FHIR IG analytics
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| Name | Flags | Card. | Type | Description & Constraints |
|---|
  EHDSDischargeReport | | 0..* | EHDSDischargeReport | Discharge Report model |
 header | O | 1..1 | Base | Document header |
 subject | O | 1..1 | EHDSPatient | Patient/subject information |
| identifier | O | 1..* | Identifier | Unique identifier of the document |
| author[x] | O | 1..* | EHDSHealthProfessional, EHDSOrganisation, EHDSDevice | The author of the report. |
| date | O | 1..1 | dateTime | Date of finalising/issuing the document |
| status | O | 1..1 | CodeableConcept | Status of the document |
| language | O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. |
| documentType | O | 1..1 | CodeableConcept | Type of the document (e.g. '34105-7 Hospital discharge summary) |
| documentTitle | O | 1..1 | string | Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025') |
| period | O | 0..1 | Period | Time of service that is being documented (typically the same as the time/period of encounter) |
| attestation | O | 0..* | Base | Document attestation details |
| attester[x] | O | 1..1 | EHDSHealthProfessional, EHDSDevice | Attester who validated the document |
 datetime | O | 1..1 | dateTime | Date and time of the approval of the document by Attester |
| legalAuthentication | O | 0..* | Base | Document legal authentication details |
| legalAuthenticator[x] | O | 1..1 | EHDSHealthProfessional, EHDSOrganisation | The person or organisation taking responsibility for the content of the document. |
| datetime | O | 1..1 | dateTime | Date and time when the document was authorised |
| eventType | O | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. |
| serviceSpecialty | O | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) |
| custodian | O | 0..1 | EHDSOrganisation | Organisation that is in charge of maintaining the document/report. |
| presentedForm | O | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document |
| body | O | 0..1 | Base | Structured body of the discharge report document |
 alerts | O | 0..1 | Base | Section: Alerts. |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. |
| medicalAlert | O | 0..* | EHDSAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat. |
| encounterInformation | O | 1..1 | Base | Section: Encounter information. |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. |
| encounter | O | 0..1 | EHDSEncounter | Encounter information |
| note | O | 0..1 | string | Free text notes by the health professional |
| admissionEvaluation | O | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care. |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. |
| objectiveFindings | O | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination |
| functionalStatus[x] | O | 0..* | EHDSCondition, EHDSObservation | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being |
| note | O | 0..1 | string | Free text notes by the evaluation performer |
| patientHistory | O | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available. |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative. |
| pastProblems | O | 0..* | EHDSCondition | A list of conditions of a patient that the patient suffered in the past or still suffers. Unlike diagnostic summary, medical history is not only a list of problems, but could contain broader description of the condition and its progress, details about treatment including medication and patient response to treatment. Past problem section (unlike the same section of the patient summary) should include only conditions that are important for continuity of care. This section, if provided, complements the diagnostic summary section of the discharge report. |
| devicesAndImplants | O | 0..* | EHDSDeviceUse | Devices and implants in patient anamnesis. |
| procedures | O | 0..* | EHDSProcedure | Procedures in patient anamnesis. |
| note | O | 0..1 | string | Free text notes by the health professional |
| courseOfEncounter | O | 1..1 | Base | Course of inpatient or outpatient encounter. |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. |
| diagnosticSummary | O | 0..* | EHDSCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge). |
| procedures | O | 0..* | EHDSProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here. |
| medicalDevicesAndImplants | O | 0..* | EHDSDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter. |
| pharmacotherapy | O | 0..* | EHDSMedicationUse | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications. |
| testResults[x] | O | 0..* | EHDSObservation, EHDSLaboratoryObservation | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived. |
| note | O | 0..1 | string | Free text notes by the health professional |
| dischargeDetails | O | 0..1 | Base | Discharge details |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. |
| objectiveFindings | O | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination |
| functionalStatus[x] | O | 0..* | EHDSCondition, EHDSObservation | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being |
| note | O | 0..1 | string | Free text notes by the health professional |
| medicationSummary | O | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued. |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. |
| medicationUse | O | 0..* | EHDSMedicationUse | Details about medication and dosage |
| note | O | 0..1 | string | Free text notes by the health professional |
| carePlan | O | 0..1 | Base | Care plan and other recommendations after discharge. |
| generatedNarrative | O | 0..1 | string | Narrative, potentially formatted, content of the whole section. |
| otherRecommendations | O | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc. |
| synthesis | O | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions. |
Documentation for this format |
Source1
{
"resourceType": "StructureDefinition",
"id": "EHDSDischargeReportObligations",
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations",
"version": "0.4.0",
"name": "EHDSDischargeReportObligations",
"title": "Discharge Report Obligations",
"status": "draft",
"date": "2026-03-25T12:28:36+00:00",
"publisher": "Xt-EHR",
"contact": [
{
"name": "Xt-EHR",
"telecom": [
{
"system": "url",
"value": "http://www.xt-ehr.eu/"
}
]
}
],
"description": "Obligations for the logical model of discharge report.",
"fhirVersion": "5.0.0",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "logical",
"abstract": false,
"type": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReport",
"baseDefinition": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReport",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "0.4.0"
}
],
"element": [
{
"id": "EHDSDischargeReport",
"path": "EHDSDischargeReport",
"short": "Discharge Report model",
"definition": "A generic, flexible model for any kind of discharge report. Different types of encounters may require adding relevant sections and elements, or omitting irrelevant ones, depending on their data needs.",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EHDSDischargeReport.header",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A common document header is necessary to ensure that the document can be unambiguously identified, associated with a patient, and processed in an exchange context. Systems claiming conformance must be capable of populating this metadata for every document instance."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process document header information."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header",
"short": "Document header",
