Package | hl7.fhir.vn.clindoc |
Type | StructureDefinition |
Id | Id |
FHIR Version | R4 |
Source | http://fhir.ehealth.gov.vn/clindoc/https://build.fhir.org/ig/hl7vn/vn-clin-doc/StructureDefinition-CCDA-DischargeSummary.html |
Url | http://fhir.ehealth.gov.vn/clindoc/StructureDefinition/CCDA-DischargeSummary |
Version | 0.0.1 |
Status | draft |
Date | 2024-10-10T06:41:00+00:00 |
Name | DischargeSummary |
Title | VN Document - Discharge Summary |
Experimental | False |
Realm | vn |
Authority | hl7 |
Description | Discharge Summary profile |
Type | Composition |
Kind | resource |
No resources found
StructureDefinition | |
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis | Condition - Encounter Diagnosis- VN Core R4 |
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | MedicationRequest Profile - VN Core R4 |
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement | MedicationStatement Profile - VN Core R4 |
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-observation-physicalfindings | Observation - PhysicalFindings - VN Core R4 |
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-procedure | Procedure Profile - VN Core R4 |
http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request | ServiceRequest profile - VN Core R4 |
VNDocumentHeader | VN Document Header |
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.4.1 | DischargeSummaryDocumentTypeCode |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition CCDA-DischargeSummary
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | VNDocumentHeader | A set of resources composed into a single coherent clinical statement with clinical attestation | |
type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: DischargeSummaryDocumentTypeCode (required) | |
Slices for section | 0..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by value:code | |
section:allergies_and_intolerances_section | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 48765-2 | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Allergies and adverse reactions | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
entry | S | 0..* | Reference(Resource) | A reference to data that supports this section |
section:hospital_course_section | S | 1..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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 | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Hospital course | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
section:discharge_diagnosis_section | S | 1..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 11535-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Hospital discharge diagnosis | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Hospital discharge diagnosis | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by value:reference | |
entry:discharge_diagnosis_entry | S | 0..* | Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) | A reference to data that supports this section |
section:plan_of_treatment_section | S | 1..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 18776-5 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Plan of treatment | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Plan of treatment | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by value:reference | |
entry:sliceEntry | S | 0..* | Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-service-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request) | A reference to data that supports this section |
section:discharge_medications_section | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 10183-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Hospital discharge medications | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Hospital discharge medications | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by value:reference | |
entry:discharge_medications_entry | S | 0..* | Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) | A reference to data that supports this section |
section:admission_diagnosis_section | S | 1..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 46241-6 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Hospital admission diagnosis | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Hospital admission diagnosis | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by value:reference | |
entry:admission_diagnosis_entry | S | 0..* | Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-condition-encounter-diagnosis) | A reference to data that supports this section |
section:admission_medications_section | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 42346-7 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Medications on admission | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Medications on admission | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by value:reference | |
entry:sliceEntry | S | 0..* | Reference(http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-request | http://fhir.ehealth.gov.vn/core/StructureDefinition/vn-core-medication-statement) | A reference to data that supports this section |
section:chief_complaint_and_reason_for_visit_section | S | 1..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 46239-0 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Chief Complaint and Reason for Visit | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: Chief Complaint and Reason for Visit | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
section:history_of_present_illness_section | S | 0..1 | BackboneElement | Composition is broken into sections |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) 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: 10164-2 | |
display | 1..1 | string | Representation defined by the system Fixed Value: History of Present Illness | |
text | 1..1 | string | Plain text representation of the concept Fixed Value: History of Present Illness | |
text | S | 1..1 | Narrative | Text summary of the section, for human interpretation |
section:hospital_consultations_section |