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: HdrEHNEncounter - Detailed Descriptions

Draft as of 2025-10-10

Definitions for the HDREncounter 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. HDREncounter
Definition | Hospital Discharge Report - Encounter - A.2.3 eHN Maturity Level: 0 Draft
Short | A.2.3 - Encounter (eHN)
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. HDREncounter.type
Definition | The type of the encounter whether inpatient or short stay encounter.
Short | A.2.3.1 - Encounter type
Comments | hl7v3:ActEncounterCode
Control | 1..1
Type | CodeableConcept
4. HDREncounter.note
Definition | A narrative description of the encounter course.
Short | A.2.3.2 - Encounter note
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. HDREncounter.admission
Definition | Admission
Short | A.2.3.3 - Admission
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. HDREncounter.admission.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
10. HDREncounter.admission.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 `HDREncounter.admission.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
12. HDREncounter.admission.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())
14. HDREncounter.admission.urgency
Definition | Admission type, either emergency or planned
Short | A.2.3.3.1 - Admission urgency
Comments | hl7:v3-xEncounterAdmissionUrgency
Control | 0..1
Type | CodeableConcept
16. HDREncounter.admission.date
Definition | Admission date and time.
Short | A.2.3.3.2 - Admission date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. HDREncounter.admission.admitter
Definition | Admitting Healthcare Professional
Short | Admitting professional
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. HDREncounter.admission.admitter.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
22. HDREncounter.admission.admitter.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 `HDREncounter.admission.admitter.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. HDREncounter.admission.admitter.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())
26. HDREncounter.admission.admitter.identifier
Definition | The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.
Short | A.2.3.3.3 - Admitting professional ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
28. HDREncounter.admission.admitter.name
Definition | Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].
Short | A.2.3.3.4 - Admitting professional name
Control | 0..1
Type | HumanName
30. HDREncounter.admission.admitter.organizationID
Definition | The healthcare provider organisation identifier.
Short | A.2.3.3.5 - Admitting organisation ID
Control | 0..1
Type | Identifier
32. HDREncounter.admission.admitter.organization
Definition | The healthcare provider organisation information.
Short | A.2.3.3.6 - Admitting organisation
Control | 0..1
Type | BackboneElement
34. HDREncounter.admission.source
Definition | From where the patient was admitted (e.g. physician referral, transfer).
Short | A.2.3.3.7 - Admit Source
Comments | Hl7:admit-source
Control | 0..1
Type | CodeableConcept
36. HDREncounter.admission.referringHP
Definition | Referring Healthcare Professional
Short | Referring professional
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. HDREncounter.admission.referringHP.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
40. HDREncounter.admission.referringHP.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 `HDREncounter.admission.referringHP.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
42. HDREncounter.admission.referringHP.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())
44. HDREncounter.admission.referringHP.identifier
Definition | The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.
Short | A.2.3.3.8 - Referring professional ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
46. HDREncounter.admission.referringHP.name
Definition | Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].
Short | A.2.3.3.9 - Referring professional name
Control | 0..1
Type | HumanName
48. HDREncounter.admission.referringHP.organizationID
Definition | The healthcare provider organisation identifier.
Short | A.2.3.3.10 - Referring organisation ID
Control | 0..1
Type | Identifier
50. HDREncounter.admission.referringHP.organization
Definition | The healthcare provider organisation information.
Short | A.2.3.3.11 - Referring organisation
Control | 0..1
Type | BackboneElement
52. HDREncounter.admissionReason
Definition | Admission reason
Short | A.2.3.4 - Admission reason
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. HDREncounter.admissionReason.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
56. HDREncounter.admissionReason.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 `HDREncounter.admissionReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
58. HDREncounter.admissionReason.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())
60. HDREncounter.admissionReason.code
Definition | Reason or reasons for admission, e.g. Problem, procedure or finding.
Short | A.2.3.4.1 - Admission reason
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
62. HDREncounter.admissionReason.comment
Definition | Explanation of the reason for the encounter.
Short | A.2.3.4.2 - Admission reason comment
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. HDREncounter.admissionReason.legalStatus
Definition | Legal status/situation at admission. The legal status indicates the basis on which the patient is staying in a healthcare organisation. This can be either voluntary or involuntary, however the legal status is always determined by a court. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority).
Short | A.2.3.4.3 - Admission legal status
Comments | SNOMED CT
Control | 0..1
Type | CodeableConcept
66. HDREncounter.discharge
Definition | Discharge
Short | A.2.3.5 - Discharge
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. HDREncounter.discharge.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
70. HDREncounter.discharge.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 `HDREncounter.discharge.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
72. HDREncounter.discharge.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())
74. HDREncounter.discharge.date
Definition | Discharge date and time
Short | A.2.3.5.1 - Discharge date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. HDREncounter.discharge.destinationType
Definition | Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.
