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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

A - Hospital Discharge Report (eHN)

Hospital Discharge Report

A.1 - Hospital Discharge Report header data element

Hospital Discharge Report - Hospital Discharge Report header data element - A.1 eHN

A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject

Hospital Discharge Report - Hospital Discharge Report subject data element - A.1.1 and A.1.2 eHN

A.2.2 - Alerts (eHN)

Hospital Discharge Report - Alerts - A.2.2 eHN

A.2.3 - Encounter (eHN)

Hospital Discharge Report - Encounter - A.2.3 eHN

A.2.7 - Hospital stay (eHN)

Hospital Discharge Report - Hospital stay - A.2.7 eHN

A.2.8 - Discharge details (eHN)

Hospital Discharge Report - Discharge details - A.2.8 eHN

A.2.9 - Care plan and other recommendations after discharge (eHN)

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

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Allergy Intolerance (EU PS)

This profile constrains the AllergyIntolerance resource for the purpose of the European patient summary.

Bundle: Hospital Discharge Report

Clinical document used to represent a Hospital Discharge Report for the scope of MyHealth@EU.

Composition: Hospital Discharge Report

Clinical document used to represent a Hospital Discharge Report (HDR) for the scope of MyHealth@EU.

Encounter (HDR)

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

Flag (EU PS)

This profile constrains the Flag resource to represent alerts or warnings in FHIR for the purpose of this project.

Location (HDR)

This profile sets minimum expectations for the Location resource to be used for the purpose of this guide.

Organization (HDR)

This profile sets minimum expectations for the Organization resource to searching for and fetching an Organization associated with a patient or provider for the purpose of this guide.

Patient: HDR

This profile defines how to represent Patient in FHIR for the purpose of the MyHealth@EU project.

Practitioner (HDR)

This profile defines how to represent Practitioners in FHIR for the purpose of the HL7 Europe project.

PractitionerRole: (HDR)

This profile defines how to represent Practitioners (with their roles) in FHIR for the purpose of the HL7 Europe project.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Admission Urgency Value Set

Hospital Discharge Report Admission Urgency value set includes selected codes from HL7 v3-ActPriority code system.

Allergy Intolerance - Xpandh

Xpandh allergy intolerance codes value set. This value set includes codes from SNOMED Clinical Terms®: all descendants of 373873005 |Pharmaceutical / biologic product (product)|; all descendants of 105590001 |Substance (substance)|; all descendants of 418038007 |Propensity to adverse reactions to substance (finding)| plus codes for absent and unknown allergies.

AllergyIntoleranceSubstancesHdrVS
Anthropometric Observation Value Set

Anthropometric observation codes from the XpanDH anthropometric observations.

BMI Observation Unit Value Set

Body mass index observation units for the XpanDH BMI observations.

BMI Observation Value Set

Body mass index observation codes from the XpanDH BMI observation.

Body Height Observation Value Set

Body height observation codes from the XpanDH body height observations.

Body Weight Observation Value Set

Body weight observation codes from the XpanDH body weight observations.

Body Weight Observation Value Set

Body weight observation codes from the XpanDH body weight observations.

Cancer Stage Grading: Snomed CT

Identifying codes based on the timing of classification for stage group observations.

Cancer Stage Group: SNOMED CT

Identifying codes based on the timing of classification for stage group observations.

Circumference Observation Value Set

Circumference observation codes from the XpanDH Circumference observations.

Clinical M

Distant metastazis (M) clinical category

Clinical N

Regional lymph nodes (N) clinical category

Clinical T

Primary tumor (T) clinical category

Clinical T

Primary tumor (T) pathological category

Condition Value Set

Hospital Discharge Report Condition value set includes selected codes from recommended EU code systems for health conditions (WHO-ICD-10, SNOMED CT and Orphacodes).

Encounter Class Value Set

Hospital Discharge Report Encounter Class specifies a general class of inpatient encounter as being accute, nonaccute, emergency, short stay …

Encounter Voluntary Status Value Set

Value set of voluntary nature of the encounter.

In-patient Encounter Type Value Set

Hospital Discharge Report Encounter Type allows to classify encounter using general type of care provision regimen during the inpatient encounter. Value set includes concepts from the SNOMED CT descendants of 225351009 (Care provision regime) but needs to be further dicsussed

In-patient Encounter Type Value Set

Hospital Discharge Report Encounter Type allows to classify encounter using general type of care provision regimen during the inpatient encounter. Value set includes concepts from the SNOMED CT descendants of 225351009 (Care provision regime) but needs to be further dicsussed

Mandatory Condition Value Set

Hospital Discharge Report Mandatory Condition value set includes selected codes from recommended EU code systems for health conditions (WHO-ICD-10, SNOMED CT and Orphacodes) and IPS Absent and Unknown Data.

Medical Devices (SNOMED CT) - Xpandh

This value set includes codes from SNOMED Clinical Terms®: all descendants of 49062001 |Device (physical object)|.

Medical Devices - SNOMED CT + Absent/Unknown - IPS

This value set includes codes from SNOMED Clinical Terms (SNOMED CT®) that are included in: all descendants of 49062001 |Device (physical object)|, plus IPS codes for absent/unknown devices.

Observation Codes for Distant Metastases Category

Identifying codes based on the timing of classification for distant metastases (M) staging observations.

Observation Codes for Primary Tumor Category

Identifying codes based on the timing of classification for primary tumor (T) staging observations.

Observation Codes for Regional Node Category

Identifying codes based on the timing of classification for regional node (N) staging observations.

Pathological M

Distant metastazis (M) pathological category

Pathological N

Regional lymph nodes (N) pathological category

Primary tumor T

Primary tumor (T) category

Skinfold Thickness Units Value Set

Skinfold Thickness observation units for the XpanDH Skinfold Thickness observations.

Skinfold Thickness Value Set

Skinfold Thickness observation codes from the XpanDH Skinfold Thickness observations.

TNM M Category

Distant metastazis (M) category

TNM N Category

Regional lymph nodes (N) category

Treatment Class Value Set

Value set for category of treatement of the conditoin during encounter.

Vital Signs Observation Value Set

The vital sign obsevrvation codes from the XpanDH Vital Signs.

Xpandh Assessment Observation Category

Used to classify the context of a survey, screening or assessment for assessment observations and may be used to assist with indexing and searching for appropriate instances.

Xpandh Functional Assessment Scales

Used to specify type of functional assessment scale. May be used to assist with indexing and searching for appropriate instances.

eHDSI Animal Species

The Value Set is used to code the animal species of specimen subject (animal of the patient)

eHDSI Animal Species with exceptions

The Value Set is used to code the animal species of specimen subject (animal of the patient). It also includes exceptional values.

eHDSI Blood Group

The Value Set is used to code the value of patient's blood group + Rh

eHDSI Body Site

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary.

eHDSI Body Site Laterality

This Value Set is used for the body structure site laterality qualifier. It indicates the body site laterality from which a laboratory specimen is collected.

eHDSI Body Site with exceptions

The Value Set is used for the details about the anatomical location of a specimen in the Laboratory Result Report or the target body location of a procedure in the Patient Summary. It includes also exceptional values.

eHDSI Body Structure Location Qualifier

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location.

eHDSI Body Structure Location Qualifier with exceptions

This Value Set is used for the body structure location qualifier. Concepts modifying the anatomic location. It also includes exceptional values.

eHDSI Country

The Value Set is used to identify the nationality of all persons and organizations.

eHDSI Exceptional Value

The Value Set is used to code exceptional values for the required binding in FHIR IGs

eHDSI Healthcare Professional Role

This Value Set is used to define Healthcare Professional Role

eHDSI Illness and Disorder

The complete content of ICD-10, excluding Chapter XX.

eHDSI Laboratory Codes

This Value Set is used for the standard laboratory codes

eHDSI Laboratory Codes with exceptions

This Value Set is used for the standard laboratory codes. It also includes exceptional values.

eHDSI Laboratory Report Types

eHDSI Laboratory Report Types

eHDSI Laboratory Specimen Type

This Value Set is used for the kind of material that forms the specimen

eHDSI Laboratory Specimen Type with exceptions

This Value Set is used for the kind of material that forms the specimen. It also includes exceptional values

eHDSI Laboratory Study Types

eHDSI Laboratory Study Types. Notes: Note 1: 26436-6 (Laboratory studies) enables issuing a report putting together observations from multiple specialties (disciplines) in the same text block, allowing delivery of a global interpretation comment at the end of the text block that will be rendered at the end of the report. Note 2: Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies. Note 3: Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) or 18727-8 (SEROLOGY STUDIES) or split between both study types, depending upon the Content Creator Actor’s choice.

eHDSI Laboratory Study Types with exceptions

eHDSI Laboratory Study Types. Notes: Note 1: 26436-6 (Laboratory studies) enables issuing a report putting together observations from multiple specialties (disciplines) in the same text block, allowing delivery of a global interpretation comment at the end of the text block that will be rendered at the end of the report. Note 2: Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (Microbiology studies (set)) studies. Note 3: Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) or 18727-8 (SEROLOGY STUDIES) or split between both study types, depending upon the Content Creator Actor’s choice. It includes also exceptional values.

eHDSI Laboratory Technique

This Value Set is used to encode laboratory technique for the result measurement

eHDSI Laboratory Technique with exceptions

This Value Set is used to encode laboratory technique for the result measurement. It also includes exceptional values.

eHDSI Language

The Value Set is used to identify the language the document will be written with.

eHDSI Medical Device

eHDSI Medical Device

eHDSI Medical Device with exceptions

eHDSI Medical Device. The Value Set contains exceptional values.

eHDSI Microorganism

eHDSI Morphologic Abnormality

eHDSI Morphologic Abnormality

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken.

eHDSI Morphologic Abnormality with exceptions

The Value Set is used to code the morphological abnormalities of the anatomical location where the material is taken. It also includes exceptional values.

eHDSI Observation Interpretation

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results

eHDSI Observation Interpretation with exceptions

This Value Set is used for a rough qualitative interpretation of the Laboratory Observation Results. It also includes exceptional values.

eHDSI Observation category

This Value Set is used for the Laboratory Observation Results Category code

eHDSI Order Reason

The Value Set is used to code clinical conditions relevant for the laboratory results interpretation. It is defined as the union of: (a) EHDSIIllnessandDisorder (b) EHDSIRareDisease (c) EHDSIReactionAllergy (d) EHDSIExceptionalValue

eHDSI Performer Function

Laboratory Performer Function

eHDSI Presence Absence

The Value Set is used to describe presence and absence findings (qualifier values) of the Laboratory Test Results

eHDSI Rare Disease

The Value Set is used to describe the problems and medication reasons.

eHDSI Reaction Allergy

Value Set is used to encode clinical manifestation of the allergic reaction.

eHDSI Reference Range Applies To

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to

eHDSI Reference Range Applies To with exceptions

This value set defines a set of codes that can be used to indicate the particular target population the reference range applies to. It also includes exceptional values.

eHDSI Reference Range Meaning

This value set defines a set of codes for a reference range qualifier

eHDSI Reference Range Meaning with exceptions

This value set defines a set of codes for a reference range qualifier. It also includes exceptional values.

eHDSI Results Coded Value Laboratory with exceptions

The Value Set is used to code the value of laboratory observation result. It is defined as the union of: (a) eHDSIBloodGroup (b) eHDSIPresenceAbsence (c) eHDSIMicroorganism (d) eHDSIExceptionalValue

eHDSI Unit

eHDSI Unit

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Present on Admission (POA) Indicator

Present on Admission (POA) indicators

WHO Disability Assessment Schedule 2.0

WHODAS 2.0 provides a common metric of the impact of any health condition in terms of functioning. HODAS 2.0 produces domain-specific scores for six different functioning domains – cognition, mobility, self-care, getting along, life activities (household and work) and participation.

Xpandh Assessment Category

Category codes used in Xpandh Profiles such as the Xpandh Assessment Observation Profile. The are typically used when there is a need for categorization for searching and finding resources or workflow hints.

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

eHN Alerts Model to this guide Map

eHN HDR Alerts Model to this guide mapping

eHN Encounter Model to this guide Map

eHN HDR Encounter Model to this guide mapping

eHN HDR Model to this guide Map

eHN Hospital Discharge Report Model to this guide mapping

eHN Header Model to this guide Map

eHN HDR Header Model to this guide mapping

eHN Subject Model to this guide Map

eHN HDR Subject Model to this guide mapping

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Actor Laboratory Report Consumer

Laboratory Report Report Consumer: a system receiving/querying and using a Laboratory Report.

Actor Laboratory Report Creator

Laboratory Report Creator: a system generating and sending/providing a Laboratory Report to a Consumer or to a Repository for report storage and sharing.

Actor Laboratory Report Handler

Laboratory Report Handler: a generic system dealing with Laboratory Reports

Actor Laboratory Report Repository

Laboratory Report Report Repository: a system maintaining a copy of the received Laboratory Report, to store and make it availaìble for the consumers.

Encounter: Poc example

Encounter: example of Encounter based on the dataset created for the PoC

Example AllergyIntolerance for EU-EPS

An example instance of AllergyIntolerance conforming to the EU-EPS profile.

Example Hospital Discharge Report

A Hospital Discharge Report for cross-border healthcare in the EU.

Example Medical Device

An example instance of a medical device resource.

Example MedicationStatement

An example instance of a MedicationStatement conforming to the HL7 FHIR R4 specification.

Example Procedure

An example Procedure instance conforming to the HL7 FHIR R4 specification.

MyHealth@EU HDR Bundle

An example FHIR Bundle for MyHealth@EU using the hdr-myhealtheu profile

Patient: example

Patient: example