HL7 Czech EMS Implementation Guide
0.0.2 - ci-build Czechia flag

HL7 Czech EMS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-ems/ and changes regularly. See the Directory of published versions

Logical Model: LogEnObjectiveFindingsEmsCz - Detailed Descriptions

Draft as of 2025-09-05

Definitions for the ObjectiveFindingsEmsCz logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. ObjectiveFindingsEmsCz
Definition

Emergency medical service report - Objective Findings

ShortA.2.6 - Objective findings
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ObjectiveFindingsEmsCz.antropometricData
Definition

Results of patient's anthropometric measurements: height, weight, BMI (automatic calculation from the given values). Optional: head, chest, abdomen circumference.

ShortA.2.6.1 - Anthropometric Data
Control0..*
TypeBase
4. ObjectiveFindingsEmsCz.antropometricData.textResult
Definition

Textual description of the examination result.

ShortA.2.6.1.1 - Examination result text
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. ObjectiveFindingsEmsCz.antropometricData.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.1.2 - Parametric record of the examination
Control0..1
TypeBase
8. ObjectiveFindingsEmsCz.antropometricData.parametricRecord.description
Definition

Description of the examination, including the examination code, area examined, or sample, date and time of sample collection.

ShortA.2.6.1.2.1 - Examination description
Control1..1
TypeCodeableConcept
10. ObjectiveFindingsEmsCz.antropometricData.parametricRecord.result
Definition

The examination result as text and/or in the form of numerical and coded measurement results. The content of the examination result will differ according to the type of examination..

ShortA.2.6.1.2.2 - Formalized examination result
Control1..1
TypeQuantity
12. ObjectiveFindingsEmsCz.vitalSigns
Definition

Results of basic vital signs measurements for the patient including the measurement timestamp. (Vital signs measurements may be repeated at different times during an emergency call).

ShortA.2.6.2 - Basic Vital Signs
Control0..*
TypeBase
14. ObjectiveFindingsEmsCz.vitalSigns.type
Definition

Classification of the examination type. Here fixed value ''vital-signs''

ShortA.2.6.2.1 - Examination type
Control1..1
TypeCodeableConcept
16. ObjectiveFindingsEmsCz.vitalSigns.textResult
Definition

Textual description of the result or a comment to the structured examination result.

ShortA.2.6.2.2 - Examination result text
Control0..1
TypeBase
18. ObjectiveFindingsEmsCz.vitalSigns.textResult.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.2.2.1 - Examination description
Control1..1
TypeCodeableConcept
20. ObjectiveFindingsEmsCz.vitalSigns.textResult.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.2.2.2 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.2.3 - Parametric record of the examination result
Control0..*
TypeBase
24. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.2.3.1 - Examination description
Control1..1
TypeCodeableConcept
26. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.oxigenAdministration
Definition

Information about oxygen administration during SpO2 value measurement.

ShortA.2.6.2.3.2 - Oxygen administration
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.oxgenFlow
Definition

Information about oxygen flow rate during SpO2 value measurement.

ShortA.2.6.2.3.3 - Oxygen flow rate
Control0..1
TypeQuantity
30. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.result
Definition

Examination result as text and/or in the form of numerical and coded measurement results. Furthermore, details on how the tests were performed to obtain the final values, information on reference ranges and interpretation of the result. The content of the examination result will differ according to the type of examination.

ShortA.2.6.2.3.4 - Formalized examination result
Control1..1
TypeQuantity
32. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.2.3.5 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. ObjectiveFindingsEmsCz.otherParameters
Definition
  • Glycemia (mmol/l)
  • Consciousness - Glasgow Coma Scale (GCS, 3-15)
  • Consciousness - AVPU (A/V/P/U) - EtCO2
ShortA.2.6.3 - Other measured parameters
Control0..1
TypeBase
36. ObjectiveFindingsEmsCz.otherParameters.textResult
Definition

Textual description of the examination result.

ShortA.2.6.3.1 - Examination result text
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. ObjectiveFindingsEmsCz.otherParameters.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.3.2 - Parametric record of the examination result
Control0..1
TypeBase
40. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.description
Definition

Description of the examination, including the examination code, date and time of examination.

ShortA.2.6.3.2.1 - Examination description
Control1..1
TypeCodeableConcept
42. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.result
Definition

Examination result as text and/or in the form of numerical and coded measurement results. Furthermore, details on how the tests were performed to obtain the final values, information on reference ranges and interpretation of the result. The content of the examination result will differ according to the type of examination.