"definition": "Basic metadata for this information",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.header.subject",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems SHALL provide information about the subject of care."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR system SHALL render information about the subject of care in such a way that unambiguous assignment to the care subject is preserved."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "Information about the subject of care SHALL be processed by the EHR system in such a way that the identity of the subject of care cannot be confused."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.subject",
"short": "Patient/subject information",
"definition": "Patient/subject information",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
}
]
},
{
"id": "EHDSDischargeReport.header.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.identifier",
"short": "Unique identifier of the document",
"definition": "Business identifier for the object, unique within its system. Supporting disambiguation between different contexts (systems/countries).",
"min": 1,
"max": "*",
"base": {
"path": "EHDSDataSet.header.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
]
},
{
"id": "EHDSDischargeReport.header.author[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.author[x]",
"short": "The author of the report.",
"definition": "The author of the report.",
"min": 1,
"max": "*",
"base": {
"path": "EHDSDataSet.header.author[x]",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"
}
]
},
{
"id": "EHDSDischargeReport.header.date",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.date",
"short": "Date of finalising/issuing the document",
"definition": "Date and optionally time of authoring/issuing",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header.date",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "EHDSDischargeReport.header.status",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.status",
"short": "Status of the document",
"definition": "Status of the document",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDataSet.header.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "EHDSDischargeReport.header.source",
"path": "EHDSDischargeReport.header.source",
"short": "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.",
"definition": "Source of information (e.g. patient, patient's proxy). Used in case the patient has authored the information or the author has submitted patient-stated information.",
"min": 0,
"max": "0",
"base": {
"path": "EHDSDataSet.header.source",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "EHDSDischargeReport.header.language",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.language",
"short": "Language in which the resource is written. Language is expressed by the IETF language tag.",
"definition": "Language in which the resource is written. Language is expressed by the IETF language tag.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDataSet.header.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "BCP 47"
}
},
{
"id": "EHDSDischargeReport.header.documentType",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.documentType",
"short": "Type of the document (e.g. '34105-7 Hospital discharge summary)",
"definition": "Type of the document (e.g. '34105-7 Hospital discharge summary)",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDocument.header.documentType",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "LOINC"
}
},
{
"id": "EHDSDischargeReport.header.documentTitle",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.documentTitle",
"short": "Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')",
"definition": "Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDocument.header.documentTitle",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.header.period",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.period",
"short": "Time of service that is being documented (typically the same as the time/period of encounter)",
"definition": "Time of service that is being documented",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDocument.header.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
]
},
{
"id": "EHDSDischargeReport.header.version",
"path": "EHDSDischargeReport.header.version",
"short": "Business version of the document. The exact algorithm for versioning is decided by the producer/custodian",
"definition": "Business version of the document. The exact algorithm for versioning is decided by the producer/custodian",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDocument.header.version",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.header.attestation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.attestation",
"short": "Document attestation details",
"definition": "Document attestation details",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDocument.header.attestation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.header.attestation.attester[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.attestation.attester[x]",
"short": "Attester who validated the document",
"definition": "Attester who validated the document",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDocument.header.attestation.attester[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDevice"
}
]
},
{
"id": "EHDSDischargeReport.header.attestation.datetime",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.attestation.datetime",
"short": "Date and time of the approval of the document by Attester",
"definition": "Date and time of the approval of the document by Attester",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDocument.header.attestation.datetime",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "EHDSDischargeReport.header.legalAuthentication",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.legalAuthentication",
"short": "Document legal authentication details",
"definition": "Document legal authentication details",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDocument.header.legalAuthentication",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.header.legalAuthentication.legalAuthenticator[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.legalAuthentication.legalAuthenticator[x]",
"short": "The person or organisation taking responsibility for the content of the document.",
"definition": "The person or organisation taking responsibility for the content of the document.",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDocument.header.legalAuthentication.legalAuthenticator[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
}
]
},
{
"id": "EHDSDischargeReport.header.legalAuthentication.datetime",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.legalAuthentication.datetime",
"short": "Date and time when the document was authorised",
"definition": "Date and time when the document was authorised",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDocument.header.legalAuthentication.datetime",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "EHDSDischargeReport.header.eventType",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.eventType",
"short": "Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.",
"definition": "Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDocument.header.eventType",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "LOINC, SNOMED CT, dicom-cid-33-Modality"
}
},
{
"id": "EHDSDischargeReport.header.serviceSpecialty",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.serviceSpecialty",
"short": "Additional details about where the content was created (e.g. clinical specialty)",
"definition": "Additional details about where the content was created (e.g. clinical specialty)",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDocument.header.serviceSpecialty",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "preferred",
"description": "SNOMED CT"
}
},
{
"id": "EHDSDischargeReport.header.custodian",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.custodian",
