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: HdrEHNRecommendations - Detailed Descriptions

Draft as of 2025-10-10

Definitions for the HDRRecommendations logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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

0. HDRRecommendations
Definition | Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN Maturity Level: 0 Draft
Short | A.2.9 - Care plan and other recommendations after discharge (eHN)
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. HDRRecommendations.carePlan
Definition | Care plan after discharge. Multiple care plans could be provided.
Short | A.2.9.1 - Care plan
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
4. HDRRecommendations.carePlan.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
6. HDRRecommendations.carePlan.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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This element introduces a set of slices on `HDRRecommendations.carePlan.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. HDRRecommendations.carePlan.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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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. HDRRecommendations.carePlan.title
Definition | Human-friendly name for the care plan (e.g. Hip replacement care plan)
Short | A.2.9.1.1 - Title
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. HDRRecommendations.carePlan.addresses
Definition | 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.
Short | A.2.9.1.2 - Addresses
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
14. HDRRecommendations.carePlan.description
Definition | A description of the scope and nature of the plan.
Short | A.2.9.1.3 - Description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. HDRRecommendations.carePlan.planPeriod
Definition | Indicates when the plan did (or is intended to) come into effect and end.
Short | A.2.9.1.4 - Plan Period
Control | 0..1
Type | Period
18. HDRRecommendations.carePlan.details
Definition | Other structured and coded details, care team, goals to be achieved.
Short | A.2.9.1.5 - Other details
Control | 0..*
Type | BackboneElement
20. HDRRecommendations.carePlan.activity
Definition | Actions to occur as part of the plan.
Short | A.2.9.1.6 - Activity
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. HDRRecommendations.carePlan.activity.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
24. HDRRecommendations.carePlan.activity.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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This element introduces a set of slices on `HDRRecommendations.carePlan.activity.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. HDRRecommendations.carePlan.activity.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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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())
28. HDRRecommendations.carePlan.activity.kind
Definition | A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.
Short | A.2.9.1.6.1 - Kind
Comments | hl7:resource-types
Control | 0..1
Type | CodeableConcept
30. HDRRecommendations.carePlan.activity.description
Definition | A detailed description of the activity.
Short | A.2.9.1.6.2 - Activity description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. HDRRecommendations.carePlan.activity.attribute
Definition | Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc.
Short | A.2.9.1.6.3 - Specific attributes
Control | 0..*
Type | BackboneElement
34. HDRRecommendations.medicationSummary
Definition | 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.
Short | A.2.9.2 - Medication summary
Control | 1..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. HDRRecommendations.medicationSummary.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
38. HDRRecommendations.medicationSummary.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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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())
Slicing | This element introduces a set of slices on `HDRRecommendations.medicationSummary.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
40. HDRRecommendations.medicationSummary.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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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())
42. HDRRecommendations.medicationSummary.reason
Definition | 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.
Short | A.2.9.2.1 - Medication reason
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
44. HDRRecommendations.medicationSummary.changeReason
Definition | Reason for change of medication
Short | A.2.9.2.2 - Reason for change
Comments | hl7:reason-medication-status-codes
Control | 0..1
Type | CodeableConcept
46. HDRRecommendations.medicationSummary.productCode
Definition | Product code.
Short | A.2.9.2.3 - Code
Comments | IDMP
Control | 1..1
Type | CodeableConcept
48. HDRRecommendations.medicationSummary.productName
Definition | Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU)
Short | A.2.9.2.4 - Brand name
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
50. HDRRecommendations.medicationSummary.activeIngredient
Definition | Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: "paracetamol"
Short | A.2.9.2.5 - Active ingredient list
Comments | ATC (IDMP / EMA SPOR SMS)
Control | 0..*
Type | CodeableConcept
52. HDRRecommendations.medicationSummary.strength
Definition | 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
Short | A.2.9.2.6 - Strength
Comments | UCUM EDQM Standard terms
Control | 0..*
Type | Ratio
54. HDRRecommendations.medicationSummary.doseForm
Definition | The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup)
Short | A.2.9.2.7 - Pharmaceutical dose form
Comments | EDQM Standard terms
Control | 0..1
Type | CodeableConcept
56. HDRRecommendations.medicationSummary.dosageRegimen
Definition | Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days
Short | A.2.9.2.8 - Dosage Regimen
Control | 0..*
Type | BackboneElement
58. HDRRecommendations.medicationSummary.route
Definition | Path by which the pharmaceutical product is taken into or makes contact with the body.
Short | A.2.9.2.9 - Route of administration
Comments | EDQM Standard terms
Control | 0..1
Type | CodeableConcept
60. HDRRecommendations.medicationSummary.period
Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking).
Short | A.2.9.2.10 - Period of treatment
Control | 0..1
Type | Period
62. HDRRecommendations.medicationSummary.daysSupplied
Definition | 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)
Short | A.2.9.2.11 - Days supplied
Comments | UCUM
Control | 1..1
Type | BackboneElement
64. HDRRecommendations.Recommendations
Definition | 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.
Short | A.2.9.3 - Other recommendations
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

