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 0.0.2 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

Logical Model: AlertsEhnCz - Detailed Descriptions

Draft as of 2025-08-23

Definitions for the AlertsCz logical model.

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

0. AlertsCz
Definition

Hospital Discharge Report - Alerts - A.2.2 eHN

ShortA.2.2 - Alerts (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. AlertsCz.allergy
Definition

A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).

ShortA.2.2.1 - Allergy and Intolerance
Control1..*
TypeBase
4. AlertsCz.allergy.description
Definition

Textual description of the allergy or intolerance

ShortA.2.2.1.1 - Allergy description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. AlertsCz.allergy.agent
Definition

A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.

ShortA.2.2.1.2 - Agent or Allergen
Control1..1
TypeCodeableConcept
8. AlertsCz.allergy.typeOfPropensity
Definition

This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)

ShortA.2.2.1.3 - Type of propensity
Control0..1
TypeCodeableConcept
10. AlertsCz.allergy.manifestation
Definition

Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided.

ShortA.2.2.1.4 - Allergy manifestation
Control0..*
TypeCodeableConcept
12. AlertsCz.allergy.criticality
Definition

Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.

ShortA.2.2.1.5 - Criticality
Control0..1
TypeCodeableConcept
14. AlertsCz.allergy.onsetDate
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence).

ShortA.2.2.1.6 - Onset date
Control0..1
TypeBase
16. AlertsCz.allergy.onsetDate.date
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date.

ShortOnset date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. AlertsCz.allergy.onsetDate.code
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).

ShortOnset date (code)
Control0..1
TypeCodeableConcept
20. AlertsCz.allergy.endDate
Definition

Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)

ShortA.2.2.1.7 - End date
Control0..1
TypeBase
22. AlertsCz.allergy.endDate.date
Definition

Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)

ShortEnd date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. AlertsCz.allergy.endDate.code
Definition

Date of resolution of the allergy expressed by code (e.g. age group)

ShortEnd date (code)
Control0..1
TypeCodeableConcept
26. AlertsCz.allergy.status
Definition

Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …

ShortA.2.2.1.8 - Status
Control0..1
TypeCodeableConcept
28. AlertsCz.allergy.certainty
Definition

Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.

ShortA.2.2.1.9 - Certainty
Control0..1
TypeCodeableConcept
30. AlertsCz.allergy.lastOccurrence
Definition

A.2.2.1.10 - Last Occurrence

ShortA.2.2.1.10 - Last Occurrence
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. AlertsCz.medicalAlerts
Definition

Medical alerts (relevant for the respective hospital stay)

ShortA.2.2.2 - Medical alerts (relevant for the respective hospital stay)
Control0..*
TypeBase
34. AlertsCz.medicalAlerts.description
Definition

A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact.

ShortA.2.2.2.1 - Healthcare alert description
Control0..1
TypeCodeableConcept
36. AlertsCz.medicalAlerts.code
Definition

A.2.2.2.3 - Code

ShortA.2.2.2.3 - Code
Control0..1
TypeCodeableConcept
38. AlertsCz.medicalAlerts.specialistPhysician
Definition

A.2.2.2.4 - Specialist physician

ShortA.2.2.2.4 - Specialist physician
Control0..1
TypeBase
40. AlertsCz.medicalAlerts.comment
Definition

A.2.2.2.5 - Comment

ShortA.2.2.2.5 - Comment
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. AlertsCz.medicalAlerts.priority
Definition

A.2.2.2.6 - Priority

ShortA.2.2.2.6 - Priority
Control0..1
TypeCodeableConcept
44. AlertsCz.medicalAlerts.period
Definition

A.2.2.2.7 - Period

ShortA.2.2.2.7 - Period
Control0..1
TypeBase

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

0. AlertsCz
Definition

Hospital Discharge Report - Alerts - A.2.2 eHN

ShortA.2.2 - Alerts (eHN)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. AlertsCz.allergy
Definition

A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).

ShortA.2.2.1 - Allergy and Intolerance
Control1..*
TypeBase
4. AlertsCz.allergy.description
Definition

Textual description of the allergy or intolerance

ShortA.2.2.1.1 - Allergy description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. AlertsCz.allergy.agent
Definition

A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.

ShortA.2.2.1.2 - Agent or Allergen
Control1..1
TypeCodeableConcept
8. AlertsCz.allergy.typeOfPropensity
Definition

This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)

ShortA.2.2.1.3 - Type of propensity
Control0..1
TypeCodeableConcept
10. AlertsCz.allergy.manifestation
Definition

Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided.

ShortA.2.2.1.4 - Allergy manifestation
Control0..*
TypeCodeableConcept
12. AlertsCz.allergy.criticality
Definition

Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.

ShortA.2.2.1.5 - Criticality
Control0..1
TypeCodeableConcept
14. AlertsCz.allergy.onsetDate
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence).

ShortA.2.2.1.6 - Onset date
Control0..1
TypeBase
16. AlertsCz.allergy.onsetDate.date
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date.

ShortOnset date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. AlertsCz.allergy.onsetDate.code
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).

ShortOnset date (code)
Control0..1
TypeCodeableConcept
20. AlertsCz.allergy.endDate
Definition

Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)

ShortA.2.2.1.7 - End date
Control0..1
TypeBase
22. AlertsCz.allergy.endDate.date
Definition

Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)

ShortEnd date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. AlertsCz.allergy.endDate.code
Definition

Date of resolution of the allergy expressed by code (e.g. age group)

ShortEnd date (code)
Control0..1
TypeCodeableConcept
26. AlertsCz.allergy.status
Definition

Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …

ShortA.2.2.1.8 - Status
Control0..1
TypeCodeableConcept
28. AlertsCz.allergy.certainty
Definition

Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.

ShortA.2.2.1.9 - Certainty
Control0..1
TypeCodeableConcept
30. AlertsCz.allergy.lastOccurrence
Definition

A.2.2.1.10 - Last Occurrence

ShortA.2.2.1.10 - Last Occurrence
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. AlertsCz.medicalAlerts
Definition

Medical alerts (relevant for the respective hospital stay)

ShortA.2.2.2 - Medical alerts (relevant for the respective hospital stay)
Control0..*
TypeBase
34. AlertsCz.medicalAlerts.description
Definition

A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact.

ShortA.2.2.2.1 - Healthcare alert description
Control0..1
TypeCodeableConcept
36. AlertsCz.medicalAlerts.code
Definition

A.2.2.2.3 - Code

ShortA.2.2.2.3 - Code
Control0..1
TypeCodeableConcept
38. AlertsCz.medicalAlerts.specialistPhysician
Definition

A.2.2.2.4 - Specialist physician

ShortA.2.2.2.4 - Specialist physician
Control0..1
TypeBase
40. AlertsCz.medicalAlerts.comment
Definition

A.2.2.2.5 - Comment

ShortA.2.2.2.5 - Comment
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. AlertsCz.medicalAlerts.priority
Definition

A.2.2.2.6 - Priority

ShortA.2.2.2.6 - Priority
Control0..1
TypeCodeableConcept
44. AlertsCz.medicalAlerts.period
Definition

A.2.2.2.7 - Period

ShortA.2.2.2.7 - Period
Control0..1
TypeBase

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

0. AlertsCz
Definition

Hospital Discharge Report - Alerts - A.2.2 eHN

ShortA.2.2 - Alerts (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. AlertsCz.allergy
Definition

A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).

ShortA.2.2.1 - Allergy and Intolerance
Control1..*
TypeBase
4. AlertsCz.allergy.description
Definition

Textual description of the allergy or intolerance

ShortA.2.2.1.1 - Allergy description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
6. AlertsCz.allergy.agent
Definition

A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.

ShortA.2.2.1.2 - Agent or Allergen
Control1..1
TypeCodeableConcept
8. AlertsCz.allergy.typeOfPropensity
Definition

This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)

ShortA.2.2.1.3 - Type of propensity
Control0..1
TypeCodeableConcept
10. AlertsCz.allergy.manifestation
Definition

Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided.

ShortA.2.2.1.4 - Allergy manifestation
Control0..*
TypeCodeableConcept
12. AlertsCz.allergy.criticality
Definition

Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.

ShortA.2.2.1.5 - Criticality
Control0..1
TypeCodeableConcept
14. AlertsCz.allergy.onsetDate
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence).

ShortA.2.2.1.6 - Onset date
Control0..1
TypeBase
16. AlertsCz.allergy.onsetDate.date
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date.

ShortOnset date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. AlertsCz.allergy.onsetDate.code
Definition

Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).

ShortOnset date (code)
Control0..1
TypeCodeableConcept
20. AlertsCz.allergy.endDate
Definition

Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)

ShortA.2.2.1.7 - End date
Control0..1
TypeBase
22. AlertsCz.allergy.endDate.date
Definition

Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)

ShortEnd date
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. AlertsCz.allergy.endDate.code
Definition

Date of resolution of the allergy expressed by code (e.g. age group)

ShortEnd date (code)
Control0..1
TypeCodeableConcept
26. AlertsCz.allergy.status
Definition

Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …

ShortA.2.2.1.8 - Status
Control0..1
TypeCodeableConcept
28. AlertsCz.allergy.certainty
Definition

Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.

ShortA.2.2.1.9 - Certainty
Control0..1
TypeCodeableConcept
30. AlertsCz.allergy.lastOccurrence
Definition

A.2.2.1.10 - Last Occurrence

ShortA.2.2.1.10 - Last Occurrence
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. AlertsCz.medicalAlerts
Definition

Medical alerts (relevant for the respective hospital stay)

ShortA.2.2.2 - Medical alerts (relevant for the respective hospital stay)
Control0..*
TypeBase
34. AlertsCz.medicalAlerts.description
Definition

A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact.

ShortA.2.2.2.1 - Healthcare alert description
Control0..1
TypeCodeableConcept
36. AlertsCz.medicalAlerts.code
Definition

A.2.2.2.3 - Code

ShortA.2.2.2.3 - Code
Control0..1
TypeCodeableConcept
38. AlertsCz.medicalAlerts.specialistPhysician
Definition

A.2.2.2.4 - Specialist physician

ShortA.2.2.2.4 - Specialist physician
Control0..1
TypeBase
40. AlertsCz.medicalAlerts.comment
Definition

A.2.2.2.5 - Comment

ShortA.2.2.2.5 - Comment
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
42. AlertsCz.medicalAlerts.priority
Definition

A.2.2.2.6 - Priority

ShortA.2.2.2.6 - Priority
Control0..1
TypeCodeableConcept
44. AlertsCz.medicalAlerts.period
Definition

A.2.2.2.7 - Period

ShortA.2.2.2.7 - Period
Control0..1
TypeBase