Package | hl7.eu.fhir.xpandh.hdr |
Type | StructureDefinition |
Id | Id |
FHIR Version | R4 |
Source | http://hl7.eu/fhir/ig/xpandh/hdr/https://build.fhir.org/ig/hl7-eu/xpandh-hdr/StructureDefinition-Composition-hdr-eu-xpandh.html |
Url | http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Composition-hdr-eu-xpandh |
Version | 0.1.0 |
Status | draft |
Date | 2024-12-12T13:49:12+00:00 |
Name | CompositionHdrXpandh |
Title | Composition: Hospital Discharge Report |
Experimental | False |
Realm | eu |
Authority | hl7 |
Description | Clinical document used to represent a Hospital Discharge Report (HDR) for the scope of the XpanDH project. |
Copyright | XpanDH Project |
Type | Composition |
Kind | resource |
StructureDefinition | |
Bundle-hdr-xpandh | Bundle: EU Hospital Discharge Report |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition Composition-hdr-eu-xpandh
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | Clinical Document | Hospital Discharge Report composition | |
Slices for extension | Content/Rules for all slices | |||
information-recipient | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
extension:information-recipient/practictionerRole | 0..* | Extension | Extension | |
value[x] | 0..1 | Reference(PractitionerRole) | Value of extension | |
identifier | 0..1 | Identifier | HDR business identifier | |
status | 1..1 | code | HDR status | |
type | 1..1 | CodeableConceptIPS | Kind of composition ("Hospital Discharge Report") Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 34105-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Hospital Discharge summary | |
subject | 1..1 | Reference(Patient: HDR) | Who and/or what the composition is about | |
encounter | 0..1 | Reference(Encounter | Inpatient Encounter Xpandh) | Context of the Composition | |
date | 1..1 | dateTime | HDR date | |
Slices for author | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Sliced per type of author Slice: Unordered, Open by type:valueReference.resolve() | |
author:practictionerRole | 0..* | Reference(PractitionerRole) | Who and/or what authored the composition | |
title | 1..1 | string | Hospital Discharge Report | |
attester | ||||
mode | 1..1 | code | The type of attestation | |
Slices for section | 2..* | BackboneElement | Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code | |
section:admissionEvaluationSection | 0..1 | BackboneElement | Hospital Admission evaluation | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Fixed Value: As shown | |
coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67852-4 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Hospital Admission evaluation note | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
emptyReason | 0..0 | |||
Slices for section | 0..* | Objective findings Slice: Unordered, Open by type:resolve() | ||
section:anthropometry | 0..1 | BackboneElement | Anthropometric observations | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Fixed Value: As shown (Body measurements) | |
coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 248326004 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 1..* | Reference(Xpandh Body Height Profile | Xpandh Body Weight Profile | Xpandh BMI Profile | Xpandh Skinfold Thickness Profile | Xpandh Circumference Measurement Profile) | A reference to data that supports this section | |
emptyReason | 0..0 | |||
section | 0..0 | |||
section:vitalSigns | 0..1 | BackboneElement | Nested Section | |
title | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Vital signs | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1184593002 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Vital sign document section (record artifact) | |
entry | 1..* | Reference(Xpandh Blood Pressure Profile | Xpandh Heart Rate Profile | Xpandh Respiratory Rate Profile | Xpandh Body Temperature Profile | Xpandh Oxygen Saturation Profile) | A reference to data that supports this section | |
section | 0..0 | |||
section:physicalExamination | 0..1 | BackboneElement | Nested Section | |
title | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Physical examination | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 425044008 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Physical exam section (record artifact) | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
section | 0..0 | |||
section:functionalStatus | 0..1 | BackboneElement | Nested Section | |
title | 0..1 | string | Label for section (e.g. for ToC) Required Pattern: Functional status assessment | |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1184588000 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Functional status document section (record artifact) | |
entry | 0..* | Reference(Xpandh Functional Status Observation Profile) | A reference to data that supports this section | |
section | 0..0 | |||
section:sectionHospitalCourse | 1..1 | BackboneElement | Significant information about course of hospital stay | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Fixed Value: As shown | |
coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8648-8 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Hospital course Narrative | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 1..1 | Reference(Inpatient Encounter Xpandh) | A reference to data that supports this section | |
emptyReason | 0..0 | |||
Slices for section | 0..* | Nested Section Slice: Unordered, Open by type:resolve() | ||
section:diagnosticSummaryDescription | 0..1 | BackboneElement | Problem specification in narrative form | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Fixed Value: As shown (Diagnostic studies report (record artifact)) | |
coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721981007 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 0..* | Reference(Condition Xpandh Hospital Dischage Encounter) | A reference to data that supports this section | |
emptyReason | 0..0 | |||
section | 0..0 | |||
section:significantProcedures | 0..1 | BackboneElement | Significant procedures | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Fixed Value: As shown (Diagnostic studies report (record artifact)) | |
coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 721981007 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 1..* | Reference(Procedure (Xpandh)) | A reference to data that supports this section | |
emptyReason | 0..0 | |||
section | 0..0 | |||
section:medicalDevices | 0..1 | BackboneElement | Medical devices and implants | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Fixed Value: As shown | |
coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1184586001 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Medical device document section (record artifact) | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 1..* | Reference(Device (Xpandh)) | A reference to data that supports this section | |
emptyReason | 0..0 | |||
section | 0..0 | |||
section:medications | 0..1 | BackboneElement | Pharmacotherapy | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Fixed Value: As shown | |
coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1003606003 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Medication history section (record artifact) | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 1..* | Reference(MedicationStatement) | A reference to data that supports this section | |
emptyReason | 0..0 | |||
section | 0..0 | |||
section:significantResults | 0..1 | BackboneElement | Significant Observation Results | |
title | 1..1 | string | Label for section (e.g. for ToC) | |