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

0. HDRRecommendations
Definition | Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN Maturity Level: 0 Draft
Short | A.2.9 - Care plan and other recommendations after discharge (eHN)
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. HDRRecommendations.carePlan
Definition | Care plan after discharge. Multiple care plans could be provided.
Short | A.2.9.1 - Care plan
Control | 0..*
Type | BackboneElement
4. HDRRecommendations.carePlan.title
Definition | Human-friendly name for the care plan (e.g. Hip replacement care plan)
Short | A.2.9.1.1 - Title
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. HDRRecommendations.carePlan.addresses
Definition | 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.
Short | A.2.9.1.2 - Addresses
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
8. HDRRecommendations.carePlan.description
Definition | A description of the scope and nature of the plan.
Short | A.2.9.1.3 - Description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. HDRRecommendations.carePlan.planPeriod
Definition | Indicates when the plan did (or is intended to) come into effect and end.
Short | A.2.9.1.4 - Plan Period
Control | 0..1
Type | Period
12. HDRRecommendations.carePlan.details
Definition | Other structured and coded details, care team, goals to be achieved.
Short | A.2.9.1.5 - Other details
Control | 0..*
Type | BackboneElement
14. HDRRecommendations.carePlan.activity
Definition | Actions to occur as part of the plan.
Short | A.2.9.1.6 - Activity
Control | 0..*
Type | BackboneElement
16. HDRRecommendations.carePlan.activity.kind
Definition | A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.
Short | A.2.9.1.6.1 - Kind
Comments | hl7:resource-types
Control | 0..1
Type | CodeableConcept
18. HDRRecommendations.carePlan.activity.description
Definition | A detailed description of the activity.
Short | A.2.9.1.6.2 - Activity description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. HDRRecommendations.carePlan.activity.attribute
Definition | Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc.
Short | A.2.9.1.6.3 - Specific attributes
Control | 0..*
Type | BackboneElement
22. HDRRecommendations.medicationSummary
Definition | 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.
Short | A.2.9.2 - Medication summary
Control | 1..*
Type | BackboneElement
24. HDRRecommendations.medicationSummary.reason
Definition | 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.
Short | A.2.9.2.1 - Medication reason
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
26. HDRRecommendations.medicationSummary.changeReason
Definition | Reason for change of medication
Short | A.2.9.2.2 - Reason for change
Comments | hl7:reason-medication-status-codes
Control | 0..1
Type | CodeableConcept
28. HDRRecommendations.medicationSummary.productCode
Definition | Product code.
Short | A.2.9.2.3 - Code
Comments | IDMP
Control | 1..1
Type | CodeableConcept
30. HDRRecommendations.medicationSummary.productName
Definition | Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU)
Short | A.2.9.2.4 - Brand name
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. HDRRecommendations.medicationSummary.activeIngredient
Definition | Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: "paracetamol"
Short | A.2.9.2.5 - Active ingredient list
Comments | ATC (IDMP / EMA SPOR SMS)
Control | 0..*
Type | CodeableConcept
34. HDRRecommendations.medicationSummary.strength
Definition | 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
Short | A.2.9.2.6 - Strength
Comments | UCUM EDQM Standard terms
Control | 0..*
Type | Ratio
36. HDRRecommendations.medicationSummary.doseForm
Definition | The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup)
Short | A.2.9.2.7 - Pharmaceutical dose form
Comments | EDQM Standard terms
Control | 0..1
Type | CodeableConcept
38. HDRRecommendations.medicationSummary.dosageRegimen
Definition | Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days
Short | A.2.9.2.8 - Dosage Regimen
Control | 0..*
Type | BackboneElement
40. HDRRecommendations.medicationSummary.route
Definition | Path by which the pharmaceutical product is taken into or makes contact with the body.
Short | A.2.9.2.9 - Route of administration
Comments | EDQM Standard terms
Control | 0..1
Type | CodeableConcept
42. HDRRecommendations.medicationSummary.period
Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking).
Short | A.2.9.2.10 - Period of treatment
Control | 0..1
Type | Period
44. HDRRecommendations.medicationSummary.daysSupplied
Definition | 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)
Short | A.2.9.2.11 - Days supplied
Comments | UCUM
Control | 1..1
Type | BackboneElement
46. HDRRecommendations.Recommendations
Definition | 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.
Short | A.2.9.3 - Other recommendations
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

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

0. HDRRecommendations
Definition | Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN Maturity Level: 0 Draft
Short | A.2.9 - Care plan and other recommendations after discharge (eHN)
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. HDRRecommendations.carePlan
Definition | Care plan after discharge. Multiple care plans could be provided.
Short | A.2.9.1 - Care plan
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
4. HDRRecommendations.carePlan.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
6. HDRRecommendations.carePlan.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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `HDRRecommendations.carePlan.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. HDRRecommendations.carePlan.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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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. HDRRecommendations.carePlan.title
Definition | Human-friendly name for the care plan (e.g. Hip replacement care plan)
Short | A.2.9.1.1 - Title
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. HDRRecommendations.carePlan.addresses
Definition | 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.
Short | A.2.9.1.2 - Addresses
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
14. HDRRecommendations.carePlan.description
Definition | A description of the scope and nature of the plan.
Short | A.2.9.1.3 - Description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. HDRRecommendations.carePlan.planPeriod
Definition | Indicates when the plan did (or is intended to) come into effect and end.
Short | A.2.9.1.4 - Plan Period
Control | 0..1
Type | Period
18. HDRRecommendations.carePlan.details
Definition | Other structured and coded details, care team, goals to be achieved.
Short | A.2.9.1.5 - Other details
Control | 0..*
Type | BackboneElement
20. HDRRecommendations.carePlan.activity
Definition | Actions to occur as part of the plan.
Short | A.2.9.1.6 - Activity
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. HDRRecommendations.carePlan.activity.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
24. HDRRecommendations.carePlan.activity.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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `HDRRecommendations.carePlan.activity.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. HDRRecommendations.carePlan.activity.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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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()`)
28. HDRRecommendations.carePlan.activity.kind
Definition | A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.
Short | A.2.9.1.6.1 - Kind
Comments | hl7:resource-types
Control | 0..1
Type | CodeableConcept
30. HDRRecommendations.carePlan.activity.description
Definition | A detailed description of the activity.
Short | A.2.9.1.6.2 - Activity description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. HDRRecommendations.carePlan.activity.attribute
Definition | Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc.
Short | A.2.9.1.6.3 - Specific attributes
Control | 0..*
Type | BackboneElement
34. HDRRecommendations.medicationSummary
Definition | 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.
Short | A.2.9.2 - Medication summary
Control | 1..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. HDRRecommendations.medicationSummary.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
38. HDRRecommendations.medicationSummary.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.
Short | Additional 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-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()`)
Slicing | This element introduces a set of slices on `HDRRecommendations.medicationSummary.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
40. HDRRecommendations.medicationSummary.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).
Short | Extensions 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
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 Names | extensions, user content, modifiers
Invariants | ele-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()`)
42. HDRRecommendations.medicationSummary.reason
Definition | 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.
Short | A.2.9.2.1 - Medication reason
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
44. HDRRecommendations.medicationSummary.changeReason
Definition | Reason for change of medication
Short | A.2.9.2.2 - Reason for change
Comments | hl7:reason-medication-status-codes
Control | 0..1
Type | CodeableConcept
46. HDRRecommendations.medicationSummary.productCode
Definition | Product code.
Short | A.2.9.2.3 - Code
Comments | IDMP
Control | 1..1
Type | CodeableConcept
48. HDRRecommendations.medicationSummary.productName
Definition | Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU)
Short | A.2.9.2.4 - Brand name
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
50. HDRRecommendations.medicationSummary.activeIngredient
Definition | Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: "paracetamol"
Short | A.2.9.2.5 - Active ingredient list
Comments | ATC (IDMP / EMA SPOR SMS)
Control | 0..*
Type | CodeableConcept
52. HDRRecommendations.medicationSummary.strength
Definition | 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
Short | A.2.9.2.6 - Strength
Comments | UCUM EDQM Standard terms
Control | 0..*
Type | Ratio
54. HDRRecommendations.medicationSummary.doseForm
Definition | The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup)
Short | A.2.9.2.7 - Pharmaceutical dose form
Comments | EDQM Standard terms
Control | 0..1
Type | CodeableConcept
56. HDRRecommendations.medicationSummary.dosageRegimen
Definition | Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days
Short | A.2.9.2.8 - Dosage Regimen
Control | 0..*
Type | BackboneElement
58. HDRRecommendations.medicationSummary.route
Definition | Path by which the pharmaceutical product is taken into or makes contact with the body.
Short | A.2.9.2.9 - Route of administration
Comments | EDQM Standard terms
Control | 0..1
Type | CodeableConcept
60. HDRRecommendations.medicationSummary.period
Definition | The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking).
Short | A.2.9.2.10 - Period of treatment
Control | 0..1
Type | Period
62. HDRRecommendations.medicationSummary.daysSupplied
Definition | 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)
Short | A.2.9.2.11 - Days supplied
Comments | UCUM
Control | 1..1
Type | BackboneElement
64. HDRRecommendations.Recommendations
Definition | 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.
Short | A.2.9.3 - Other recommendations
Control | 0..*
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension