HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build Czechia flag

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 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions

ConceptMap: CZ Patient History to this guide Map (Experimental)

Official URL: https://hl7.cz/fhir/hdr/ConceptMap/patientHistory2FHIR-cz-hdr Version: 0.0.2
Draft as of 2025-08-23 Computable Name: PatientHistory2FHIRCzHdr

CZ HDR Patient History Model to this guide Map

Mapping from (not specified) to (not specified)


Group 1 Mapping from A.2.5 - Patient history (eHN) to ImmunizationRecommendation (CZ HDR)

Source CodeRelationshipTarget Code
PatientHistory.medicalHistory.vaccination.nextVaccinationDate (A.2.6.1.4.8 - Next vaccination date)is related toImmunizationRecommendation.recommendation.dateCriterion[nextDose].value

Group 2 Mapping from A.2.5 - Patient history (eHN) to Composition (HDR CZ)

Source CodeRelationshipTarget CodeComment
PatientHistory.medicalHistory (A.2.6.1 - Medical history)is related toComposiiton.sectionseveral sections
PatientHistory.medicalHistory.historyOfConditions (A.2.6.1.1 - History of problems)is related toComposiiton.section:sectionDiagnosticSummaryThe same section used by the hospital stay ?
PatientHistory.medicalHistory.historyOfConditions.resolution (A.2.6.1.1.6 - Resolution circumstances)is related toComposition.section:sectionDiagnosticSummary.textThe resolution circumstances may be described as resource or composiiton.section text ; or indirectly determined by the resource (e.g. Procedure) that has been perfomed in reason of this Condition no more active
PatientHistory.medicalHistory.medicalDevices (A.2.6.1.2 - Devices and Implants)is related toComposition.section:sectionMedicalDevices
PatientHistory.medicalHistory.vaccination (A.2.6.1.4 - Vaccination)is equivalent toComposition.section:sectionImmunizations
PatientHistory.medicalHistory.epidemiologicalHistory (A.2.6.1.5 - Epidemiological history)(not mapped)decison not to have as distict section
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts (A.2.6.1.5.1 - Infectious contacts)is related toComposition.section::infectiousContacts
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory (A.2.6.1.5.2 - Travel history)is related toComposition.section:sectionTravelHx
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.period (A.2.6.1.5.2.1 - Time period)is related toComposition.section:sectionTravelHxTo be specified
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.country (A.2.6.1.5.2.2 - Country visited)is related toComposition.section:sectionTravelHxTo be specified
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.comment (A.2.6.1.5.2.3 - Comment)is related toComposition.section:sectionTravelHxTo be specified
PatientHistory.familyHistory (A.2.6.2 - Family history)is related toComposition.section:sectionFamilyMemberHistory
PatientHistory.socialDeterminants (A.2.6.3 - Social determinants of health)is related toComposition.section:sectionSocialHistory
PatientHistory.useOfSubstances (A.2.6.4 - Use of substances)is related toComposition.section:sectionSocialHistoryTo be specified

Group 3 Mapping from A.2.5 - Patient history (eHN) to Condition (HDR CZ)

Source CodeRelationshipTarget CodeComment
PatientHistory.medicalHistory.historyOfConditions.conditionSpecification (A.2.6.1.1.1 - Problem description)is related toCondition.text
PatientHistory.medicalHistory.historyOfConditions.conditionDetails (A.2.6.1.1.2 - Problem details)is related toCondition
PatientHistory.medicalHistory.historyOfConditions.onsetDate (A.2.6.1.1.3 - Onset date)is equal toCondition.onSetDateTime
PatientHistory.medicalHistory.historyOfConditions.endDate (A.2.6.1.1.4 - End date)is equal toCondition.abatementDateTime
PatientHistory.medicalHistory.historyOfConditions.clinicalStatus (A.2.6.1.1.5 - Clinical status)is equivalent toComposition.clinicalStatus
PatientHistory.medicalHistory.historyOfConditions.resolution (A.2.6.1.1.6 - Resolution circumstances)is related toCondition.textThe resolution circumstances may be described as resource or composiiton.section text ; or indirectly determined by the resource (e.g. Procedure) that has been perfomed in reason of this Condition no more active
PatientHistory.medicalHistory.historyOfConditions.severity (A.2.6.1.1.7 - Severity)is related toComposition.severity
PatientHistory.medicalHistory.historyOfConditions.stage (A.2.6.1.1.8 - Stage)is equivalent toComposition.stage

Group 4 Mapping from A.2.5 - Patient history (eHN) to Medical Device (CZ)

Source CodeRelationshipTarget CodeComment
PatientHistory.medicalHistory.medicalDevices.description (A.2.6.1.2.1 - Device and implant description)is related toDevice.textif referring to the description of the device
PatientHistory.medicalHistory.medicalDevices.identifier (A.2.6.1.2.2 - Device ID)is related toDevice.identifierif generic identifier
PatientHistory.medicalHistory.medicalDevices.identifier (A.2.6.1.2.2 - Device ID)is related toDevice.udiCarrierif it is the udiCarrier

