MyHealth@Eu Hospital Discharge Report
0.1.0-preview - qa-preview 150

MyHealth@Eu Hospital Discharge Report - Local Development build (v0.1.0-preview) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Encounter: HDR

Official URL: http://fhir.ehdsi.eu/hdr/StructureDefinition/encounter-hdr-myhealtheu Version: 0.1.0-preview
Draft as of 2025-06-05 Computable Name: EncounterHdrMyHealthEu

This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide.

Usages:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterEuHdr An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:note 0..* Annotation Enconter note
URL: http://hl7.org/fhir/StructureDefinition/note
.... extension:legalStatus 0..* CodeableConcept Legal status/situation at admission
URL: http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... class Σ 1..1 Coding Classification of patient encounter
Binding: eHDSI Encounter Class (required)
... priority O 0..1 CodeableConcept Encounter priority
Binding: eHDSI Admission Urgency (required)
ObligationsActor
SHALL:handle HDR Handler
... subject Σ 1..1 Reference(Patient: HDR) The patient present at the encounter
... Slices for participant Σ 0..* BackboneElement List of participants involved in the encounters.
Slice: Unordered, Open by value:type
.... participant:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... individual Σ 0..1 Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson) Persons involved in the encounter other than the patient
.... participant:admitter OΣ 0..* BackboneElement Admitting professional.
ObligationsActor
SHALL:handle HDR Handler
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ADM
..... individual OΣ 0..1 Reference(PractitionerRole:: HDR) Persons involved in the encounter other than the patient
ObligationsActor
SHALL:handle HDR Handler
.... participant:discharger OΣ 0..* BackboneElement Discharging professional.
ObligationsActor
SHALL:handle HDR Handler
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DIS
..... individual OΣ 0..1 Reference(PractitionerRole:: HDR) Persons involved in the encounter other than the patient
ObligationsActor
SHALL:handle HDR Handler
.... participant:referrer Σ 0..* BackboneElement Referring professional
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 1..* CodeableConcept Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.

Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REF
..... individual Σ 0..1 Reference(Practitioner: HDR | PractitionerRole:: HDR | RelatedPerson) Persons involved in the encounter other than the patient
... reasonCode OΣ 0..* CodeableConcept Coded reason the encounter takes place
Binding: eHDSI Admission Reason With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... reasonReference OΣ 0..* Reference(Observation | Condition | Procedure) Reason the encounter takes place (reference)
ObligationsActor
SHALL:handle HDR Handler
... hospitalization O 0..1 BackboneElement Details about the admission to a healthcare service
ObligationsActor
SHALL:handle HDR Handler
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... destination 0..1 Reference(Organization: HDR | Location: HDR) Location/organization to which the patient is discharged
.... dischargeDisposition O 0..1 CodeableConcept Category or kind of location after discharge
Binding: eHDSI Discharge Disposition With Exceptions (required)
ObligationsActor
SHALL:handle HDR Handler
... serviceProvider 0..1 Reference(Organization: HDR) The organization (facility) responsible for this encounter

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.statusrequiredPattern Value: finished
http://hl7.eu/fhir/hdr/ValueSet/encounter-status-eu-hdr
Encounter.classrequiredEHDSIEncounterClass
http://terminology.ehdsi.eu/ValueSet/eHDSIEncounterClass
From this IG
Encounter.priorityrequiredEHDSIAdmissionUrgency
http://terminology.ehdsi.eu/ValueSet/eHDSIAdmissionUrgency
From this IG
Encounter.participant:admitter.typeextensiblePattern Value: ADM
http://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
Encounter.participant:discharger.typeextensiblePattern Value: DIS
http://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
Encounter.participant:referrer.typeextensiblePattern Value: REF
http://hl7.org/fhir/ValueSet/encounter-participant-type
From the FHIR Standard
Encounter.reasonCoderequiredEHDSIAdmissionReasonWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIAdmissionReasonWithExceptions
From this IG
Encounter.hospitalization.dischargeDispositionrequiredEHDSIDischargeDispositionWithExceptions
http://fhir.ehdsi.eu/hdr/ValueSet/eHDSIDischargeDispositionWithExceptions
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEncounterIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron