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 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>
<coding>
<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>