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

MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Logical Model: MyHealth@EU Hospital Discharge Report model

Official URL: http://fhir.ehdsi.eu/hdr/StructureDefinition/MyHealthEuHdrDischargeReport | Version: 9.1.1
Draft as of 2026-05-05 | Computable Name: MyHealthEuHdrDischargeReport

MyHealthEu refined model for hospital discharge report.

Usages:

- This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuHdrDischargeReport |  | 0..* | EHDSDischargeReport | MyHealth@EU Hospital Discharge Report model Elements defined in Ancestors:header, header, presentedForm, body, attachments
header |  | 1..1 | Base | Document header
subject | O | 1..1 | MyHealthEuPatient | Patient/subject information
Obligations | Actor
SHALL:handle | HDR Handler
identifier | O | 1..* | Identifier | Unique identifier of the document
Obligations | Actor
SHALL:handle | HDR Handler
author[x] | O | 1..* |  | The author of the report.
Obligations | Actor
SHALL:handle | HDR Handler
authorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
authorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
authorMyHealthEuDevice |  |  | MyHealthEuDevice |
date | O | 1..1 | dateTime | Date of finalising/issuing the document
Obligations | Actor
SHOULD:handle | HDR Handler
status | O | 1..1 | CodeableConcept | Status of the document
Obligations | Actor
SHALL:handle | HDR Handler
language | O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
Obligations | Actor
SHALL:handle | HDR Handler
documentType | O | 1..1 | CodeableConcept | Type of the document (e.g. '34105-7 Hospital discharge summary) Binding Description: (preferred): LOINC
Obligations | Actor
SHALL:handle | HDR Handler
documentTitle | O | 1..1 | string | Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
Obligations | Actor
SHALL:handle | HDR Handler
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time/period of encounter)
version | O | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Obligations | Actor
SHOULD:handle | HDR Handler
attestation | O | 0..* | Base | Document attestation details
Obligations | Actor
MAY:able-to-populate | HDR Handler
attester[x] | O | 1..1 |  | Attester who validated the document
Obligations | Actor
SHOULD:handle | HDR Handler
attesterMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
attesterMyHealthEuDevice |  |  | MyHealthEuDevice |
datetime | O | 1..1 | dateTime | Date and time of the approval of the document by Attester
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthentication | O | 0..* | Base | Document legal authentication details
Obligations | Actor
SHALL:handle | HDR Handler
legalAuthenticator[x] | O | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthenticatorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
legalAuthenticatorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
datetime | O | 1..1 | dateTime | Date and time when the document was authorised
Obligations | Actor
SHOULD:handle | HDR Handler
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian | O | 0..1 | MyHealthEuOrganisation | Organisation that is in charge of maintaining the document/report.
Obligations | Actor
SHOULD:handle | HDR Handler
intendedRecipient[x] | O | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
Obligations | Actor
MAY:able-to-populate | HDR Handler
intendedRecipientMyHealthEuPatient |  |  | MyHealthEuPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
intendedRecipientMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body | O | 0..1 | Base | Structured body of the discharge report document
Obligations | Actor
SHALL:handle | HDR Handler
alerts | O | 0..1 | Base | Section: Alerts.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert | O | 0..* | MyHealthEuHdrAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
Obligations | Actor
MAY:able-to-populate | HDR Handler
encounterInformation | O | 1..1 | Base | Section: Encounter information.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter | O | 0..1 | MyHealthEuHdrEncounter | Encounter information
Obligations | Actor
SHALL:handle | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation | O | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory | O | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter | O | 0..1 | Base | Course of inpatient or outpatient encounter.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary | O | 0..* | MyHealthEuHdrCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
Obligations | Actor
SHALL:handle | HDR Handler
procedures | O | 0..* | MyHealthEuHdrProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalDevicesAndImplants | O | 0..* | MyHealthEuHdrDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
Obligations | Actor
MAY:able-to-populate | HDR Handler
pharmacotherapy | O | 0..* | MyHealthEuHdrMedicationUse | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
testResults |  | 0..* | EHDSObservation | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails | O | 0..1 | Base | Discharge details
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary | O | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse | O | 1..1 | MyHealthEuHdrMedicationUse | Details about medication and dosage
Obligations | Actor
MAY:able-to-populate | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
carePlan | O | 0..1 | Base | Care plan and other recommendations after discharge.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan | O | 0..* | MyHealthEuHdrCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
Obligations | Actor
MAY:able-to-populate | HDR Handler
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments | O | 0..* | EHDSAttachment | Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
Obligations | Actor
MAY:able-to-populate | HDR Handler
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuHdrDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDischargeReport

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuHdrDischargeReport |  | 0..* | EHDSDischargeReport | MyHealth@EU Hospital Discharge Report model Elements defined in Ancestors:header, header, presentedForm, body, attachments
header |  |  |  |
subject | O | 1..1 | MyHealthEuPatient | Patient/subject information
Obligations | Actor
SHALL:handle | HDR Handler
identifier | O | 1..* | Identifier | Unique identifier of the document
Obligations | Actor
SHALL:handle | HDR Handler
author[x] | O | 1..* |  | The author of the report.
