Package | hl7.fhir.eu.hdr |
Type | StructureDefinition |
Id | Id |
FHIR Version | R4 |
Source | http://hl7.eu/fhir/hdr/https://build.fhir.org/ig/hl7-eu/hdr/StructureDefinition-composition-eu-hdr.html |
Url | http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr |
Version | 0.0.1-ci |
Status | draft |
Date | 2024-12-13T21:55:05+00:00 |
Name | CompositionEuHdr |
Title | Composition (HDR) |
Experimental | False |
Realm | eu |
Authority | hl7 |
Description | Clinical document used to represent a Hospital Discharge Report (HDR) for the scope of this guide. |
Copyright | Used by permission of HL7 Europe, all rights reserved Creative Commons License |
Type | Composition |
Kind | resource |
ConceptMap | |
advanceDirectives2FHIR-eu-hdr | eHN Advance Directives Model to this guide Map |
alerts2FHIR-eu-hdr | eHN Alerts Model to this guide Map |
hdr2FHIR-eu-hdr | eHN HDR Model to this guide Map |
hdrHeader2FHIR-eu-hdr | eHN Header Model to this guide Map |
hospitalStay2FHIR-eu-hdr | eHN Hospital Stay Model to this guide Map |
http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr | Bundle (HDR) |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition composition-eu-hdr
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | Composition | Hospital Discharge Report composition | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
basedOn | 0..* | (Complex) | Fulfills plan, proposal or order URL: http://hl7.org/fhir/StructureDefinition/event-basedOn | |
value[x] | 1..1 | Reference(Resource | ServiceRequest) | Value of extension | |
relatedArtifact | 0..* | (Complex) | Related artefacts: e.g. presented form URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact | |
value[x] | ||||
type | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Example presented form: {"coding":[{"system":"http://hl7.org/fhir/related-artifact-type","code":"documentation"}]} | |
extension:compositionVersionR5 | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version]] | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version | |
value[x] | 1..1 | string | Business version | |
information-recipient | 0..* | (Complex) | Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |
value[x] | 0..1 | Reference(PractitionerRole (EU) | Practitioner (EU Core) | Device | Patient (EU) | RelatedPerson | Organization (EU Core)) | Value of extension | |
identifier | 0..1 | Identifier | HDR business identifier | |
status | 1..1 | code | HDR status | |
type | 1..1 | CodeableConceptIPS(2.0.0) | 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 (EU)) | Who and/or what the composition is about | |
encounter | 0..1 | Reference(Encounter (HDR)) | Context of the Composition | |
date | 1..1 | dateTime | HDR date | |
author | 1..* | Reference(Practitioner (EU Core) | PractitionerRole (EU) | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the Hospital Discharge Report | |
title | 1..1 | string | Hospital Discharge Report | |
attester | ||||
mode | 1..1 | code | The type of attestation | |
time | 0..1 | dateTime | When the composition was attested. | |
party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition. | |
Slices for section | 1..* | BackboneElement | Sections composing the Hospital Discharge Report Slice: Unordered, Open by value:code | |
section:sectionAdmissionEvaluation | 0..1 | BackboneElement | Hospital Admission evaluation | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 67852-4 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
section:sectionPatientHx | 0..1 | BackboneElement | Patient History Section | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 11329-0 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
section:sectionPhysicalFindings | 0..1 | BackboneElement | Physical findings | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 29545-1 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
section:sectionPhysicalExamination | 0..1 | BackboneElement | Physical examination | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 55286-9 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
section:sectionVitalSigns | 0..1 | BackboneElement | Vital signs | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 8716-3 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 1..* | Reference(Observation | DocumentReference | Vital Signs Profile) | A reference to data that supports this section | |
section:sectionFunctionalStatus | 0..1 | BackboneElement | Functional status | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 47420-5 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 0..* | Reference(Condition | ClinicalImpression | Observation | DocumentReference | QuestionnaireResponse) | Optional entry used to represent disabilities and functional assessments | |
section:sectionAllergies | 0..1 | BackboneElement | Allergies and Intolerances Section | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 48765-2 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
Slices for entry | 1..* | Reference(Allergy Intolerance (EU PS) | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient. Slice: Unordered, Open by type:resolve() | |
entry:allergyIntolerance | 0..1 | Reference(Allergy Intolerance (EU PS)) | Allergy entry | |
section:sectionAlert | 0..1 | BackboneElement | Health Concern Section | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 75310-3 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
Slices for entry | 0..* | Reference(Resource) | Alerts Slice: Unordered, Open by type:resolve() | |
entry:flag | 0..1 | Reference(Flag) | Flags | |
entry:detectedIssue | 0..1 | Reference(DetectedIssue) | Detected Issue | |
entry:riskAssessment | 0..1 | Reference(RiskAssessment) | Risk Assessment | |
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(2.0.0) | Concept - reference to a terminology or just text 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: 8648-8 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
section:sectionDiagnosticSummary | 0..1 | BackboneElement | Problem specification in narrative form | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 11450-4 | |
text | 1..1 | Narrative | Text summary of the section, for human interpretation | |
entry | 0..* | Reference(Condition (HDR)) | A reference to data that supports this section | |
section:sectionSignificantProcedures | 0..1 | BackboneElement | Significant procedures | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConceptIPS(2.0.0) | Concept - reference to a terminology or just text 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: 10185-7 | |
text |