EHDSHospitalDischargeReportBody
type: StructureDefinition
node role: treeRoot
id:
  v: EHDSHospitalDischargeReportBody
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition EHDSHospitalDischargeReportBody Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> EHDSHospitalDischargeReportBody 0..* Base Hospital Discharge Report body model Instances of this logical model can be the target of a Reference advanceDirectives 0..1 Base Authored Advance Directive Information livingWill 0..* Base Living will. Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided. dateAndTime 1..1 dateTime The date and time on which the living will was recorded. type 1..1 CodeableConcept Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc. Binding Description (No ValueSet): (preferred): SNOMED CT comment 0..1 string Comment on the living will. relatedConditions 0..* CodeableConcept The problem or disorder to which the living will applies. Binding Description (No ValueSet): (preferred): ICD-10, SNOMED CT, Orphacode if rare disease is diagnosed livingWillDocument 1..* EHDSAttachment Living will document alertsSection 0..1 Base Alerts section sectionNarrative 0..1 string Narrative content of the section. This narrative shell containing either narrative description of both allergy and alerts, or similar narrative sub-section elements shell be provided. allergyAndIntolerance 0..* EHDSAllergyIntolerance Allergy and Intolerance. A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay). medicalAlerts 0..* EHDSAlertFlag Medical alerts. Specific alerts relevant to the patient’s condition that should be noted (other alerts not included in allergies). encounterInformationSection 1..1 Base Encounter information section. sectionNarrative 1..1 string Narrative content of the section. encounterInformationSection 0..1 EHDSEncounter Encounter information section. Hospital encounter details. admissionEvaluatio…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics
  value: code
    v: can-be-target
url:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHospitalDischargeReportBody
version:
  v: 0.1.0
name:
  v: EHDSHospitalDischargeReportBody
title:
  v: Hospital Discharge Report body model
status:
  v: draft
date:
  v: 2025-05-26T10:09:34+00:00
publisher:
  v: Xt-EHR
contact:
  name:
    v: Xt-EHR
  telecom:
    system:
      v: url
    value:
      v: http://Xt-EHR.eu
description:
  v: EHDS refined base model for Hospital Discharge Report body
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: logical
abstract:
  v: false
type:
  v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHospitalDischargeReportBody
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  link: http://hl7.org/fhir/StructureDefinition/Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 5.0.0
  element:
    id:
      v: EHDSHospitalDischargeReportBody
    path:
      v: EHDSHospitalDischargeReportBody
    short:
      v: Hospital Discharge Report body model
    definition:
      v: EHDS refined base model for Hospital Discharge Report body
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: n/a
  element:
    id:
      v: EHDSHospitalDischargeReportBody.advanceDirectives
    path:
      v: EHDSHospitalDischargeReportBody.advanceDirectives
    short:
      v: Authored Advance Directive Information
    definition:
      v: Authored Advance Directive Information
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    max:
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    base:
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        v: 1
    type:
      code:
        v: Base
  element:
    id:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.livingWill
    path:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.livingWill
    short:
      v: Living will. Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.
    definition:
      v: Living will. Only directives being expressed during current inpatient stay. Multiple records of living wills could be provided.
    min:
      v: 0
    max:
      v: *
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        v: EHDSHospitalDischargeReportBody.advanceDirectives.livingWill
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    type:
      code:
        v: Base
  element:
    id:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.dateAndTime
    path:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.dateAndTime
    short:
      v: The date and time on which the living will was recorded.
    definition:
      v: The date and time on which the living will was recorded.
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      v: 1
    max:
      v: 1
    base:
      path:
        v: EHDSHospitalDischargeReportBody.advanceDirectives.dateAndTime
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: dateTime
  element:
    id:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.type
    path:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.type
    short:
      v: Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.
    definition:
      v: Type of a living will, e.g. Do not resuscitate, donorship statement, power of attorney etc.
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    max:
      v: 1
    base:
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        v: 1
      max:
        v: 1
    type:
      code:
        v: CodeableConcept
    binding:
      strength:
        v: preferred
      description:
        v: SNOMED CT
  element:
    id:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.comment
    path:
      v: EHDSHospitalDischargeReportBody.advanceDirectives.comment
    short:
      v: Comment on the living will.
    definition:
      v: Comment on the living will.
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      v: 0
    max:
      v: 1
    base:
      path:
        v: EHDSHospitalDischargeReportBody.advanceDirectives.comment

v: 0

v: 1

code:
  v: string

id:
  v: EHDSHospitalDischargeReportBody.advanceDirectives.relatedConditions
path:
  v: EHDSHospitalDischargeReportBody.advanceDirectives.relatedConditions
short:
  v: The problem or disorder to which the living will applies.
definition:
  v: The problem or disorder to which the living will applies.
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  v: *
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type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: ICD-10, SNOMED CT, Orphacode if rare disease is diagnosed

id:
  v: EHDSHospitalDischargeReportBody.advanceDirectives.livingWillDocument
path:
  v: EHDSHospitalDischargeReportBody.advanceDirectives.livingWillDocument
short:
  v: Living will document
definition:
  v: Scanned source document with the living will and the patient's signature, such as a PDF.
min:
  v: 1
max:
  v: *
base:
  path:
    v: EHDSHospitalDischargeReportBody.advanceDirectives.livingWillDocument
  min:
    v: 1
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAttachment

id:
  v: EHDSHospitalDischargeReportBody.alertsSection
path:
  v: EHDSHospitalDischargeReportBody.alertsSection
short:
  v: Alerts section
definition:
  v: Alert section includes information about allergies, intolerances and other substantial alerts or warnings that health professionals should be aware of.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSHospitalDischargeReportBody.alertsSection
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type:
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    v: Base

id:
  v: EHDSHospitalDischargeReportBody.alertsSection.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.alertsSection.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either narrative description of both allergy and alerts, or similar narrative sub-section elements shell be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either narrative description of both allergy and alerts, or similar narrative sub-section elements shell be provided.
min:
  v: 0
max:
  v: 1
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type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.alertsSection.allergyAndIntolerance
path:
  v: EHDSHospitalDischargeReportBody.alertsSection.allergyAndIntolerance
short:
  v: Allergy and Intolerance. A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).
definition:
  v: Allergy and Intolerance. A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSHospitalDischargeReportBody.alertsSection.allergyAndIntolerance
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAllergyIntolerance

id:
  v: EHDSHospitalDischargeReportBody.alertsSection.medicalAlerts
path:
  v: EHDSHospitalDischargeReportBody.alertsSection.medicalAlerts
short:
  v: Medical alerts. Specific alerts relevant to the patient’s condition that should be noted (other alerts not included in allergies).
definition:
  v: Medical alerts. Specific alerts relevant to the patient’s condition that should be noted (other alerts not included in allergies).
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSHospitalDischargeReportBody.alertsSection.medicalAlerts
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlertFlag

id:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection
path:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection
short:
  v: Encounter information section.
definition:
  v: Encounter information section.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EHDSHospitalDischargeReportBody.encounterInformationSection
  min:
    v: 1
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type:
  code:
    v: Base

id:
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path:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection.sectionNarrative
short:
  v: Narrative content of the section.
definition:
  v: Narrative content of the section.
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  v: 1
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  v: 1
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    v: EHDSHospitalDischargeReportBody.encounterInformationSection.sectionNarrative
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type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection.encounterInformationSection
path:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection.encounterInformationSection
short:
  v: Encounter information section. Hospital encounter details.
definition:
  v: Encounter information section. Hospital encounter details.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSHospitalDischargeReportBody.encounterInformationSection.encounterInformationSection
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSEncounter

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation
short:
  v: Admission evaluation section
definition:
  v: Admission evaluation section should be reported exceptionally only if it is relevant to ensure continuity of care.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSHospitalDischargeReportBody.admissionEvaluation
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type:
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    v: Base

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
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  v: 0
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type:
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    v: string

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings
short:
  v: Objective findings
definition:
  v: Sub-section with objective findings.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings
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    v: 0
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type:
  code:
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id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.dateAndTime
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.dateAndTime
short:
  v: Date and time of the examination
definition:
  v: Date and time of the examination
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  v: 0
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type:
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id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.performer
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.performer
short:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
definition:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
min:
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
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type:
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    v: string

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.anthropometricObservations
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.anthropometricObservations
short:
  v: Anthropometric observations
definition:
  v: Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness. Result of the observation includes text, numeric and coded results of the measurement including measurement units.
min:
  v: 0
max:
  v: *
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    v: 0
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.vitalSigns
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.vitalSigns
short:
  v: Vital signs
definition:
  v: Vital signs observation:•Required: Pulse rate, respiratory rate, systolic and diastolic blood preasure with site information•Optional: 02 saturation
min:
  v: 0
max:
  v: *
base:
  path:
    v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.vitalSigns
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.physicalExamination
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.physicalExamination
short:
  v: Physical examination
definition:
  v: Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus
short:
  v: Functional status
definition:
  v: Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs.For details see: https://paciowg.github.io/functional-status-ig/
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type:
  code:
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id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.dateAndTime
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.dateAndTime
short:
  v: Date and time of the examination
definition:
  v: Date and time of the examination
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id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.performer
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.performer
short:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
definition:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
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id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.sectionNarrative
short:
  v: Narrative content of the section.
definition:
  v: Narrative content of the section.
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id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.functionalStatusAssessment
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.functionalStatusAssessment
short:
  v: Functional status assessment
definition:
  v: Formalized assessment of the patient's functional status according to the individual assessment categories of the selected assessment system (e.g. WHO-ICF)
min:
  v: 0
max:
  v: *
base:
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    v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.functionalStatusAssessment
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus

id:
  v: EHDSHospitalDischargeReportBody.patientHistory
path:
  v: EHDSHospitalDischargeReportBody.patientHistory
short:
  v: Patient health history section (anamnesis).
definition:
  v: Patient health history section (anamnesis).
min:
  v: 0
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  v: 1
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  path:
    v: EHDSHospitalDischargeReportBody.patientHistory
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id:
  v: EHDSHospitalDischargeReportBody.patientHistory.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory
short:
  v: Medical history subsection.
definition:
  v: Medical history subsection.
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  v: 1
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base:
  path:
    v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory
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id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.subsectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.subsectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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type:
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    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.pastProblems
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.pastProblems
short:
  v: Past problems
definition:
  v: 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.
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    v: 1
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.devicesAndImplants
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.devicesAndImplants
short:
  v: Devices and Implants
definition:
  v: Devices and implants in patient anamnesis. Negative statement must be explicitly stated.
min:
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  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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      v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSAlertFlag
element:
  id:
    v: EHDSHospitalDischargeReportBody.encounterInformationSection
  path:
    v: EHDSHospitalDischargeReportBody.encounterInformationSection
  short:
    v: Encounter information section.

v: Encounter information section.

v: 1

v: 1

code:
  v: Base

id:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection.sectionNarrative
short:
  v: Narrative content of the section.
definition:
  v: Narrative content of the section.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection.encounterInformationSection
path:
  v: EHDSHospitalDischargeReportBody.encounterInformationSection.encounterInformationSection
short:
  v: Encounter information section. Hospital encounter details.
definition:
  v: Encounter information section. Hospital encounter details.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSEncounter

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation
short:
  v: Admission evaluation section
definition:
  v: Admission evaluation section should be reported exceptionally only if it is relevant to ensure continuity of care.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings
short:
  v: Objective findings
definition:
  v: Sub-section with objective findings.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.dateAndTime
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.dateAndTime
short:
  v: Date and time of the examination
definition:
  v: Date and time of the examination
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.performer
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.performer
short:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
definition:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.anthropometricObservations
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.anthropometricObservations
short:
  v: Anthropometric observations
definition:
  v: Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness. Result of the observation includes text, numeric and coded results of the measurement including measurement units.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.vitalSigns
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.vitalSigns
short:
  v: Vital signs
definition:
  v: Vital signs observation:•Required: Pulse rate, respiratory rate, systolic and diastolic blood preasure with site information•Optional: 02 saturation
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.physicalExamination
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.objectiveFindings.physicalExamination
short:
  v: Physical examination
definition:
  v: Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus
short:
  v: Functional status
definition:
  v: Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs.For details see: https://paciowg.github.io/functional-status-ig/
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.dateAndTime
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.dateAndTime
short:
  v: Date and time of the examination
definition:
  v: Date and time of the examination
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.performer
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.performer
short:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
definition:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.sectionNarrative
short:
  v: Narrative content of the section.
definition:
  v: Narrative content of the section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.functionalStatusAssessment
path:
  v: EHDSHospitalDischargeReportBody.admissionEvaluation.functionalStatus.functionalStatusAssessment
short:
  v: Functional status assessment
definition:
  v: Formalized assessment of the patient's functional status according to the individual assessment categories of the selected assessment system (e.g. WHO-ICF)
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus

id:
  v: EHDSHospitalDischargeReportBody.patientHistory
path:
  v: EHDSHospitalDischargeReportBody.patientHistory
short:
  v: Patient health history section (anamnesis).
definition:
  v: Patient health history section (anamnesis).
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory
short:
  v: Medical history subsection.
definition:
  v: Medical history subsection.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.subsectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.subsectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.pastProblems
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.pastProblems
short:
  v: Past problems
definition:
  v: 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:
  v: 1
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCondition

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.devicesAndImplants
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.devicesAndImplants
short:
  v: Devices and Implants
definition:
  v: Devices and implants in patient anamnesis. Negative statement must be explicitly stated.
min:
  v: 1
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDeviceUse

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.historyOfProcedures
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.historyOfProcedures
short:
  v: History of procedures
definition:
  v: Historical procedures performed on or for a patient, relevant for the current encounter.Examples include surgical procedures, diagnostic procedures, endoscopic procedures, biopsies, counselling, physiotherapy, personal support services, adult day care services, etc.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.vaccination
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.vaccination
short:
  v: Vaccination
definition:
  v: Vaccination history of the patient.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSImmunization

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory
short:
  v: Epidemiological history
definition:
  v: Travel history and infectious contacts
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts
short:
  v: Infectious contacts
definition:
  v: Infectious contacts of the patient
min:
  v: 0
max:
  v: *
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.timePeriod
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.timePeriod
short:
  v: A date and duration or date time interval of contact. Partial dates are allowed.
definition:
  v: A date and duration or date time interval of contact. Partial dates are allowed.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.infectiousAgent
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.infectiousAgent
short:
  v: Infectious agent
definition:
  v: Information about a suspected infectious agent or agents the person was exposed to.
min:
  v: 0
max:
  v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: ICD-10*, SNOMED CT

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.proximity[x]
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.proximity[x]
short:
  v: Proximity to the source/carrier of the infectious agent during exposure. Proximity could be expressed by text, code (direct, indirect) or value specifying distance from the InfectiousAgentCarrier.
definition:
  v: Proximity to the source/carrier of the infectious agent during exposure. Proximity could be expressed by text, code (direct, indirect) or value specifying distance from the InfectiousAgentCarrier.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
type:
  code:
    v: Quantity

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.country
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.country
short:
  v: Country in which the person was potentially exposed to an infectious agent.
definition:
  v: Country in which the person was potentially exposed to an infectious agent.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: ISO 3166-1 alpha-2

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.additionalInformation
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.additionalInformation
short:
  v: A textual note with additional information about infectious contact.
definition:
  v: A textual note with additional information about infectious contact.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory
short:
  v: Travel history reported by the patient. Multiple records could be provided.
definition:
  v: Travel history reported by the patient. Multiple records could be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory.timePeriod
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory.timePeriod
short:
  v: Start and end date or end date and duration of stay in a country. Partial dates are allowed.
definition:
  v: Start and end date or end date and duration of stay in a country. Partial dates are allowed.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory.countryVisited
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory.countryVisited
short:
  v: Country visited by the patient.
definition:
  v: Country visited by the patient.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: ISO 3166-1 alpha-2

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory.comment
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.medicalHistory.epidemiologicalHistory.travelHistory.comment
short:
  v: Relevant notes on the travel stay.
definition:
  v: Relevant notes on the travel stay.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.familyHistorySection
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.familyHistorySection
short:
  v: Family history section
definition:
  v: Relevant family history section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.familyHistorySection.subsectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.familyHistorySection.subsectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.familyHistorySection.familyHistory
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.familyHistorySection.familyHistory
short:
  v: Family history
definition:
  v: Information about serious illnesses in close blood relatives with known or suspected genetic potential or with possible impact on patient care.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFamilyMemberHistory

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth
short:
  v: Social determinants of health
definition:
  v: Information about social determinants of health.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.subsectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.subsectionNarrative
short:
  v: Sub-section narrative
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety
short:
  v: Participation in society
definition:
  v: Participation in society details.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety.workSituation
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety.workSituation
short:
  v: Work situation
definition:
  v: Work Situation describes the extent to which and in what way the patient participates in the workforce. Work is meant in the broadest sense of the word: activities that contribute to the person themselves, their environment or society. This includes both paid and unpaid work.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
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  description:
    v: SNOMED CT

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety.hobby
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety.hobby
short:
  v: An activity the patient enjoys doing in their free time.
definition:
  v: An activity the patient enjoys doing in their free time.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety.socialNetwork
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.participationInSociety.socialNetwork
short:
  v: Social network
definition:
  v: A description of the patient’s social network, such as family, neighbours and friends.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.educationSection
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.educationSection
short:
  v: Education section
definition:
  v: Information about patient education level.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.educationSection.educationLevel
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.educationSection.educationLevel
short:
  v: Education level
definition:
  v: Indication of the highest level of education achieved.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: hl7:v3.EducationLevel

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.educationSection.comment
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.educationSection.comment
short:
  v: If deemed relevant, a specification of the degree program can be provided by means of an explanation (e.g.: patient is in medical school).
definition:
  v: If deemed relevant, a specification of the degree program can be provided by means of an explanation (e.g.: patient is in medical school).
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation
short:
  v: Living situation - household type and other related living situation information.
definition:
  v: Living situation - household type and other related living situation information.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation.houseType
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation.houseType
short:
  v: Type of home the patient lives in.
definition:
  v: Type of home the patient lives in.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation.homeAdaption
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation.homeAdaption
short:
  v: Home adaptions present in the home that have been made in the context of the illness or disability to make the functioning of the patient safer and more comfortable and to enable independent living. Multiple data elements could be provided.
definition:
  v: Home adaptions present in the home that have been made in the context of the illness or disability to make the functioning of the patient safer and more comfortable and to enable independent living. Multiple data elements could be provided.
min:
  v: 0
max:
  v: *
type:
  code:
    v: CodeableConcept
binding:
  strength:
    v: preferred
  description:
    v: SNOMED CT

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation.livingConditions
path:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.livingSituation.livingConditions
short:
  v: Living conditions that affect the accessibility of the home or the stay in the home.
definition:
  v: Living conditions that affect the accessibility of the home or the stay in the home.
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  v: 0
max:
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type:
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binding:
  strength:
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  description:
    v: SNOMED CT

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short:
  v: Family situation
definition:
  v: Family situation
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max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.familySituation.comment
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  v: Comment on the family situation.
definition:
  v: Comment on the family situation.
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  v: 0
max:
  v: 1
type:
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    v: string

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.familySituation.familyComposition
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  v: Family composition
definition:
  v: The family composition describes the patient’s home situation and the form of cohabitation. A family can consist of one or more people.
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max:
  v: 1
type:
  code:
    v: CodeableConcept

id:
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  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.familySituation.maritalStatus
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  v: Person’s marital status according to the terms and definition in the national civil code.
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max:
  v: 1
type:
  code:
    v: CodeableConcept

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  v: Number of children
definition:
  v: The number of children the patient has. Children in the context of this information model include step children, foster children, biological and adopted children.
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  v: 0
max:
  v: 1
type:
  code:
    v: Quantity

id:
  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.familySituation.numberOfChildrenAtHome
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  v: Number of children living at home with the patient.
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  v: Number of children living at home with the patient.
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  v: 0
max:
  v: 1
type:
  code:
    v: Quantity

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  v: Child details (age, co-living status and comment).
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  v: Child details (age, co-living status and comment).
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  v: 0
max:
  v: *
type:
  code:
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  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.familySituation.childDetails.livingAtHome
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  v: Living at home. An indication stating whether the child lives at home.
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  v: Living at home. An indication stating whether the child lives at home.
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  v: 0
max:
  v: 1
type:
  code:
    v: boolean

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  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.familySituation.childDetails.dateOfBirth
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  v: Child’s date of birth.
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  v: Child’s date of birth.
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  v: 0
max:
  v: 1
type:
  code:
    v: date