"short": "Organisation that is in charge of maintaining the document/report.",
"definition": "Organisation that is in charge of maintaining the document/report.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDocument.header.custodian",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
}
]
},
{
"id": "EHDSDischargeReport.presentedForm",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Systems claiming DR conformance shall demonstrate the capability to generate a human-readable representation of the document when required by the exchange context. This obligation applies to capability, not to population in every instance."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume DR report SHALL be able to process the human readable version of the report."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.presentedForm",
"short": "A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document",
"definition": "A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDocument.presentedForm",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment"
}
]
},
{
"id": "EHDSDischargeReport.header.intendedRecipient[x]",
"path": "EHDSDischargeReport.header.intendedRecipient[x]",
"short": "Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.",
"definition": "Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.header.intendedRecipient[x]",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSPatient"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSRelatedPerson"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSHealthProfessional"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSOrganisation"
}
]
},
{
"id": "EHDSDischargeReport.body",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Each EHR system that is a producer of a discharge report SHALL be able to provide structured information about the report body. This obligation applies to capability, not to population in every instance."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured body information."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body",
"short": "Structured body of the discharge report document",
"definition": "Structured body of the discharge report document",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.alerts",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Alerts may not be present in all encounters, but the document structure must support their representation. Systems must be capable of populating and processing this section when alerts are present; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the alerts section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.alerts",
"short": "Section: Alerts.",
"definition": "Information about substantial alerts or warnings (including allergies) that health professionals should be aware of.",
"requirements": "eHN Guideline HDR (v1.1): A.2.2",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.alerts",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.alerts.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative representation supports immediate clinical understanding of alerts. Systems must be capable of populating this narrative; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the alerts section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.alerts.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section.",
"definition": "Narrative, potentially formatted, content of the whole section.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.alerts.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.alerts.medicalAlert",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Structured or textual alert entries represent clinically critical information when present. Systems must be capable of populating these entries; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medicalAlert element of the alerts section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.alerts.medicalAlert",
"short": "Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.",
"definition": "Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.",
"requirements": "eHN Guideline HDR (v1.1): A.2.2.2, A.2.2.1",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.alerts.medicalAlert",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAlert"
}
]
},
{
"id": "EHDSDischargeReport.body.encounterInformation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Encounter context is essential for interpreting all clinical content in the document. Systems claiming conformance must be capable of populating this section for every document instance."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about the encounter."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation",
"short": "Section: Encounter information.",
"definition": "Section: Encounter information.",
"requirements": "eHN Guideline HDR (v1.1): A.2.2",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.encounterInformation",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.encounterInformation.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A narrative description of the encounter context is necessary to ensure human interpretability. Systems must be capable of populating this narrative in every document instance."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the encounterInformation section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section.",
"definition": "Narrative, potentially formatted, content of the whole section.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.encounterInformation.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.encounterInformation.encounter",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A structured encounter reference supports linkage and reuse where available. Systems must be capable of populating this reference; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the encounter element of the encounterInformation section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation.encounter",
"short": "Encounter information",
"definition": "Encounter information",
"requirements": "eHN Guideline HDR (v1.1): A.2.3",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.encounterInformation.encounter",
"min": 0,
"max": "1"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSEncounter"
}
]
},
{
"id": "EHDSDischargeReport.body.encounterInformation.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation.note",
"short": "Free text notes by the health professional",
"definition": "Free text notes by the health professional",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.encounterInformation.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Admission evaluation does not occur in all encounters but must be representable where applicable. Systems must be capable of populating this section; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about the admission evaluation."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation",
"short": "Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.",
"definition": "Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.",
"requirements": "eHN Guideline HDR (v1.1): A.2.4",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.admissionEvaluation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative summarisation supports clinical understanding of admission findings. Systems must be capable of populating this narrative; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the admissionEvaluation section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section.",
"definition": "Narrative, potentially formatted, content of the whole section.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.admissionEvaluation.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.objectiveFindings",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Objective findings are part of structured clinical assessment when performed. Systems must be capable of populating this container; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the objectiveFindings element of the admissionEvaluation section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.objectiveFindings",
"short": "Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination",
"definition": "Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination",
"requirements": "eHN Guideline HDR (v1.1): A.2.4.1",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.admissionEvaluation.objectiveFindings",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
}
]
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Functional status assessment is context-dependent but relevant for continuity of care. Systems must be capable of populating this section; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the functionalStatus element of the admissionEvaluation section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]",
"short": "An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being",
"definition": "An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being",
"requirements": "eHN Guideline HDR (v1.1): A.2.4.2",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
}
]
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.note",
"short": "Free text notes by the evaluation performer",
"definition": "Free text notes by the evaluation performer",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.admissionEvaluation.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.patientHistory",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Patient history may not be available or relevant in all care contexts, but systems must be capable of representing this section when such information exists. Omission is acceptable where the capability is permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about patient history."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory",
"short": "Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.",
"definition": "Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.",
"requirements": "eHN Guideline HDR (v1.1): A.2.5",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.patientHistory",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.patientHistory.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A narrative overview supports human understanding of the patient’s history when structured data is incomplete or heterogeneous. Systems must be capable of populating and processing narrative content; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the patientHistory section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.",
"definition": "Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.patientHistory.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.patientHistory.pastProblems",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Past problems relevant to the current episode of care should be representable in a structured format. Systems must be capable of populating this section when such information is available; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the pastProblems element of the patientHistory section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.pastProblems",
"short": "A list of conditions of a patient that the patient suffered in the past or still suffers. Unlike diagnostic summary, medical history is not only a list of problems, but could contain broader description of the condition and its progress, details about treatment including medication and patient response to treatment. Past problem section (unlike the same section of the patient summary) should include only conditions that are important for continuity of care. This section, if provided, complements the diagnostic summary section of the discharge report.",
"definition": "A list of conditions of a patient that the patient suffered in the past or still suffers. Unlike diagnostic summary, medical history is not only a list of problems, but could contain broader description of the condition and its progress, details about treatment including medication and patient response to treatment. Past problem section (unlike the same section of the patient summary) should include only conditions that are important for continuity of care. This section, if provided, complements the diagnostic summary section of the discharge report.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.patientHistory.pastProblems",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition"
}
]
},
{
"id": "EHDSDischargeReport.body.patientHistory.devicesAndImplants",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Information about devices and implants in patient history may be relevant for continuity of care. Systems must be capable of populating this section when such information is available; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the devicesAndImplants element of the patientHistory section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.devicesAndImplants",
"short": "Devices and implants in patient anamnesis.",
"definition": "Devices and implants in patient anamnesis.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.patientHistory.devicesAndImplants",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceUse"
}
]
},
{
"id": "EHDSDischargeReport.body.patientHistory.procedures",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Historical procedures relevant to the current episode of care should be representable in a structured format. Systems must be capable of populating this section when such information is available; omission is acceptable where permanently out of scope and justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the procedures element of the patientHistory section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.procedures",
"short": "Procedures in patient anamnesis.",
"definition": "Historical procedures performed on or for a patient, relevant for the current encounter.\nExamples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counselling, physiotherapy, personal support services, adult day care services, etc.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.patientHistory.procedures",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure"
}
]
},
{
"id": "EHDSDischargeReport.body.patientHistory.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.note",
"short": "Free text notes by the health professional",
"definition": "Free text notes by the health professional",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.patientHistory.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Course of encounter is a core component of the discharge report. Systems claiming conformance must be capable of populating this section for every document instance."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about the course of encounter."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter",
"short": "Course of inpatient or outpatient encounter.",
"definition": "Course of inpatient or outpatient encounter.",
"requirements": "eHN Guideline HDR (v1.1): A.2.6",
"min": 1,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A narrative summary of the course of encounter supports human understanding of the clinical course. Systems must be capable of populating this narrative when such information is available."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the courseOfEncounter section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section.",
"definition": "Narrative, potentially formatted, content of the whole section.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A diagnostic summary is essential for continuity of care. Systems claiming conformance must be capable of populating this section when such information is available."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the diagnosticSummary element of the courseOfEncounter section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary",
"short": "Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).",
"definition": "Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).",
"requirements": "eHN Guideline HDR (v1.1): A.2.6.1",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.procedures",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Procedures performed during the encounter are important for continuity of care. Systems must be capable of populating this section when such information is available."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the procedures element of the courseOfEncounter section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.procedures",
"short": "Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.",
"definition": "Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.",
"requirements": "eHN Guideline HDR (v1.1): A.2.6.2",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter.procedures",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSProcedure"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Devices and implants are clinically significant historical data and must be representable when medical history is present. Systems must be capable of populating and processing these entries."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medicalDevicesAndImplants element of the courseOfEncounter section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants",
"short": "Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.",
"definition": "Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.",
"requirements": "eHN Guideline HDR (v1.1): A.2.6.3",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDeviceUse"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Medication treatments during the encounter are important for continuity of care. Systems must be capable of populating this section when such information is available."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medications element of the courseOfEncounter section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy",
"short": "Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.",
"definition": "Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.",
"requirements": "eHN Guideline HDR (v1.1): A.2.6.5",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.testResults[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Test results of functional, diagnostic, and imaging examinations are important for continuity of care. Systems must be capable of populating this section when such information is available."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the testResults element of the courseOfEncounter section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.testResults[x]",
"short": "Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.",
"definition": "Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter.testResults[x]",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSLaboratoryObservation"
}
]
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.note",
"short": "Free text notes by the health professional",
"definition": "Free text notes by the health professional",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.courseOfEncounter.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.dischargeDetails",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Discharge details are essential to ensure safe transition of care and continuity after discharge. Systems claiming conformance must be capable of populating this section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about discharge details."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails",
"short": "Discharge details",
"definition": "Structured information should be provided, however if not available, at least a section narrative should be present.",
"requirements": "eHN Guideline HDR (v1.1): A.2.7",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.dischargeDetails",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative discharge summaries support human understanding of discharge context. Systems must be capable of populating this narrative; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the dischargeDetails section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section.",
"definition": "Narrative, potentially formatted, content of the whole section.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.dischargeDetails.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.objectiveFindings",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Objective findings at discharge may not always be collected but must be representable when available. Systems must be capable of populating this section; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the objectiveFindings element of the dischargeDetails section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.objectiveFindings",
"short": "Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination",
"definition": "Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination",
"requirements": "eHN Guideline HDR (v1.1): A.2.7.1",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.dischargeDetails.objectiveFindings",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
}
]
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Functional status at discharge may influence care planning but is context-dependent. Systems must be capable of representing this section; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the functionalStatus element of the dischargeDetails section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]",
"short": "An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being",
"definition": "An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being",
"requirements": "eHN Guideline HDR (v1.1): A.2.7.2",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCondition"
},
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSObservation"
}
]
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.note",
"short": "Free text notes by the health professional",
"definition": "Free text notes by the health professional",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.dischargeDetails.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.medicationSummary",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Medication summary at discharge may vary by encounter but must be representable when applicable. Systems must be capable of populating this section; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about medication summary."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary",
"short": "Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.",
"definition": "Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.",
"requirements": "eHN Guideline HDR (v1.1): A.2.8.1",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.medicationSummary",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.medicationSummary.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative summarisation supports understanding of medication changes after discharge. Systems must be capable of populating this narrative; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the medicationSummary section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section.",
"definition": "Narrative, potentially formatted, content of the whole section.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.medicationSummary.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.medicationSummary.medicationUse",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Medication and dosing details are essential for safe post-discharge therapy. Systems must be capable of populating this information whenever a medication entry is present."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medicationUse element of the medicationSummary section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary.medicationUse",
