Generated Narrative: StructureDefinition DischargeReport

NameFlagsCard.TypeDescription & Constraintsdoco
DischargeReport 0..*BaseDischarge Report
Instances of this type can be the target of a Reference
DischargeReport.documentId 1..1IdentifierDocument ID
DischargeReport.documentType 1..1CodeableConceptDocument type
DischargeReport.status 1..1codeStatus
DischargeReport.date 1..1dateTimeDate
DischargeReport.author 1..*IdentifierAuthor
DischargeReport.custodian 0..1IdentifierCustodian
DischargeReport.recipient 0..*IdentifierRecipients
DischargeReport.patient 1..1IdentifierPatient
DischargeReport.encounter 1..1IdentifierEncounter
DischargeReport.referral 0..1IdentifierReferral answered
DischargeReport.alerts 0..1BackboneElementAlerts
DischargeReport.admissionEvaluation 0..1BackboneElementAdmission evaluation
DischargeReport.hospitalCourse 0..1BackboneElementCourse of the stay
DischargeReport.diagnosticSummary 0..1BackboneElementDiagnoses
DischargeReport.significantProcedures 0..1BackboneElementProcedures
DischargeReport.significantResults 0..1BackboneElementResults
DischargeReport.vitalSigns 0..1BackboneElementVital signs
DischargeReport.functionalStatus 0..1BackboneElementFunctional status
DischargeReport.allergies 0..1BackboneElementAllergies
DischargeReport.pharmacotherapy 0..1BackboneElementMedicines during the stay
DischargeReport.dischargeMedications 0..1BackboneElementMedicines on discharge
DischargeReport.planOfCare 0..1BackboneElementPlan of care
DischargeReport.dischargeDetails 0..1BackboneElementDischarge details
DischargeReport.synthesis 0..1BackboneElementClinical synthesis
DischargeReport.attachments 0..*AttachmentAttachments

doco Documentation for this format
 <status value="draft"/> <experimental value="true"/> <date value="2026-11-03T05:48:20+00:00"/> <publisher value="Kevin Mayfield"/> <contact> <telecom> <system value="url"/> <value value="https://github.com/KevinMayfield/PatientCareCoordination"/> </telecom> </contact> <description value="**Proof of concept - not an authoritative source.** The **outcome** of a referral ([Referral Outcome [PCC-57]](PCC-57.html)): the report the Referral Recipient sends back when its care ends - a discharge summary after an inpatient or [virtual ward](VirtualWards.html) stay, or a clinic letter after outpatient care. The same report is also an **input** to a later referral (`ServiceRequest.supportingInfo`). Based on the [HL7 Europe Hospital Discharge Report](https://hl7.eu/fhir/hdr/) (HDR) sections, which this guide uses as published, and the PRSB [Transfer of Care - Acute Inpatient Discharge](https://theprsb.org/standards/edischargesummary) (v2.1) and [Outpatient Letter](https://theprsb.org/standards/outpatientletterstandard) (v2.2) standards (heading mapping **To confirm**). The **Mappings** tab shows each element in FHIR (HDR), HL7 v2 and the two PRSB standards."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="GB"/> <display value="United Kingdom of Great Britain and Northern Ireland"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <mapping> <identity value="fhir-hdr"/> <uri value="https://hl7.eu/fhir/hdr/"/> <name value="FHIR R4 (HL7 Europe HDR)"/> </mapping> <mapping> <identity value="hl7-v2"/> <uri value="https://hl7-definition.caristix.com/v2/HL7v2.5.1/TriggerEvents/MDM_T02"/> <name value="HL7 v2.5.1 (MDM^T02)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <uri value="https://theprsb.org/standards/edischargesummary"/> <name value="PRSB Transfer of Care - Acute Inpatient Discharge v2.1"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <uri value="https://theprsb.org/standards/outpatientletterstandard"/> <name value="PRSB Outpatient Letter v2.2"/> </mapping> <kind value="logical"/> <abstract value="false"/> <type value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeReport"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/> <derivation value="specialization"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="DischargeReport"> <path value="DischargeReport"/> <short value="Discharge Report"/> <definition value="**Proof of concept - not an authoritative source.** The **outcome** of a referral ([Referral Outcome [PCC-57]](PCC-57.html)): the report the Referral Recipient sends back when its care ends - a discharge summary after an inpatient or [virtual ward](VirtualWards.html) stay, or a clinic letter after outpatient care. The same report is also an **input** to a later referral (`ServiceRequest.supportingInfo`). Based on the [HL7 Europe Hospital Discharge Report](https://hl7.eu/fhir/hdr/) (HDR) sections, which this guide uses as published, and the PRSB [Transfer of Care - Acute Inpatient Discharge](https://theprsb.org/standards/edischargesummary) (v2.1) and [Outpatient Letter](https://theprsb.org/standards/outpatientletterstandard) (v2.2) standards (heading mapping **To confirm**). The **Mappings** tab shows each element in FHIR (HDR), HL7 v2 and the two PRSB standards."/> <min value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> <mapping> <identity value="prsb-edischarge"/> <map value="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"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="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"/> </mapping> </element> <element id="DischargeReport.documentId"> <path value="DischargeReport.documentId"/> <short value="Document ID"/> <definition value="Unique identifier of this report"/> <min value="1"/> <max value="1"/> <base> <path value="DischargeReport.documentId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.identifier; Bundle.identifier"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-12 Unique Document Number"/> </mapping> </element> <element id="DischargeReport.documentType"> <path value="DischargeReport.documentType"/> <short value="Document type"/> <definition value="Discharge summary (LOINC 34105-7) or clinic letter (LOINC 11488-4)"/> <min value="1"/> <max value="1"/> <base> <path value="DischargeReport.documentType"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.type (HDR fixes 34105-7; outpatient letters use 11488-4 on a plain Composition)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-2 Document Type"/> </mapping> </element> <element id="DischargeReport.status"> <path value="DischargeReport.status"/> <short value="Status"/> <definition value="preliminary, final, amended, entered-in-error"/> <min value="1"/> <max value="1"/> <base> <path value="DischargeReport.