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  v: EHDSHospitalDischargeReportBody.patientHistory.socialDeterminantsOfHealth.familySituation.childDetails.comment
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  v: A comment on the child's family situation.
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  v: A comment on the child's family situation.
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max:
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type:
  code:
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  v: Care responsibility. The activities the patient carries out to care for a dependent family member.
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  v: Care responsibility. The activities the patient carries out to care for a dependent family member.
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  v: 0
max:
  v: *
type:
  code:
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binding:
  strength:
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  description:
    v: SNOMED CT

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  v: Use of substances
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  v: Information about use and/or abuse of specific substances.
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max:
  v: 1
type:
  code:
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id:
  v: EHDSHospitalDischargeReportBody.patientHistory.useOfSubstances.subsectionNarrative
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  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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type:
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  v: 0
max:
  v: *
type:
  code:
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  v: Status of the patient’s alcohol use.
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max:
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binding:
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  v: Period of use and amount observation (The extent of the patient’s alcohol use in units of alcohol per time period.)
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  v: Period of use and amount observation (The extent of the patient’s alcohol use in units of alcohol per time period.)
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  v: 0
max:
  v: 1
type:
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  v: Time period of alcohol use.
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  v: Time period of alcohol use.
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max:
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  v: Quantity (volume per time unit).
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max:
  v: 1
type:
  code:
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  v: EHDSHospitalDischargeReportBody.patientHistory.useOfSubstances.alcoholUse.comment
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type:
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  v: Tobacco use
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  v: Represent smoking or tobacco habits. Multiple records on tobacco use could be provided.
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max:
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type:
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id:
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  v: Period of use and amount (The extent of the patient’s tobacco use in units per time period.)
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  v: Period of use and amount (The extent of the patient’s tobacco use in units per time period.)
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max:
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max:
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  v: EHDSHospitalDischargeReportBody.patientHistory.useOfSubstances.tobaccoUse.periodAndQuantity.quantity
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short:
  v: The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year.
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  v: The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year.
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max:
  v: 1
type:
  code:
    v: Quantity

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  v: 0
max:
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type:
  code:
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id:
  v: EHDSHospitalDischargeReportBody.patientHistory.useOfSubstances.drugConsumption.status
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  v: The status of the patient’s drug consumption.
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  v: 0
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    v: CodeableConcept
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  v: Period of use and amount (The extent of the patient’s drug use in units per time period.)
definition:
  v: Period of use and amount (The extent of the patient’s drug use in units per time period.)
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  v: 0
max:
  v: 1
type:
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    v: Base

id:
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  v: Time period of drug use.
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max:
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type:
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id:
  v: EHDSHospitalDischargeReportBody.patientHistory.useOfSubstances.drugConsumption.periodAndQuantity.quantity
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  v: The number of units (pills, joints, shots etc.) per day, week, month, or year; or the frequency of use.
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  v: The number of units (pills, joints, shots etc.) per day, week, month, or year; or the frequency of use.
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max:
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type:
  code:
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id:
  v: EHDSHospitalDischargeReportBody.patientHistory.useOfSubstances.drugConsumption.periodAndQuantity.drugOrMedicationType
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  v: EHDSHospitalDischargeReportBody.patientHistory.useOfSubstances.drugConsumption.periodAndQuantity.drugOrMedicationType
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  v: Drug or medication type
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    v: CodeableConcept
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    v: SNOMED CT

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  v: Route or routes of administration
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  v: Route or routes of administration
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  code:
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binding:
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  description:
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  v: Textual comment.
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  v: Textual comment.
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max:
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  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation
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short:
  v: Course of hospital stay.
definition:
  v: Course of hospital stay.
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  v: 1
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.diagnosticSummary
path:
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short:
  v: Diagnostic summary. All problems/diagnoses that affect care during the inpatient case or are important to be recorded to ensure continuity of care. The diagnostic summary differentiates, in accordance with the international recommendation, between problems treated during hospital stay and other (untreated) problems. Treated problems are problems that were the subject of diagnostics, therapy, nursing, or (continuous) monitoring during the hospitalisation. Furthermore problems could be divided into three categories: problems present on admission (POA), conditions acquired during hospital stay (HAC) and problems that cannot be classified as being of any of the two (N/A). The diagnostic summary contains all conditions as they were recognised at the end of hospitalisation, after all examinations. This section contains concise, well specified, codeable, summary of problems. Problems are ordered by importance (main problems first) during hospital stay. Description of the problem might be completed with additional details in the medical history section and/or in the Synthesis section.
definition:
  v: Diagnostic summary. All problems/diagnoses that affect care during the inpatient case or are important to be recorded to ensure continuity of care. The diagnostic summary differentiates, in accordance with the international recommendation, between problems treated during hospital stay and other (untreated) problems. Treated problems are problems that were the subject of diagnostics, therapy, nursing, or (continuous) monitoring during the hospitalisation. Furthermore problems could be divided into three categories: problems present on admission (POA), conditions acquired during hospital stay (HAC) and problems that cannot be classified as being of any of the two (N/A). The diagnostic summary contains all conditions as they were recognised at the end of hospitalisation, after all examinations. This section contains concise, well specified, codeable, summary of problems. Problems are ordered by importance (main problems first) during hospital stay. Description of the problem might be completed with additional details in the medical history section and/or in the Synthesis section.
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max:
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type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.diagnosticSummary.problemDescription
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  v: Problem specification in narrative form.
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  v: Problem specification in narrative form.
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  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.diagnosticSummary.problemDetails
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  v: Problem details include code that identifies problem, specification of the body structure, laterality, and other aspects of the problem.
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  v: Problem details include code that identifies problem, specification of the body structure, laterality, and other aspects of the problem.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSConditionHdr

id:
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short:
  v: Significant procedures section
definition:
  v: Significant surgical and non-surgical procedures performed during hospitalisation 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. This section does not include purely diagnostic procedures (MRI, CT, etc.). If no significant performance has been performed, this fact must be explicitly stated using the IPS Absent and Unknown Data.
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max:
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type:
  code:
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id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.significantProcedures.subsectionNarrative
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  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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  v: 0
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  code:
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  v: Structured procedure entry.
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  v: Structured procedure entry.
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSProcedure

id:
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  v: Medical devices and implants section
definition:
  v: Implants and used medical devices that affected or may affect the provision of health services (diagnosis and treatment). Also medical devices explanted, or its use was stopped during hospitalisation. If the section is blank, the reason must be explicitly stated using the IPS Absent and Unknown Data coding system
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  v: 1
max:
  v: 1
type:
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  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.medicalDevicesAndImplantsSection.subsectionNarrative
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  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.medicalDevicesAndImplantsSection.subsectionNarrative
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  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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  v: 0
max:
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type:
  code:
    v: string

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  v: Medical devices and implants
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  v: Medical devices and implants
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max:
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type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSDeviceUse

id:
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  v: Pharmacotherapy section
definition:
  v: Selected drug treatment during hospitalisation. Medicinal products that were administered during hospitalisation and whose administration has already been discontinued before discharge. Only products which are important for continuity of care (antibiotics other than completely routine, corticosteroids in high doses, etc.) will be listed. Products which administration will continue after discharge will be also recorder in the Medication summary section.Medicinal products, the administration of which was started during hospitalisation, but is also recommended after discharge, will be listed in the summary table in the recommendation section.
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max:
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type:
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  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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  code:
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  v: Pharmacotherapy structured entry.
definition:
  v: Pharmacotherapy structured entry.
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  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationStatement

id:
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short:
  v: Significant Observation Results
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  v: Results of significant functional, diagnostic, and imaging examinations to ensure continuity of care, performed during hospitalisation. Results of examinations ordered but not yet delivered should be presented separately from results already delivered.
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max:
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  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative subsection elements should be provided.
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  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.significantObservationResults.significantObservationResult[x]
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  v: Significant Observation Result
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  v: Structured significant observation entry.
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max:
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type:
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type:
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    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSLaboratoryObservation

id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.synthesis
path:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.synthesis
short:
  v: Synthesis
definition:
  v: This section provides clinical synthesis (e.g. description of reasons and course of hospital stay) clustered by managed conditions, Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.synthesis.problemSynthesis
path:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.synthesis.problemSynthesis
short:
  v: Summary description of the reason and course of hospitalisation for a specific problem.
definition:
  v: Summary description of the reason and course of hospitalisation for a specific problem.
min:
  v: 1
max:
  v: *
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.synthesis.clinicalReasoning
path:
  v: EHDSHospitalDischargeReportBody.courseOfHospitalisation.synthesis.clinicalReasoning
short:
  v: Clinical reasoning
definition:
  v: The clinical summary can be concluded with a clinical consideration (diff. diagnosis, explanation of context, etc.) for clinically complex conditions.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails
short:
  v: Discharge details
definition:
  v: Structured information should be provided, however if not available, at least a section narrative should be present.
min:
  v: 1
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings
short:
  v: Objective findings
definition:
  v: Sub-section with objective findings.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.dateAndTime
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.dateAndTime
short:
  v: Date and time of the examination
definition:
  v: Date and time of the examination
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.performer
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.performer
short:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
definition:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.anthropometricObservations
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.anthropometricObservations
short:
  v: Anthropometric observations
definition:
  v: Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness. Result of the observation includes text, numeric and coded results of the measurement including measurement units.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.vitalSigns
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.vitalSigns
short:
  v: Vital signs
definition:
  v: Vital signs observation:•Required: Pulse rate, respiratory rate, systolic and diastolic blood preasure with site information•Optional: 02 saturation
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.physicalExamination
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.objectiveFindings.physicalExamination
short:
  v: Physical examination
definition:
  v: Physical examination is the process of evaluating objective anatomical findings. It is typically the first diagnostic measure performed after taking the patient's history, which allows an initial assessment of symptoms and is useful for determining the differential diagnoses and further steps. Physical examination can be performed through observation, palpation, percussion, and auscultation.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSObservation

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus
short:
  v: Functional status
definition:
  v: Functional status can be assessed in several different ways, usually with a focus on the person’s abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one’s own affairs.For details see: https://paciowg.github.io/functional-status-ig/
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.dateAndTime
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.dateAndTime
short:
  v: Date and time of the examination
definition:
  v: Date and time of the examination
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.performer
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.performer
short:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
definition:
  v: Originator/author. Provides provenance information about the source of the results data that may have not originated with the source of the whole document.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSHealthProfessional

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.sectionNarrative
short:
  v: Narrative content of the section.
definition:
  v: Narrative content of the section.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.functionalStatusAssessment
path:
  v: EHDSHospitalDischargeReportBody.dischargeDetails.functionalStatus.functionalStatusAssessment
short:
  v: Functional status assessment
definition:
  v: Formalized assessment of the patient's functional status according to the individual assessment categories of the selected assessment system (e.g. WHO-ICF)
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSFunctionalStatus

id:
  v: EHDSHospitalDischargeReportBody.medicationSummary
path:
  v: EHDSHospitalDischargeReportBody.medicationSummary
short:
  v: Medication summary. 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:
  v: Medication summary. 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.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.medicationSummary.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.medicationSummary.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.medicationSummary.medicationDetails
path:
  v: EHDSHospitalDischargeReportBody.medicationSummary.medicationDetails
short:
  v: Medication details
definition:
  v: Structured medication entry.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSMedicationStatement

id:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge
path:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge
short:
  v: Care plan and other recommendations after discharge.
definition:
  v: Care plan and other recommendations after discharge section.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Base

id:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge.sectionNarrative
path:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge.sectionNarrative
short:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
definition:
  v: Narrative content of the section. This narrative shell containing either summary narrative description of all subsections, or similar narrative sub-section elements should be provided.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge.carePlan
path:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge.carePlan
short:
  v: Structured care plan after discharge. Multiple care plans could be provided.
definition:
  v: Structured care plan after discharge. Multiple care plans could be provided.
min:
  v: 0
max:
  v: *
type:
  code:
    v: https://www.xt-ehr.eu/specifications/fhir/StructureDefinition/EHDSCarePlan

id:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge.otherRecommendations
path:
  v: EHDSHospitalDischargeReportBody.carePlanAndOtherRecommendationsAfterDischarge.otherRecommendations
short:
  v: Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
definition:
  v: Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
min:
  v: 0
max:
  v: *
type:
  code:
    v: string