Short | A.2.3.5.2 - Discharge destination type
Comments | hl7.discharge-disposition
Control | 0..1
Type | CodeableConcept
78. HDREncounter.discharge.destinationLocation
Definition | The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.
Short | A.2.3.5.3 - Destination location
Control | 0..1
Type | CodeableConcept
80. HDREncounter.location
Definition | Location - All locations/departments where the patient stayed (was boarded) within the hospital.
Short | A.2.3.6 - Location - All locations/departments where the patient stayed (was boarded) within the hospital.
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. HDREncounter.location.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
84. HDREncounter.location.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 `HDREncounter.location.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
86. HDREncounter.location.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())
88. HDREncounter.location.period
Definition | Time period during which the patient was present at the location
Short | A.2.3.6.1 - Period
Control | 1..1
Type | Period
90. HDREncounter.location.organization
Definition | Organization or organization part (hospital department) where the patient was present.
Short | Organization
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. HDREncounter.location.organization.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
94. HDREncounter.location.organization.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 `HDREncounter.location.organization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
96. HDREncounter.location.organization.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())
98. HDREncounter.location.organization.identifier
Definition | The organisation’s part identifier.
Short | A.2.3.6.2 - Organisation Part ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
100. HDREncounter.location.organization.name
Definition | Full name of the organisation part, e.g. Name of the department
Short | A.2.3.6.3 - Organisation Part Name
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
102. HDREncounter.location.organization.details
Definition | Address, contact names and contact details, specialty of the organisation part.
Short | A.2.3.6.4 - Organisation Part Details
Comments | SNOMED CT
Control | 0..1
Type | BackboneElement

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

0. HDREncounter
Definition | Hospital Discharge Report - Encounter - A.2.3 eHN Maturity Level: 0 Draft
Short | A.2.3 - Encounter (eHN)
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. HDREncounter.type
Definition | The type of the encounter whether inpatient or short stay encounter.
Short | A.2.3.1 - Encounter type
Comments | hl7v3:ActEncounterCode
Control | 1..1
Type | CodeableConcept
4. HDREncounter.note
Definition | A narrative description of the encounter course.
Short | A.2.3.2 - Encounter note
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. HDREncounter.admission
Definition | Admission
Short | A.2.3.3 - Admission
Control | 1..1
Type | BackboneElement
8. HDREncounter.admission.urgency
Definition | Admission type, either emergency or planned
Short | A.2.3.3.1 - Admission urgency
Comments | hl7:v3-xEncounterAdmissionUrgency
Control | 0..1
Type | CodeableConcept
10. HDREncounter.admission.date
Definition | Admission date and time.
Short | A.2.3.3.2 - Admission date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. HDREncounter.admission.admitter
Definition | Admitting Healthcare Professional
Short | Admitting professional
Control | 0..1
Type | BackboneElement
14. HDREncounter.admission.admitter.identifier
Definition | The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.
Short | A.2.3.3.3 - Admitting professional ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
16. HDREncounter.admission.admitter.name
Definition | Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].
Short | A.2.3.3.4 - Admitting professional name
Control | 0..1
Type | HumanName
18. HDREncounter.admission.admitter.organizationID
Definition | The healthcare provider organisation identifier.
Short | A.2.3.3.5 - Admitting organisation ID
Control | 0..1
Type | Identifier
20. HDREncounter.admission.admitter.organization
Definition | The healthcare provider organisation information.
Short | A.2.3.3.6 - Admitting organisation
Control | 0..1
Type | BackboneElement
22. HDREncounter.admission.source
Definition | From where the patient was admitted (e.g. physician referral, transfer).
Short | A.2.3.3.7 - Admit Source
Comments | Hl7:admit-source
Control | 0..1
Type | CodeableConcept
24. HDREncounter.admission.referringHP
Definition | Referring Healthcare Professional
Short | Referring professional
Control | 0..1
Type | BackboneElement
26. HDREncounter.admission.referringHP.identifier
Definition | The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.
Short | A.2.3.3.8 - Referring professional ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
28. HDREncounter.admission.referringHP.name
Definition | Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].
Short | A.2.3.3.9 - Referring professional name
Control | 0..1
Type | HumanName
30. HDREncounter.admission.referringHP.organizationID
Definition | The healthcare provider organisation identifier.
Short | A.2.3.3.10 - Referring organisation ID
Control | 0..1
Type | Identifier
32. HDREncounter.admission.referringHP.organization
Definition | The healthcare provider organisation information.
