HL7 Czech Hospital Discharge Report Implementation Guide
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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

Delivery Relationships

BirthSummary -> Composition (HDR)
Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.

BirthSummary -> Composition (HDR)

This page explains how conceptual elements from the BirthSummary logical model are expressed in the corresponding FHIR profiles used by this Implementation Guide.

Model Overview

​ BirthSummaryConcept Map composition-cz-hdr procedure-method-of-delivery-cz-hdr procedure-induction-of-labor-cz-hdr condition-cz-hdr observation-gravidity-cz-hdr observation-parity-cz-hdr observation-multiple-pregnancy-cz-hdr observation-birth-weight-cz-hdr observation-birth-length-cz-hdr observation-fetal-presentation-cz-hdr Observation patient-core-cz Logical ModelProfile

Mapping Context
BirthSummary -> FHIR Profiles (CZ HDR)
BirthSummary (Logical Model) Relationship FHIR Target
Element Description Relation Resource/Profile Element Description Notes
DeliveryDetails Delivery section as a whole. equivalent Composition (cz-composition-hdr) section:sectionHospitalCourse.section:sectionDelivery Delivery subsection in hospital course.
DeliveryDetails.newborn Newborn/fetus part. related-to Composition (cz-composition-hdr) section:sectionHospitalCourse.section:sectionDelivery.entry:newborn Entry slice for newborn patient reference.
PregnancyHx.mother Maternal pregnancy history. related-to Composition (cz-composition-hdr) section:sectionPatientHx.section:sectionPregnancyHx Pregnancy history subsection.
DeliveryDetails.newborn.deliveryMethod Method of delivery. equivalent Procedure (cz-procedure-method-of-delivery) Procedure.code Coded delivery method.
DeliveryDetails.mother.laborInduction Pre-induction / induction. equivalent Procedure (cz-procedure-induction-of-labor) Procedure.code Induction procedure code.
DeliveryDetails.mother.birthInjury.code Birth injury diagnosis code. equivalent Condition (cz-condition-hdr) Condition.code Coded maternal birth injury.
PregnancyHx.mother.gravidity Total number of pregnancies. equivalent Observation (cz-observation-gravidity) Observation.valueInteger Gravidity value.
PregnancyHx.mother.parity Total number of prior births. equivalent Observation (cz-observation-parity) Observation.valueInteger Parity value.
PregnancyHx.mother.multiplePregnancy Multiple pregnancy indicator. equivalent Observation (cz-observation-multiple-pregnancy) Observation.valueBoolean True/false for multiple pregnancy.
DeliveryDetails.newborn.fetalPresentation Fetal presentation during delivery. equivalent Observation (cz-observation-fetal-presentation) Observation.valueCodeableConcept Presentation/position coding.
DeliveryDetails.newborn.birthWeight Birth weight. equivalent Observation (cz-observation-birth-weight) Observation.valueQuantity Weight in grams.
DeliveryDetails.newborn.birthLength Birth length. equivalent Observation (cz-observation-birth-length) Observation.valueQuantity Length in centimeters.
PregnancyHx.mother.gestationalAgeAtDelivery Gestational age at delivery. related-to Observation Observation.valueString Text format like 39+6. No dedicated CZ profile yet.
DeliveryDetails.newborn.sex Newborn sex. equivalent Patient (cz-patient-core) Patient.gender Administrative gender of newborn.
DeliveryDetails.newborn.name Newborn name. related-to Patient (cz-patient-core) Patient.name.given Given name mapping.
DeliveryDetails.newborn.birthOutcome Birth outcome. related-to Observation Observation.value[x] Generic delivery observation without a dedicated CZ profile. Referenced from Composition.section:sectionHospitalCourse.section:sectionDelivery.entry:deliveryObservation.
DeliveryDetails.newborn.apgarScore.minute1 / minute5 / minute10 Apgar score values at 1, 5 and 10 minutes. related-to Observation (cz-observation-apgar-score-1min / -5min / -10min) Observation.valueInteger APGAR score observation with dedicated profile per minute. Referenced from Composition.section:sectionHospitalCourse.section:sectionDelivery.entry:apgarScore.