"short": "Details about medication and dosage",
"definition": "Details about medication and dosage",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.medicationSummary.medicationUse",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSMedicationUse"
}
]
},
{
"id": "EHDSDischargeReport.body.medicationSummary.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary.note",
"short": "Free text notes by the health professional",
"definition": "Free text notes by the health professional",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.medicationSummary.note",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.carePlan",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Post-discharge care plans and recommendations may vary by encounter. Systems must be capable of representing this section; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about care plan and recommendations after discharge."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.carePlan",
"short": "Care plan and other recommendations after discharge.",
"definition": "Care plan and other recommendations after discharge.",
"requirements": "eHN Guideline HDR (v1.1): A.2.8.2 (A.2.9.2)",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.carePlan",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "EHDSDischargeReport.body.carePlan.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative recommendations support human interpretation of post-discharge care. Systems must be capable of populating this narrative; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the carePlan section."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.carePlan.generatedNarrative",
"short": "Narrative, potentially formatted, content of the whole section.",
"definition": "Narrative, potentially formatted, content of the whole section.",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.carePlan.generatedNarrative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.carePlan.carePlan",
"path": "EHDSDischargeReport.body.carePlan.carePlan",
"short": "Structured care plan after discharge. Multiple care plans could be provided.",
"definition": "Structured care plan after discharge. Multiple care plans could be provided.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.body.carePlan.carePlan",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSCarePlan"
}
]
},
{
"id": "EHDSDischargeReport.body.carePlan.otherRecommendations",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Additional advice may be clinically relevant but is context-dependent. Systems must be capable of representing this information; omission is acceptable where justified during conformance testing."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the otherRecommendations element of the carePlan section when it is present in the document."
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.carePlan.otherRecommendations",
"short": "Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.",
"definition": "Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.",
"requirements": "eHN Guideline HDR (v1.1): A.2.8.3",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.carePlan.otherRecommendations",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.body.synthesis",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source",
"valueCanonical": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSDischargeReportObligations|0.4.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.synthesis",
"short": "Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.",
"definition": "Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.",
"requirements": "eHN Guideline HDR (v1.1): A.2.6.7",
"min": 0,
"max": "1",
"base": {
"path": "EHDSDischargeReport.body.synthesis",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "EHDSDischargeReport.attachments",
"path": "EHDSDischargeReport.attachments",
"short": "Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.",
"definition": "Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.",
"min": 0,
"max": "*",
"base": {
"path": "EHDSDischargeReport.attachments",
"min": 0,
"max": "*"
},
"type": [
{
"code": "http://www.xt-ehr.eu/fhir/models/StructureDefinition/EHDSAttachment"
}
]
}
]
},
"differential": {
"element": [
{
"id": "EHDSDischargeReport",
"path": "EHDSDischargeReport"
},
{
"id": "EHDSDischargeReport.header",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A common document header is necessary to ensure that the document can be unambiguously identified, associated with a patient, and processed in an exchange context. Systems claiming conformance must be capable of populating this metadata for every document instance."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process document header information."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header"
},
{
"id": "EHDSDischargeReport.header.subject",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems SHALL provide information about the subject of care."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR system SHALL render information about the subject of care in such a way that unambiguous assignment to the care subject is preserved."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "Information about the subject of care SHALL be processed by the EHR system in such a way that the identity of the subject of care cannot be confused."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.subject"
},
{
"id": "EHDSDischargeReport.header.identifier",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.identifier"
},
{
"id": "EHDSDischargeReport.header.author[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.author[x]"
},
{
"id": "EHDSDischargeReport.header.date",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.date"
},
{
"id": "EHDSDischargeReport.header.status",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.status"
},
{
"id": "EHDSDischargeReport.header.language",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.language"
},
{
"id": "EHDSDischargeReport.header.documentType",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.documentType"
},
{
"id": "EHDSDischargeReport.header.documentTitle",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.documentTitle"
},
{
"id": "EHDSDischargeReport.header.period",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.period"
},
{
"id": "EHDSDischargeReport.header.attestation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.attestation"
},
{
"id": "EHDSDischargeReport.header.attestation.attester[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.attestation.attester[x]"
},
{
"id": "EHDSDischargeReport.header.attestation.datetime",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.attestation.datetime"
},
{
"id": "EHDSDischargeReport.header.legalAuthentication",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.legalAuthentication"
},
{
"id": "EHDSDischargeReport.header.legalAuthentication.legalAuthenticator[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.legalAuthentication.legalAuthenticator[x]"
},
{
"id": "EHDSDischargeReport.header.legalAuthentication.datetime",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.legalAuthentication.datetime"
},
{
"id": "EHDSDischargeReport.header.eventType",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.eventType"
},
{
"id": "EHDSDischargeReport.header.serviceSpecialty",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:display"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.serviceSpecialty"
},
{
"id": "EHDSDischargeReport.header.custodian",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.header.custodian"
},
{
"id": "EHDSDischargeReport.presentedForm",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Systems claiming DR conformance shall demonstrate the capability to generate a human-readable representation of the document when required by the exchange context. This obligation applies to capability, not to population in every instance."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume DR report SHALL be able to process the human readable version of the report."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.presentedForm"
},
{
"id": "EHDSDischargeReport.body",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Each EHR system that is a producer of a discharge report SHALL be able to provide structured information about the report body. This obligation applies to capability, not to population in every instance."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured body information."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body"
},
{
"id": "EHDSDischargeReport.body.alerts",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Alerts may not be present in all encounters, but the document structure must support their representation. Systems must be capable of populating and processing this section when alerts are present; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the alerts section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.alerts"
},
{
"id": "EHDSDischargeReport.body.alerts.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative representation supports immediate clinical understanding of alerts. Systems must be capable of populating this narrative; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the alerts section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.alerts.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.alerts.medicalAlert",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Structured or textual alert entries represent clinically critical information when present. Systems must be capable of populating these entries; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medicalAlert element of the alerts section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.alerts.medicalAlert"
},
{
"id": "EHDSDischargeReport.body.encounterInformation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Encounter context is essential for interpreting all clinical content in the document. Systems claiming conformance must be capable of populating this section for every document instance."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about the encounter."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation"
},
{
"id": "EHDSDischargeReport.body.encounterInformation.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A narrative description of the encounter context is necessary to ensure human interpretability. Systems must be capable of populating this narrative in every document instance."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the encounterInformation section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.encounterInformation.encounter",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A structured encounter reference supports linkage and reuse where available. Systems must be capable of populating this reference; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the encounter element of the encounterInformation section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation.encounter"
},
{
"id": "EHDSDischargeReport.body.encounterInformation.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.encounterInformation.note"
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Admission evaluation does not occur in all encounters but must be representable where applicable. Systems must be capable of populating this section; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about the admission evaluation."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation"
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative summarisation supports clinical understanding of admission findings. Systems must be capable of populating this narrative; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the admissionEvaluation section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.objectiveFindings",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Objective findings are part of structured clinical assessment when performed. Systems must be capable of populating this container; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the objectiveFindings element of the admissionEvaluation section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.objectiveFindings"
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Functional status assessment is context-dependent but relevant for continuity of care. Systems must be capable of populating this section; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the functionalStatus element of the admissionEvaluation section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.functionalStatus[x]"
},
{
"id": "EHDSDischargeReport.body.admissionEvaluation.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.admissionEvaluation.note"
},
{
"id": "EHDSDischargeReport.body.patientHistory",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Patient history may not be available or relevant in all care contexts, but systems must be capable of representing this section when such information exists. Omission is acceptable where the capability is permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about patient history."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory"
},
{
"id": "EHDSDischargeReport.body.patientHistory.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A narrative overview supports human understanding of the patient’s history when structured data is incomplete or heterogeneous. Systems must be capable of populating and processing narrative content; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the patientHistory section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.patientHistory.pastProblems",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Past problems relevant to the current episode of care should be representable in a structured format. Systems must be capable of populating this section when such information is available; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the pastProblems element of the patientHistory section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.pastProblems"
},
{
"id": "EHDSDischargeReport.body.patientHistory.devicesAndImplants",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Information about devices and implants in patient history may be relevant for continuity of care. Systems must be capable of populating this section when such information is available; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the devicesAndImplants element of the patientHistory section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.devicesAndImplants"
},
{
"id": "EHDSDischargeReport.body.patientHistory.procedures",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Historical procedures relevant to the current episode of care should be representable in a structured format. Systems must be capable of populating this section when such information is available; omission is acceptable where permanently out of scope and justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the procedures element of the patientHistory section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.procedures"
},
{