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.status"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-17 Document Completion Status"/> </mapping> </element> <element id="DischargeReport.date"> <path value="DischargeReport.date"/> <short value="Date"/> <definition value="When the report was written"/> <min value="1"/> <max value="1"/> <base> <path value="DischargeReport.date"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.date"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-4 Activity Date/Time"/> </mapping> </element> <element id="DischargeReport.author"> <path value="DischargeReport.author"/> <short value="Author"/> <definition value="Responsible clinician (professional identifier) and organisation (ODS code)"/> <min value="1"/> <max value="*"/> <base> <path value="DischargeReport.author"/> <min value="1"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.author (PractitionerRole)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-9 Originator Code/Name"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Person completing record (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Person completing record (M)"/> </mapping> </element> <element id="DischargeReport.custodian"> <path value="DischargeReport.custodian"/> <short value="Custodian"/> <definition value="Organisation responsible for the report (ODS code)"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.custodian"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.custodian"/> </mapping> </element> <element id="DischargeReport.recipient"> <path value="DischargeReport.recipient"/> <short value="Recipients"/> <definition value="The Referral Initiator, the patient's GP, others"/> <min value="0"/> <max value="*"/> <base> <path value="DischargeReport.recipient"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.extension:informationRecipient"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Distribution list (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Distribution list (R)"/> </mapping> </element> <element id="DischargeReport.patient"> <path value="DischargeReport.patient"/> <short value="Patient"/> <definition value="NHS Number and the identifier used in the referral"/> <min value="1"/> <max value="1"/> <base> <path value="DischargeReport.patient"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.subject"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Patient demographics (M); GP practice (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Patient demographics (M); GP practice (M)"/> </mapping> </element> <element id="DischargeReport.encounter"> <path value="DischargeReport.encounter"/> <short value="Encounter"/> <definition value="Hospital Spell (Account Number, AN) or Visit Number (VN)"/> <min value="1"/> <max value="1"/> <base> <path value="DischargeReport.encounter"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.encounter (Hospital Spell or Visit)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="PV1-19 (CX.5 AN or VN)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Admission details (R); Discharge details (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Attendance details (M)"/> </mapping> </element> <element id="DischargeReport.referral"> <path value="DischargeReport.referral"/> <short value="Referral answered"/> <definition value="Referral ID - carried by the workflow (Task, TXA-14), not inside the FHIR Document"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.referral"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Task.output (Task.basedOn the ServiceRequest); DocumentReference.context.related"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-14 Placer Order Number; ORC-2"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Referrer details (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Referrer details (R)"/> </mapping> </element> <element id="DischargeReport.alerts"> <path value="DischargeReport.alerts"/> <short value="Alerts"/> <definition value="Substantial alerts and warnings"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.alerts"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAlert (LOINC 104605-1)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Safety alerts (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Safety alerts (R)"/> </mapping> </element> <element id="DischargeReport.admissionEvaluation"> <path value="DischargeReport.admissionEvaluation"/> <short value="Admission evaluation"/> <definition value="Reason for admission or attendance and the patient's state on arrival"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.admissionEvaluation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAdmissionEvaluation (67851-6)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Admission details (R) - reason for admission"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="History (R)"/> </mapping> </element> <element id="DischargeReport.hospitalCourse"> <path value="DischargeReport.hospitalCourse"/> <short value="Course of the stay"/> <definition value="What happened during the stay or attendance; answer to the referral question"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.hospitalCourse"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionHospitalCourse (8648-8)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Clinical summary (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Clinical summary (M)"/> </mapping> </element> <element id="DischargeReport.diagnosticSummary"> <path value="DischargeReport.diagnosticSummary"/> <short value="Diagnoses"/> <definition value="Problems and diagnoses of the stay"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.diagnosticSummary"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionDiagnosticSummary (11535-2)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Diagnoses (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Diagnoses (R); Problems and issues (R)"/> </mapping> </element> <element id="DischargeReport.significantProcedures"> <path value="DischargeReport.significantProcedures"/> <short value="Procedures"/> <definition value="Significant procedures performed"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.significantProcedures"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionSignificantProcedures (10185-7)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Procedures (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Procedures (R)"/> </mapping> </element> <element id="DischargeReport.significantResults"> <path value="DischargeReport.significantResults"/> <short value="Results"/> <definition value="Significant test results"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.significantResults"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionSignificantResults (30954-2)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Investigation results (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Investigation results (O)"/> </mapping> </element> <element id="DischargeReport.vitalSigns"> <path value="DischargeReport.vitalSigns"/> <short value="Vital signs"/> <definition value="During the stay and at discharge"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.vitalSigns"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionVitalSigns (8716-3)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Examination finding (O)"/> </mapping> </element> <element id="DischargeReport.functionalStatus"> <path value="DischargeReport.functionalStatus"/> <short value="Functional status"/> <definition value="Ability to perform activities of daily living"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.functionalStatus"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionFunctionalStatus (47420-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Assessments (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Assessment scales (O)"/> </mapping> </element> <element id="DischargeReport.allergies"> <path value="DischargeReport.allergies"/> <short value="Allergies"/> <definition value="Relevant allergies and intolerances, including new ones"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.allergies"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAllergies (48765-2)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Allergies and adverse reactions (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Allergies and adverse reactions (M)"/> </mapping> </element> <element id="DischargeReport.pharmacotherapy"> <path value="DischargeReport.pharmacotherapy"/> <short value="Medicines during the stay"/> <definition value="Medicines given and stopped before discharge"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.pharmacotherapy"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionPharmacotherapy (87232-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Medications and Medical Devices (O) - discontinued"/> </mapping> </element> <element id="DischargeReport.dischargeMedications"> <path value="DischargeReport.dischargeMedications"/> <short value="Medicines on discharge"/> <definition value="Medicines to continue, with changes and who actions them"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.dischargeMedications"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionDischargeMedications (75311-1)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Medications and Medical Devices (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Medications and Medical Devices (O)"/> </mapping> </element> <element id="DischargeReport.planOfCare"> <path value="DischargeReport.planOfCare"/> <short value="Plan of care"/> <definition value="Recommendations and actions for the recipient, including onward referrals"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.planOfCare"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionPlanOfCare (18776-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Plan and requested actions (R); Information and advice given (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Plan and requested actions (R); Information and advice given (R)"/> </mapping> </element> <element id="DischargeReport.dischargeDetails"> <path value="DischargeReport.dischargeDetails"/> <short value="Discharge details"/> <definition value="Discharge date, method and destination"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.dischargeDetails"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionDischargeDetails (8650-4)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Discharge details (R)"/> </mapping> </element> <element id="DischargeReport.synthesis"> <path value="DischargeReport.synthesis"/> <short value="Clinical synthesis"/> <definition value="Summary of the stay for the reader"/> <min value="0"/> <max value="1"/> <base> <path value="DischargeReport.synthesis"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionSynthesis (67781-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Clinical summary (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Clinical summary (M)"/> </mapping> </element> <element id="DischargeReport.attachments"> <path value="DischargeReport.attachments"/> <short value="Attachments"/> <definition value="Other documents, e.g. a PDF letter"/> <min value="0"/> <max value="*"/> <base> <path value="DischargeReport.attachments"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Attachment"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAttachments (77599-9)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="OBX-5 (type ED)"/> </mapping> </element> </snapshot> <differential> <element id="DischargeReport"> <path value="DischargeReport"/> <short value="Discharge Report"/> <definition value="**Proof of concept - not an authoritative source.** The **outcome** of a referral ([Referral Outcome [PCC-57]](PCC-57.html)): the report the Referral Recipient sends back when its care ends - a discharge summary after an inpatient or [virtual ward](VirtualWards.html) stay, or a clinic letter after outpatient care. The same report is also an **input** to a later referral (`ServiceRequest.supportingInfo`). Based on the [HL7 Europe Hospital Discharge Report](https://hl7.eu/fhir/hdr/) (HDR) sections, which this guide uses as published, and the PRSB [Transfer of Care - Acute Inpatient Discharge](https://theprsb.org/standards/edischargesummary) (v2.1) and [Outpatient Letter](https://theprsb.org/standards/outpatientletterstandard) (v2.2) standards (heading mapping **To confirm**). The **Mappings** tab shows each element in FHIR (HDR), HL7 v2 and the two PRSB standards."/> <mapping> <identity value="prsb-edischarge"/> <map value="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"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="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"/> </mapping> </element> <element id="DischargeReport.documentId"> <path value="DischargeReport.documentId"/> <short value="Document ID"/> <definition value="Unique identifier of this report"/> <min value="1"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.identifier; Bundle.identifier"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-12 Unique Document Number"/> </mapping> </element> <element id="DischargeReport.documentType"> <path value="DischargeReport.documentType"/> <short value="Document type"/> <definition value="Discharge summary (LOINC 34105-7) or clinic letter (LOINC 11488-4)"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.type (HDR fixes 34105-7; outpatient letters use 11488-4 on a plain Composition)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-2 Document Type"/> </mapping> </element> <element id="DischargeReport.status"> <path value="DischargeReport.status"/> <short value="Status"/> <definition value="preliminary, final, amended, entered-in-error"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.status"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-17 Document Completion Status"/> </mapping> </element> <element id="DischargeReport.date"> <path value="DischargeReport.date"/> <short value="Date"/> <definition value="When the report was written"/> <min value="1"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.date"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-4 Activity Date/Time"/> </mapping> </element> <element id="DischargeReport.author"> <path value="DischargeReport.author"/> <short value="Author"/> <definition value="Responsible clinician (professional identifier) and organisation (ODS code)"/> <min value="1"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.author (PractitionerRole)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-9 Originator Code/Name"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Person completing record (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Person completing record (M)"/> </mapping> </element> <element id="DischargeReport.custodian"> <path value="DischargeReport.custodian"/> <short value="Custodian"/> <definition value="Organisation responsible for the report (ODS code)"/> <min value="0"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.custodian"/> </mapping> </element> <element id="DischargeReport.recipient"> <path value="DischargeReport.recipient"/> <short value="Recipients"/> <definition value="The Referral Initiator, the patient's GP, others"/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.extension:informationRecipient"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Distribution list (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Distribution list (R)"/> </mapping> </element> <element id="DischargeReport.patient"> <path value="DischargeReport.patient"/> <short value="Patient"/> <definition value="NHS Number and the identifier used in the referral"/> <min value="1"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.subject"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="PID-3"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Patient demographics (M); GP practice (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Patient demographics (M); GP practice (M)"/> </mapping> </element> <element id="DischargeReport.encounter"> <path value="DischargeReport.encounter"/> <short value="Encounter"/> <definition value="Hospital Spell (Account Number, AN) or Visit Number (VN)"/> <min value="1"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Composition.encounter (Hospital Spell or Visit)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="PV1-19 (CX.5 AN or VN)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Admission details (R); Discharge details (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Attendance details (M)"/> </mapping> </element> <element id="DischargeReport.referral"> <path value="DischargeReport.referral"/> <short value="Referral answered"/> <definition value="Referral ID - carried by the workflow (Task, TXA-14), not inside the FHIR Document"/> <min value="0"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="Task.output (Task.basedOn the ServiceRequest); DocumentReference.context.related"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="TXA-14 Placer Order Number; ORC-2"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Referrer details (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Referrer details (R)"/> </mapping> </element> <element id="DischargeReport.alerts"> <path value="DischargeReport.alerts"/> <short value="Alerts"/> <definition value="Substantial alerts and warnings"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAlert (LOINC 104605-1)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Safety alerts (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Safety alerts (R)"/> </mapping> </element> <element id="DischargeReport.admissionEvaluation"> <path value="DischargeReport.admissionEvaluation"/> <short value="Admission evaluation"/> <definition value="Reason for admission or attendance and the patient's state on