HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.cz/fhir/hdr/ImplementationGuide/hl7.fhir.cz.hdr | Version: 0.1.0 | |||
| Draft as of 2026-03-06 | Computable Name: HL7CzHospitalDischargeIg | |||
Specify a set of rules that will be used for HL7 FHIR to define how to represent hospital discahrge messages in the Czech national context, in line with European eHN guidelines.
Its main objective is to define the content components and the preferred structure to be used to construct a hospital discharge report.The purpose of this standard is to define the representation of the discharge report as a patient's medical record for the purpose of electronic exchange of health information between individuals, healthcare providers and infrastructure in the Czech Republic.
This includes both jurisdictional and cross-border scenarios.
This guide does not describe how to exchange this message.
Fig. 1: Hospital discharge report structure
Basic Sections of the Hospital Discharge Report
| Section | Cardinality | Obligation | Link |
|---|---|---|---|
| A.1 Header with Administrative Document Data | 1..1 | Mandatory | Link |
| A.2 Document Content | 1..1 | Mandatory | Link |
| A.2.1 Previously Expressed Wishes | 0..1 | Required | Link |
| A.2.2 Urgent Information | 1..1 | Mandatory | Link |
| A.2.3 Hospitalization Data | 1..1 | Mandatory | Link |
| A.2.4 Reason for Admission | 0..1 | Required | Link |
| A.2.5 Condition at Admission (Initial Examination) | 0..1 | Optional | Link |
| A.2.6 Medical History | 0..1 | Optional | Link |
| A.2.7 Course of Hospitalization | 1..1 | Mandatory | Link |
| A.2.8 Condition at Discharge | 1..1 | Mandatory | Link |
| A.2.9 Recommendations | 0..1 | Required | Link |
| A.3 Presentation form | 1..1 | Mandatory | [Link] |
| A.4 Attachments | 0..1 | Optional | [Link] |
This document presents Czech use concepts defined via FHIR processable artefacts; these are collaborative outputs with agreed approaches to varied kinds of healthcare related information based on the core FHIR R4 specification.
This guide is divided into several pages which are listed at the top of each page in the menu bar.
Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00) |
Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00) |
Package hl7.fhir.eu.extensions#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00) |
Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00) |
Package hl7.fhir.eu.laboratory#0.1.1 This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Mar 25, 2025 12:00+0100+01:00) |
Package hl7.fhir.eu.extensions.r4#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00) |
Package hl7.fhir.eu.base#0.1.0-ballot This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, May 5, 2025 21:42+0200+02:00) |
Package ihe.pharm.mpd.r4#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00) |
Package hl7.fhir.eu.hdr#0.1.0-ballot This implementation guide specifies the Hospital Discharge Report in the European context, as defined in eHN Hospital Discharge Report guidelines. (built Tue, Jun 3, 2025 12:48+0200+02:00) |
Package ihe.pharm.mpd#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00) |
Package hl7.fhir.cz.terminology#current HL7 Czech Terminology Implementation Guide (built Tue, Dec 23, 2025 17:10+0000+00:00) |
Package hl7.fhir.cz.core#current HL7 Czech Base and Core Resources Implementation Guide (built Fri, Dec 19, 2025 09:24+0000+00:00) |
Package hl7.fhir.eu.extensions#current This guide lists the extensions specified for the European REALM. (built Tue, Mar 3, 2026 08:56+0000+00:00) |
Package hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2 The cross-version extensions available in FHIR R4 from FHIR R5 (built Sat, Sep 13, 2025 16:55-0400-04:00) |
Package hl7.fhir.eu.extensions.r4#1.2.0 This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00) |
Package hl7.fhir.eu.base#current This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Thu, Mar 5, 2026 17:52+0000+00:00) |
Package hl7.fhir.eu.laboratory#current This guide describes how the Laboratory Report can be represented in the European REALM. (built Mon, Feb 23, 2026 14:45+0000+00:00) |
Package hl7.fhir.cz.lab#current Czech Laboratory Implementation Guide (built Wed, Dec 10, 2025 22:15+0000+00:00) |
Package hl7.fhir.uv.tools.r4#0.9.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Dec 16, 2025 23:18+1100+11:00) |
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.hdr.r4) and R4B (hl7.fhir.cz.hdr.r4b) are available.
This publication includes IP covered under the following statements.
