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

MyHealth@Eu Hospital Discharge Report - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: RecommendationsMyHEu - Detailed Descriptions

Draft as of 2025-02-20

Definitions for the Recommendations logical model.

Guidance on how to interpret the contents of this table can be found here

0. Recommendations
Definition

Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN

ShortA.2.9 - Care plan and other recommendations after discharge (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. Recommendations.carePlan
Definition

Care plan after discharge. Multiple care plans could be provided.

ShortA.2.9.1 - Care plan
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Recommendations.carePlan.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. Recommendations.carePlan.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Recommendations.carePlan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. Recommendations.carePlan.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Recommendations.carePlan.title
    Definition

    Human-friendly name for the care plan (e.g. Hip replacement care plan)

    ShortA.2.9.1.1 - Title
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. Recommendations.carePlan.addresses
    Definition

    Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. This element provides a linkage to the conditions recorded in the diagnostic summary section.

    ShortA.2.9.1.2 - Addresses
    Control0..*
    TypeCodeableConcept
    14. Recommendations.carePlan.description
    Definition

    A description of the scope and nature of the plan.

    ShortA.2.9.1.3 - Description
    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. Recommendations.carePlan.planPeriod
    Definition

    Indicates when the plan did (or is intended to) come into effect and end.

    ShortA.2.9.1.4 - Plan Period
    Control0..1
    TypePeriod
    18. Recommendations.carePlan.details
    Definition

    Other structured and coded details, care team, goals to be achieved.

    ShortA.2.9.1.5 - Other details
    Control0..*
    TypeBackboneElement
    20. Recommendations.carePlan.activity
    Definition

    Actions to occur as part of the plan.

    ShortA.2.9.1.6 - Activity
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Recommendations.carePlan.activity.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    24. Recommendations.carePlan.activity.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Recommendations.carePlan.activity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 26. Recommendations.carePlan.activity.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      28. Recommendations.carePlan.activity.kind
      Definition

      A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.

      ShortA.2.9.1.6.1 - Kind
      Control0..1
      TypeCodeableConcept
      30. Recommendations.carePlan.activity.description
      Definition

      A detailed description of the activity.

      ShortA.2.9.1.6.2 - Activity description
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      32. Recommendations.carePlan.activity.attribute
      Definition

      Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc.

      ShortA.2.9.1.6.3 - Specific attributes
      Control0..*
      TypeBackboneElement
      34. Recommendations.medicationSummary
      Definition

      Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

      ShortA.2.9.2 - Medication summary
      Control1..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Recommendations.medicationSummary.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      38. Recommendations.medicationSummary.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Recommendations.medicationSummary.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 40. Recommendations.medicationSummary.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        42. Recommendations.medicationSummary.reason
        Definition

        The reason why the medication is or was prescribed or used. It provides a link to the Past or current health condition(s) or problem(s) that the patient has had or has and for which this medication was prescribed.

        ShortA.2.9.2.1 - Medication reason
        Control0..*
        TypeCodeableConcept
        44. Recommendations.medicationSummary.changeReason
        Definition

        Reason for change of medication

        ShortA.2.9.2.2 - Reason for change
        Control0..1
        TypeCodeableConcept
        46. Recommendations.medicationSummary.productCode
        Definition

        Product code.

        ShortA.2.9.2.3 - Code
        Control1..1
        TypeCodeableConcept
        48. Recommendations.medicationSummary.productName
        Definition

        Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU)

        ShortA.2.9.2.4 - Brand name
        Control1..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        50. Recommendations.medicationSummary.activeIngredient
        Definition

        Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: 'paracetamol'

        ShortA.2.9.2.5 - Active ingredient list
        Control0..*
        TypeCodeableConcept
        52. Recommendations.medicationSummary.strength
        Definition

        The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet

        ShortA.2.9.2.6 - Strength
        Control0..*
        TypeRatio
        54. Recommendations.medicationSummary.doseForm
        Definition

        The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup)

        ShortA.2.9.2.7 - Pharmaceutical dose form
        Control0..1
        TypeCodeableConcept
        56. Recommendations.medicationSummary.dosageRegimen
        Definition

        Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days

        ShortA.2.9.2.8 - Dosage Regimen
        Control0..*
        TypeBackboneElement
        58. Recommendations.medicationSummary.route
        Definition

        Path by which the pharmaceutical product is taken into or makes contact with the body.

        ShortA.2.9.2.9 - Route of administration
        Control0..1
        TypeCodeableConcept
        60. Recommendations.medicationSummary.period
        Definition

        The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking).

        ShortA.2.9.2.10 - Period of treatment
        Control0..1
        TypePeriod
        62. Recommendations.medicationSummary.daysSupplied
        Definition

        Number of days for which the patient was provided with the drug. Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug)

        ShortA.2.9.2.11 - Days supplied
        Control1..1
        TypeBackboneElement
        64. Recommendations.Recommendations
        Definition

        Other recommendations (advice) after discharge. Multiple recommendations could be provided. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.

        ShortA.2.9.3 - Other recommendations
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

        Guidance on how to interpret the contents of this table can be found here

        0. Recommendations
        Definition

        Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN

        ShortA.2.9 - Care plan and other recommendations after discharge (eHN)
        Logical ModelInstances of this logical model are not marked to be the target of a Reference
        2. Recommendations.carePlan
        Definition

        Care plan after discharge. Multiple care plans could be provided.

        ShortA.2.9.1 - Care plan
        Control0..*
        TypeBackboneElement
        4. Recommendations.carePlan.title
        Definition

        Human-friendly name for the care plan (e.g. Hip replacement care plan)

        ShortA.2.9.1.1 - Title
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        6. Recommendations.carePlan.addresses
        Definition

        Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. This element provides a linkage to the conditions recorded in the diagnostic summary section.

        ShortA.2.9.1.2 - Addresses
        Control0..*
        TypeCodeableConcept
        8. Recommendations.carePlan.description
        Definition

        A description of the scope and nature of the plan.

        ShortA.2.9.1.3 - Description
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        10. Recommendations.carePlan.planPeriod
        Definition

        Indicates when the plan did (or is intended to) come into effect and end.

        ShortA.2.9.1.4 - Plan Period
        Control0..1
        TypePeriod
        12. Recommendations.carePlan.details
        Definition

        Other structured and coded details, care team, goals to be achieved.

        ShortA.2.9.1.5 - Other details
        Control0..*
        TypeBackboneElement
        14. Recommendations.carePlan.activity
        Definition

        Actions to occur as part of the plan.

        ShortA.2.9.1.6 - Activity
        Control0..*
        TypeBackboneElement
        16. Recommendations.carePlan.activity.kind
        Definition

        A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.

        ShortA.2.9.1.6.1 - Kind
        Control0..1
        TypeCodeableConcept
        18. Recommendations.carePlan.activity.description
        Definition

        A detailed description of the activity.

        ShortA.2.9.1.6.2 - Activity description
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        20. Recommendations.carePlan.activity.attribute
        Definition

        Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc.

        ShortA.2.9.1.6.3 - Specific attributes
        Control0..*
        TypeBackboneElement
        22. Recommendations.medicationSummary
        Definition

        Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

        ShortA.2.9.2 - Medication summary
        Control1..*
        TypeBackboneElement
        24. Recommendations.medicationSummary.reason
        Definition

        The reason why the medication is or was prescribed or used. It provides a link to the Past or current health condition(s) or problem(s) that the patient has had or has and for which this medication was prescribed.

        ShortA.2.9.2.1 - Medication reason
        Control0..*
        TypeCodeableConcept
        26. Recommendations.medicationSummary.changeReason
        Definition

        Reason for change of medication

        ShortA.2.9.2.2 - Reason for change
        Control0..1
        TypeCodeableConcept
        28. Recommendations.medicationSummary.productCode
        Definition

        Product code.

        ShortA.2.9.2.3 - Code
        Control1..1
        TypeCodeableConcept
        30. Recommendations.medicationSummary.productName
        Definition

        Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU)

        ShortA.2.9.2.4 - Brand name
        Control1..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        32. Recommendations.medicationSummary.activeIngredient
        Definition

        Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: 'paracetamol'

        ShortA.2.9.2.5 - Active ingredient list
        Control0..*
        TypeCodeableConcept
        34. Recommendations.medicationSummary.strength
        Definition

        The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet

        ShortA.2.9.2.6 - Strength
        Control0..*
        TypeRatio
        36. Recommendations.medicationSummary.doseForm
        Definition

        The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup)

        ShortA.2.9.2.7 - Pharmaceutical dose form
        Control0..1
        TypeCodeableConcept
        38. Recommendations.medicationSummary.dosageRegimen
        Definition

        Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days

        ShortA.2.9.2.8 - Dosage Regimen
        Control0..*
        TypeBackboneElement
        40. Recommendations.medicationSummary.route
        Definition

        Path by which the pharmaceutical product is taken into or makes contact with the body.

        ShortA.2.9.2.9 - Route of administration
        Control0..1
        TypeCodeableConcept
        42. Recommendations.medicationSummary.period
        Definition

        The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking).

        ShortA.2.9.2.10 - Period of treatment
        Control0..1
        TypePeriod
        44. Recommendations.medicationSummary.daysSupplied
        Definition

        Number of days for which the patient was provided with the drug. Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug)

        ShortA.2.9.2.11 - Days supplied
        Control1..1
        TypeBackboneElement
        46. Recommendations.Recommendations
        Definition

        Other recommendations (advice) after discharge. Multiple recommendations could be provided. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.

        ShortA.2.9.3 - Other recommendations
        Control0..*
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

        Guidance on how to interpret the contents of this table can be found here

        0. Recommendations
        Definition

        Hospital Discharge Report - Care plan and other recommendations after discharge - A.2.9 eHN

        ShortA.2.9 - Care plan and other recommendations after discharge (eHN)
        Control0..*
        Is Modifierfalse
        Logical ModelInstances of this logical model are not marked to be the target of a Reference
        2. Recommendations.carePlan
        Definition

        Care plan after discharge. Multiple care plans could be provided.

        ShortA.2.9.1 - Care plan
        Control0..*
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        4. Recommendations.carePlan.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        6. Recommendations.carePlan.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Recommendations.carePlan.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 8. Recommendations.carePlan.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          10. Recommendations.carePlan.title
          Definition

          Human-friendly name for the care plan (e.g. Hip replacement care plan)

          ShortA.2.9.1.1 - Title
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          12. Recommendations.carePlan.addresses
          Definition

          Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan. This element provides a linkage to the conditions recorded in the diagnostic summary section.

          ShortA.2.9.1.2 - Addresses
          Control0..*
          TypeCodeableConcept
          14. Recommendations.carePlan.description
          Definition

          A description of the scope and nature of the plan.

          ShortA.2.9.1.3 - Description
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          16. Recommendations.carePlan.planPeriod
          Definition

          Indicates when the plan did (or is intended to) come into effect and end.

          ShortA.2.9.1.4 - Plan Period
          Control0..1
          TypePeriod
          18. Recommendations.carePlan.details
          Definition

          Other structured and coded details, care team, goals to be achieved.

          ShortA.2.9.1.5 - Other details
          Control0..*
          TypeBackboneElement
          20. Recommendations.carePlan.activity
          Definition

          Actions to occur as part of the plan.

          ShortA.2.9.1.6 - Activity
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. Recommendations.carePlan.activity.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          24. Recommendations.carePlan.activity.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Recommendations.carePlan.activity.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 26. Recommendations.carePlan.activity.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            28. Recommendations.carePlan.activity.kind
            Definition

            A description of the type of care plan activity. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.

            ShortA.2.9.1.6.1 - Kind
            Control0..1
            TypeCodeableConcept
            30. Recommendations.carePlan.activity.description
            Definition

            A detailed description of the activity.

            ShortA.2.9.1.6.2 - Activity description
            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            32. Recommendations.carePlan.activity.attribute
            Definition

            Specific structured attributes per each activity type expressed by the Activity kind element, E.g., specific attributes for prescription request, appointment, etc.

            ShortA.2.9.1.6.3 - Specific attributes
            Control0..*
            TypeBackboneElement
            34. Recommendations.medicationSummary
            Definition

            Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

            ShortA.2.9.2 - Medication summary
            Control1..*
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. Recommendations.medicationSummary.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            38. Recommendations.medicationSummary.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Recommendations.medicationSummary.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 40. Recommendations.medicationSummary.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              42. Recommendations.medicationSummary.reason
              Definition

              The reason why the medication is or was prescribed or used. It provides a link to the Past or current health condition(s) or problem(s) that the patient has had or has and for which this medication was prescribed.

              ShortA.2.9.2.1 - Medication reason
              Control0..*
              TypeCodeableConcept
              44. Recommendations.medicationSummary.changeReason
              Definition

              Reason for change of medication

              ShortA.2.9.2.2 - Reason for change
              Control0..1
              TypeCodeableConcept
              46. Recommendations.medicationSummary.productCode
              Definition

              Product code.

              ShortA.2.9.2.3 - Code
              Control1..1
              TypeCodeableConcept
              48. Recommendations.medicationSummary.productName
              Definition

              Brand name if biological medicinal product or when justified by the health professional (ref. Commission Directive 2012/52/EU)

              ShortA.2.9.2.4 - Brand name
              Control1..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              50. Recommendations.medicationSummary.activeIngredient
              Definition

              Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product. Example: 'paracetamol'

              ShortA.2.9.2.5 - Active ingredient list
              Control0..*
              TypeCodeableConcept
              52. Recommendations.medicationSummary.strength
              Definition

              The content of the active ingredient expressed quantifiably per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet

              ShortA.2.9.2.6 - Strength
              Control0..*
              TypeRatio
              54. Recommendations.medicationSummary.doseForm
              Definition

              The form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablet, syrup)

              ShortA.2.9.2.7 - Pharmaceutical dose form
              Control0..1
              TypeCodeableConcept
              56. Recommendations.medicationSummary.dosageRegimen
              Definition

              Number of units per intake and frequency of intake over a specified duration of time. Example: 1 tablet every 24h, for 10 days

              ShortA.2.9.2.8 - Dosage Regimen
              Control0..*
              TypeBackboneElement
              58. Recommendations.medicationSummary.route
              Definition

              Path by which the pharmaceutical product is taken into or makes contact with the body.

              ShortA.2.9.2.9 - Route of administration
              Control0..1
              TypeCodeableConcept
              60. Recommendations.medicationSummary.period
              Definition

              The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking).

              ShortA.2.9.2.10 - Period of treatment
              Control0..1
              TypePeriod
              62. Recommendations.medicationSummary.daysSupplied
              Definition

              Number of days for which the patient was provided with the drug. Supply is intended to either hand over the medicine or write out a prescription. A 0 value indicates that the patient has not been provided with the drug (e.g. if the patient has a sufficient supply of the drug)

              ShortA.2.9.2.11 - Days supplied
              Control1..1
              TypeBackboneElement
              64. Recommendations.Recommendations
              Definition

              Other recommendations (advice) after discharge. Multiple recommendations could be provided. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.

              ShortA.2.9.3 - Other recommendations
              Control0..*
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension