Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Hospital Discharge Diagnosis

[Act: templateId 2.16.840.1.113883.10.20.22.4.33]

The Hospital Discharge Diagnosis act wraps relevant problems or diagnoses at the time of discharge that occurred during the hospitalization or that need to be followed after hospitalization. This entry requires at least one Problem Observation entry.

  1. SHALL contain exactly one [1..1] templateId ( CONF:16764, CONF:16765 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.33"
  2. SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:7663)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:7664)
  4. SHALL contain exactly one [1..1] code/@code="11535-2" Hospital Discharge Diagnosis (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:7665)
  5. SHALL contain at least one [1..*] entryRelationship (CONF:7666, CONF:7667, CONF:15536)
    1. Contains @typeCode="SUBJ" SUBJ
    2. Contains exactly one [1..1] Problem Observation (templateId: 2.16.840.1.113883.10.20.22.4.4)

Hospital Discharge Diagnosis example

<act xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="1768506124"/>
  <code code="1686234360"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="351877642"/>
      <code code="1113552495"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="2136822500"/>
          <code code="228092270"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="722924129"/>
          <code code="415609184"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="21810703"/>
          <code code="1051573807"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
</act>