ShortA.2.6.3.2.2 - Formalized examination result
Control1..1
TypeQuantity
44. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.3.2.3 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. ObjectiveFindingsEmsCz.somaticExamination
Definition

An examination using the senses of the examiner (by sight, listening, palpation, and percussion) and assessing whether the findings thus ascertained deviate from the norm. If so, we denote these deviations as objective signs.

ShortA.2.6.4 - Somatic examination
Control1..*
TypeBase
48. ObjectiveFindingsEmsCz.somaticExamination.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.4.1 - Examination description
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. ObjectiveFindingsEmsCz.somaticExamination.date
Definition

Date and time when the examination was performed.

ShortA.2.6.4.2 - Date and time of examination
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. ObjectiveFindingsEmsCz.otherExamination
Definition

Other examinations (For example, ECG, ultrasound, etc.).

ShortA.2.6.5 - Other examinations
Control0..*
TypeBase
54. ObjectiveFindingsEmsCz.otherExamination.procedureName
Definition

According to the ZZS (Emergency Medical Service) codebook.

ShortA.2.6.5.1 - Name of procedure
Control0..*
TypeCodeableConcept
56. ObjectiveFindingsEmsCz.otherExamination.date
Definition

Date and time of procedure performance.

ShortA.2.6.5.2 - Date and time of performance
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. ObjectiveFindingsEmsCz.otherExamination.description
Definition

Textual description of the examination.

ShortA.2.6.5.3 - Description of the examination
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. ObjectiveFindingsEmsCz
Definition

Emergency medical service report - Objective Findings

ShortA.2.6 - Objective findings
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ObjectiveFindingsEmsCz.antropometricData
Definition

Results of patient's anthropometric measurements: height, weight, BMI (automatic calculation from the given values). Optional: head, chest, abdomen circumference.

ShortA.2.6.1 - Anthropometric Data
Control0..*
TypeBase
4. ObjectiveFindingsEmsCz.antropometricData.textResult
Definition

Textual description of the examination result.

ShortA.2.6.1.1 - Examination result text
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. ObjectiveFindingsEmsCz.antropometricData.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.1.2 - Parametric record of the examination
Control0..1
TypeBase
8. ObjectiveFindingsEmsCz.antropometricData.parametricRecord.description
Definition

Description of the examination, including the examination code, area examined, or sample, date and time of sample collection.

ShortA.2.6.1.2.1 - Examination description
Control1..1
TypeCodeableConcept
10. ObjectiveFindingsEmsCz.antropometricData.parametricRecord.result
Definition

The examination result as text and/or in the form of numerical and coded measurement results. The content of the examination result will differ according to the type of examination..

ShortA.2.6.1.2.2 - Formalized examination result
Control1..1
TypeQuantity
12. ObjectiveFindingsEmsCz.vitalSigns
Definition

Results of basic vital signs measurements for the patient including the measurement timestamp. (Vital signs measurements may be repeated at different times during an emergency call).

ShortA.2.6.2 - Basic Vital Signs
Control0..*
TypeBase
14. ObjectiveFindingsEmsCz.vitalSigns.type
Definition

Classification of the examination type. Here fixed value ''vital-signs''

ShortA.2.6.2.1 - Examination type
Control1..1
TypeCodeableConcept
16. ObjectiveFindingsEmsCz.vitalSigns.textResult
Definition

Textual description of the result or a comment to the structured examination result.

ShortA.2.6.2.2 - Examination result text
Control0..1
TypeBase
18. ObjectiveFindingsEmsCz.vitalSigns.textResult.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.2.2.1 - Examination description
Control1..1
TypeCodeableConcept
20. ObjectiveFindingsEmsCz.vitalSigns.textResult.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.2.2.2 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.2.3 - Parametric record of the examination result
Control0..*
TypeBase
24. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.2.3.1 - Examination description
Control1..1
TypeCodeableConcept
26. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.oxigenAdministration
Definition

Information about oxygen administration during SpO2 value measurement.

ShortA.2.6.2.3.2 - Oxygen administration
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.oxgenFlow
Definition

Information about oxygen flow rate during SpO2 value measurement.

ShortA.2.6.2.3.3 - Oxygen flow rate
Control0..1
TypeQuantity
30. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.result
Definition

Examination result as text and/or in the form of numerical and coded measurement results. Furthermore, details on how the tests were performed to obtain the final values, information on reference ranges and interpretation of the result. The content of the examination result will differ according to the type of examination.

ShortA.2.6.2.3.4 - Formalized examination result
Control1..1
TypeQuantity
32. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.2.3.5 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. ObjectiveFindingsEmsCz.otherParameters
Definition
  • Glycemia (mmol/l)
  • Consciousness - Glasgow Coma Scale (GCS, 3-15)
  • Consciousness - AVPU (A/V/P/U) - EtCO2
ShortA.2.6.3 - Other measured parameters
Control0..1
TypeBase
36. ObjectiveFindingsEmsCz.otherParameters.textResult
Definition

Textual description of the examination result.

ShortA.2.6.3.1 - Examination result text
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. ObjectiveFindingsEmsCz.otherParameters.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.3.2 - Parametric record of the examination result
Control0..1
TypeBase
40. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.description
Definition

Description of the examination, including the examination code, date and time of examination.

ShortA.2.6.3.2.1 - Examination description
Control1..1
TypeCodeableConcept
42. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.result
Definition

Examination result as text and/or in the form of numerical and coded measurement results. Furthermore, details on how the tests were performed to obtain the final values, information on reference ranges and interpretation of the result. The content of the examination result will differ according to the type of examination.

ShortA.2.6.3.2.2 - Formalized examination result
Control1..1
TypeQuantity
44. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.3.2.3 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. ObjectiveFindingsEmsCz.somaticExamination
Definition

An examination using the senses of the examiner (by sight, listening, palpation, and percussion) and assessing whether the findings thus ascertained deviate from the norm. If so, we denote these deviations as objective signs.

ShortA.2.6.4 - Somatic examination
Control1..*
TypeBase
48. ObjectiveFindingsEmsCz.somaticExamination.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.4.1 - Examination description
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. ObjectiveFindingsEmsCz.somaticExamination.date
Definition

Date and time when the examination was performed.

ShortA.2.6.4.2 - Date and time of examination
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. ObjectiveFindingsEmsCz.otherExamination
Definition

Other examinations (For example, ECG, ultrasound, etc.).

ShortA.2.6.5 - Other examinations
Control0..*
TypeBase
54. ObjectiveFindingsEmsCz.otherExamination.procedureName
Definition

According to the ZZS (Emergency Medical Service) codebook.

ShortA.2.6.5.1 - Name of procedure
Control0..*
TypeCodeableConcept
56. ObjectiveFindingsEmsCz.otherExamination.date
Definition

Date and time of procedure performance.

ShortA.2.6.5.2 - Date and time of performance
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. ObjectiveFindingsEmsCz.otherExamination.description
Definition

Textual description of the examination.

ShortA.2.6.5.3 - Description of the examination
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. ObjectiveFindingsEmsCz
Definition

Emergency medical service report - Objective Findings

ShortA.2.6 - Objective findings
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ObjectiveFindingsEmsCz.antropometricData
Definition

Results of patient's anthropometric measurements: height, weight, BMI (automatic calculation from the given values). Optional: head, chest, abdomen circumference.

ShortA.2.6.1 - Anthropometric Data
Control0..*
TypeBase
4. ObjectiveFindingsEmsCz.antropometricData.textResult
Definition

Textual description of the examination result.

ShortA.2.6.1.1 - Examination result text
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. ObjectiveFindingsEmsCz.antropometricData.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.1.2 - Parametric record of the examination
Control0..1
TypeBase
8. ObjectiveFindingsEmsCz.antropometricData.parametricRecord.description
Definition

Description of the examination, including the examination code, area examined, or sample, date and time of sample collection.

ShortA.2.6.1.2.1 - Examination description
Control1..1
TypeCodeableConcept
10. ObjectiveFindingsEmsCz.antropometricData.parametricRecord.result
Definition

The examination result as text and/or in the form of numerical and coded measurement results. The content of the examination result will differ according to the type of examination..

ShortA.2.6.1.2.2 - Formalized examination result
Control1..1
TypeQuantity
12. ObjectiveFindingsEmsCz.vitalSigns
Definition

Results of basic vital signs measurements for the patient including the measurement timestamp. (Vital signs measurements may be repeated at different times during an emergency call).

ShortA.2.6.2 - Basic Vital Signs
Control0..*
TypeBase
14. ObjectiveFindingsEmsCz.vitalSigns.type
Definition

Classification of the examination type. Here fixed value ''vital-signs''

ShortA.2.6.2.1 - Examination type
Control1..1
TypeCodeableConcept
16. ObjectiveFindingsEmsCz.vitalSigns.textResult
Definition

Textual description of the result or a comment to the structured examination result.

ShortA.2.6.2.2 - Examination result text
Control0..1
TypeBase
18. ObjectiveFindingsEmsCz.vitalSigns.textResult.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.2.2.1 - Examination description
Control1..1
TypeCodeableConcept
20. ObjectiveFindingsEmsCz.vitalSigns.textResult.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.2.2.2 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.2.3 - Parametric record of the examination result
Control0..*
TypeBase
24. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.2.3.1 - Examination description
Control1..1
TypeCodeableConcept
26. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.oxigenAdministration
Definition

Information about oxygen administration during SpO2 value measurement.

ShortA.2.6.2.3.2 - Oxygen administration
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.oxgenFlow
Definition

Information about oxygen flow rate during SpO2 value measurement.

ShortA.2.6.2.3.3 - Oxygen flow rate
Control0..1
TypeQuantity
30. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.result
Definition

Examination result as text and/or in the form of numerical and coded measurement results. Furthermore, details on how the tests were performed to obtain the final values, information on reference ranges and interpretation of the result. The content of the examination result will differ according to the type of examination.

ShortA.2.6.2.3.4 - Formalized examination result
Control1..1
TypeQuantity
32. ObjectiveFindingsEmsCz.vitalSigns.parametricRecord.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.2.3.5 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. ObjectiveFindingsEmsCz.otherParameters
Definition
  • Glycemia (mmol/l)
  • Consciousness - Glasgow Coma Scale (GCS, 3-15)
  • Consciousness - AVPU (A/V/P/U) - EtCO2
ShortA.2.6.3 - Other measured parameters
Control0..1
TypeBase
36. ObjectiveFindingsEmsCz.otherParameters.textResult
Definition

Textual description of the examination result.

ShortA.2.6.3.1 - Examination result text
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. ObjectiveFindingsEmsCz.otherParameters.parametricRecord
Definition

Parametric entry of the examination result.

ShortA.2.6.3.2 - Parametric record of the examination result
Control0..1
TypeBase
40. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.description
Definition

Description of the examination, including the examination code, date and time of examination.

ShortA.2.6.3.2.1 - Examination description
Control1..1
TypeCodeableConcept
42. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.result
Definition

Examination result as text and/or in the form of numerical and coded measurement results. Furthermore, details on how the tests were performed to obtain the final values, information on reference ranges and interpretation of the result. The content of the examination result will differ according to the type of examination.

ShortA.2.6.3.2.2 - Formalized examination result
Control1..1
TypeQuantity
44. ObjectiveFindingsEmsCz.otherParameters.parametricRecord.date
Definition

Date and time related to a specific measurement.

ShortA.2.6.3.2.3 - Date and time of measurement
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. ObjectiveFindingsEmsCz.somaticExamination
Definition

An examination using the senses of the examiner (by sight, listening, palpation, and percussion) and assessing whether the findings thus ascertained deviate from the norm. If so, we denote these deviations as objective signs.

ShortA.2.6.4 - Somatic examination
Control1..*
TypeBase
48. ObjectiveFindingsEmsCz.somaticExamination.description
Definition

Description of the examination including the examination code, date and time of examination.

ShortA.2.6.4.1 - Examination description
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. ObjectiveFindingsEmsCz.somaticExamination.date
Definition

Date and time when the examination was performed.

ShortA.2.6.4.2 - Date and time of examination
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. ObjectiveFindingsEmsCz.otherExamination
Definition

Other examinations (For example, ECG, ultrasound, etc.).

ShortA.2.6.5 - Other examinations
Control0..*
TypeBase
54. ObjectiveFindingsEmsCz.otherExamination.procedureName
Definition

According to the ZZS (Emergency Medical Service) codebook.

ShortA.2.6.5.1 - Name of procedure
Control0..*
TypeCodeableConcept
56. ObjectiveFindingsEmsCz.otherExamination.date
Definition

Date and time of procedure performance.

ShortA.2.6.5.2 - Date and time of performance
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
58. ObjectiveFindingsEmsCz.otherExamination.description
Definition

Textual description of the examination.

ShortA.2.6.5.3 - Description of the examination
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension