EHDS Logical Information Models, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/tree/main and changes regularly. See the Directory of published versions
Hospital Discharge Report
Conceptual view
Hospital discharge report could be divided into several parts: document header, body and optionally it could also have various attachments.
Hospital Discharge Report
Hospital Discharge Report Hospital Discharge Report header Hospital Discharge Report structured body Presented forms Hospital Discharge Report attachments
Hospital Discharge Report Header Subject Related person Preferred Health Professional Health insurance and payment information Intended recipient Authorship Author DateTime Attestation Attester DateTime Legal authentication Legal authenticator DateTime Document metadata Document ID Document type Document status Period Report date and time Document title Event type Specialty Report custodian Document format Confidentiality Language Version
Hospital Discharge Report body
Hospital Discharge Report body Advance directives Living will Date and time Type Comment Related conditions Living will document Alerts section Section narrative Allergy and Intolerance Medical alerts Encounter information section Section narrative Priority Admitting facility (Service provider) Actual encounter period Admission information Admitter Admit Source Referring professional Admission Reason Admission legal status Discharge information Destination type Destination location Location Period Organization part Admission evaluation Section narrative Objective findings Date and time Performer Section narrative Anthropometric observations Vital signs Physical examination Functional status Date and time Performer Section narrative Functional status assessment Patient history Section narrative Medical history Section narrative Past problems Devices and implants History of procedures Vaccination Epidemiological history Family history Social determinants of health Use of substances Course of hospitalisation (Hospital stay) Section narrative Diagnostic summary Significant procedures Medical devices and implants Pharmacotherapy Significant Observation Results Synthesis Discharge details Section narrative Objective findings Date and time Performer Section narrative Anthropometric observations Vital signs Physical examination Functional status Date and time Performer Section narrative Functional status assessment Medication summary Care plan Title Addresses Care plan description Other recommendations
FHIR Implementation Guide
The work for building the European FHIR specification for Hospital Discharge Report is ongoing in a joint working group of Xt-EHR, XpanDH, xShare and HL7 Europe. Any interested stakeholder is welcome to join the group - please see the detailed information about the meetings .
The Hospital Discharge Report FHIR Implementation Guide:
