Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-11-03 |
JSON representation of the DischargeReport logical model.
{
"resourceType" : "StructureDefinition",
"id" : "DischargeReport",
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition DischargeReport</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport\" title=\"**Proof of concept - not an authoritative source.**\n\nThe **outcome** of a referral ([Referral Outcome [PCC-57]](PCC-57.html)): the report the\nReferral Recipient sends back when its care ends - a discharge summary after an inpatient\nor [virtual ward](VirtualWards.html) stay, or a clinic letter after outpatient care. The\nsame report is also an **input** to a later referral (`ServiceRequest.supportingInfo`).\n\nBased on the [HL7 Europe Hospital Discharge Report](https://hl7.eu/fhir/hdr/) (HDR)\nsections, which this guide uses as published, and the PRSB\n[Transfer of Care - Acute Inpatient Discharge](https://theprsb.org/standards/edischargesummary)\n(v2.1) and [Outpatient Letter](https://theprsb.org/standards/outpatientletterstandard)\n(v2.2) standards (heading mapping **To confirm**). The **Mappings** tab shows each\nelement in FHIR (HDR), HL7 v2 and the two PRSB standards.\">DischargeReport</a><a name=\"DischargeReport\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Discharge Report<br/><span class=\"xhtPieceBold\">Instances of this type can be the target of a Reference</span></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.documentId\" title=\"Unique identifier of this report\">documentId</a><a name=\"DischargeReport.documentId\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Document ID</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.documentType\" title=\"Discharge summary (LOINC 34105-7) or clinic letter (LOINC 11488-4)\">documentType</a><a name=\"DischargeReport.documentType\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Document type</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.status\" title=\"preliminary, final, amended, entered-in-error\">status</a><a name=\"DischargeReport.status\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Status</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.date\" title=\"When the report was written\">date</a><a name=\"DischargeReport.date\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Date</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.author\" title=\"Responsible clinician (professional identifier) and organisation (ODS code)\">author</a><a name=\"DischargeReport.author\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Author<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.custodian\" title=\"Organisation responsible for the report (ODS code)\">custodian</a><a name=\"DischargeReport.custodian\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Custodian</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.recipient\" title=\"The Referral Initiator, the patient's GP, others\">recipient</a><a name=\"DischargeReport.recipient\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Recipients<br/></td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.patient\" title=\"NHS Number and the identifier used in the referral\">patient</a><a name=\"DischargeReport.patient\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Patient</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.encounter\" title=\"Hospital Spell (Account Number, AN) or Visit Number (VN)\">encounter</a><a name=\"DischargeReport.encounter\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Encounter</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.referral\" title=\"Referral ID - carried by the workflow (Task, TXA-14), not inside the FHIR Document\">referral</a><a name=\"DischargeReport.referral\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Referral answered</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.alerts\" title=\"Substantial alerts and warnings\">alerts</a><a name=\"DischargeReport.alerts\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Alerts</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.admissionEvaluation\" title=\"Reason for admission or attendance and the patient's state on arrival\">admissionEvaluation</a><a name=\"DischargeReport.admissionEvaluation\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Admission evaluation</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.hospitalCourse\" title=\"What happened during the stay or attendance; answer to the referral question\">hospitalCourse</a><a name=\"DischargeReport.hospitalCourse\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Course of the stay</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.diagnosticSummary\" title=\"Problems and diagnoses of the stay\">diagnosticSummary</a><a name=\"DischargeReport.diagnosticSummary\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Diagnoses</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.significantProcedures\" title=\"Significant procedures performed\">significantProcedures</a><a name=\"DischargeReport.significantProcedures\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Procedures</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.significantResults\" title=\"Significant test results\">significantResults</a><a name=\"DischargeReport.significantResults\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Results</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.vitalSigns\" title=\"During the stay and at discharge\">vitalSigns</a><a name=\"DischargeReport.vitalSigns\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Vital signs</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.functionalStatus\" title=\"Ability to perform activities of daily living\">functionalStatus</a><a name=\"DischargeReport.functionalStatus\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Functional status</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.allergies\" title=\"Relevant allergies and intolerances, including new ones\">allergies</a><a name=\"DischargeReport.allergies\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Allergies</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.pharmacotherapy\" title=\"Medicines given and stopped before discharge\">pharmacotherapy</a><a name=\"DischargeReport.pharmacotherapy\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Medicines during the stay</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.dischargeMedications\" title=\"Medicines to continue, with changes and who actions them\">dischargeMedications</a><a name=\"DischargeReport.dischargeMedications\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Medicines on discharge</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.planOfCare\" title=\"Recommendations and actions for the recipient, including onward referrals\">planOfCare</a><a name=\"DischargeReport.planOfCare\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Plan of care</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.dischargeDetails\" title=\"Discharge date, method and destination\">dischargeDetails</a><a name=\"DischargeReport.dischargeDetails\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Discharge details</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.synthesis\" title=\"Summary of the stay for the reader\">synthesis</a><a name=\"DischargeReport.synthesis\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Clinical synthesis</td></tr>\r\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DischargeReport.</span><a href=\"StructureDefinition-DischargeReport-definitions.html#DischargeReport.attachments\" title=\"Other documents, e.g. a PDF letter\">attachments</a><a name=\"DischargeReport.attachments\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Attachment\">Attachment</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Attachments<br/></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode" : "can-be-target"
}
],
"url" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeReport",
"version" : "0.1.0",
"name" : "DischargeReport",
"title" : "Discharge Report",
"status" : "draft",
"experimental" : true,
"date" : "2026-11-03T05:48:20+00:00",
"publisher" : "Kevin Mayfield",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://github.com/KevinMayfield/PatientCareCoordination"
}
]
}
],
"description" : "**Proof of concept - not an authoritative source.**\n\nThe **outcome** of a referral ([Referral Outcome [PCC-57]](PCC-57.html)): the report the\nReferral Recipient sends back when its care ends - a discharge summary after an inpatient\nor [virtual ward](VirtualWards.html) stay, or a clinic letter after outpatient care. The\nsame report is also an **input** to a later referral (`ServiceRequest.supportingInfo`).\n\nBased on the [HL7 Europe Hospital Discharge Report](https://hl7.eu/fhir/hdr/) (HDR)\nsections, which this guide uses as published, and the PRSB\n[Transfer of Care - Acute Inpatient Discharge](https://theprsb.org/standards/edischargesummary)\n(v2.1) and [Outpatient Letter](https://theprsb.org/standards/outpatientletterstandard)\n(v2.2) standards (heading mapping **To confirm**). The **Mappings** tab shows each\nelement in FHIR (HDR), HL7 v2 and the two PRSB standards.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "fhir-hdr",
"uri" : "https://hl7.eu/fhir/hdr/",
"name" : "FHIR R4 (HL7 Europe HDR)"
},
{
"identity" : "hl7-v2",
"uri" : "https://hl7-definition.caristix.com/v2/HL7v2.5.1/TriggerEvents/MDM_T02",
"name" : "HL7 v2.5.1 (MDM^T02)"
},
{
"identity" : "prsb-edischarge",
"uri" : "https://theprsb.org/standards/edischargesummary",
"name" : "PRSB Transfer of Care - Acute Inpatient Discharge v2.1"
},
{
"identity" : "prsb-outpatient",
"uri" : "https://theprsb.org/standards/outpatientletterstandard",
"name" : "PRSB Outpatient Letter v2.2"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeReport",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "DischargeReport",
"path" : "DischargeReport",
"short" : "Discharge Report",
"definition" : "**Proof of concept - not an authoritative source.**\n\nThe **outcome** of a referral ([Referral Outcome [PCC-57]](PCC-57.html)): the report the\nReferral Recipient sends back when its care ends - a discharge summary after an inpatient\nor [virtual ward](VirtualWards.html) stay, or a clinic letter after outpatient care. The\nsame report is also an **input** to a later referral (`ServiceRequest.supportingInfo`).\n\nBased on the [HL7 Europe Hospital Discharge Report](https://hl7.eu/fhir/hdr/) (HDR)\nsections, which this guide uses as published, and the PRSB\n[Transfer of Care - Acute Inpatient Discharge](https://theprsb.org/standards/edischargesummary)\n(v2.1) and [Outpatient Letter](https://theprsb.org/standards/outpatientletterstandard)\n(v2.2) standards (heading mapping **To confirm**). The **Mappings** tab shows each\nelement in FHIR (HDR), HL7 v2 and the two PRSB standards.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false,
"mapping" : [
{
"identity" : "prsb-edischarge",
"map" : "Discharge summary. Sections with no matching HDR section: Social context, Individual requirements, Participation in research, Legal information, Patient and carer concerns, expectations and wishes, Information and advice given (carried in narrative or the Patient Summary - To confirm). Mapping indicative - To confirm"
},
{
"identity" : "prsb-outpatient",
"map" : "Clinic letter. Sections with no matching HDR section: Individual requirements, Participation in research, Legal information, Social context, Family history, Clinical review of systems, Patient and carer concerns, expectations and wishes, Relevant clinical risk factors, Information and advice given (narrative or the Patient Summary - To confirm). Mapping indicative - To confirm"
}
]
},
{
"id" : "DischargeReport.documentId",
"path" : "DischargeReport.documentId",
"short" : "Document ID",
"definition" : "Unique identifier of this report",
"min" : 1,
"max" : "1",
"base" : {
"path" : "DischargeReport.documentId",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.identifier; Bundle.identifier"
},
{
"identity" : "hl7-v2",
"map" : "TXA-12 Unique Document Number"
}
]
},
{
"id" : "DischargeReport.documentType",
"path" : "DischargeReport.documentType",
"short" : "Document type",
"definition" : "Discharge summary (LOINC 34105-7) or clinic letter (LOINC 11488-4)",
"min" : 1,
"max" : "1",
"base" : {
"path" : "DischargeReport.documentType",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.type (HDR fixes 34105-7; outpatient letters use 11488-4 on a plain Composition)"
},
{
"identity" : "hl7-v2",
"map" : "TXA-2 Document Type"
}
]
},
{
"id" : "DischargeReport.status",
"path" : "DischargeReport.status",
"short" : "Status",
"definition" : "preliminary, final, amended, entered-in-error",
"min" : 1,
"max" : "1",
"base" : {
"path" : "DischargeReport.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.status"
},
{
"identity" : "hl7-v2",
"map" : "TXA-17 Document Completion Status"
}
]
},
{
"id" : "DischargeReport.date",
"path" : "DischargeReport.date",
"short" : "Date",
"definition" : "When the report was written",
"min" : 1,
"max" : "1",
"base" : {
"path" : "DischargeReport.date",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.date"
},
{
"identity" : "hl7-v2",
"map" : "TXA-4 Activity Date/Time"
}
]
},
{
"id" : "DischargeReport.author",
"path" : "DischargeReport.author",
"short" : "Author",
"definition" : "Responsible clinician (professional identifier) and organisation (ODS code)",
"min" : 1,
"max" : "*",
"base" : {
"path" : "DischargeReport.author",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.author (PractitionerRole)"
},
{
"identity" : "hl7-v2",
"map" : "TXA-9 Originator Code/Name"
},
{
"identity" : "prsb-edischarge",
"map" : "Person completing record (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Person completing record (M)"
}
]
},
{
"id" : "DischargeReport.custodian",
"path" : "DischargeReport.custodian",
"short" : "Custodian",
"definition" : "Organisation responsible for the report (ODS code)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.custodian",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.custodian"
}
]
},
{
"id" : "DischargeReport.recipient",
"path" : "DischargeReport.recipient",
"short" : "Recipients",
"definition" : "The Referral Initiator, the patient's GP, others",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DischargeReport.recipient",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.extension:informationRecipient"
},
{
"identity" : "prsb-edischarge",
"map" : "Distribution list (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Distribution list (R)"
}
]
},
{
"id" : "DischargeReport.patient",
"path" : "DischargeReport.patient",
"short" : "Patient",
"definition" : "NHS Number and the identifier used in the referral",
"min" : 1,
"max" : "1",
"base" : {
"path" : "DischargeReport.patient",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.subject"
},
{
"identity" : "hl7-v2",
"map" : "PID-3"
},
{
"identity" : "prsb-edischarge",
"map" : "Patient demographics (M); GP practice (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Patient demographics (M); GP practice (M)"
}
]
},
{
"id" : "DischargeReport.encounter",
"path" : "DischargeReport.encounter",
"short" : "Encounter",
"definition" : "Hospital Spell (Account Number, AN) or Visit Number (VN)",
"min" : 1,
"max" : "1",
"base" : {
"path" : "DischargeReport.encounter",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.encounter (Hospital Spell or Visit)"
},
{
"identity" : "hl7-v2",
"map" : "PV1-19 (CX.5 AN or VN)"
},
{
"identity" : "prsb-edischarge",
"map" : "Admission details (R); Discharge details (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Attendance details (M)"
}
]
},
{
"id" : "DischargeReport.referral",
"path" : "DischargeReport.referral",
"short" : "Referral answered",
"definition" : "Referral ID - carried by the workflow (Task, TXA-14), not inside the FHIR Document",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.referral",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Task.output (Task.basedOn the ServiceRequest); DocumentReference.context.related"
},
{
"identity" : "hl7-v2",
"map" : "TXA-14 Placer Order Number; ORC-2"
},
{
"identity" : "prsb-edischarge",
"map" : "Referrer details (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Referrer details (R)"
}
]
},
{
"id" : "DischargeReport.alerts",
"path" : "DischargeReport.alerts",
"short" : "Alerts",
"definition" : "Substantial alerts and warnings",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.alerts",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAlert (LOINC 104605-1)"
},
{
"identity" : "prsb-edischarge",
"map" : "Safety alerts (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Safety alerts (R)"
}
]
},
{
"id" : "DischargeReport.admissionEvaluation",
"path" : "DischargeReport.admissionEvaluation",
"short" : "Admission evaluation",
"definition" : "Reason for admission or attendance and the patient's state on arrival",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.admissionEvaluation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAdmissionEvaluation (67851-6)"
},
{
"identity" : "prsb-edischarge",
"map" : "Admission details (R) - reason for admission"
},
{
"identity" : "prsb-outpatient",
"map" : "History (R)"
}
]
},
{
"id" : "DischargeReport.hospitalCourse",
"path" : "DischargeReport.hospitalCourse",
"short" : "Course of the stay",
"definition" : "What happened during the stay or attendance; answer to the referral question",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.hospitalCourse",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionHospitalCourse (8648-8)"
},
{
"identity" : "prsb-edischarge",
"map" : "Clinical summary (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Clinical summary (M)"
}
]
},
{
"id" : "DischargeReport.diagnosticSummary",
"path" : "DischargeReport.diagnosticSummary",
"short" : "Diagnoses",
"definition" : "Problems and diagnoses of the stay",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.diagnosticSummary",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionDiagnosticSummary (11535-2)"
},
{
"identity" : "prsb-edischarge",
"map" : "Diagnoses (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Diagnoses (R); Problems and issues (R)"
}
]
},
{
"id" : "DischargeReport.significantProcedures",
"path" : "DischargeReport.significantProcedures",
"short" : "Procedures",
"definition" : "Significant procedures performed",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.significantProcedures",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionSignificantProcedures (10185-7)"
},
{
"identity" : "prsb-edischarge",
"map" : "Procedures (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Procedures (R)"
}
]
},
{
"id" : "DischargeReport.significantResults",
"path" : "DischargeReport.significantResults",
"short" : "Results",
"definition" : "Significant test results",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.significantResults",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionSignificantResults (30954-2)"
},
{
"identity" : "prsb-edischarge",
"map" : "Investigation results (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Investigation results (O)"
}
]
},
{
"id" : "DischargeReport.vitalSigns",
"path" : "DischargeReport.vitalSigns",
"short" : "Vital signs",
"definition" : "During the stay and at discharge",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.vitalSigns",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionVitalSigns (8716-3)"
},
{
"identity" : "prsb-outpatient",
"map" : "Examination finding (O)"
}
]
},
{
"id" : "DischargeReport.functionalStatus",
"path" : "DischargeReport.functionalStatus",
"short" : "Functional status",
"definition" : "Ability to perform activities of daily living",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.functionalStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionFunctionalStatus (47420-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Assessments (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Assessment scales (O)"
}
]
},
{
"id" : "DischargeReport.allergies",
"path" : "DischargeReport.allergies",
"short" : "Allergies",
"definition" : "Relevant allergies and intolerances, including new ones",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.allergies",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAllergies (48765-2)"
},
{
"identity" : "prsb-edischarge",
"map" : "Allergies and adverse reactions (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Allergies and adverse reactions (M)"
}
]
},
{
"id" : "DischargeReport.pharmacotherapy",
"path" : "DischargeReport.pharmacotherapy",
"short" : "Medicines during the stay",
"definition" : "Medicines given and stopped before discharge",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.pharmacotherapy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionPharmacotherapy (87232-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Medications and Medical Devices (O) - discontinued"
}
]
},
{
"id" : "DischargeReport.dischargeMedications",
"path" : "DischargeReport.dischargeMedications",
"short" : "Medicines on discharge",
"definition" : "Medicines to continue, with changes and who actions them",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.dischargeMedications",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionDischargeMedications (75311-1)"
},
{
"identity" : "prsb-edischarge",
"map" : "Medications and Medical Devices (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Medications and Medical Devices (O)"
}
]
},
{
"id" : "DischargeReport.planOfCare",
"path" : "DischargeReport.planOfCare",
"short" : "Plan of care",
"definition" : "Recommendations and actions for the recipient, including onward referrals",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.planOfCare",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionPlanOfCare (18776-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Plan and requested actions (R); Information and advice given (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Plan and requested actions (R); Information and advice given (R)"
}
]
},
{
"id" : "DischargeReport.dischargeDetails",
"path" : "DischargeReport.dischargeDetails",
"short" : "Discharge details",
"definition" : "Discharge date, method and destination",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.dischargeDetails",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionDischargeDetails (8650-4)"
},
{
"identity" : "prsb-edischarge",
"map" : "Discharge details (R)"
}
]
},
{
"id" : "DischargeReport.synthesis",
"path" : "DischargeReport.synthesis",
"short" : "Clinical synthesis",
"definition" : "Summary of the stay for the reader",
"min" : 0,
"max" : "1",
"base" : {
"path" : "DischargeReport.synthesis",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionSynthesis (67781-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Clinical summary (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Clinical summary (M)"
}
]
},
{
"id" : "DischargeReport.attachments",
"path" : "DischargeReport.attachments",
"short" : "Attachments",
"definition" : "Other documents, e.g. a PDF letter",
"min" : 0,
"max" : "*",
"base" : {
"path" : "DischargeReport.attachments",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Attachment"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAttachments (77599-9)"
},
{
"identity" : "hl7-v2",
"map" : "OBX-5 (type ED)"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "DischargeReport",
"path" : "DischargeReport",
"short" : "Discharge Report",
"definition" : "**Proof of concept - not an authoritative source.**\n\nThe **outcome** of a referral ([Referral Outcome [PCC-57]](PCC-57.html)): the report the\nReferral Recipient sends back when its care ends - a discharge summary after an inpatient\nor [virtual ward](VirtualWards.html) stay, or a clinic letter after outpatient care. The\nsame report is also an **input** to a later referral (`ServiceRequest.supportingInfo`).\n\nBased on the [HL7 Europe Hospital Discharge Report](https://hl7.eu/fhir/hdr/) (HDR)\nsections, which this guide uses as published, and the PRSB\n[Transfer of Care - Acute Inpatient Discharge](https://theprsb.org/standards/edischargesummary)\n(v2.1) and [Outpatient Letter](https://theprsb.org/standards/outpatientletterstandard)\n(v2.2) standards (heading mapping **To confirm**). The **Mappings** tab shows each\nelement in FHIR (HDR), HL7 v2 and the two PRSB standards.",
"mapping" : [
{
"identity" : "prsb-edischarge",
"map" : "Discharge summary. Sections with no matching HDR section: Social context, Individual requirements, Participation in research, Legal information, Patient and carer concerns, expectations and wishes, Information and advice given (carried in narrative or the Patient Summary - To confirm). Mapping indicative - To confirm"
},
{
"identity" : "prsb-outpatient",
"map" : "Clinic letter. Sections with no matching HDR section: Individual requirements, Participation in research, Legal information, Social context, Family history, Clinical review of systems, Patient and carer concerns, expectations and wishes, Relevant clinical risk factors, Information and advice given (narrative or the Patient Summary - To confirm). Mapping indicative - To confirm"
}
]
},
{
"id" : "DischargeReport.documentId",
"path" : "DischargeReport.documentId",
"short" : "Document ID",
"definition" : "Unique identifier of this report",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.identifier; Bundle.identifier"
},
{
"identity" : "hl7-v2",
"map" : "TXA-12 Unique Document Number"
}
]
},
{
"id" : "DischargeReport.documentType",
"path" : "DischargeReport.documentType",
"short" : "Document type",
"definition" : "Discharge summary (LOINC 34105-7) or clinic letter (LOINC 11488-4)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.type (HDR fixes 34105-7; outpatient letters use 11488-4 on a plain Composition)"
},
{
"identity" : "hl7-v2",
"map" : "TXA-2 Document Type"
}
]
},
{
"id" : "DischargeReport.status",
"path" : "DischargeReport.status",
"short" : "Status",
"definition" : "preliminary, final, amended, entered-in-error",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.status"
},
{
"identity" : "hl7-v2",
"map" : "TXA-17 Document Completion Status"
}
]
},
{
"id" : "DischargeReport.date",
"path" : "DischargeReport.date",
"short" : "Date",
"definition" : "When the report was written",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.date"
},
{
"identity" : "hl7-v2",
"map" : "TXA-4 Activity Date/Time"
}
]
},
{
"id" : "DischargeReport.author",
"path" : "DischargeReport.author",
"short" : "Author",
"definition" : "Responsible clinician (professional identifier) and organisation (ODS code)",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.author (PractitionerRole)"
},
{
"identity" : "hl7-v2",
"map" : "TXA-9 Originator Code/Name"
},
{
"identity" : "prsb-edischarge",
"map" : "Person completing record (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Person completing record (M)"
}
]
},
{
"id" : "DischargeReport.custodian",
"path" : "DischargeReport.custodian",
"short" : "Custodian",
"definition" : "Organisation responsible for the report (ODS code)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.custodian"
}
]
},
{
"id" : "DischargeReport.recipient",
"path" : "DischargeReport.recipient",
"short" : "Recipients",
"definition" : "The Referral Initiator, the patient's GP, others",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.extension:informationRecipient"
},
{
"identity" : "prsb-edischarge",
"map" : "Distribution list (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Distribution list (R)"
}
]
},
{
"id" : "DischargeReport.patient",
"path" : "DischargeReport.patient",
"short" : "Patient",
"definition" : "NHS Number and the identifier used in the referral",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.subject"
},
{
"identity" : "hl7-v2",
"map" : "PID-3"
},
{
"identity" : "prsb-edischarge",
"map" : "Patient demographics (M); GP practice (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Patient demographics (M); GP practice (M)"
}
]
},
{
"id" : "DischargeReport.encounter",
"path" : "DischargeReport.encounter",
"short" : "Encounter",
"definition" : "Hospital Spell (Account Number, AN) or Visit Number (VN)",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Composition.encounter (Hospital Spell or Visit)"
},
{
"identity" : "hl7-v2",
"map" : "PV1-19 (CX.5 AN or VN)"
},
{
"identity" : "prsb-edischarge",
"map" : "Admission details (R); Discharge details (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Attendance details (M)"
}
]
},
{
"id" : "DischargeReport.referral",
"path" : "DischargeReport.referral",
"short" : "Referral answered",
"definition" : "Referral ID - carried by the workflow (Task, TXA-14), not inside the FHIR Document",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "Task.output (Task.basedOn the ServiceRequest); DocumentReference.context.related"
},
{
"identity" : "hl7-v2",
"map" : "TXA-14 Placer Order Number; ORC-2"
},
{
"identity" : "prsb-edischarge",
"map" : "Referrer details (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Referrer details (R)"
}
]
},
{
"id" : "DischargeReport.alerts",
"path" : "DischargeReport.alerts",
"short" : "Alerts",
"definition" : "Substantial alerts and warnings",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAlert (LOINC 104605-1)"
},
{
"identity" : "prsb-edischarge",
"map" : "Safety alerts (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Safety alerts (R)"
}
]
},
{
"id" : "DischargeReport.admissionEvaluation",
"path" : "DischargeReport.admissionEvaluation",
"short" : "Admission evaluation",
"definition" : "Reason for admission or attendance and the patient's state on arrival",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAdmissionEvaluation (67851-6)"
},
{
"identity" : "prsb-edischarge",
"map" : "Admission details (R) - reason for admission"
},
{
"identity" : "prsb-outpatient",
"map" : "History (R)"
}
]
},
{
"id" : "DischargeReport.hospitalCourse",
"path" : "DischargeReport.hospitalCourse",
"short" : "Course of the stay",
"definition" : "What happened during the stay or attendance; answer to the referral question",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionHospitalCourse (8648-8)"
},
{
"identity" : "prsb-edischarge",
"map" : "Clinical summary (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Clinical summary (M)"
}
]
},
{
"id" : "DischargeReport.diagnosticSummary",
"path" : "DischargeReport.diagnosticSummary",
"short" : "Diagnoses",
"definition" : "Problems and diagnoses of the stay",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionDiagnosticSummary (11535-2)"
},
{
"identity" : "prsb-edischarge",
"map" : "Diagnoses (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Diagnoses (R); Problems and issues (R)"
}
]
},
{
"id" : "DischargeReport.significantProcedures",
"path" : "DischargeReport.significantProcedures",
"short" : "Procedures",
"definition" : "Significant procedures performed",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionSignificantProcedures (10185-7)"
},
{
"identity" : "prsb-edischarge",
"map" : "Procedures (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Procedures (R)"
}
]
},
{
"id" : "DischargeReport.significantResults",
"path" : "DischargeReport.significantResults",
"short" : "Results",
"definition" : "Significant test results",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionSignificantResults (30954-2)"
},
{
"identity" : "prsb-edischarge",
"map" : "Investigation results (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Investigation results (O)"
}
]
},
{
"id" : "DischargeReport.vitalSigns",
"path" : "DischargeReport.vitalSigns",
"short" : "Vital signs",
"definition" : "During the stay and at discharge",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionVitalSigns (8716-3)"
},
{
"identity" : "prsb-outpatient",
"map" : "Examination finding (O)"
}
]
},
{
"id" : "DischargeReport.functionalStatus",
"path" : "DischargeReport.functionalStatus",
"short" : "Functional status",
"definition" : "Ability to perform activities of daily living",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionFunctionalStatus (47420-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Assessments (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Assessment scales (O)"
}
]
},
{
"id" : "DischargeReport.allergies",
"path" : "DischargeReport.allergies",
"short" : "Allergies",
"definition" : "Relevant allergies and intolerances, including new ones",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAllergies (48765-2)"
},
{
"identity" : "prsb-edischarge",
"map" : "Allergies and adverse reactions (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Allergies and adverse reactions (M)"
}
]
},
{
"id" : "DischargeReport.pharmacotherapy",
"path" : "DischargeReport.pharmacotherapy",
"short" : "Medicines during the stay",
"definition" : "Medicines given and stopped before discharge",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionPharmacotherapy (87232-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Medications and Medical Devices (O) - discontinued"
}
]
},
{
"id" : "DischargeReport.dischargeMedications",
"path" : "DischargeReport.dischargeMedications",
"short" : "Medicines on discharge",
"definition" : "Medicines to continue, with changes and who actions them",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionDischargeMedications (75311-1)"
},
{
"identity" : "prsb-edischarge",
"map" : "Medications and Medical Devices (O)"
},
{
"identity" : "prsb-outpatient",
"map" : "Medications and Medical Devices (O)"
}
]
},
{
"id" : "DischargeReport.planOfCare",
"path" : "DischargeReport.planOfCare",
"short" : "Plan of care",
"definition" : "Recommendations and actions for the recipient, including onward referrals",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionPlanOfCare (18776-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Plan and requested actions (R); Information and advice given (R)"
},
{
"identity" : "prsb-outpatient",
"map" : "Plan and requested actions (R); Information and advice given (R)"
}
]
},
{
"id" : "DischargeReport.dischargeDetails",
"path" : "DischargeReport.dischargeDetails",
"short" : "Discharge details",
"definition" : "Discharge date, method and destination",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionDischargeDetails (8650-4)"
},
{
"identity" : "prsb-edischarge",
"map" : "Discharge details (R)"
}
]
},
{
"id" : "DischargeReport.synthesis",
"path" : "DischargeReport.synthesis",
"short" : "Clinical synthesis",
"definition" : "Summary of the stay for the reader",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionSynthesis (67781-5)"
},
{
"identity" : "prsb-edischarge",
"map" : "Clinical summary (M)"
},
{
"identity" : "prsb-outpatient",
"map" : "Clinical summary (M)"
}
]
},
{
"id" : "DischargeReport.attachments",
"path" : "DischargeReport.attachments",
"short" : "Attachments",
"definition" : "Other documents, e.g. a PDF letter",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Attachment"
}
],
"mapping" : [
{
"identity" : "fhir-hdr",
"map" : "section:sectionAttachments (77599-9)"
},
{
"identity" : "hl7-v2",
"map" : "OBX-5 (type ED)"
}
]
}
]
}
}