Short | A.2.3.3.11 - Referring organisation
Control | 0..1
Type | BackboneElement
34. HDREncounter.admissionReason
Definition | Admission reason
Short | A.2.3.4 - Admission reason
Control | 1..1
Type | BackboneElement
36. HDREncounter.admissionReason.code
Definition | Reason or reasons for admission, e.g. Problem, procedure or finding.
Short | A.2.3.4.1 - Admission reason
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
38. HDREncounter.admissionReason.comment
Definition | Explanation of the reason for the encounter.
Short | A.2.3.4.2 - Admission reason comment
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. HDREncounter.admissionReason.legalStatus
Definition | Legal status/situation at admission. The legal status indicates the basis on which the patient is staying in a healthcare organisation. This can be either voluntary or involuntary, however the legal status is always determined by a court. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority).
Short | A.2.3.4.3 - Admission legal status
Comments | SNOMED CT
Control | 0..1
Type | CodeableConcept
42. HDREncounter.discharge
Definition | Discharge
Short | A.2.3.5 - Discharge
Control | 1..1
Type | BackboneElement
44. HDREncounter.discharge.date
Definition | Discharge date and time
Short | A.2.3.5.1 - Discharge date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. HDREncounter.discharge.destinationType
Definition | Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.
Short | A.2.3.5.2 - Discharge destination type
Comments | hl7.discharge-disposition
Control | 0..1
Type | CodeableConcept
48. HDREncounter.discharge.destinationLocation
Definition | The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.
Short | A.2.3.5.3 - Destination location
Control | 0..1
Type | CodeableConcept
50. HDREncounter.location
Definition | Location - All locations/departments where the patient stayed (was boarded) within the hospital.
Short | A.2.3.6 - Location - All locations/departments where the patient stayed (was boarded) within the hospital.
Control | 0..*
Type | BackboneElement
52. HDREncounter.location.period
Definition | Time period during which the patient was present at the location
Short | A.2.3.6.1 - Period
Control | 1..1
Type | Period
54. HDREncounter.location.organization
Definition | Organization or organization part (hospital department) where the patient was present.
Short | Organization
Control | 1..1
Type | BackboneElement
56. HDREncounter.location.organization.identifier
Definition | The organisation’s part identifier.
Short | A.2.3.6.2 - Organisation Part ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
58. HDREncounter.location.organization.name
Definition | Full name of the organisation part, e.g. Name of the department
Short | A.2.3.6.3 - Organisation Part Name
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. HDREncounter.location.organization.details
Definition | Address, contact names and contact details, specialty of the organisation part.
Short | A.2.3.6.4 - Organisation Part Details
Comments | SNOMED CT
Control | 0..1
Type | BackboneElement

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

0. HDREncounter
Definition | Hospital Discharge Report - Encounter - A.2.3 eHN Maturity Level: 0 Draft
Short | A.2.3 - Encounter (eHN)
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. HDREncounter.type
Definition | The type of the encounter whether inpatient or short stay encounter.
Short | A.2.3.1 - Encounter type
Comments | hl7v3:ActEncounterCode
Control | 1..1
Type | CodeableConcept
4. HDREncounter.note
Definition | A narrative description of the encounter course.
Short | A.2.3.2 - Encounter note
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
6. HDREncounter.admission
Definition | Admission
Short | A.2.3.3 - Admission
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. HDREncounter.admission.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
10. HDREncounter.admission.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 `HDREncounter.admission.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
12. HDREncounter.admission.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()`)
14. HDREncounter.admission.urgency
Definition | Admission type, either emergency or planned
Short | A.2.3.3.1 - Admission urgency
Comments | hl7:v3-xEncounterAdmissionUrgency
Control | 0..1
Type | CodeableConcept
16. HDREncounter.admission.date
Definition | Admission date and time.
Short | A.2.3.3.2 - Admission date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. HDREncounter.admission.admitter
Definition | Admitting Healthcare Professional
Short | Admitting professional
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. HDREncounter.admission.admitter.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
22. HDREncounter.admission.admitter.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 `HDREncounter.admission.admitter.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. HDREncounter.admission.admitter.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()`)
26. HDREncounter.admission.admitter.identifier
Definition | The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.
Short | A.2.3.3.3 - Admitting professional ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
28. HDREncounter.admission.admitter.name
Definition | Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].
Short | A.2.3.3.4 - Admitting professional name
Control | 0..1
Type | HumanName
30. HDREncounter.admission.admitter.organizationID
Definition | The healthcare provider organisation identifier.
Short | A.2.3.3.5 - Admitting organisation ID
Control | 0..1
Type | Identifier
32. HDREncounter.admission.admitter.organization
Definition | The healthcare provider organisation information.
Short | A.2.3.3.6 - Admitting organisation
Control | 0..1
Type | BackboneElement
34. HDREncounter.admission.source
Definition | From where the patient was admitted (e.g. physician referral, transfer).
