# Bundle: complete MyHealth@EU Hospital Discharge Report - MyHealth@Eu Hospital Discharge Report v9.1.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Bundle: complete MyHealth@EU Hospital Discharge Report**

## Example Bundle: Bundle: complete MyHealth@EU Hospital Discharge Report

**Id:**BundleExampleHdr

**Composition status:**final

**Composition Type:**Hospital Discharge summary

**DiagnosticReport:**

**Subject:**

**Identifier:**65031500145

**Name:**John Doe

**Gender:**male

**Birth Date:**1965-03-15

**ServiceRequest:**

**Observations:**

**Identifier:**0234c232-a2e7-4bd5-b803-e5f290f19425

**Status:**final

**Category:**imaging

**Time:**2025-05-25T10:00:00+02:00

**Performer:**

**Value:**Imaging of liver abnormal (finding)

### Sections:

#### Hospital Course

**Code:**Hospital course note

#### Significant Results

**Code:**Relevant diagnostic tests/laboratory data note

#### urn:uuid:9c72df9a-c459-45ea-bedf-b89568a8378a

#### urn:uuid:d532c253-9bd1-433a-a08e-fb6384f4a6b6

#### Clinical Synthesis

**Code:**Summarization of encounter note

#### Allergies and intolerances

**Code:**Allergies and adverse reactions Document

#### urn:uuid:5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec



## Resource Content

```json
{
  "resourceType" : "Bundle",
  "id" : "BundleExampleHdr",
  "meta" : {
    "profile" : ["http://fhir.ehdsi.eu/hdr/StructureDefinition/bundle-hdr-myhealtheu"]
  },
  "identifier" : {
    "system" : "http://example.org",
    "value" : "7c8218d6-7a5b-4974-8221-c9102ad4fb41"
  },
  "type" : "document",
  "timestamp" : "2024-11-18T14:30:00+01:00",
  "entry" : [{
    "fullUrl" : "urn:uuid:1033c423-e5cf-45f2-a580-cb9d882af7c4",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "ExampleCompositionHdr",
      "meta" : {
        "profile" : ["http://fhir.ehdsi.eu/hdr/StructureDefinition/composition-hdr-myhealtheu"]
      },
      "language" : "en-GB",
      "text" : {
        "status" : "generated",
        "div" : "<div xml:lang=\"en-GB\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-GB\"><a name=\"Composition_ExampleCompositionHdr\"> </a>Composition of clinical sections.</div>"
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "34105-7",
          "display" : "Hospital Discharge summary"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
      },
      "encounter" : {
        "reference" : "urn:uuid:b49cdbed-299c-4b95-aa9d-273811521147"
      },
      "date" : "2025-05-05T14:00:00+02:00",
      "author" : [{
        "reference" : "urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"
      }],
      "title" : "Hospital Discharge Summary",
      "section" : [{
        "title" : "Hospital Course",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "8648-8",
            "display" : "Hospital course note"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient was admitted for observation and discharged in stable condition.</div>"
        }
      },
      {
        "title" : "Significant Results",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests/laboratory data note"
          }]
        },
        "entry" : [{
          "reference" : "urn:uuid:9c72df9a-c459-45ea-bedf-b89568a8378a"
        },
        {
          "reference" : "urn:uuid:d532c253-9bd1-433a-a08e-fb6384f4a6b6"
        }]
      },
      {
        "title" : "Clinical Synthesis",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "67781-5",
            "display" : "Summarization of encounter note"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Final diagnosis: Acute bronchitis. Treatment included antibiotics and rest.</div>"
        }
      },
      {
        "title" : "Allergies and intolerances",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "48765-2",
            "display" : "Allergies and adverse reactions Document"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Textual overview of allergies and intolerances.</div>"
        },
        "entry" : [{
          "reference" : "urn:uuid:5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec"
        }]
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "1d4bbc93-63b7-4f2b-8f0f-8380aa138f49",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_1d4bbc93-63b7-4f2b-8f0f-8380aa138f49\"> </a>John Doe, born 1965-03-15</div>"
      },
      "identifier" : [{
        "system" : "https://www.ehealth.fgov.be/standards/fhir/core/NamingSystem/ssin",
        "value" : "65031500145"
      }],
      "name" : [{
        "family" : "Doe",
        "given" : ["John"]
      }],
      "gender" : "male",
      "birthDate" : "1965-03-15",
      "address" : [{
        "line" : ["Rue de la Loi 1"],
        "city" : "Brussels",
        "postalCode" : "1000",
        "country" : "BE"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:b49cdbed-299c-4b95-aa9d-273811521147",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "b49cdbed-299c-4b95-aa9d-273811521147",
      "meta" : {
        "profile" : ["http://fhir.ehdsi.eu/hdr/StructureDefinition/encounter-hdr-myhealtheu"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_b49cdbed-299c-4b95-aa9d-273811521147\"> </a>Encounter example</div>"
      },
      "status" : "finished",
      "class" : {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "IMP",
        "display" : "inpatient encounter"
      },
      "subject" : {
        "reference" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
      },
      "period" : {
        "start" : "2024-11-11T15:46:00+01:00",
        "end" : "2024-11-12T15:46:00+01:00"
      },
      "serviceProvider" : {
        "reference" : "urn:uuid:ff4d98d1-69c9-43db-896e-58d11c15662c"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec",
    "resource" : {
      "resourceType" : "AllergyIntolerance",
      "id" : "5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/hdr/StructureDefinition/allergyIntolerance-eu-hdr"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec\"> </a>Allergy to penicillin</div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
          "code" : "active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
          "code" : "confirmed"
        }]
      },
      "type" : "allergy",
      "category" : ["medication"],
      "criticality" : "high",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "372687004",
          "display" : "Amoxicillin"
        }]
      },
      "patient" : {
        "reference" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
      },
      "onsetDateTime" : "2010-03-01",
      "reaction" : [{
        "manifestation" : [{
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "39579001",
            "display" : "Anaphylaxis"
          }]
        }],
        "severity" : "severe"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:b06b2c2c-15dd-4e58-b27e-37326ba51407",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "b06b2c2c-15dd-4e58-b27e-37326ba51407",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_b06b2c2c-15dd-4e58-b27e-37326ba51407\"> </a>Dr. Maria Gonzalez</div>"
      },
      "identifier" : [{
        "system" : "http://example.org/practitioner-ids",
        "value" : "PRAC-001"
      }],
      "name" : [{
        "family" : "Gonzalez",
        "given" : ["Maria"],
        "prefix" : ["Dr."]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "+32 2 555 0100",
        "use" : "work"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "b975ec26-4ecf-4588-9fa2-afbb0d9fc530",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_b975ec26-4ecf-4588-9fa2-afbb0d9fc530\"> </a>Dr. Maria Gonzalez - Internal Medicine</div>"
      },
      "identifier" : [{
        "system" : "http://example.org/practitioner-role-ids",
        "value" : "PR-123456"
      }],
      "active" : true,
      "practitioner" : {
        "reference" : "urn:uuid:b06b2c2c-15dd-4e58-b27e-37326ba51407"
      },
      "organization" : {
        "reference" : "urn:uuid:ff4d98d1-69c9-43db-896e-58d11c15662c"
      },
      "code" : [{
        "coding" : [{
          "system" : "urn:oid:2.16.840.1.113883.2.9.6.2.7",
          "code" : "221",
          "display" : "Medical Doctors"
        }]
      }],
      "specialty" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "419192003",
          "display" : "Internal medicine"
        }]
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:ff4d98d1-69c9-43db-896e-58d11c15662c",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "ff4d98d1-69c9-43db-896e-58d11c15662c",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_ff4d98d1-69c9-43db-896e-58d11c15662c\"> </a>Brussels University Hospital</div>"
      },
      "identifier" : [{
        "system" : "http://example.org/organization-ids",
        "value" : "ORG-001"
      }],
      "active" : true,
      "name" : "Brussels University Hospital",
      "telecom" : [{
        "system" : "phone",
        "value" : "+32 2 764 1111",
        "use" : "work"
      }],
      "address" : [{
        "line" : ["Avenue Hippocrate 10"],
        "city" : "Brussels",
        "postalCode" : "1200",
        "country" : "BE"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:0234c232-a2e7-4bd5-b803-e5f290f19425",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "0234c232-a2e7-4bd5-b803-e5f290f19425",
      "meta" : {
        "profile" : ["http://fhir.ehdsi.eu/hdr/StructureDefinition/observation-imgFinding-hdr-myhealtheu"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_0234c232-a2e7-4bd5-b803-e5f290f19425\"> </a>Imaging Finding Observation</div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "41806-1",
          "display" : "CT Abdomen"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
      },
      "effectiveDateTime" : "2025-05-25T10:00:00+02:00",
      "performer" : [{
        "reference" : "urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"
      }],
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "442684004",
          "display" : "Imaging of liver abnormal (finding)"
        }]
      },
      "bodySite" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "790007",
          "display" : "Visceral surface of liver"
        }]
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:67944ca3-521a-41c6-9878-08f2a4980eab",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "67944ca3-521a-41c6-9878-08f2a4980eab",
      "meta" : {
        "profile" : ["http://fhir.ehdsi.eu/hdr/StructureDefinition/observation-vital-hdr-myhealtheu"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_67944ca3-521a-41c6-9878-08f2a4980eab\"> </a>Vital Signs Observation</div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "vital-signs",
          "display" : "Vital Signs"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "8310-5",
          "display" : "Body temperature"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
      },
      "effectiveDateTime" : "2025-05-27T08:30:00+02:00",
      "performer" : [{
        "reference" : "urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"
      }],
      "valueQuantity" : {
        "value" : 37,
        "unit" : "Cel",
        "system" : "http://unitsofmeasure.org",
        "code" : "Cel"
      }
    }
  },
  {
    "fullUrl" : "urn:uuid:9c72df9a-c459-45ea-bedf-b89568a8378a",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "9c72df9a-c459-45ea-bedf-b89568a8378a",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_9c72df9a-c459-45ea-bedf-b89568a8378a\"> </a>Example observation for lab results.</div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "718-7",
          "display" : "Hemoglobin [Mass/volume] in Blood"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
      },
      "effectiveDateTime" : "2025-05-14T08:30:00+02:00",
      "performer" : [{
        "reference" : "urn:uuid:b975ec26-4ecf-4588-9fa2-afbb0d9fc530"
      }],
      "valueQuantity" : {
        "value" : 13.5,
        "unit" : "grams per deciliter",
        "system" : "http://unitsofmeasure.org",
        "code" : "g/dL"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }]
      }],
      "method" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "702873001",
          "display" : "Calculation technique (qualifier value)"
        }]
      },
      "referenceRange" : [{
        "low" : {
          "value" : 12,
          "system" : "http://unitsofmeasure.org",
          "code" : "g/dL"
        },
        "high" : {
          "value" : 16,
          "system" : "http://unitsofmeasure.org",
          "code" : "g/dL"
        },
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal",
            "display" : "Normal Range"
          }]
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:d532c253-9bd1-433a-a08e-fb6384f4a6b6",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "d532c253-9bd1-433a-a08e-fb6384f4a6b6",
      "meta" : {
        "profile" : ["http://hl7.eu/fhir/hdr/StructureDefinition/observation-imgFinding-eu-hdr"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_d532c253-9bd1-433a-a08e-fb6384f4a6b6\"> </a>Example observation for radiology results.</div>"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging",
          "display" : "Imaging"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "36554-4",
          "display" : "XR Chest Single View"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:1d4bbc93-63b7-4f2b-8f0f-8380aa138f49"
      },
      "effectiveDateTime" : "2024-09-10T10:30:00Z",
      "issued" : "2024-09-10T11:00:00Z",
      "performer" : [{
        "reference" : "PractitionerRole/b975ec26-4ecf-4588-9fa2-afbb0d9fc530"
      }],
      "valueString" : "Found a mass in the heart cavity",
      "bodySite" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "727751002",
          "display" : "Entire surface region of front of chest"
        }]
      }
    }
  }]
}

```
