Generated Narrative: StructureDefinition HDRRecommendations Name Flags Card. Type Description & Constraints HDRRecommendations 0..* Base A.2.9 - Care plan and other recommendations after discharge (eHN) #xD; carePlan 0..* BackboneElement A.2.9.1 - Care plan #xD; title 0..1 string A.2.9.1.1 - Title #xD; addresses 0..* CodeableConcept A.2.9.1.2 - Addresses #xD; description 0..1 string A.2.9.1.3 - Description #xD; planPeriod 0..1 Period A.2.9.1.4 - Plan Period #xD; details 0..* BackboneElement A.2.9.1.5 - Other details #xD; activity 0..* BackboneElement A.2.9.1.6 - Activity #xD; kind 0..1 CodeableConcept A.2.9.1.6.1 - Kind #xD; description 0..1 string A.2.9.1.6.2 - Activity description #xD; attribute 0..* BackboneElement A.2.9.1.6.3 - Specific attributes #xD; medicationSummary 1..* BackboneElement A.2.9.2 - Medication summary #xD; reason 0..* CodeableConcept A.2.9.2.1 - Medication reason #xD; changeReason 0..1 CodeableConcept A.2.9.2.2 - Reason for change #xD; productCode 1..1 CodeableConcept A.2.9.2.3 - Code #xD; productName 1..1 string A.2.9.2.4 - Brand name #xD; activeIngredient 0..* CodeableConcept A.2.9.2.5 - Active ingredient list #xD; strength 0..* Ratio A.2.9.2.6 - Strength #xD; doseForm 0..1 CodeableConcept A.2.9.2.7 - Pharmaceutical dose form #xD; dosageRegimen 0..* BackboneElement A.2.9.2.8 - Dosage Regimen #xD; route 0..1 CodeableConcept A.2.9.2.9 - Route of administration #xD; period 0..1 Period A.2.9.2.10 - Period of treatment #xD; daysSupplied 1..1 BackboneElement A.2.9.2.11 - Days supplied #xD; Recommendations 0..* string A.2.9.3 - Other recommendations #xD; Documentation for this format
A.2.9 - Care plan and other recommendations after discharge (eHN)
Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN Maturity Level: 0 Draft
Used by permission of the XpanDH project, all rights reserved Creative Commons License
Care plan after discharge. Multiple care plans could be provided.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Human-friendly name for the care plan (e.g. Hip replacement care plan)
Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. This element provides a linkage to the conditions recorded in the diagnostic summary section.
ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
A description of the scope and nature of the plan.
Indicates when the plan did (or is intended to) come into effect and end.
Other structured and coded details, care team, goals to be achieved.
A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.
Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc.
Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
The reason why the medication is or was prescribed or used. It provides a link to the Past or current health condition(s) or problem(s) that the patient has had or has and for which this medication was prescribed.
Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU)
Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: \"paracetamol\"
The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet
The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup)
Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days
Path by which the pharmaceutical product is taken into or makes contact with the body.
The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking).
Number of days for which the patient was provided with the drug. Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug)
Other recommendations (advice) after discharge. Multiple recommendations could be provided. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.