Short | A.2.3.3.7 - Admit Source
Comments | Hl7:admit-source
Control | 0..1
Type | CodeableConcept
36. HDREncounter.admission.referringHP
Definition | Referring Healthcare Professional
Short | Referring professional
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. HDREncounter.admission.referringHP.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
40. HDREncounter.admission.referringHP.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 `HDREncounter.admission.referringHP.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
42. HDREncounter.admission.referringHP.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()`)
44. HDREncounter.admission.referringHP.identifier
Definition | The health professional identification number. Either an internal identifier assigned by a healthcare provider institution or (preferably) a national health professional ID such as the licence or registration number.
Short | A.2.3.3.8 - Referring professional ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
46. HDREncounter.admission.referringHP.name
Definition | Person name [the structure of the name will be the same as for the patient (given name, family name / surname)].
Short | A.2.3.3.9 - Referring professional name
Control | 0..1
Type | HumanName
48. HDREncounter.admission.referringHP.organizationID
Definition | The healthcare provider organisation identifier.
Short | A.2.3.3.10 - Referring organisation ID
Control | 0..1
Type | Identifier
50. HDREncounter.admission.referringHP.organization
Definition | The healthcare provider organisation information.
Short | A.2.3.3.11 - Referring organisation
Control | 0..1
Type | BackboneElement
52. HDREncounter.admissionReason
Definition | Admission reason
Short | A.2.3.4 - Admission reason
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. HDREncounter.admissionReason.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
56. HDREncounter.admissionReason.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 `HDREncounter.admissionReason.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
58. HDREncounter.admissionReason.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()`)
60. HDREncounter.admissionReason.code
Definition | Reason or reasons for admission, e.g. Problem, procedure or finding.
Short | A.2.3.4.1 - Admission reason
Comments | ICD-10* SNOMED CT Orphacode if rare disease is diagnosed
Control | 0..*
Type | CodeableConcept
62. HDREncounter.admissionReason.comment
Definition | Explanation of the reason for the encounter.
Short | A.2.3.4.2 - Admission reason comment
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. HDREncounter.admissionReason.legalStatus
Definition | Legal status/situation at admission. The legal status indicates the basis on which the patient is staying in a healthcare organisation. This can be either voluntary or involuntary, however the legal status is always determined by a court. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority).
Short | A.2.3.4.3 - Admission legal status
Comments | SNOMED CT
Control | 0..1
Type | CodeableConcept
66. HDREncounter.discharge
Definition | Discharge
Short | A.2.3.5 - Discharge
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. HDREncounter.discharge.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
70. HDREncounter.discharge.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 `HDREncounter.discharge.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
72. HDREncounter.discharge.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()`)
74. HDREncounter.discharge.date
Definition | Discharge date and time
Short | A.2.3.5.1 - Discharge date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. HDREncounter.discharge.destinationType
Definition | Type of location to which the patient will go after the encounter. E.g. home, hospital, nursing home, left against medical advice etc.
Short | A.2.3.5.2 - Discharge destination type
Comments | hl7.discharge-disposition
Control | 0..1
Type | CodeableConcept
78. HDREncounter.discharge.destinationLocation
Definition | The location/organisation to which the patient will go after the encounter. Name, address and telecommunication contact.
Short | A.2.3.5.3 - Destination location
Control | 0..1
Type | CodeableConcept
80. HDREncounter.location
Definition | Location - All locations/departments where the patient stayed (was boarded) within the hospital.
Short | A.2.3.6 - Location - All locations/departments where the patient stayed (was boarded) within the hospital.
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. HDREncounter.location.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
84. HDREncounter.location.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 `HDREncounter.location.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
86. HDREncounter.location.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()`)
88. HDREncounter.location.period
Definition | Time period during which the patient was present at the location
Short | A.2.3.6.1 - Period
Control | 1..1
Type | Period
90. HDREncounter.location.organization
Definition | Organization or organization part (hospital department) where the patient was present.
Short | Organization
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. HDREncounter.location.organization.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
94. HDREncounter.location.organization.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 `HDREncounter.location.organization.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
96. HDREncounter.location.organization.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()`)
98. HDREncounter.location.organization.identifier
Definition | The organisation’s part identifier.
Short | A.2.3.6.2 - Organisation Part ID
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
100. HDREncounter.location.organization.name
Definition | Full name of the organisation part, e.g. Name of the department
Short | A.2.3.6.3 - Organisation Part Name
Control | 1..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
102. HDREncounter.location.organization.details
Definition | Address, contact names and contact details, specialty of the organisation part.
Short | A.2.3.6.4 - Organisation Part Details
Comments | SNOMED CT
Control | 0..1
Type | BackboneElement