HL7 Europe Hospital Discharge Report
0.1.0-ballot - draft 150

This page is part of the HL7 Europe Hospital Discharge Report (v0.1.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle: complete HL7 Europe Hospital Discharge Report (2)

Document Subject

Reijer Wolff Male, DoB: 1969-02-25 ( National unique individual identifier)

Other Id:Medical record number/395922e4-846a-4c18-81e8-9121c77e7bf9
Contact Detail

Document Content

Admission evaluation

Mr. Reijer Wolff was admitted on April 20, 2025, following a fall that resulted in a closed fracture of the tibia and fibula of the left leg.
ProblemsSNOMED
Fracture of lower leg, Left lower limb414292006

Procedures

On April 23, 2025, a fixateur externe was applied to stabilize the fracture. The procedure was performed under general anesthesia without complications.
ProceduresSNOMED
Application of external fixator device, Left lower limb304527002

Medications

The patient received paracetamol for pain relief and cefazolin as a prophylactic antibiotic post-surgery.
Medication administrationsSNOMED
Paracetamol387517004
Cefazolin387458008

Hospital Course

The patient was monitored for signs of infection, received regular wound care, and started physiotherapy during the stay. No adverse events occurred.

Discharge and Follow-up

Mr. Doe was discharged in stable condition with instructions to avoid weight-bearing on the left leg and to follow up in the orthopedic clinic.

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:a1438872-05b1-4868-857d-521c9d586a7e

Resource Patient:

Reijer Wolff Male, DoB: 1969-02-25 ( National unique individual identifier)

Other Id:Medical record number/395922e4-846a-4c18-81e8-9121c77e7bf9
Contact Detail

Entry 3 - fullUrl = urn:uuid:cc0ae2a0-980d-4a2b-a4fb-9c71ecc70a15

Resource PractitionerRole:

practitioner: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100

organization: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100

Entry 4 - fullUrl = urn:uuid:b60f89db-36c7-4a23-ab59-ace7089d2387

Resource Practitioner:

name: Anna Smit

telecom: anna.smit@olv-hulst.org

Entry 5 - fullUrl = urn:uuid:3f30e341-19c6-484f-827a-0c58545fb2bc

Resource Organization:

name: Onze Lieve Lucas Gasthuis Hulst

Contacts

-Address
*Hulst 4561 nl

Entry 6 - fullUrl = urn:uuid:12fef60c-1fe7-4988-8286-af691889a3f3

Resource Encounter:

status: completed

class: inpatient encounter

subject: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100

serviceProvider: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100

Entry 7 - fullUrl = urn:uuid:38d0593b-7949-489e-9306-95df81a109df

Resource Condition:

clinicalStatus: Active

code: Fracture of lower leg (disorder)

bodySite: Entire left lower limb (body structure)

subject: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100

onset: 2025-04-20

Entry 8 - fullUrl = urn:uuid:1493fed2-e9ed-4dc1-b107-f077cb1d0d40

Resource Procedure:

status: Completed

code: Application of external fixator system (procedure)

subject: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100

bodySite: Entire left lower limb (body structure)

Entry 9 - fullUrl = urn:uuid:1bcfb26f-6958-4604-a40b-712170c1e536

Resource MedicationAdministration:

status: completed

subject: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100

Entry 10 - fullUrl = urn:uuid:4578e7cd-0d00-4221-9a7f-3e3d6e14a21b

Resource MedicationAdministration:

status: completed

subject: Bundle: identifier = Provider number; type = document; timestamp = 2025-04-29 14:00:00+0100