XpanDH Hospital Discharge Report
0.1.0 - ci-build 150

XpanDH Hospital Discharge Report, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions

Logical Model: HdrEHNAdvanceDirectives - Detailed Descriptions

Draft as of 2024-12-12

Definitions for the HDRAdvanceDirectives logical model.

Guidance on how to interpret the contents of this table can be found here

0. HDRAdvanceDirectives
Definition

Hospital Discharge Report - Advance Directives - A.2.1 eHN Maturity Level: 0 Draft

ShortA.2.1 - Advance Directives (eHN)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HDRAdvanceDirectives.livingWill
Definition

Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.

ShortA.2.1.1 - Living will
Control1..*
TypeBackboneElement
4. HDRAdvanceDirectives.livingWill.date
Definition

The date and time on which the living will was recorded.

ShortA.2.1.1.1 - Date and time
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. HDRAdvanceDirectives.livingWill.type
Definition

Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.

ShortA.2.1.1.2 - Type
Comments

SNOMED CT

Control1..1
TypeCodeableConcept
8. HDRAdvanceDirectives.livingWill.comment
Definition

Comment on the living will.

ShortA.2.1.1.3 - Comment
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. HDRAdvanceDirectives.livingWill.conditions
Definition

The problem or disorder to which the living will applies. Multiple fields could be provided.

ShortA.2.1.1.4 - Related conditions
Comments

ICD-10* SNOMED CT Orphacode if rare disease is diagnosed

Control0..*
TypeCodeableConcept
12. HDRAdvanceDirectives.livingWill.document
Definition

Scanned source document with the living will and the patient's signature, such as a PDF.

ShortA.2.1.1.5 - Living will document
Control1..1
TypeBackboneElement

Guidance on how to interpret the contents of this table can be found here

0. HDRAdvanceDirectives
Definition

Hospital Discharge Report - Advance Directives - A.2.1 eHN Maturity Level: 0 Draft

ShortA.2.1 - Advance Directives (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HDRAdvanceDirectives.livingWill
Definition

Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.

ShortA.2.1.1 - Living will
Control1..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. HDRAdvanceDirectives.livingWill.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. HDRAdvanceDirectives.livingWill.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HDRAdvanceDirectives.livingWill.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. HDRAdvanceDirectives.livingWill.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. HDRAdvanceDirectives.livingWill.date
    Definition

    The date and time on which the living will was recorded.

    ShortA.2.1.1.1 - Date and time
    Control1..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. HDRAdvanceDirectives.livingWill.type
    Definition

    Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.

    ShortA.2.1.1.2 - Type
    Comments

    SNOMED CT

    Control1..1
    TypeCodeableConcept
    14. HDRAdvanceDirectives.livingWill.comment
    Definition

    Comment on the living will.

    ShortA.2.1.1.3 - Comment
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. HDRAdvanceDirectives.livingWill.conditions
    Definition

    The problem or disorder to which the living will applies. Multiple fields could be provided.

    ShortA.2.1.1.4 - Related conditions
    Comments

    ICD-10* SNOMED CT Orphacode if rare disease is diagnosed

    Control0..*
    TypeCodeableConcept
    18. HDRAdvanceDirectives.livingWill.document
    Definition

    Scanned source document with the living will and the patient's signature, such as a PDF.

    ShortA.2.1.1.5 - Living will document
    Control1..1
    TypeBackboneElement

    Guidance on how to interpret the contents of this table can be found here

    0. HDRAdvanceDirectives
    Definition

    Hospital Discharge Report - Advance Directives - A.2.1 eHN Maturity Level: 0 Draft

    ShortA.2.1 - Advance Directives (eHN)
    Control0..*
    Is Modifierfalse
    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    2. HDRAdvanceDirectives.livingWill
    Definition

    Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.

    ShortA.2.1.1 - Living will
    Control1..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    4. HDRAdvanceDirectives.livingWill.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    6. HDRAdvanceDirectives.livingWill.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on HDRAdvanceDirectives.livingWill.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 8. HDRAdvanceDirectives.livingWill.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      10. HDRAdvanceDirectives.livingWill.date
      Definition

      The date and time on which the living will was recorded.

      ShortA.2.1.1.1 - Date and time
      Control1..1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      12. HDRAdvanceDirectives.livingWill.type
      Definition

      Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.

      ShortA.2.1.1.2 - Type
      Comments

      SNOMED CT

      Control1..1
      TypeCodeableConcept
      14. HDRAdvanceDirectives.livingWill.comment
      Definition

      Comment on the living will.

      ShortA.2.1.1.3 - Comment
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      16. HDRAdvanceDirectives.livingWill.conditions
      Definition

      The problem or disorder to which the living will applies. Multiple fields could be provided.

      ShortA.2.1.1.4 - Related conditions
      Comments

      ICD-10* SNOMED CT Orphacode if rare disease is diagnosed

      Control0..*
      TypeCodeableConcept
      18. HDRAdvanceDirectives.livingWill.document
      Definition

      Scanned source document with the living will and the patient's signature, such as a PDF.

      ShortA.2.1.1.5 - Living will document
      Control1..1
      TypeBackboneElement