStatus | |
| body.admissionEvaluation.note | related-to | Composition | section:sectionAdmissionEvaluation.extension:section-note | |
| body.patientHistory | equivalent | Composition | section:sectionPatientHx | |
| body.patientHistory.generatedNarrative | equivalent | Composition | section:sectionPatientHx.text | |
| body.patientHistory.pastProblems | related-to | Composition | section:sectionProblems | See EHDSCondition Mapping for detailed mapping information. |
| body.patientHistory.devicesAndImplants | related-to | Composition | section:sectionMedicalDevices | See EHDSDeviceUse Mapping for detailed mapping information. |
| body.patientHistory.procedures | related-to | Composition | section:sectionProceduresHx | See EHDSProcedure Mapping for detailed mapping information. |
| body.patientHistory.note | related-to | Composition | section:sectionPatientHx.extension:section-note | |
| body.courseOfEncounter | equivalent | Composition | section:sectionHospitalCourse | |
| body.courseOfEncounter.generatedNarrative | equivalent | Composition | section:sectionHospitalCourse.text | |
| body.courseOfEncounter.diagnosticSummary | equivalent | Composition | section:sectionDiagnosticSummary | See EHDSCondition Mapping for detailed mapping information. |
| body.courseOfEncounter.procedures | equivalent | Composition | section:sectionSignificantProcedures | See EHDSProcedure Mapping for detailed mapping information. |
| body.courseOfEncounter.medicalDevicesAndImplants | equivalent | Composition | section:sectionImplantedDevices | See EHDSDeviceUse Mapping for detailed mapping information. |
| body.courseOfEncounter.pharmacotherapy | equivalent | Composition | section:sectionPharmacotherapy | See EHDSMedicationUse Mapping for detailed mapping information. |
| body.courseOfEncounter.testResults[x] | equivalent | Composition | section:sectionSignificantResults | See EHDSObservation Mapping for detailed mapping information. Please note that the mapping EHDSObservation → MedicalTestResultEuCore does not apply to every kind of Observation. |
| body.courseOfEncounter.note | related-to | Composition | section:sectionHospitalCourse.text | |
| body.dischargeDetails | equivalent | Composition | section:sectionDischargeDetails | |
| body.dischargeDetails.generatedNarrative | equivalent | Composition | section:sectionDischargeDetails.text | |
| body.dischargeDetails.objectiveFindings | related-to | Composition | section:sectionPhysicalFindings | |
| body.dischargeDetails.objectiveFindings | related-to | Composition | section:sectionVitalSigns | |
| body.dischargeDetails.functionalStatus[x] | related-to | Composition | section:sectionFunctionalStatus | |
| body.dischargeDetails.note | related-to | Composition | section:sectionDischargeDetails.text | |
| body.medicationSummary | related-to | Composition | section:sectionDischargeMedications | |
| body.medicationSummary.generatedNarrative | equivalent | Composition | section:sectionDischargeMedications.text | |
| body.medicationSummary.medicationUse | equivalent | Composition | section:sectionDischargeMedications.entry | See EHDSMedicationUse Mapping for detailed mapping information. |
| body.medicationSummary.note | related-to | Composition | section:sectionDischargeMedications.text | |
| body.carePlan | equivalent | Composition | section:sectionPlanOfCare | |
| body.carePlan.generatedNarrative | equivalent | Composition | section:sectionPlanOfCare.text | |
| body.carePlan.carePlan | equivalent | Composition | section:sectionPlanOfCare.entry | Reference to CarePlanEuHdr. See EHDSCarePlan Mapping for detailed mapping information. |
| body.carePlan.otherRecommendations | related-to | CarePlan | note | Referenced by section:sectionPlanOfCare.entry |
| body.synthesis | equivalent | Composition | section:sectionSynthesis | |
| presentedForm | related-to | Composition | section:sectionAttachments | Use an attachment entry such as DocumentReference or Binary for a rendered form. |
| attachments | equivalent | Composition | section:sectionAttachments | See EHDSAttachment Mapping for detailed mapping information. |
Return to overview: EHDS Logical Models -> FHIR Profiles