"id": "EHDSDischargeReport.body.patientHistory.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.patientHistory.note"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Course of encounter is a core component of the discharge report. Systems claiming conformance must be capable of populating this section for every document instance."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about the course of encounter."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A narrative summary of the course of encounter supports human understanding of the clinical course. Systems must be capable of populating this narrative when such information is available."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the courseOfEncounter section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "A diagnostic summary is essential for continuity of care. Systems claiming conformance must be capable of populating this section when such information is available."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the diagnosticSummary element of the courseOfEncounter section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.diagnosticSummary"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.procedures",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Procedures performed during the encounter are important for continuity of care. Systems must be capable of populating this section when such information is available."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the procedures element of the courseOfEncounter section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.procedures"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Devices and implants are clinically significant historical data and must be representable when medical history is present. Systems must be capable of populating and processing these entries."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medicalDevicesAndImplants element of the courseOfEncounter section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.medicalDevicesAndImplants"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Medication treatments during the encounter are important for continuity of care. Systems must be capable of populating this section when such information is available."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medications element of the courseOfEncounter section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.pharmacotherapy"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.testResults[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Test results of functional, diagnostic, and imaging examinations are important for continuity of care. Systems must be capable of populating this section when such information is available."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the testResults element of the courseOfEncounter section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.testResults[x]"
},
{
"id": "EHDSDischargeReport.body.courseOfEncounter.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.courseOfEncounter.note"
},
{
"id": "EHDSDischargeReport.body.dischargeDetails",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Discharge details are essential to ensure safe transition of care and continuity after discharge. Systems claiming conformance must be capable of populating this section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about discharge details."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails"
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative discharge summaries support human understanding of discharge context. Systems must be capable of populating this narrative; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the dischargeDetails section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.objectiveFindings",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Objective findings at discharge may not always be collected but must be representable when available. Systems must be capable of populating this section; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the objectiveFindings element of the dischargeDetails section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.objectiveFindings"
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Functional status at discharge may influence care planning but is context-dependent. Systems must be capable of representing this section; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the functionalStatus element of the dischargeDetails section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.functionalStatus[x]"
},
{
"id": "EHDSDischargeReport.body.dischargeDetails.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.dischargeDetails.note"
},
{
"id": "EHDSDischargeReport.body.medicationSummary",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Medication summary at discharge may vary by encounter but must be representable when applicable. Systems must be capable of populating this section; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about medication summary."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary"
},
{
"id": "EHDSDischargeReport.body.medicationSummary.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative summarisation supports understanding of medication changes after discharge. Systems must be capable of populating this narrative; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the medicationSummary section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.medicationSummary.medicationUse",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Medication and dosing details are essential for safe post-discharge therapy. Systems must be capable of populating this information whenever a medication entry is present."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the medicationUse element of the medicationSummary section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary.medicationUse"
},
{
"id": "EHDSDischargeReport.body.medicationSummary.note",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.medicationSummary.note"
},
{
"id": "EHDSDischargeReport.body.carePlan",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Post-discharge care plans and recommendations may vary by encounter. Systems must be capable of representing this section; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process structured information about care plan and recommendations after discharge."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.carePlan"
},
{
"id": "EHDSDischargeReport.body.carePlan.generatedNarrative",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Narrative recommendations support human interpretation of post-discharge care. Systems must be capable of populating this narrative; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the generatedNarrative element of the carePlan section."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.carePlan.generatedNarrative"
},
{
"id": "EHDSDischargeReport.body.carePlan.otherRecommendations",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
},
{
"url": "documentation",
"valueMarkdown": "Additional advice may be clinically relevant but is context-dependent. Systems must be capable of representing this information; omission is acceptable where justified during conformance testing."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
},
{
"url": "documentation",
"valueMarkdown": "EHR systems that consume discharge report SHALL process the otherRecommendations element of the carePlan section when it is present in the document."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.carePlan.otherRecommendations"
},
{
"id": "EHDSDischargeReport.body.synthesis",
"extension": [
{
"extension": [
{
"url": "code",
"valueCode": "SHOULD:able-to-populate"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-producer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension": [
{
"url": "code",
"valueCode": "SHALL:process"
},
{
"url": "actor",
"valueCanonical": "https://www.xt-ehr.eu/specifications/fhir/actor-consumer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path": "EHDSDischargeReport.body.synthesis"
}
]
}
}
FHIR
FHIRsmith