Obligations | Actor
SHALL:handle | HDR Handler
authorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
authorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
authorMyHealthEuDevice |  |  | MyHealthEuDevice |
date | O | 1..1 | dateTime | Date of finalising/issuing the document
Obligations | Actor
SHOULD:handle | HDR Handler
status | O | 1..1 | CodeableConcept | Status of the document
Obligations | Actor
SHALL:handle | HDR Handler
language | O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag.
Obligations | Actor
SHALL:handle | HDR Handler
documentType | O | 1..1 | CodeableConcept | Type of the document (e.g. '34105-7 Hospital discharge summary)
Obligations | Actor
SHALL:handle | HDR Handler
documentTitle | O | 1..1 | string | Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
Obligations | Actor
SHALL:handle | HDR Handler
version | O | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Obligations | Actor
SHOULD:handle | HDR Handler
attestation | O | 0..* | Base | Document attestation details
Obligations | Actor
MAY:able-to-populate | HDR Handler
attester[x] | O | 1..1 |  | Attester who validated the document
Obligations | Actor
SHOULD:handle | HDR Handler
attesterMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
attesterMyHealthEuDevice |  |  | MyHealthEuDevice |
datetime | O | 1..1 | dateTime | Date and time of the approval of the document by Attester
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthentication | O | 0..* | Base | Document legal authentication details
Obligations | Actor
SHALL:handle | HDR Handler
legalAuthenticator[x] | O | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthenticatorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
legalAuthenticatorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
datetime | O | 1..1 | dateTime | Date and time when the document was authorised
Obligations | Actor
SHOULD:handle | HDR Handler
custodian | O | 0..1 | MyHealthEuOrganisation | Organisation that is in charge of maintaining the document/report.
Obligations | Actor
SHOULD:handle | HDR Handler
intendedRecipient[x] | O | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
Obligations | Actor
MAY:able-to-populate | HDR Handler
intendedRecipientMyHealthEuPatient |  |  | MyHealthEuPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
intendedRecipientMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
body | O | 0..1 | Base | Structured body of the discharge report document
Obligations | Actor
SHALL:handle | HDR Handler
alerts | O | 0..1 | Base | Section: Alerts.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalAlert | O | 0..* | MyHealthEuHdrAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
Obligations | Actor
MAY:able-to-populate | HDR Handler
encounterInformation | O | 1..1 | Base | Section: Encounter information.
Obligations | Actor
SHALL:handle | HDR Handler
encounter | O | 0..1 | MyHealthEuHdrEncounter | Encounter information
Obligations | Actor
SHALL:handle | HDR Handler
admissionEvaluation | O | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
patientHistory | O | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
Obligations | Actor
MAY:able-to-populate | HDR Handler
courseOfEncounter | O | 0..1 | Base | Course of inpatient or outpatient encounter.
