MyHealth@Eu Hospital Discharge Report
9.1.1 - qa-preview
150
MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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<div xml:lang="en-GB" xmlns="http://www.w3.org/1999/xhtml" lang="en-GB"><a name="Composition_ExampleCompositionHdr"> </a>Composition of clinical sections.</div>
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<code value="34105-7"/>
<display value="Hospital Discharge summary"/>
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<author>
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<title value="Hospital Discharge Summary"/>
<section>
<title value="Hospital Course"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8648-8"/>
<display value="Hospital course note"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Patient was admitted for observation and discharged in stable condition.</div>
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<section>
<title value="Significant Results"/>
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<system value="http://loinc.org"/>
<code value="30954-2"/>
<display
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<title value="Clinical Synthesis"/>
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<coding>
<system value="http://loinc.org"/>
<code value="67781-5"/>
<display value="Summarization of encounter note"/>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml">Final diagnosis: Acute bronchitis. Treatment included antibiotics and rest.</div>
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<section>
<title value="Allergies and intolerances"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml">Textual overview of allergies and intolerances.</div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"> </a>John Doe, born 1965-03-15</div>
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<value value="65031500145"/>
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<family value="Doe"/>
<given value="John"/>
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<gender value="male"/>
<birthDate value="1965-03-15"/>
<address>
<line value="Rue de la Loi 1"/>
<city value="Brussels"/>
<postalCode value="1000"/>
<country value="BE"/>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_b49cdbed-299c-4b95-aa9d-273811521147"> </a>Encounter example</div>
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<status value="finished"/>
<class>
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<code value="IMP"/>
<display value="inpatient encounter"/>
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<end value="2024-11-12T15:46:00+01:00"/>
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<AllergyIntolerance>
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<profile
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec"> </a>Allergy to penicillin</div>
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<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
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<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
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</verificationStatus>
<type value="allergy"/>
<category value="medication"/>
<criticality value="high"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="372687004"/>
<display value="Amoxicillin"/>
</coding>
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<patient>
<reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
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<onsetDateTime value="2010-03-01"/>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="39579001"/>
<display value="Anaphylaxis"/>
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<severity value="severe"/>
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<entry>
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<Practitioner>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_b06b2c2c-15dd-4e58-b27e-37326ba51407"> </a>Dr. Maria Gonzalez</div>
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<name>
<family value="Gonzalez"/>
<given value="Maria"/>
<prefix value="Dr."/>
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<telecom>
<system value="phone"/>
<value value="+32 2 555 0100"/>
<use value="work"/>
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<PractitionerRole>
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<meta>
<profile
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_b975ec26-4ecf-4588-9fa2-afbb0d9fc530"> </a>Dr. Maria Gonzalez - Internal Medicine</div>
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<identifier>
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<value value="PR-123456"/>
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<active value="true"/>
<practitioner>
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<organization>
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<code>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.9.6.2.7"/>
<code value="221"/>
<display value="Medical Doctors"/>
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<specialty>
<coding>
<system value="http://snomed.info/sct"/>
<code value="419192003"/>
<display value="Internal medicine"/>
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<Organization>
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<meta>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ff4d98d1-69c9-43db-896e-58d11c15662c"> </a>Brussels University Hospital</div>
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<identifier>
<system value="http://example.org/organization-ids"/>
<value value="ORG-001"/>
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<active value="true"/>
<name value="Brussels University Hospital"/>
<telecom>
<system value="phone"/>
<value value="+32 2 764 1111"/>
<use value="work"/>
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<address>
<line value="Avenue Hippocrate 10"/>
<city value="Brussels"/>
<postalCode value="1200"/>
<country value="BE"/>
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<entry>
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<Observation>
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<meta>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_0234c232-a2e7-4bd5-b803-e5f290f19425"> </a>Imaging Finding Observation</div>
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<status value="final"/>
<category>
<coding>
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value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="imaging"/>
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<code>
<coding>
<system value="http://loinc.org"/>
<code value="41806-1"/>
<display value="CT Abdomen"/>
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<subject>
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<effectiveDateTime value="2025-05-25T10:00:00+02:00"/>
<performer>
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<code value="442684004"/>
<display value="Imaging of liver abnormal (finding)"/>
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<bodySite>
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<system value="http://snomed.info/sct"/>
<code value="790007"/>
<display value="Visceral surface of liver"/>
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<Observation>
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<meta>
<profile
value="http://fhir.ehdsi.eu/hdr/StructureDefinition/observation-vital-hdr-myhealtheu"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_67944ca3-521a-41c6-9878-08f2a4980eab"> </a>Vital Signs Observation</div>
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<category>
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value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
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</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8310-5"/>
<display value="Body temperature"/>
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<subject>
<reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
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<effectiveDateTime value="2025-05-27T08:30:00+02:00"/>
<performer>
<reference value="urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
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<valueQuantity>
<value value="37"/>
<unit value="Cel"/>
<system value="http://unitsofmeasure.org"/>
<code value="Cel"/>
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<entry>
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<Observation>
<id value="9c72df9a-c459-45ea-bedf-b89568a8378a"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_9c72df9a-c459-45ea-bedf-b89568a8378a"> </a>Example observation for lab results.</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="718-7"/>
<display value="Hemoglobin [Mass/volume] in Blood"/>
</coding>
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<subject>
<reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
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<effectiveDateTime value="2025-05-14T08:30:00+02:00"/>
<performer>
<reference value="urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
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<valueQuantity>
<value value="13.5"/>
<unit value="grams per deciliter"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
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<interpretation>
<coding>
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<code value="N"/>
<display value="Normal"/>
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<method>
<coding>
<system value="http://snomed.info/sct"/>
<code value="702873001"/>
<display value="Calculation technique (qualifier value)"/>
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</method>
<referenceRange>
<low>
<value value="12"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</low>
<high>
<value value="16"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/dL"/>
</high>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
<code value="normal"/>
<display value="Normal Range"/>
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</type>
</referenceRange>
</Observation>
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<entry>
<fullUrl value="urn:uuid:d532c253-9bd1-433a-a08e-fb6384f4a6b6"/>
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<Observation>
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<meta>
<profile
value="http://hl7.eu/fhir/hdr/StructureDefinition/observation-imgFinding-eu-hdr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_d532c253-9bd1-433a-a08e-fb6384f4a6b6"> </a>Example observation for radiology results.</div>
</text>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="imaging"/>
<display value="Imaging"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="36554-4"/>
<display value="XR Chest Single View"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
</subject>
<effectiveDateTime value="2024-09-10T10:30:00Z"/>
<issued value="2024-09-10T11:00:00Z"/>
<performer>🔗
<reference
value="PractitionerRole/b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
</performer>
<valueString value="Found a mass in the heart cavity"/>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="727751002"/>
<display value="Entire surface region of front of chest"/>
</coding>
</bodySite>
</Observation>
</resource>
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