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: A.2.9 - Care plan and other recommendations after discharge (eHN)

Official URL: http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/HDRRecommendations | Version: 0.1.0
Draft as of 2025-10-10 | Computable Name: HdrEHNRecommendations
Copyright/Legal: Used by permission of the XpanDH project, all rights reserved Creative Commons License

Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN Maturity Level: 0 Draft

Usages:

- Use this Logical Model: A - Hospital Discharge Report (eHN)

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HDRRecommendations |  | 0..* | Base | A.2.9 - Care plan and other recommendations after discharge (eHN)
carePlan |  | 0..* | BackboneElement | A.2.9.1 - Care plan
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | A.2.9.1.1 - Title
addresses |  | 0..* | CodeableConcept | A.2.9.1.2 - Addresses
description |  | 0..1 | string | A.2.9.1.3 - Description
planPeriod |  | 0..1 | Period | A.2.9.1.4 - Plan Period
details |  | 0..* | BackboneElement | A.2.9.1.5 - Other details
activity |  | 0..* | BackboneElement | A.2.9.1.6 - Activity
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
kind |  | 0..1 | CodeableConcept | A.2.9.1.6.1 - Kind
description |  | 0..1 | string | A.2.9.1.6.2 - Activity description
attribute |  | 0..* | BackboneElement | A.2.9.1.6.3 - Specific attributes
medicationSummary |  | 1..* | BackboneElement | A.2.9.2 - Medication summary
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reason |  | 0..* | CodeableConcept | A.2.9.2.1 - Medication reason
changeReason |  | 0..1 | CodeableConcept | A.2.9.2.2 - Reason for change
productCode |  | 1..1 | CodeableConcept | A.2.9.2.3 - Code
productName |  | 1..1 | string | A.2.9.2.4 - Brand name
activeIngredient |  | 0..* | CodeableConcept | A.2.9.2.5 - Active ingredient list
strength |  | 0..* | Ratio | A.2.9.2.6 - Strength
doseForm |  | 0..1 | CodeableConcept | A.2.9.2.7 - Pharmaceutical dose form
dosageRegimen |  | 0..* | BackboneElement | A.2.9.2.8 - Dosage Regimen
route |  | 0..1 | CodeableConcept | A.2.9.2.9 - Route of administration
period |  | 0..1 | Period | A.2.9.2.10 - Period of treatment
daysSupplied |  | 1..1 | BackboneElement | A.2.9.2.11 - Days supplied
Recommendations |  | 0..* | string | A.2.9.3 - Other recommendations
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HDRRecommendations |  | 0..* | Base | A.2.9 - Care plan and other recommendations after discharge (eHN)
carePlan |  | 0..* | BackboneElement | A.2.9.1 - Care plan
title |  | 0..1 | string | A.2.9.1.1 - Title
addresses |  | 0..* | CodeableConcept | A.2.9.1.2 - Addresses
description |  | 0..1 | string | A.2.9.1.3 - Description
planPeriod |  | 0..1 | Period | A.2.9.1.4 - Plan Period
details |  | 0..* | BackboneElement | A.2.9.1.5 - Other details
activity |  | 0..* | BackboneElement | A.2.9.1.6 - Activity
kind |  | 0..1 | CodeableConcept | A.2.9.1.6.1 - Kind
description |  | 0..1 | string | A.2.9.1.6.2 - Activity description
attribute |  | 0..* | BackboneElement | A.2.9.1.6.3 - Specific attributes
medicationSummary |  | 1..* | BackboneElement | A.2.9.2 - Medication summary
reason |  | 0..* | CodeableConcept | A.2.9.2.1 - Medication reason
changeReason |  | 0..1 | CodeableConcept | A.2.9.2.2 - Reason for change
productCode |  | 1..1 | CodeableConcept | A.2.9.2.3 - Code
productName |  | 1..1 | string | A.2.9.2.4 - Brand name
activeIngredient |  | 0..* | CodeableConcept | A.2.9.2.5 - Active ingredient list
strength |  | 0..* | Ratio | A.2.9.2.6 - Strength
doseForm |  | 0..1 | CodeableConcept | A.2.9.2.7 - Pharmaceutical dose form
dosageRegimen |  | 0..* | BackboneElement | A.2.9.2.8 - Dosage Regimen
route |  | 0..1 | CodeableConcept | A.2.9.2.9 - Route of administration
period |  | 0..1 | Period | A.2.9.2.10 - Period of treatment
daysSupplied |  | 1..1 | BackboneElement | A.2.9.2.11 - Days supplied
Recommendations |  | 0..* | string | A.2.9.3 - Other recommendations
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HDRRecommendations |  | 0..* | Base | A.2.9 - Care plan and other recommendations after discharge (eHN)
carePlan |  | 0..* | BackboneElement | A.2.9.1 - Care plan
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | A.2.9.1.1 - Title
addresses |  | 0..* | CodeableConcept | A.2.9.1.2 - Addresses
description |  | 0..1 | string | A.2.9.1.3 - Description
planPeriod |  | 0..1 | Period | A.2.9.1.4 - Plan Period
details |  | 0..* | BackboneElement | A.2.9.1.5 - Other details
activity |  | 0..* | BackboneElement | A.2.9.1.6 - Activity
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
kind |  | 0..1 | CodeableConcept | A.2.9.1.6.1 - Kind
description |  | 0..1 | string | A.2.9.1.6.2 - Activity description
attribute |  | 0..* | BackboneElement | A.2.9.1.6.3 - Specific attributes
medicationSummary |  | 1..* | BackboneElement | A.2.9.2 - Medication summary
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reason |  | 0..* | CodeableConcept | A.2.9.2.1 - Medication reason
changeReason |  | 0..1 | CodeableConcept | A.2.9.2.2 - Reason for change
productCode |  | 1..1 | CodeableConcept | A.2.9.2.3 - Code
productName |  | 1..1 | string | A.2.9.2.4 - Brand name
activeIngredient |  | 0..* | CodeableConcept | A.2.9.2.5 - Active ingredient list
strength |  | 0..* | Ratio | A.2.9.2.6 - Strength
doseForm |  | 0..1 | CodeableConcept | A.2.9.2.7 - Pharmaceutical dose form
dosageRegimen |  | 0..* | BackboneElement | A.2.9.2.8 - Dosage Regimen
route |  | 0..1 | CodeableConcept | A.2.9.2.9 - Route of administration
period |  | 0..1 | Period | A.2.9.2.10 - Period of treatment
daysSupplied |  | 1..1 | BackboneElement | A.2.9.2.11 - Days supplied
Recommendations |  | 0..* | string | A.2.9.3 - Other recommendations
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HDRRecommendations |  | 0..* | Base | A.2.9 - Care plan and other recommendations after discharge (eHN)
carePlan |  | 0..* | BackboneElement | A.2.9.1 - Care plan
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | A.2.9.1.1 - Title
addresses |  | 0..* | CodeableConcept | A.2.9.1.2 - Addresses
description |  | 0..1 | string | A.2.9.1.3 - Description
planPeriod |  | 0..1 | Period | A.2.9.1.4 - Plan Period
details |  | 0..* | BackboneElement | A.2.9.1.5 - Other details
activity |  | 0..* | BackboneElement | A.2.9.1.6 - Activity
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
kind |  | 0..1 | CodeableConcept | A.2.9.1.6.1 - Kind
description |  | 0..1 | string | A.2.9.1.6.2 - Activity description
attribute |  | 0..* | BackboneElement | A.2.9.1.6.3 - Specific attributes
medicationSummary |  | 1..* | BackboneElement | A.2.9.2 - Medication summary
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reason |  | 0..* | CodeableConcept | A.2.9.2.1 - Medication reason
changeReason |  | 0..1 | CodeableConcept | A.2.9.2.2 - Reason for change
productCode |  | 1..1 | CodeableConcept | A.2.9.2.3 - Code
productName |  | 1..1 | string | A.2.9.2.4 - Brand name
activeIngredient |  | 0..* | CodeableConcept | A.2.9.2.5 - Active ingredient list
strength |  | 0..* | Ratio | A.2.9.2.6 - Strength
doseForm |  | 0..1 | CodeableConcept | A.2.9.2.7 - Pharmaceutical dose form
dosageRegimen |  | 0..* | BackboneElement | A.2.9.2.8 - Dosage Regimen
route |  | 0..1 | CodeableConcept | A.2.9.2.9 - Route of administration
period |  | 0..1 | Period | A.2.9.2.10 - Period of treatment
daysSupplied |  | 1..1 | BackboneElement | A.2.9.2.11 - Days supplied
Recommendations |  | 0..* | string | A.2.9.3 - Other recommendations
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HDRRecommendations |  | 0..* | Base | A.2.9 - Care plan and other recommendations after discharge (eHN)
carePlan |  | 0..* | BackboneElement | A.2.9.1 - Care plan
title |  | 0..1 | string | A.2.9.1.1 - Title
addresses |  | 0..* | CodeableConcept | A.2.9.1.2 - Addresses
description |  | 0..1 | string | A.2.9.1.3 - Description
planPeriod |  | 0..1 | Period | A.2.9.1.4 - Plan Period
details |  | 0..* | BackboneElement | A.2.9.1.5 - Other details
activity |  | 0..* | BackboneElement | A.2.9.1.6 - Activity
kind |  | 0..1 | CodeableConcept | A.2.9.1.6.1 - Kind
description |  | 0..1 | string | A.2.9.1.6.2 - Activity description
attribute |  | 0..* | BackboneElement | A.2.9.1.6.3 - Specific attributes
medicationSummary |  | 1..* | BackboneElement | A.2.9.2 - Medication summary
reason |  | 0..* | CodeableConcept | A.2.9.2.1 - Medication reason
changeReason |  | 0..1 | CodeableConcept | A.2.9.2.2 - Reason for change
productCode |  | 1..1 | CodeableConcept | A.2.9.2.3 - Code
productName |  | 1..1 | string | A.2.9.2.4 - Brand name
activeIngredient |  | 0..* | CodeableConcept | A.2.9.2.5 - Active ingredient list
strength |  | 0..* | Ratio | A.2.9.2.6 - Strength
doseForm |  | 0..1 | CodeableConcept | A.2.9.2.7 - Pharmaceutical dose form
dosageRegimen |  | 0..* | BackboneElement | A.2.9.2.8 - Dosage Regimen
route |  | 0..1 | CodeableConcept | A.2.9.2.9 - Route of administration
period |  | 0..1 | Period | A.2.9.2.10 - Period of treatment
daysSupplied |  | 1..1 | BackboneElement | A.2.9.2.11 - Days supplied
Recommendations |  | 0..* | string | A.2.9.3 - Other recommendations
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HDRRecommendations |  | 0..* | Base | A.2.9 - Care plan and other recommendations after discharge (eHN)
carePlan |  | 0..* | BackboneElement | A.2.9.1 - Care plan
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
title |  | 0..1 | string | A.2.9.1.1 - Title
addresses |  | 0..* | CodeableConcept | A.2.9.1.2 - Addresses
description |  | 0..1 | string | A.2.9.1.3 - Description
planPeriod |  | 0..1 | Period | A.2.9.1.4 - Plan Period
details |  | 0..* | BackboneElement | A.2.9.1.5 - Other details
activity |  | 0..* | BackboneElement | A.2.9.1.6 - Activity
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
kind |  | 0..1 | CodeableConcept | A.2.9.1.6.1 - Kind
description |  | 0..1 | string | A.2.9.1.6.2 - Activity description
attribute |  | 0..* | BackboneElement | A.2.9.1.6.3 - Specific attributes
medicationSummary |  | 1..* | BackboneElement | A.2.9.2 - Medication summary
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reason |  | 0..* | CodeableConcept | A.2.9.2.1 - Medication reason
changeReason |  | 0..1 | CodeableConcept | A.2.9.2.2 - Reason for change
productCode |  | 1..1 | CodeableConcept | A.2.9.2.3 - Code
productName |  | 1..1 | string | A.2.9.2.4 - Brand name
activeIngredient |  | 0..* | CodeableConcept | A.2.9.2.5 - Active ingredient list
strength |  | 0..* | Ratio | A.2.9.2.6 - Strength
doseForm |  | 0..1 | CodeableConcept | A.2.9.2.7 - Pharmaceutical dose form
dosageRegimen |  | 0..* | BackboneElement | A.2.9.2.8 - Dosage Regimen
route |  | 0..1 | CodeableConcept | A.2.9.2.9 - Route of administration
period |  | 0..1 | Period | A.2.9.2.10 - Period of treatment
daysSupplied |  | 1..1 | BackboneElement | A.2.9.2.11 - Days supplied
Recommendations |  | 0..* | string | A.2.9.3 - Other recommendations
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Other representations of profile: CSV, Excel