Obligations | Actor
SHALL:handle | HDR Handler
diagnosticSummary | O | 0..* | MyHealthEuHdrCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
Obligations | Actor
SHALL:handle | HDR Handler
procedures | O | 0..* | MyHealthEuHdrProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalDevicesAndImplants | O | 0..* | MyHealthEuHdrDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
Obligations | Actor
MAY:able-to-populate | HDR Handler
pharmacotherapy | O | 0..* | MyHealthEuHdrMedicationUse | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
Obligations | Actor
MAY:able-to-populate | HDR Handler
dischargeDetails | O | 0..1 | Base | Discharge details
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
medicationSummary | O | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicationUse | O | 1..1 | MyHealthEuHdrMedicationUse | Details about medication and dosage
Obligations | Actor
MAY:able-to-populate | HDR Handler
carePlan | O | 0..1 | Base | Care plan and other recommendations after discharge.
Obligations | Actor
MAY:able-to-populate | HDR Handler
carePlan | O | 0..* | MyHealthEuHdrCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
Obligations | Actor
MAY:able-to-populate | HDR Handler
attachments | O | 0..* | EHDSAttachment | Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
Obligations | Actor
MAY:able-to-populate | HDR Handler
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuHdrDischargeReport |  | 0..* | EHDSDischargeReport | MyHealth@EU Hospital Discharge Report model Elements defined in Ancestors:header, header, presentedForm, body, attachments
header |  | 1..1 | Base | Document header
subject | O | 1..1 | MyHealthEuPatient | Patient/subject information
Obligations | Actor
SHALL:handle | HDR Handler
identifier | O | 1..* | Identifier | Unique identifier of the document
Obligations | Actor
SHALL:handle | HDR Handler
author[x] | O | 1..* |  | The author of the report.
Obligations | Actor
SHALL:handle | HDR Handler
authorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
authorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
authorMyHealthEuDevice |  |  | MyHealthEuDevice |
date | O | 1..1 | dateTime | Date of finalising/issuing the document
Obligations | Actor
SHOULD:handle | HDR Handler
status | O | 1..1 | CodeableConcept | Status of the document
Obligations | Actor
SHALL:handle | HDR Handler
language | O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
Obligations | Actor
SHALL:handle | HDR Handler
documentType | O | 1..1 | CodeableConcept | Type of the document (e.g. '34105-7 Hospital discharge summary) Binding Description: (preferred): LOINC
Obligations | Actor
SHALL:handle | HDR Handler
documentTitle | O | 1..1 | string | Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
Obligations | Actor
SHALL:handle | HDR Handler
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time/period of encounter)
version | O | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Obligations | Actor
SHOULD:handle | HDR Handler
attestation | O | 0..* | Base | Document attestation details
Obligations | Actor
MAY:able-to-populate | HDR Handler
attester[x] | O | 1..1 |  | Attester who validated the document
Obligations | Actor
SHOULD:handle | HDR Handler
attesterMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
attesterMyHealthEuDevice |  |  | MyHealthEuDevice |
datetime | O | 1..1 | dateTime | Date and time of the approval of the document by Attester
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthentication | O | 0..* | Base | Document legal authentication details
Obligations | Actor
SHALL:handle | HDR Handler
legalAuthenticator[x] | O | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthenticatorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
legalAuthenticatorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
datetime | O | 1..1 | dateTime | Date and time when the document was authorised
Obligations | Actor
SHOULD:handle | HDR Handler
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian | O | 0..1 | MyHealthEuOrganisation | Organisation that is in charge of maintaining the document/report.
Obligations | Actor
SHOULD:handle | HDR Handler
intendedRecipient[x] | O | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
Obligations | Actor
MAY:able-to-populate | HDR Handler
intendedRecipientMyHealthEuPatient |  |  | MyHealthEuPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
intendedRecipientMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body | O | 0..1 | Base | Structured body of the discharge report document
Obligations | Actor
SHALL:handle | HDR Handler
alerts | O | 0..1 | Base | Section: Alerts.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert | O | 0..* | MyHealthEuHdrAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
Obligations | Actor
MAY:able-to-populate | HDR Handler
encounterInformation | O | 1..1 | Base | Section: Encounter information.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter | O | 0..1 | MyHealthEuHdrEncounter | Encounter information
Obligations | Actor
SHALL:handle | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation | O | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory | O | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter | O | 0..1 | Base | Course of inpatient or outpatient encounter.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary | O | 0..* | MyHealthEuHdrCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
Obligations | Actor
SHALL:handle | HDR Handler
procedures | O | 0..* | MyHealthEuHdrProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalDevicesAndImplants | O | 0..* | MyHealthEuHdrDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
Obligations | Actor
MAY:able-to-populate | HDR Handler
pharmacotherapy | O | 0..* | MyHealthEuHdrMedicationUse | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
testResults |  | 0..* | EHDSObservation | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails | O | 0..1 | Base | Discharge details
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary | O | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse | O | 1..1 | MyHealthEuHdrMedicationUse | Details about medication and dosage
Obligations | Actor
MAY:able-to-populate | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
carePlan | O | 0..1 | Base | Care plan and other recommendations after discharge.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan | O | 0..* | MyHealthEuHdrCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
Obligations | Actor
MAY:able-to-populate | HDR Handler
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments | O | 0..* | EHDSAttachment | Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
Obligations | Actor
MAY:able-to-populate | HDR Handler
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuHdrDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDischargeReport

Summary

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuHdrDischargeReport |  | 0..* | EHDSDischargeReport | MyHealth@EU Hospital Discharge Report model Elements defined in Ancestors:header, header, presentedForm, body, attachments
header |  | 1..1 | Base | Document header
subject | O | 1..1 | MyHealthEuPatient | Patient/subject information
Obligations | Actor
SHALL:handle | HDR Handler
identifier | O | 1..* | Identifier | Unique identifier of the document
Obligations | Actor
SHALL:handle | HDR Handler
author[x] | O | 1..* |  | The author of the report.
Obligations | Actor
SHALL:handle | HDR Handler
authorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
authorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
authorMyHealthEuDevice |  |  | MyHealthEuDevice |
date | O | 1..1 | dateTime | Date of finalising/issuing the document
Obligations | Actor
SHOULD:handle | HDR Handler
status | O | 1..1 | CodeableConcept | Status of the document
Obligations | Actor
SHALL:handle | HDR Handler
language | O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
Obligations | Actor
SHALL:handle | HDR Handler
documentType | O | 1..1 | CodeableConcept | Type of the document (e.g. '34105-7 Hospital discharge summary) Binding Description: (preferred): LOINC
Obligations | Actor
SHALL:handle | HDR Handler
documentTitle | O | 1..1 | string | Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
Obligations | Actor
SHALL:handle | HDR Handler
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time/period of encounter)
version | O | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Obligations | Actor
SHOULD:handle | HDR Handler
attestation | O | 0..* | Base | Document attestation details
Obligations | Actor
MAY:able-to-populate | HDR Handler
attester[x] | O | 1..1 |  | Attester who validated the document
Obligations | Actor
SHOULD:handle | HDR Handler
attesterMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
attesterMyHealthEuDevice |  |  | MyHealthEuDevice |
datetime | O | 1..1 | dateTime | Date and time of the approval of the document by Attester
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthentication | O | 0..* | Base | Document legal authentication details
Obligations | Actor
SHALL:handle | HDR Handler
legalAuthenticator[x] | O | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthenticatorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
legalAuthenticatorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
datetime | O | 1..1 | dateTime | Date and time when the document was authorised
Obligations | Actor
SHOULD:handle | HDR Handler
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian | O | 0..1 | MyHealthEuOrganisation | Organisation that is in charge of maintaining the document/report.
Obligations | Actor
SHOULD:handle | HDR Handler
intendedRecipient[x] | O | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
Obligations | Actor
MAY:able-to-populate | HDR Handler
intendedRecipientMyHealthEuPatient |  |  | MyHealthEuPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
intendedRecipientMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body | O | 0..1 | Base | Structured body of the discharge report document
Obligations | Actor
SHALL:handle | HDR Handler
alerts | O | 0..1 | Base | Section: Alerts.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert | O | 0..* | MyHealthEuHdrAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
Obligations | Actor
MAY:able-to-populate | HDR Handler
encounterInformation | O | 1..1 | Base | Section: Encounter information.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter | O | 0..1 | MyHealthEuHdrEncounter | Encounter information
Obligations | Actor
SHALL:handle | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation | O | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory | O | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter | O | 0..1 | Base | Course of inpatient or outpatient encounter.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary | O | 0..* | MyHealthEuHdrCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
Obligations | Actor
SHALL:handle | HDR Handler
procedures | O | 0..* | MyHealthEuHdrProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalDevicesAndImplants | O | 0..* | MyHealthEuHdrDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
Obligations | Actor
MAY:able-to-populate | HDR Handler
pharmacotherapy | O | 0..* | MyHealthEuHdrMedicationUse | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
testResults |  | 0..* | EHDSObservation | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails | O | 0..1 | Base | Discharge details
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary | O | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse | O | 1..1 | MyHealthEuHdrMedicationUse | Details about medication and dosage
Obligations | Actor
MAY:able-to-populate | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
carePlan | O | 0..1 | Base | Care plan and other recommendations after discharge.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan | O | 0..* | MyHealthEuHdrCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
Obligations | Actor
MAY:able-to-populate | HDR Handler
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments | O | 0..* | EHDSAttachment | Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
Obligations | Actor
MAY:able-to-populate | HDR Handler
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuHdrDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

Differential View

This structure is derived from EHDSDischargeReport

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuHdrDischargeReport |  | 0..* | EHDSDischargeReport | MyHealth@EU Hospital Discharge Report model Elements defined in Ancestors:header, header, presentedForm, body, attachments
header |  |  |  |
subject | O | 1..1 | MyHealthEuPatient | Patient/subject information
Obligations | Actor
SHALL:handle | HDR Handler
identifier | O | 1..* | Identifier | Unique identifier of the document
Obligations | Actor
SHALL:handle | HDR Handler
author[x] | O | 1..* |  | The author of the report.
Obligations | Actor
SHALL:handle | HDR Handler
authorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
authorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
authorMyHealthEuDevice |  |  | MyHealthEuDevice |
date | O | 1..1 | dateTime | Date of finalising/issuing the document
Obligations | Actor
SHOULD:handle | HDR Handler
status | O | 1..1 | CodeableConcept | Status of the document
Obligations | Actor
SHALL:handle | HDR Handler
language | O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag.
Obligations | Actor
SHALL:handle | HDR Handler
documentType | O | 1..1 | CodeableConcept | Type of the document (e.g. '34105-7 Hospital discharge summary)
Obligations | Actor
SHALL:handle | HDR Handler
documentTitle | O | 1..1 | string | Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
Obligations | Actor
SHALL:handle | HDR Handler
version | O | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Obligations | Actor
SHOULD:handle | HDR Handler
attestation | O | 0..* | Base | Document attestation details
Obligations | Actor
MAY:able-to-populate | HDR Handler
attester[x] | O | 1..1 |  | Attester who validated the document
Obligations | Actor
SHOULD:handle | HDR Handler
attesterMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
attesterMyHealthEuDevice |  |  | MyHealthEuDevice |
datetime | O | 1..1 | dateTime | Date and time of the approval of the document by Attester
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthentication | O | 0..* | Base | Document legal authentication details
Obligations | Actor
SHALL:handle | HDR Handler
legalAuthenticator[x] | O | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthenticatorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
legalAuthenticatorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
datetime | O | 1..1 | dateTime | Date and time when the document was authorised
Obligations | Actor
SHOULD:handle | HDR Handler
custodian | O | 0..1 | MyHealthEuOrganisation | Organisation that is in charge of maintaining the document/report.