Group 5 Mapping from A.2.5 - Patient history (eHN) to DeviceUseStatement

Source CodeRelationshipTarget CodeComment
PatientHistory.medicalHistory.medicalDevices.description (A.2.6.1.2.1 - Device and implant description)is related toDeviceUseStatement.textif referring to the description of the usage of the device
PatientHistory.medicalHistory.medicalDevices.implantDate (A.2.6.1.2.3 - Implant date)is related toDeviceUseStatement.timing[x]If the usage period is highlighted
PatientHistory.medicalHistory.medicalDevices.endDate (A.2.6.1.2.4 - End date)is related toDeviceUseStatement.timingPeriod.end
PatientHistory.medicalHistory.medicalDevices.reason (A.2.6.1.2.5 - Reason)is related toDeviceUseStatement.reasonCodeif details about the body structure have to be provided
PatientHistory.medicalHistory.medicalDevices.reason (A.2.6.1.2.5 - Reason)is related toDeviceUseStatement.reasonReference
PatientHistory.medicalHistory.historyOfProcedures (A.2.6.1.3 - History of procedures)is related toComposition.section:sectionSignificantProceduresThe same section usd by the hospital stay ?

Group 6 Mapping from A.2.5 - Patient history (eHN) to Immunization (HDR CZ)

Source CodeRelationshipTarget Code
PatientHistory.medicalHistory.vaccination.diseaseOrAgent (A.2.6.1.4.1 - Disease or agent targeted)is equivalent toImmunization.protocolApplied.targetDisease
PatientHistory.medicalHistory.vaccination.vaccine (A.2.6.1.4.2 - Vaccine/prophylaxis)is related toImmunization.vaccineCode
PatientHistory.medicalHistory.vaccination.productName (A.2.6.1.4.4 - Vaccine medicinal product)is related toImmunization.extension:administeredProduct
PatientHistory.medicalHistory.vaccination.manufacturerOrMAH (A.2.6.1.4.5 - Marketing Authorisation Holder)is related toImmunization.manufacturer
PatientHistory.medicalHistory.vaccination.orderNumber (A.2.6.1.4.6 - Number in a series of vaccinations / doses)is related toImmunization.protocolApplied.doseNumberPositiveInt
PatientHistory.medicalHistory.vaccination.vaccinationDate (A.2.6.1.4.7 - Date of vaccination)is related toImmunization.occurenceDateTime

Group 7 Mapping from A.2.5 - Patient history (eHN) to Observation: SDOH (HDR CZ)

Source CodeRelationshipTarget CodeComment
PatientHistory.socialDeterminants.participationInSociety (A.2.6.3.1 - Participation in society)is related toObservationcategory to be defined
PatientHistory.socialDeterminants.participationInSociety.workSituation (A.2.6.3.1.1 - Work situation)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.participationInSociety.hobby (A.2.6.3.1.2 - Hobby)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.participationInSociety.socailNetwork (A.2.6.3.1.3 - Social network)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.education (A.2.6.3.2 - Education)is related toObservationcategory to be defined
PatientHistory.socialDeterminants.education.level (A.2.6.3.2.1 - Education level)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.education.comment (A.2.6.3.2.2 - Comment)is related toObservation.notecategory and code to be defined
PatientHistory.socialDeterminants.livingSituation (A.2.6.3.3 - Living situation)is related toObservationcategory to be defined
PatientHistory.socialDeterminants.livingSituation.houseType (A.2.6.3.3.1 - House type)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.livingSituation.homeAdaption (A.2.6.3.3.2 - Home adaption)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.livingSituation.livingConditions (A.2.6.3.3.3 - Living conditions)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.familySituation (A.2.6.3.4 - Family situation)is related toObservationcategory to be defined
PatientHistory.socialDeterminants.familySituation.comment (A.2.6.3.4.1 - Comment)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.familySituation.familyComposition (A.2.6.3.4.2 - Family composition)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.familySituation.maritalStatus (A.2.6.3.4.3 - Marital status)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.familySituation.numberOfChildren (A.2.6.3.4.4 - Number of children)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.familySituation.numberOfChildrenAtHome (A.2.6.3.4.5 - Number of children at home)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.familySituation.childDetails (A.2.6.3.4.6 - Child details)is related toObservation.value[x]category and code to be defined
PatientHistory.socialDeterminants.familySituation.careResponsibility (A.2.6.3.4.7 - Care responsibility)is related toObservation.value[x]category and code to be defined

Group 8 Mapping from A.2.5 - Patient history (eHN) to Procedure (HDR CZ)

Source CodeRelationshipTarget CodeComment
PatientHistory.medicalHistory.historyOfProcedures.procedureCode (A.2.6.1.3.1 - Procedure code)is related toProcedure.code
PatientHistory.medicalHistory.historyOfProcedures.description (A.2.6.1.3.2 - Procedure description)is related toProcedure.text
PatientHistory.medicalHistory.historyOfProcedures.bodySite (A.2.6.1.3.3 - Body site)is related toProcedure.bodySite
PatientHistory.medicalHistory.historyOfProcedures.bodySite (A.2.6.1.3.3 - Body site)is related toProcedure.extension:bodySiteif details about the body structure have to be provided
PatientHistory.medicalHistory.historyOfProcedures.date (A.2.6.1.3.4 - Procedure date)is related toProcedure.perfomedDateTime
PatientHistory.medicalHistory.historyOfProcedures.reason (A.2.6.1.3.5 - Procedure reason)is equivalent toProcedure.reasonCode
PatientHistory.medicalHistory.historyOfProcedures.reason (A.2.6.1.3.5 - Procedure reason)is equivalent toProcedure.reasonReference
PatientHistory.medicalHistory.historyOfProcedures.outcome (A.2.6.1.3.6 - Outcome)is equivalent toProcedure.outcome
PatientHistory.medicalHistory.historyOfProcedures.focalDevice (A.2.6.1.3.7 - Focal device)is equivalent toProcedure.focalDevice

Group 9 Mapping from A.2.5 - Patient history (eHN) to Observation

Source CodeRelationshipTarget CodeComment
PatientHistory.useOfSubstances.alcohol (A.2.6.4.1 - Alcohol use)is related toObservationcategory and code to be defined
PatientHistory.useOfSubstances.alcohol.currentStatus (A.2.6.4.1.1 - Status)is related toObservation.value[x]category and code to be defined
PatientHistory.useOfSubstances.alcohol.periodAndQuantity (A.2.6.4.1.2 - Period and quantity)is related toObservation.value[x]category and code to be defined
PatientHistory.useOfSubstances.alcohol.comment (A.2.6.4.1.3 - Comment)is related toObservation.notecategory and code to be defined
PatientHistory.useOfSubstances.tobacco (A.2.6.4.2 - Tobacco use)is related toObservationcategory and code to be defined
PatientHistory.useOfSubstances.tobacco.currentStatus (A.2.6.4.2.1 - Status)is related toObservation.value[x]category and code to be defined
PatientHistory.useOfSubstances.tobacco.periodAndQuantity (A.2.6.4.2.2 - Period and quantity)is related toObservation.value[x]category and code to be defined
PatientHistory.useOfSubstances.tobacco.comment (A.2.6.4.2.3 - Comment)is related toObservation.notecategory and code to be defined
PatientHistory.useOfSubstances.drugConsumption (A.2.6.4.3 - Drug consumption)is related toObservationcategory and code to be defined
PatientHistory.useOfSubstances.drugConsumption.currentStatus (A.2.6.4.3.1 - Status)is related toObservation.value[x]category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.periodAndQuantity (A.2.6.4.3.2 - Period and quantity)is related toObservation.value[x]category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.drugType (A.2.6.4.3.3 - Drug or medication type)is related toObservationcategory and code to be defined
PatientHistory.useOfSubstances.drugConsumption.route (A.2.6.4.3.4 - Route of administration)is related toObservation.value[x]category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.comment (A.2.6.4.3.5 - Comment)is related toObservation.notecategory and code to be defined

Group 10 Mapping from A.2.5 - Patient history (eHN) to FamilyMemberHistory

Source CodeRelationshipTarget CodeComment
PatientHistory.familyHistory.relationship (A.2.6.2.1 - Patient relationship)is equivalent toFamilyMemberHistory.relationship
PatientHistory.familyHistory.birthDate (A.2.6.2.2 - Date of birth)is equivalent toFamilyMemberHistory.bornDate
PatientHistory.familyHistory.deathDateOrAge (A.2.6.2.3 - Age or date of death)is equivalent toFamilyMemberHistory.deceased[x]
PatientHistory.familyHistory.conditions (A.2.6.2.5 - Condition)is equivalent toFamilyMemberHistory.condition.code
PatientHistory.familyHistory.causeOfDeath (A.2.6.2.6 - Cause of death)is equivalent toFamilyMemberHistory.condition.codeIf FamilyMemberHistory.condition.contributedToDeath is true

Group 11 Mapping from A.2.5 - Patient history (eHN) to Observation: Infectious Contact (HDR CZ)

Source CodeRelationshipTarget CodeComment
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.period (A.2.6.1.5.1.1 - Time period)is equivalent toObservation.effective[x]
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.infectiousAgent (A.2.6.1.5.1.2 - Infectious agent)is equivalent toObservation.valueCodeableConceptIn the current value set the disease is indicated
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.proximity (A.2.6.1.5.1.3 - Proximity)is related toComposition.section:infectiousContactsin this version as textual description
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.country (A.2.6.1.5.1.4 - Country)is related toComposition.section:infectiousContactsin this version as textual description
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.note (A.2.6.1.5.1.5 - Additional information)is equivalent toObservation.note