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

Logical Model: HospitalDischargeReportEhnCz - Detailed Descriptions

Draft as of 2025-08-23

Definitions for the HospitalDischargeReportCz logical model.

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

0. HospitalDischargeReportCz
Definition

Hospital Discharge Report

ShortA - Hospital Discharge Report (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HospitalDischargeReportCz.header
Definition

Hospital Discharge Report header data element

ShortA.1 - Hospital Discharge Report header data element
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Header
4. HospitalDischargeReportCz.body
Definition

Hospital Discharge Report body data element

ShortA.2 - Hospital Discharge Report body data element
Control0..1
TypeBase
6. HospitalDischargeReportCz.body.advanceDirectives
Definition

Advance directives

ShortA.2.1 - Advance directives
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives
8. HospitalDischargeReportCz.body.alerts
Definition

Alerts

ShortA.2.2 - Alerts
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Alerts
10. HospitalDischargeReportCz.body.encounter
Definition

Encounter

ShortA.2.3 - Encounter
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter
12. HospitalDischargeReportCz.body.admissionEvaluation
Definition

Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.

ShortA.2.4 - Admission evaluation
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation
14. HospitalDischargeReportCz.body.patientHistory
Definition

Patient history (might include information about provenance of the information)

ShortA.2.5 - Patient history
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory
16. HospitalDischargeReportCz.body.hospitalStay
Definition

Course of hospitalisation (Hospital stay)

ShortA.2.6 - Course of hospitalisation (Hospital stay)
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay
18. HospitalDischargeReportCz.body.dischargeDetails
Definition

Discharge details (structured information should be provided, however if not available, at least a summary note should be present).

ShortA.2.7 - Discharge details
Control0..1
TypeBase
20. HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings
Definition

Objective findings

ShortA.2.7.1 - Objective findings
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings
22. HospitalDischargeReportCz.body.dischargeDetails.functionalStatus
Definition

Functional status can be assessed in several different ways, usually with a focus on the persona's abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one's own affairs. For details see: https://paciowg.github.io/functional-status-ig/

ShortA.2.7.2 - Functional status
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus
24. HospitalDischargeReportCz.body.dischargeDetails.dischargeNote
Definition

Discharge summary note

ShortA.2.7.3 - Discharge note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. HospitalDischargeReportCz.body.recommendations
Definition

Care plan and other recommendations after discharge.

ShortA.2.8 - Care plan and other recommendations after discharge.
Control0..1
TypeBase
28. HospitalDischargeReportCz.body.recommendations.carePlan
Definition

Care plan after discharge. Multiple care plans could be provided.

ShortA.2.8.1 - Care plan
Control0..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare
30. HospitalDischargeReportCz.body.recommendations.medicationSummary
Definition

Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

ShortA.2.8.2 - Medication summary
Control1..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary
32. HospitalDischargeReportCz.presentedForm
Definition

Entire order as issued. Various formats could be provided, pdf format is recommended.

ShortA.3 - Presented Form
Control1..*
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/PresentedFormCz
34. HospitalDischargeReportCz.media
Definition

Aditional media attachment

ShortA.4 - Media Attachment
Control0..*
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/AttachmentsCz

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

0. HospitalDischargeReportCz
Definition

Hospital Discharge Report

ShortA - Hospital Discharge Report (eHN)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HospitalDischargeReportCz.header
Definition

Hospital Discharge Report header data element

ShortA.1 - Hospital Discharge Report header data element
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Header
4. HospitalDischargeReportCz.body
Definition

Hospital Discharge Report body data element

ShortA.2 - Hospital Discharge Report body data element
Control0..1
TypeBase
6. HospitalDischargeReportCz.body.advanceDirectives
Definition

Advance directives

ShortA.2.1 - Advance directives
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives
8. HospitalDischargeReportCz.body.alerts
Definition

Alerts

ShortA.2.2 - Alerts
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Alerts
10. HospitalDischargeReportCz.body.encounter
Definition

Encounter

ShortA.2.3 - Encounter
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter
12. HospitalDischargeReportCz.body.admissionEvaluation
Definition

Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.

ShortA.2.4 - Admission evaluation
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation
14. HospitalDischargeReportCz.body.patientHistory
Definition

Patient history (might include information about provenance of the information)

ShortA.2.5 - Patient history
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory
16. HospitalDischargeReportCz.body.hospitalStay
Definition

Course of hospitalisation (Hospital stay)

ShortA.2.6 - Course of hospitalisation (Hospital stay)
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay
18. HospitalDischargeReportCz.body.dischargeDetails
Definition

Discharge details (structured information should be provided, however if not available, at least a summary note should be present).

ShortA.2.7 - Discharge details
Control0..1
TypeBase
20. HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings
Definition

Objective findings

ShortA.2.7.1 - Objective findings
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings
22. HospitalDischargeReportCz.body.dischargeDetails.functionalStatus
Definition

Functional status can be assessed in several different ways, usually with a focus on the persona's abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one's own affairs. For details see: https://paciowg.github.io/functional-status-ig/

ShortA.2.7.2 - Functional status
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus
24. HospitalDischargeReportCz.body.dischargeDetails.dischargeNote
Definition

Discharge summary note

ShortA.2.7.3 - Discharge note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. HospitalDischargeReportCz.body.recommendations
Definition

Care plan and other recommendations after discharge.

ShortA.2.8 - Care plan and other recommendations after discharge.
Control0..1
TypeBase
28. HospitalDischargeReportCz.body.recommendations.carePlan
Definition

Care plan after discharge. Multiple care plans could be provided.

ShortA.2.8.1 - Care plan
Control0..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare
30. HospitalDischargeReportCz.body.recommendations.medicationSummary
Definition

Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

ShortA.2.8.2 - Medication summary
Control1..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary
32. HospitalDischargeReportCz.presentedForm
Definition

Entire order as issued. Various formats could be provided, pdf format is recommended.

ShortA.3 - Presented Form
Control1..*
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/PresentedFormCz
34. HospitalDischargeReportCz.media
Definition

Aditional media attachment

ShortA.4 - Media Attachment
Control0..*
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/AttachmentsCz

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

0. HospitalDischargeReportCz
Definition

Hospital Discharge Report

ShortA - Hospital Discharge Report (eHN)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HospitalDischargeReportCz.header
Definition

Hospital Discharge Report header data element

ShortA.1 - Hospital Discharge Report header data element
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Header
4. HospitalDischargeReportCz.body
Definition

Hospital Discharge Report body data element

ShortA.2 - Hospital Discharge Report body data element
Control0..1
TypeBase
6. HospitalDischargeReportCz.body.advanceDirectives
Definition

Advance directives

ShortA.2.1 - Advance directives
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives
8. HospitalDischargeReportCz.body.alerts
Definition

Alerts

ShortA.2.2 - Alerts
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/Alerts
10. HospitalDischargeReportCz.body.encounter
Definition

Encounter

ShortA.2.3 - Encounter
Control1..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter
12. HospitalDischargeReportCz.body.admissionEvaluation
Definition

Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.

ShortA.2.4 - Admission evaluation
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation
14. HospitalDischargeReportCz.body.patientHistory
Definition

Patient history (might include information about provenance of the information)

ShortA.2.5 - Patient history
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory
16. HospitalDischargeReportCz.body.hospitalStay
Definition

Course of hospitalisation (Hospital stay)

ShortA.2.6 - Course of hospitalisation (Hospital stay)
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay
18. HospitalDischargeReportCz.body.dischargeDetails
Definition

Discharge details (structured information should be provided, however if not available, at least a summary note should be present).

ShortA.2.7 - Discharge details
Control0..1
TypeBase
20. HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings
Definition

Objective findings

ShortA.2.7.1 - Objective findings
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings
22. HospitalDischargeReportCz.body.dischargeDetails.functionalStatus
Definition

Functional status can be assessed in several different ways, usually with a focus on the persona's abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one's own affairs. For details see: https://paciowg.github.io/functional-status-ig/

ShortA.2.7.2 - Functional status
Control0..1
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus
24. HospitalDischargeReportCz.body.dischargeDetails.dischargeNote
Definition

Discharge summary note

ShortA.2.7.3 - Discharge note
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. HospitalDischargeReportCz.body.recommendations
Definition

Care plan and other recommendations after discharge.

ShortA.2.8 - Care plan and other recommendations after discharge.
Control0..1
TypeBase
28. HospitalDischargeReportCz.body.recommendations.carePlan
Definition

Care plan after discharge. Multiple care plans could be provided.

ShortA.2.8.1 - Care plan
Control0..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare
30. HospitalDischargeReportCz.body.recommendations.medicationSummary
Definition

Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.

ShortA.2.8.2 - Medication summary
Control1..*
Typehttp://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary
32. HospitalDischargeReportCz.presentedForm
Definition

Entire order as issued. Various formats could be provided, pdf format is recommended.

ShortA.3 - Presented Form
Control1..*
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/PresentedFormCz
34. HospitalDischargeReportCz.media
Definition

Aditional media attachment

ShortA.4 - Media Attachment
Control0..*
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/AttachmentsCz