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

MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Bundle: complete MyHealth@EU Hospital Discharge Report - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="BundleExampleHdr"/>
  <meta>
    <profile
             value="http://fhir.ehdsi.eu/hdr/StructureDefinition/bundle-hdr-myhealtheu"/>
  </meta>
  <identifier>
    <system value="http://example.org"/>
    <value value="7c8218d6-7a5b-4974-8221-c9102ad4fb41"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2024-11-18T14:30:00+01:00"/>
  <entry>
    <fullUrl value="urn:uuid:1033c423-e5cf-45f2-a580-cb9d882af7c4"/>
    <resource>
      <Composition>
        <id value="ExampleCompositionHdr"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/composition-hdr-myhealtheu"/>
        </meta>
        <language value="en-GB"/>
        <text>
          <status value="generated"/>
          <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>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="34105-7"/>
            <display value="Hospital Discharge summary"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
        </subject>
        <encounter>
          <reference value="urn:uuid:b49cdbed-299c-4b95-aa9d-273811521147"/>
        </encounter>
        <date value="2025-05-05T14:00:00+02:00"/>
        <author>
          <reference value="urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
        </author>
        <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"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Patient was admitted for observation and discharged in stable condition.</div>
          </text>
        </section>
        <section>
          <title value="Significant Results"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="30954-2"/>
              <display
                       value="Relevant diagnostic tests/laboratory data note"/>
            </coding>
          </code>
          <entry>🔗 
            <reference
                       value="Observation/9c72df9a-c459-45ea-bedf-b89568a8378a"/>
          </entry>
          <entry>🔗 
            <reference
                       value="Observation/d532c253-9bd1-433a-a08e-fb6384f4a6b6"/>
          </entry>
        </section>
        <section>
          <title value="Clinical Synthesis"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="67781-5"/>
              <display value="Summarization of encounter note"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Final diagnosis: Acute bronchitis. Treatment included antibiotics and rest.</div>
          </text>
        </section>
        <section>
          <title value="Allergies and intolerances"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml">Textual overview of allergies and intolerances.</div>
          </text>
          <entry>
            <reference value="urn:uuid:5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec"/>
          </entry>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
    <resource>
      <Patient>
        <id value="1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/patient-hdr-myhealtheu"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"> </a><p class="res-header-id"><b>Generated Narrative: Patient 1d4bbc93-63b7-4f2b-8f0f-8380aa138f49</b></p><a name="1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"> </a><a name="hc1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-patient-hdr-myhealtheu.html">Patient: HDR</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">John Albertus Doe  Male, DoB: 1989-12-12 ( https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin#89121210976 (use: official, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">Breydelstraat 4 Brussels 1000 BE </td></tr></table></div>
        </text>
        <identifier>
          <use value="official"/>
          <system
                  value="https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin"/>
          <value value="89121210976"/>
        </identifier>
        <name>
          <family value="Doe"/>
          <given value="John"/>
          <given value="Albertus"/>
        </name>
        <gender value="male"/>
        <birthDate value="1989-12-12"/>
        <address>
          <line value="Breydelstraat 4"/>
          <city value="Brussels"/>
          <postalCode value="1000"/>
          <country value="BE"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b49cdbed-299c-4b95-aa9d-273811521147"/>
    <resource>
      <Encounter>
        <id value="b49cdbed-299c-4b95-aa9d-273811521147"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/encounter-hdr-myhealtheu"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_b49cdbed-299c-4b95-aa9d-273811521147"> </a>Encounter example</div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="IMP"/>
          <display value="inpatient encounter"/>
        </class>
        <subject>
          <reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
        </subject>
        <period>
          <start value="2024-11-11T15:46:00+01:00"/>
          <end value="2024-11-12T15:46:00+01:00"/>
        </period>
        <serviceProvider>
          <reference value="urn:uuid:ff4d98d1-69c9-43db-896e-58d11c15662c"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec"/>
    <resource>
      <AllergyIntolerance>
        <id value="5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/allergyIntolerance-hdr-myhealtheu"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="AllergyIntolerance_5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec"> </a>Allergies and Intolerances</div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <category value="medication"/>
        <criticality value="high"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="226934003"/>
            <display value="Pork"/>
          </coding>
        </code>
        <patient>
          <reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
        </patient>
        <onsetDateTime value="2022-03-15"/>
        <recordedDate value="2022-03-20"/>
        <recorder>
          <reference value="urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
        </recorder>
        <note>
          <text
                value="Patient reported rash and swelling after taking Paracetamol."/>
        </note>
        <reaction>
          <manifestation>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="271807003"/>
              <display value="Skin rash"/>
            </coding>
          </manifestation>
          <manifestation>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="421262002"/>
              <display value="Tongue swelling"/>
            </coding>
          </manifestation>
          <severity value="moderate"/>
        </reaction>
      </AllergyIntolerance>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b06b2c2c-15dd-4e58-b27e-37326ba51407"/>
    <resource>
      <Practitioner>
        <id value="b06b2c2c-15dd-4e58-b27e-37326ba51407"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/practitioner-hdr-myhealtheu"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_b06b2c2c-15dd-4e58-b27e-37326ba51407"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner b06b2c2c-15dd-4e58-b27e-37326ba51407</b></p><a name="b06b2c2c-15dd-4e58-b27e-37326ba51407"> </a><a name="hcb06b2c2c-15dd-4e58-b27e-37326ba51407"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-practitioner-hdr-myhealtheu.html">Practitioner: HDR</a></p></div><p><b>name</b>: Anna Smith </p><h3>Qualifications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0360 MD}">Doctor of Medicine</span></td></tr></table></div>
        </text>
        <name>
          <family value="Smith"/>
          <given value="Anna"/>
        </name>
        <qualification>
          <code>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0360"/>
              <code value="MD"/>
              <display value="Doctor of Medicine"/>
            </coding>
          </code>
        </qualification>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
    <resource>
      <PractitionerRole>
        <id value="b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/practitionerRole-hdr-myhealtheu"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_b975ec26-4ecf-4588-9fa2-afbb0d9fc530"> </a>Practitioner Role</div>
        </text>
        <identifier>
          <system value="http://example.org/practitioner-role-ids"/>
          <value value="PR-123456"/>
        </identifier>
        <active value="true"/>
        <practitioner>
          <reference value="urn:uuid:b06b2c2c-15dd-4e58-b27e-37326ba51407"/>
        </practitioner>
        <organization>
          <reference value="urn:uuid:ff4d98d1-69c9-43db-896e-58d11c15662c"/>
        </organization>
        <code>
          <coding>
            <system value="urn:oid:2.16.840.1.113883.2.9.6.2.7"/>
            <code value="221"/>
            <display value="Medical Doctors"/>
          </coding>
        </code>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:ff4d98d1-69c9-43db-896e-58d11c15662c"/>
    <resource>
      <Organization>
        <id value="ff4d98d1-69c9-43db-896e-58d11c15662c"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/organization-hdr-myhealtheu"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ff4d98d1-69c9-43db-896e-58d11c15662c"> </a><p class="res-header-id"><b>Generated Narrative: Organization ff4d98d1-69c9-43db-896e-58d11c15662c</b></p><a name="ff4d98d1-69c9-43db-896e-58d11c15662c"> </a><a name="hcff4d98d1-69c9-43db-896e-58d11c15662c"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-organization-hdr-myhealtheu.html">Organization: HDR</a></p></div><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: University Hospital Berlin</p><p><b>telecom</b>: <a href="tel:+49-30-1234567">+49-30-1234567</a>, <a href="mailto:info@universityhospital-berlin.eu">info@universityhospital-berlin.eu</a></p><p><b>address</b>: Charitéplatz 1 Berlin 10117 DE (work)</p><p><b>partOf</b>: Parent Health Network</p><blockquote><p><b>contact</b></p><p><b>name</b>: Dr. Erika Schmidt</p><p><b>telecom</b>: <a href="mailto:erika.schmidt@universityhospital-berlin.eu">erika.schmidt@universityhospital-berlin.eu</a>, ph: -unknown-</p></blockquote></div>
        </text>
        <type>
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            <system
                    value="http://terminology.hl7.org/CodeSystem/organization-type"/>
            <code value="prov"/>
            <display value="Healthcare Provider"/>
          </coding>
        </type>
        <name value="University Hospital Berlin"/>
        <telecom>
          <system value="phone"/>
          <value value="+49-30-1234567"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="info@universityhospital-berlin.eu"/>
        </telecom>
        <address>
          <use value="work"/>
          <type value="both"/>
          <line value="Charitéplatz 1"/>
          <city value="Berlin"/>
          <postalCode value="10117"/>
          <country value="DE"/>
        </address>
        <partOf>
          <display value="Parent Health Network"/>
        </partOf>
        <contact>
          <name>
            <text value="Dr. Erika Schmidt"/>
          </name>
          <telecom>
            <system value="email"/>
            <value value="erika.schmidt@universityhospital-berlin.eu"/>
          </telecom>
          <telecom>
            <system value="phone"/>
          </telecom>
        </contact>
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0234c232-a2e7-4bd5-b803-e5f290f19425"/>
    <resource>
      <Observation>
        <id value="0234c232-a2e7-4bd5-b803-e5f290f19425"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/observation-imgFinding-hdr-myhealtheu"/>
        </meta>
        <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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="imaging"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="41806-1"/>
            <display value="CT Abdomen"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
        </subject>
        <effectiveDateTime value="2025-05-25T10:00:00+02:00"/>
        <performer>
          <reference value="urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
        </performer>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="442684004"/>
            <display value="Imaging of liver abnormal (finding)"/>
          </coding>
        </valueCodeableConcept>
        <bodySite>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="790007"/>
            <display value="Visceral surface of liver"/>
          </coding>
        </bodySite>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:67944ca3-521a-41c6-9878-08f2a4980eab"/>
    <resource>
      <Observation>
        <id value="67944ca3-521a-41c6-9878-08f2a4980eab"/>
        <meta>
          <profile
                   value="http://fhir.ehdsi.eu/hdr/StructureDefinition/observation-vital-hdr-myhealtheu"/>
        </meta>
        <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>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8310-5"/>
            <display value="Body temperature"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"/>
        </subject>
        <effectiveDateTime value="2025-05-27T08:30:00+02:00"/>
        <performer>
          <reference value="urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"/>
        </performer>
        <valueQuantity>
          <value value="37"/>
          <unit value="Cel"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="Cel"/>
        </valueQuantity>
      </Observation>
    </resource>
  </entry>
</Bundle>