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

## Resource Profile: Flag

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

This profile constrains the Flag resource to represent alerts or warnings in FHIR for the purpose of the XpanDH project.

Usages:

- Use this Profile: Bundle: EU Hospital Discharge Report
- Refer to this Profile: Composition: Hospital Discharge Report

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
--- | --- | --- | --- | ---
Flag |  | 0..* | Flag | Key information to flag to healthcare providers
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:flagDetailExt |  | 0..* | Reference(Resource) | Resource with details for flag URL: http://hl7.org/fhir/StructureDefinition/flag-detail
extension:flagPriorityExt |  | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | active | inactive | entered-in-error Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.
code | S Σ | 1..1 | CodeableConcept | Coded or textual message to display to user Binding: FlagCode (example): Detail codes identifying specific flagged issues.
subject | S Σ | 1..1 | Reference(Patient: HDR) | Who/What is flag about?
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std.
Flag.code | Base | example | Flag Code | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Flag | A resource should have narrative for robust management | `text.`div`.exists()`
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 Flag

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Flag |  |  | Flag |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:flagDetailExt |  | 0..* | Reference(Resource) | Resource with details for flag URL: http://hl7.org/fhir/StructureDefinition/flag-detail
extension:flagPriorityExt |  | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
status | S | 1..1 | code | active | inactive | entered-in-error
code | S | 1..1 | CodeableConcept | Coded or textual message to display to user
subject | S | 1..1 | Reference(Patient: HDR) | Who/What is flag about?
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Flag |  | 0..* | Flag | Key information to flag to healthcare providers
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:flagDetailExt |  | 0..* | Reference(Resource) | Resource with details for flag URL: http://hl7.org/fhir/StructureDefinition/flag-detail
extension:flagPriorityExt |  | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier
status | ?!S Σ | 1..1 | code | active | inactive | entered-in-error Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.
category | Σ | 0..* | CodeableConcept | Clinical, administrative, etc. Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
code | S Σ | 1..1 | CodeableConcept | Coded or textual message to display to user Binding: FlagCode (example): Detail codes identifying specific flagged issues.
subject | S Σ | 1..1 | Reference(Patient: HDR) | Who/What is flag about?
period | Σ | 0..1 | Period | Time period when flag is active
encounter | Σ | 0..1 | Reference(Encounter) | Alert relevant during encounter
author | Σ | 0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole) | Flag creator
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Flag.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std.
Flag.category | Base | example | Flag Category | 📍4.0.1 | FHIR Std.
Flag.code | Base | example | Flag Code | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Flag | A resource should have narrative for robust management | `text.`div`.exists()`
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 Flag

Summary

Must-Support: 3 elements

Structures

This structure refers to these other structures:

- Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/flag-detail
- http://hl7.org/fhir/StructureDefinition/flag-priority

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Flag |  | 0..* | Flag | Key information to flag to healthcare providers
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:flagDetailExt |  | 0..* | Reference(Resource) | Resource with details for flag URL: http://hl7.org/fhir/StructureDefinition/flag-detail
extension:flagPriorityExt |  | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | active | inactive | entered-in-error Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.
code | S Σ | 1..1 | CodeableConcept | Coded or textual message to display to user Binding: FlagCode (example): Detail codes identifying specific flagged issues.
subject | S Σ | 1..1 | Reference(Patient: HDR) | Who/What is flag about?
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std.
Flag.code | Base | example | Flag Code | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Flag | A resource should have narrative for robust management | `text.`div`.exists()`
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 Flag

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Flag |  |  | Flag |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:flagDetailExt |  | 0..* | Reference(Resource) | Resource with details for flag URL: http://hl7.org/fhir/StructureDefinition/flag-detail
extension:flagPriorityExt |  | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
status | S | 1..1 | code | active | inactive | entered-in-error
code | S | 1..1 | CodeableConcept | Coded or textual message to display to user
subject | S | 1..1 | Reference(Patient: HDR) | Who/What is flag about?
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Flag |  | 0..* | Flag | Key information to flag to healthcare providers
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:flagDetailExt |  | 0..* | Reference(Resource) | Resource with details for flag URL: http://hl7.org/fhir/StructureDefinition/flag-detail
extension:flagPriorityExt |  | 0..1 | CodeableConcept | An alarm code URL: http://hl7.org/fhir/StructureDefinition/flag-priority Binding: FlagPriorityCodes (example): A code of the alarm.
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier
status | ?!S Σ | 1..1 | code | active | inactive | entered-in-error Binding: FlagStatus (required): Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.
category | Σ | 0..* | CodeableConcept | Clinical, administrative, etc. Binding: FlagCategory (example): A general category for flags for filtering/display purposes.
code | S Σ | 1..1 | CodeableConcept | Coded or textual message to display to user Binding: FlagCode (example): Detail codes identifying specific flagged issues.
subject | S Σ | 1..1 | Reference(Patient: HDR) | Who/What is flag about?
period | Σ | 0..1 | Period | Time period when flag is active
encounter | Σ | 0..1 | Reference(Encounter) | Alert relevant during encounter
author | Σ | 0..1 | Reference(Device | Organization | Patient | Practitioner | PractitionerRole) | Flag creator
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Flag.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Flag.status | Base | required | FlagStatus | 📍4.0.1 | FHIR Std.
Flag.category | Base | example | Flag Category | 📍4.0.1 | FHIR Std.
Flag.code | Base | example | Flag Code | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Flag | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Flag | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Flag | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Flag | A resource should have narrative for robust management | `text.`div`.exists()`
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 Flag

Summary

Must-Support: 3 elements

Structures

This structure refers to these other structures:

- Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/flag-detail
- http://hl7.org/fhir/StructureDefinition/flag-priority

Other representations of profile: CSV, Excel, Schematron