Obligations | Actor
SHOULD:handle | HDR Handler
intendedRecipient[x] | O | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
Obligations | Actor
MAY:able-to-populate | HDR Handler
intendedRecipientMyHealthEuPatient |  |  | MyHealthEuPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
intendedRecipientMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
body | O | 0..1 | Base | Structured body of the discharge report document
Obligations | Actor
SHALL:handle | HDR Handler
alerts | O | 0..1 | Base | Section: Alerts.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalAlert | O | 0..* | MyHealthEuHdrAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
Obligations | Actor
MAY:able-to-populate | HDR Handler
encounterInformation | O | 1..1 | Base | Section: Encounter information.
Obligations | Actor
SHALL:handle | HDR Handler
encounter | O | 0..1 | MyHealthEuHdrEncounter | Encounter information
Obligations | Actor
SHALL:handle | HDR Handler
admissionEvaluation | O | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
patientHistory | O | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
Obligations | Actor
MAY:able-to-populate | HDR Handler
courseOfEncounter | O | 0..1 | Base | Course of inpatient or outpatient encounter.
Obligations | Actor
SHALL:handle | HDR Handler
diagnosticSummary | O | 0..* | MyHealthEuHdrCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
Obligations | Actor
SHALL:handle | HDR Handler
procedures | O | 0..* | MyHealthEuHdrProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalDevicesAndImplants | O | 0..* | MyHealthEuHdrDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
Obligations | Actor
MAY:able-to-populate | HDR Handler
pharmacotherapy | O | 0..* | MyHealthEuHdrMedicationUse | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
Obligations | Actor
MAY:able-to-populate | HDR Handler
dischargeDetails | O | 0..1 | Base | Discharge details
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
medicationSummary | O | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicationUse | O | 1..1 | MyHealthEuHdrMedicationUse | Details about medication and dosage
Obligations | Actor
MAY:able-to-populate | HDR Handler
carePlan | O | 0..1 | Base | Care plan and other recommendations after discharge.
Obligations | Actor
MAY:able-to-populate | HDR Handler
carePlan | O | 0..* | MyHealthEuHdrCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
Obligations | Actor
MAY:able-to-populate | HDR Handler
attachments | O | 0..* | EHDSAttachment | Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
Obligations | Actor
MAY:able-to-populate | HDR Handler
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MyHealthEuHdrDischargeReport |  | 0..* | EHDSDischargeReport | MyHealth@EU Hospital Discharge Report model Elements defined in Ancestors:header, header, presentedForm, body, attachments
header |  | 1..1 | Base | Document header
subject | O | 1..1 | MyHealthEuPatient | Patient/subject information
Obligations | Actor
SHALL:handle | HDR Handler
identifier | O | 1..* | Identifier | Unique identifier of the document
Obligations | Actor
SHALL:handle | HDR Handler
author[x] | O | 1..* |  | The author of the report.
Obligations | Actor
SHALL:handle | HDR Handler
authorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
authorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
authorMyHealthEuDevice |  |  | MyHealthEuDevice |
date | O | 1..1 | dateTime | Date of finalising/issuing the document
Obligations | Actor
SHOULD:handle | HDR Handler
status | O | 1..1 | CodeableConcept | Status of the document
Obligations | Actor
SHALL:handle | HDR Handler
language | O | 0..1 | CodeableConcept | Language in which the resource is written. Language is expressed by the IETF language tag. Binding Description: (preferred): BCP 47
Obligations | Actor
SHALL:handle | HDR Handler
documentType | O | 1..1 | CodeableConcept | Type of the document (e.g. '34105-7 Hospital discharge summary) Binding Description: (preferred): LOINC
Obligations | Actor
SHALL:handle | HDR Handler
documentTitle | O | 1..1 | string | Title of the document, possibly autogenerated from the structured fields (e.g. 'Hospital discharge report. Jane Green. 07.10.2025-10.10.2025')
Obligations | Actor
SHALL:handle | HDR Handler
period |  | 0..1 | Period | Time of service that is being documented (typically the same as the time/period of encounter)
version | O | 0..1 | string | Business version of the document. The exact algorithm for versioning is decided by the producer/custodian
Obligations | Actor
SHOULD:handle | HDR Handler
attestation | O | 0..* | Base | Document attestation details
Obligations | Actor
MAY:able-to-populate | HDR Handler
attester[x] | O | 1..1 |  | Attester who validated the document
Obligations | Actor
SHOULD:handle | HDR Handler
attesterMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
attesterMyHealthEuDevice |  |  | MyHealthEuDevice |
datetime | O | 1..1 | dateTime | Date and time of the approval of the document by Attester
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthentication | O | 0..* | Base | Document legal authentication details
Obligations | Actor
SHALL:handle | HDR Handler
legalAuthenticator[x] | O | 1..1 |  | The person or organisation taking responsibility for the medical content of the document (typically the person who signs it)
Obligations | Actor
SHOULD:handle | HDR Handler
legalAuthenticatorMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
legalAuthenticatorMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
datetime | O | 1..1 | dateTime | Date and time when the document was authorised
Obligations | Actor
SHOULD:handle | HDR Handler
eventType |  | 0..* | CodeableConcept | Categorisation of the event covered by the document (e.g. laboratory study types, imaging study types including modality, etc.). Selection of such tags or labels depends on the use case and agreement between data sharing parties. This meta-data element serves primarily for searching and filtering purposes. Binding Description: (preferred): LOINC, SNOMED CT, dicom-cid-33-Modality
serviceSpecialty |  | 0..* | CodeableConcept | Additional details about where the content was created (e.g. clinical specialty) Binding Description: (preferred): SNOMED CT
custodian | O | 0..1 | MyHealthEuOrganisation | Organisation that is in charge of maintaining the document/report.
Obligations | Actor
SHOULD:handle | HDR Handler
intendedRecipient[x] | O | 0..* |  | Intended recipient(s) of the information, i.e. a person or organisation that should be notified or be aware of the content. This element is used to indicate explicit communication intent and does not represent routine storage or passive availability of information (e.g. in portals). Listing an intended recipient does not create an assignment or responsibility.
Obligations | Actor
MAY:able-to-populate | HDR Handler
intendedRecipientMyHealthEuPatient |  |  | MyHealthEuPatient |
intendedRecipientEHDSRelatedPerson |  |  | EHDSRelatedPerson |
intendedRecipientMyHealthEuHealthProfessional |  |  | MyHealthEuHealthProfessional |
intendedRecipientMyHealthEuOrganisation |  |  | MyHealthEuOrganisation |
presentedForm |  | 0..* | EHDSAttachment | A narrative easy-to-read representation of the full data set, e.g. PDF-version of a document
body | O | 0..1 | Base | Structured body of the discharge report document
Obligations | Actor
SHALL:handle | HDR Handler
alerts | O | 0..1 | Base | Section: Alerts.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicalAlert | O | 0..* | MyHealthEuHdrAlert | Description of medical alerts in textual format: any clinical information that is imperative to know so that the life or health of the patient does not come under threat.
Obligations | Actor
MAY:able-to-populate | HDR Handler
encounterInformation | O | 1..1 | Base | Section: Encounter information.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
encounter | O | 0..1 | MyHealthEuHdrEncounter | Encounter information
Obligations | Actor
SHALL:handle | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
admissionEvaluation | O | 0..1 | Base | Section: Admission evaluation. Admission evaluation section should be reported only if it is relevant to ensure continuity of care.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the evaluation performer
patientHistory | O | 0..1 | Base | Section: Patient health history (anamnesis) containing only information that is highly relevant for this specific episode of care. The model is designed with the expectation that patient summary is available.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section. In case the section includes structured information, it should also be included in generatedNarrative.
note |  | 0..1 | string | Free text notes by the health professional
courseOfEncounter | O | 0..1 | Base | Course of inpatient or outpatient encounter.
Obligations | Actor
SHALL:handle | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
diagnosticSummary | O | 0..* | MyHealthEuHdrCondition | Problems that were treated or affected provisioning of care (diagnostics, therapy, nursing, monitoring) during the encounter. At least one treated problem should be marked. Other problems are recorded only if they are important for continuity of care (after discharge).
Obligations | Actor
SHALL:handle | HDR Handler
procedures | O | 0..* | MyHealthEuHdrProcedure | Procedures performed during encounter which are significant for continuity of care, e.g. surgeries and other instrumental interventions (endoscopic, intravascular), chemotherapy, radiotherapy, purification methods (dialysis, hemoperfusion), circulation support methods (counterpulsation, etc.), administration of blood derivatives or others. Diagnostic procedures are typically captured as observation results and not repeated here.
Obligations | Actor
MAY:able-to-populate | HDR Handler
medicalDevicesAndImplants | O | 0..* | MyHealthEuHdrDeviceUse | Medical devices (including implants) whose use was started, stopped, or otherwise modified during the encounter.
Obligations | Actor
MAY:able-to-populate | HDR Handler
pharmacotherapy | O | 0..* | MyHealthEuHdrMedicationUse | Significant medication treatments during encounter. The content of this section may be repeated in the medication summary for full overview of patient's medications.
Obligations | Actor
MAY:able-to-populate | HDR Handler
objectiveFindings |  | 0..* | EHDSObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination. The line between objective findings and test results is not clear and it is up to the implementers to decide how to logically display different measurements.
testResults |  | 0..* | EHDSObservation | Significant medical test results of functional, diagnostic (including laboratory), and imaging examinations performed during encounter. This may include orders for which the results have not yet arrived.
note |  | 0..1 | string | Free text notes by the health professional
dischargeDetails | O | 0..1 | Base | Discharge details
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
objectiveFindings | O | 0..* | MyHealthEuHdrObservation | Objective findings, such as anthropometric measurements, vital signs, or objective anatomical findings of physical examination
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatus[x] | O | 0..* |  | An individual's ability to perform normal daily activities required to meet basic needs, fulfil usual roles and maintain health and well-being
Obligations | Actor
MAY:able-to-populate | HDR Handler
functionalStatusMyHealthEuHdrCondition |  |  | MyHealthEuHdrCondition |
functionalStatusMyHealthEuHdrObservation |  |  | MyHealthEuHdrObservation |
note |  | 0..1 | string | Free text notes by the health professional
medicationSummary | O | 0..1 | Base | Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
medicationUse | O | 1..1 | MyHealthEuHdrMedicationUse | Details about medication and dosage
Obligations | Actor
MAY:able-to-populate | HDR Handler
note |  | 0..1 | string | Free text notes by the health professional
carePlan | O | 0..1 | Base | Care plan and other recommendations after discharge.
Obligations | Actor
MAY:able-to-populate | HDR Handler
generatedNarrative |  | 0..1 | string | Narrative, potentially formatted, content of the whole section.
carePlan | O | 0..* | MyHealthEuHdrCarePlan | Structured care plan after discharge. Multiple care plans could be provided.
Obligations | Actor
MAY:able-to-populate | HDR Handler
otherRecommendations |  | 0..1 | string | Other recommendations (advice) after discharge. E.g., recommendation to suggest hip replacement, reduce number of cigarettes, stop smoking, increase physical exercises, etc.
synthesis |  | 0..1 | string | Clinical synthesis (e.g. description of reasons and course of encounter) clustered by managed conditions. Clinical synthesis may include clinical reasoning (differential diagnostics, explanation of clinical context) in clinically complex conditions.
attachments | O | 0..* | EHDSAttachment | Report attachments. Implementations may define what kind of attachments are allowed and may ignore unexpected attachments for security reasons.
Obligations | Actor
MAY:able-to-populate | HDR Handler
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MyHealthEuHdrDischargeReport.​header.language | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.documentType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.eventType | Base | preferred |  | Not State | Unknown
MyHealthEuHdrDischargeReport.​header.serviceSpecialty | Base | preferred |  | Not State | Unknown

This structure is derived from EHDSDischargeReport

Summary

Other representations of profile: CSV, Excel