arrival"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAdmissionEvaluation (67851-6)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Admission details (R) - reason for admission"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="History (R)"/> </mapping> </element> <element id="DischargeReport.hospitalCourse"> <path value="DischargeReport.hospitalCourse"/> <short value="Course of the stay"/> <definition value="What happened during the stay or attendance; answer to the referral question"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionHospitalCourse (8648-8)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Clinical summary (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Clinical summary (M)"/> </mapping> </element> <element id="DischargeReport.diagnosticSummary"> <path value="DischargeReport.diagnosticSummary"/> <short value="Diagnoses"/> <definition value="Problems and diagnoses of the stay"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionDiagnosticSummary (11535-2)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Diagnoses (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Diagnoses (R); Problems and issues (R)"/> </mapping> </element> <element id="DischargeReport.significantProcedures"> <path value="DischargeReport.significantProcedures"/> <short value="Procedures"/> <definition value="Significant procedures performed"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionSignificantProcedures (10185-7)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Procedures (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Procedures (R)"/> </mapping> </element> <element id="DischargeReport.significantResults"> <path value="DischargeReport.significantResults"/> <short value="Results"/> <definition value="Significant test results"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionSignificantResults (30954-2)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Investigation results (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Investigation results (O)"/> </mapping> </element> <element id="DischargeReport.vitalSigns"> <path value="DischargeReport.vitalSigns"/> <short value="Vital signs"/> <definition value="During the stay and at discharge"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionVitalSigns (8716-3)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Examination finding (O)"/> </mapping> </element> <element id="DischargeReport.functionalStatus"> <path value="DischargeReport.functionalStatus"/> <short value="Functional status"/> <definition value="Ability to perform activities of daily living"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionFunctionalStatus (47420-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Assessments (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Assessment scales (O)"/> </mapping> </element> <element id="DischargeReport.allergies"> <path value="DischargeReport.allergies"/> <short value="Allergies"/> <definition value="Relevant allergies and intolerances, including new ones"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAllergies (48765-2)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Allergies and adverse reactions (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Allergies and adverse reactions (M)"/> </mapping> </element> <element id="DischargeReport.pharmacotherapy"> <path value="DischargeReport.pharmacotherapy"/> <short value="Medicines during the stay"/> <definition value="Medicines given and stopped before discharge"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionPharmacotherapy (87232-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Medications and Medical Devices (O) - discontinued"/> </mapping> </element> <element id="DischargeReport.dischargeMedications"> <path value="DischargeReport.dischargeMedications"/> <short value="Medicines on discharge"/> <definition value="Medicines to continue, with changes and who actions them"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionDischargeMedications (75311-1)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Medications and Medical Devices (O)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Medications and Medical Devices (O)"/> </mapping> </element> <element id="DischargeReport.planOfCare"> <path value="DischargeReport.planOfCare"/> <short value="Plan of care"/> <definition value="Recommendations and actions for the recipient, including onward referrals"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionPlanOfCare (18776-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Plan and requested actions (R); Information and advice given (R)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Plan and requested actions (R); Information and advice given (R)"/> </mapping> </element> <element id="DischargeReport.dischargeDetails"> <path value="DischargeReport.dischargeDetails"/> <short value="Discharge details"/> <definition value="Discharge date, method and destination"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionDischargeDetails (8650-4)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Discharge details (R)"/> </mapping> </element> <element id="DischargeReport.synthesis"> <path value="DischargeReport.synthesis"/> <short value="Clinical synthesis"/> <definition value="Summary of the stay for the reader"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionSynthesis (67781-5)"/> </mapping> <mapping> <identity value="prsb-edischarge"/> <map value="Clinical summary (M)"/> </mapping> <mapping> <identity value="prsb-outpatient"/> <map value="Clinical summary (M)"/> </mapping> </element> <element id="DischargeReport.attachments"> <path value="DischargeReport.attachments"/> <short value="Attachments"/> <definition value="Other documents, e.g. a PDF letter"/> <min value="0"/> <max value="*"/> <type> <code value="Attachment"/> </type> <mapping> <identity value="fhir-hdr"/> <map value="section:sectionAttachments (77599-9)"/> </mapping> <mapping> <identity value="hl7-v2"/> <map value="OBX-5 (type ED)"/> </mapping> </element> </differential> </StructureDefinition>