HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - 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 0.1.0 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

Logical Model: LMEnBirthSummaryHdrCz - Detailed Descriptions

Draft as of 2026-02-27

Definitions for the LMBirthSummaryEnCz logical model.

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

0. LMBirthSummaryEnCz
Definition

Hospital Discharge Report – Delivery section. Records key information about the course of labour and delivery and its outcome.

ShortA.2.10 - Delivery
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. LMBirthSummaryEnCz.maternal
Definition

A.2.10.1 - Maternal delivery information

ShortA.2.10.1 - Maternal delivery information
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. LMBirthSummaryEnCz.maternal.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. LMBirthSummaryEnCz.maternal.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.maternal.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. LMBirthSummaryEnCz.maternal.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. LMBirthSummaryEnCz.maternal.gestationalAgeAtDelivery
    Definition

    Gestational age expressed as weeks + days at the time of delivery (e.g. 39+2).

    ShortA.2.10.1.1 - Gestational age at delivery
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    12. LMBirthSummaryEnCz.maternal.gravidity
    Definition

    Total number of pregnancies.

    ShortA.2.10.1.2 - Gravidity
    Control1..1
    Typeinteger
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    14. LMBirthSummaryEnCz.maternal.parity
    Definition

    Total number of prior births.

    ShortA.2.10.1.3 - Parity
    Control1..1
    Typeinteger
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. LMBirthSummaryEnCz.maternal.laborInduction
    Definition

    Indicates whether labour was induced and the method used. SNOMED CT may be used.

    ShortA.2.10.1.4 - Labour pre-induction / induction
    Control0..1
    TypeCodeableConcept
    18. LMBirthSummaryEnCz.maternal.birthInjury
    Definition

    A.2.10.1.5 - Birth injury

    ShortA.2.10.1.5 - Birth injury
    Control1..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. LMBirthSummaryEnCz.maternal.birthInjury.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    22. LMBirthSummaryEnCz.maternal.birthInjury.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.maternal.birthInjury.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 24. LMBirthSummaryEnCz.maternal.birthInjury.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      26. LMBirthSummaryEnCz.maternal.birthInjury.description
      Definition

      Textual description of maternal birth injury.

      ShortA.2.10.1.5.1 - Birth injury description
      Control0..*
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      28. LMBirthSummaryEnCz.maternal.birthInjury.code
      Definition

      Coded birth injury, preferably SNOMED CT.

      ShortA.2.10.1.5.2 - Birth injury code
      Control0..*
      TypeCodeableConcept
      30. LMBirthSummaryEnCz.maternal.multiplePregnancy
      Definition

      Indicates whether the pregnancy was multiple (e.g. twins, triplets).

      ShortA.2.10.1.6 - Multiple pregnancy
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      32. LMBirthSummaryEnCz.maternal.fetusCount
      Definition

      Number of fetuses/newborns in case of multiple pregnancy.

      ShortA.2.10.1.6.1 - Number of fetuses
      Control0..1
      Typeinteger
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      34. LMBirthSummaryEnCz.newborn
      Definition

      A.2.10.2 - Fetus/Newborn

      ShortA.2.10.2 - Fetus/Newborn
      Control0..*
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. LMBirthSummaryEnCz.newborn.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      38. LMBirthSummaryEnCz.newborn.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.newborn.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 40. LMBirthSummaryEnCz.newborn.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        42. LMBirthSummaryEnCz.newborn.birthDateTime
        Definition

        Date and time when the newborn was delivered.

        ShortA.2.10.2.1 - Date and time of birth
        Control1..1
        TypedateTime
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        44. LMBirthSummaryEnCz.newborn.fetalPresentation
        Definition

        Presentation/position of the fetus during delivery. SNOMED CT may be used.

        ShortA.2.10.2.2 - Fetal presentation during delivery
        Control1..1
        TypeCodeableConcept
        46. LMBirthSummaryEnCz.newborn.deliveryMethod
        Definition

        Method of delivery (e.g. spontaneous vaginal delivery, assisted delivery, caesarean section). SNOMED CT may be used.

        ShortA.2.10.2.3 - Delivery method
        Control1..1
        TypeCodeableConcept
        48. LMBirthSummaryEnCz.newborn.birthOutcome
        Definition

        Outcome at birth (e.g. live birth, stillbirth).

        ShortA.2.10.2.4 - Birth outcome
        Control1..1
        TypeCodeableConcept
        50. LMBirthSummaryEnCz.newborn.sex
        Definition

        Administrative sex of the newborn (male, female, unknown).

        ShortA.2.10.2.5 - Newborn sex
        Control1..1
        TypeCodeableConcept
        52. LMBirthSummaryEnCz.newborn.birthWeight
        Definition

        Birth weight of the newborn in grams.

        ShortA.2.10.2.6 - Birth weight
        Control1..1
        TypeQuantity
        54. LMBirthSummaryEnCz.newborn.birthLength
        Definition

        Birth length of the newborn in centimetres.

        ShortA.2.10.2.7 - Birth length
        Control1..1
        TypeQuantity
        56. LMBirthSummaryEnCz.newborn.apgarScore
        Definition

        A.2.10.2.8 - Apgar score

        ShortA.2.10.2.8 - Apgar score
        Control1..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. LMBirthSummaryEnCz.newborn.apgarScore.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        60. LMBirthSummaryEnCz.newborn.apgarScore.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.newborn.apgarScore.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 62. LMBirthSummaryEnCz.newborn.apgarScore.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          64. LMBirthSummaryEnCz.newborn.apgarScore.minute1
          Definition

          Apgar score assessed at 1 minute after birth (0–10).

          ShortA.2.10.2.8.1 - Apgar score at 1 minute
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          66. LMBirthSummaryEnCz.newborn.apgarScore.minute5
          Definition

          Apgar score assessed at 5 minutes after birth (0–10).

          ShortA.2.10.2.8.2 - Apgar score at 5 minutes
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          68. LMBirthSummaryEnCz.newborn.apgarScore.minute10
          Definition

          Apgar score assessed at 10 minutes after birth (0–10).

          ShortA.2.10.2.8.3 - Apgar score at 10 minutes
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          70. LMBirthSummaryEnCz.newborn.name
          Definition

          Given name of the newborn if assigned at the time of discharge.

          ShortA.2.10.2.9 - Newborn name
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

          0. LMBirthSummaryEnCz
          Definition

          Hospital Discharge Report – Delivery section. Records key information about the course of labour and delivery and its outcome.

          ShortA.2.10 - Delivery
          Logical ModelInstances of this logical model are not marked to be the target of a Reference
          2. LMBirthSummaryEnCz.maternal
          Definition

          A.2.10.1 - Maternal delivery information

          ShortA.2.10.1 - Maternal delivery information
          Control0..*
          TypeBackboneElement
          4. LMBirthSummaryEnCz.maternal.gestationalAgeAtDelivery
          Definition

          Gestational age expressed as weeks + days at the time of delivery (e.g. 39+2).

          ShortA.2.10.1.1 - Gestational age at delivery
          Control1..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          6. LMBirthSummaryEnCz.maternal.gravidity
          Definition

          Total number of pregnancies.

          ShortA.2.10.1.2 - Gravidity
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          8. LMBirthSummaryEnCz.maternal.parity
          Definition

          Total number of prior births.

          ShortA.2.10.1.3 - Parity
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          10. LMBirthSummaryEnCz.maternal.laborInduction
          Definition

          Indicates whether labour was induced and the method used. SNOMED CT may be used.

          ShortA.2.10.1.4 - Labour pre-induction / induction
          Control0..1
          TypeCodeableConcept
          12. LMBirthSummaryEnCz.maternal.birthInjury
          Definition

          A.2.10.1.5 - Birth injury

          ShortA.2.10.1.5 - Birth injury
          Control1..*
          TypeBackboneElement
          14. LMBirthSummaryEnCz.maternal.birthInjury.description
          Definition

          Textual description of maternal birth injury.

          ShortA.2.10.1.5.1 - Birth injury description
          Control0..*
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          16. LMBirthSummaryEnCz.maternal.birthInjury.code
          Definition

          Coded birth injury, preferably SNOMED CT.

          ShortA.2.10.1.5.2 - Birth injury code
          Control0..*
          TypeCodeableConcept
          18. LMBirthSummaryEnCz.maternal.multiplePregnancy
          Definition

          Indicates whether the pregnancy was multiple (e.g. twins, triplets).

          ShortA.2.10.1.6 - Multiple pregnancy
          Control0..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          20. LMBirthSummaryEnCz.maternal.fetusCount
          Definition

          Number of fetuses/newborns in case of multiple pregnancy.

          ShortA.2.10.1.6.1 - Number of fetuses
          Control0..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          22. LMBirthSummaryEnCz.newborn
          Definition

          A.2.10.2 - Fetus/Newborn

          ShortA.2.10.2 - Fetus/Newborn
          Control0..*
          TypeBackboneElement
          24. LMBirthSummaryEnCz.newborn.birthDateTime
          Definition

          Date and time when the newborn was delivered.

          ShortA.2.10.2.1 - Date and time of birth
          Control1..1
          TypedateTime
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          26. LMBirthSummaryEnCz.newborn.fetalPresentation
          Definition

          Presentation/position of the fetus during delivery. SNOMED CT may be used.

          ShortA.2.10.2.2 - Fetal presentation during delivery
          Control1..1
          TypeCodeableConcept
          28. LMBirthSummaryEnCz.newborn.deliveryMethod
          Definition

          Method of delivery (e.g. spontaneous vaginal delivery, assisted delivery, caesarean section). SNOMED CT may be used.

          ShortA.2.10.2.3 - Delivery method
          Control1..1
          TypeCodeableConcept
          30. LMBirthSummaryEnCz.newborn.birthOutcome
          Definition

          Outcome at birth (e.g. live birth, stillbirth).

          ShortA.2.10.2.4 - Birth outcome
          Control1..1
          TypeCodeableConcept
          32. LMBirthSummaryEnCz.newborn.sex
          Definition

          Administrative sex of the newborn (male, female, unknown).

          ShortA.2.10.2.5 - Newborn sex
          Control1..1
          TypeCodeableConcept
          34. LMBirthSummaryEnCz.newborn.birthWeight
          Definition

          Birth weight of the newborn in grams.

          ShortA.2.10.2.6 - Birth weight
          Control1..1
          TypeQuantity
          36. LMBirthSummaryEnCz.newborn.birthLength
          Definition

          Birth length of the newborn in centimetres.

          ShortA.2.10.2.7 - Birth length
          Control1..1
          TypeQuantity
          38. LMBirthSummaryEnCz.newborn.apgarScore
          Definition

          A.2.10.2.8 - Apgar score

          ShortA.2.10.2.8 - Apgar score
          Control1..1
          TypeBackboneElement
          40. LMBirthSummaryEnCz.newborn.apgarScore.minute1
          Definition

          Apgar score assessed at 1 minute after birth (0–10).

          ShortA.2.10.2.8.1 - Apgar score at 1 minute
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          42. LMBirthSummaryEnCz.newborn.apgarScore.minute5
          Definition

          Apgar score assessed at 5 minutes after birth (0–10).

          ShortA.2.10.2.8.2 - Apgar score at 5 minutes
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          44. LMBirthSummaryEnCz.newborn.apgarScore.minute10
          Definition

          Apgar score assessed at 10 minutes after birth (0–10).

          ShortA.2.10.2.8.3 - Apgar score at 10 minutes
          Control1..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          46. LMBirthSummaryEnCz.newborn.name
          Definition

          Given name of the newborn if assigned at the time of discharge.

          ShortA.2.10.2.9 - Newborn name
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

          0. LMBirthSummaryEnCz
          Definition

          Hospital Discharge Report – Delivery section. Records key information about the course of labour and delivery and its outcome.

          ShortA.2.10 - Delivery
          Control0..*
          Is Modifierfalse
          Logical ModelInstances of this logical model are not marked to be the target of a Reference
          2. LMBirthSummaryEnCz.maternal
          Definition

          A.2.10.1 - Maternal delivery information

          ShortA.2.10.1 - Maternal delivery information
          Control0..*
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          4. LMBirthSummaryEnCz.maternal.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          6. LMBirthSummaryEnCz.maternal.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.maternal.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 8. LMBirthSummaryEnCz.maternal.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            10. LMBirthSummaryEnCz.maternal.gestationalAgeAtDelivery
            Definition

            Gestational age expressed as weeks + days at the time of delivery (e.g. 39+2).

            ShortA.2.10.1.1 - Gestational age at delivery
            Control1..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            12. LMBirthSummaryEnCz.maternal.gravidity
            Definition

            Total number of pregnancies.

            ShortA.2.10.1.2 - Gravidity
            Control1..1
            Typeinteger
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            14. LMBirthSummaryEnCz.maternal.parity
            Definition

            Total number of prior births.

            ShortA.2.10.1.3 - Parity
            Control1..1
            Typeinteger
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            16. LMBirthSummaryEnCz.maternal.laborInduction
            Definition

            Indicates whether labour was induced and the method used. SNOMED CT may be used.

            ShortA.2.10.1.4 - Labour pre-induction / induction
            Control0..1
            TypeCodeableConcept
            18. LMBirthSummaryEnCz.maternal.birthInjury
            Definition

            A.2.10.1.5 - Birth injury

            ShortA.2.10.1.5 - Birth injury
            Control1..*
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. LMBirthSummaryEnCz.maternal.birthInjury.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            22. LMBirthSummaryEnCz.maternal.birthInjury.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.maternal.birthInjury.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 24. LMBirthSummaryEnCz.maternal.birthInjury.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              26. LMBirthSummaryEnCz.maternal.birthInjury.description
              Definition

              Textual description of maternal birth injury.

              ShortA.2.10.1.5.1 - Birth injury description
              Control0..*
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              28. LMBirthSummaryEnCz.maternal.birthInjury.code
              Definition

              Coded birth injury, preferably SNOMED CT.

              ShortA.2.10.1.5.2 - Birth injury code
              Control0..*
              TypeCodeableConcept
              30. LMBirthSummaryEnCz.maternal.multiplePregnancy
              Definition

              Indicates whether the pregnancy was multiple (e.g. twins, triplets).

              ShortA.2.10.1.6 - Multiple pregnancy
              Control0..1
              Typeboolean
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              32. LMBirthSummaryEnCz.maternal.fetusCount
              Definition

              Number of fetuses/newborns in case of multiple pregnancy.

              ShortA.2.10.1.6.1 - Number of fetuses
              Control0..1
              Typeinteger
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              34. LMBirthSummaryEnCz.newborn
              Definition

              A.2.10.2 - Fetus/Newborn

              ShortA.2.10.2 - Fetus/Newborn
              Control0..*
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. LMBirthSummaryEnCz.newborn.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              38. LMBirthSummaryEnCz.newborn.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.newborn.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 40. LMBirthSummaryEnCz.newborn.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                42. LMBirthSummaryEnCz.newborn.birthDateTime
                Definition

                Date and time when the newborn was delivered.

                ShortA.2.10.2.1 - Date and time of birth
                Control1..1
                TypedateTime
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                44. LMBirthSummaryEnCz.newborn.fetalPresentation
                Definition

                Presentation/position of the fetus during delivery. SNOMED CT may be used.

                ShortA.2.10.2.2 - Fetal presentation during delivery
                Control1..1
                TypeCodeableConcept
                46. LMBirthSummaryEnCz.newborn.deliveryMethod
                Definition

                Method of delivery (e.g. spontaneous vaginal delivery, assisted delivery, caesarean section). SNOMED CT may be used.

                ShortA.2.10.2.3 - Delivery method
                Control1..1
                TypeCodeableConcept
                48. LMBirthSummaryEnCz.newborn.birthOutcome
                Definition

                Outcome at birth (e.g. live birth, stillbirth).

                ShortA.2.10.2.4 - Birth outcome
                Control1..1
                TypeCodeableConcept
                50. LMBirthSummaryEnCz.newborn.sex
                Definition

                Administrative sex of the newborn (male, female, unknown).

                ShortA.2.10.2.5 - Newborn sex
                Control1..1
                TypeCodeableConcept
                52. LMBirthSummaryEnCz.newborn.birthWeight
                Definition

                Birth weight of the newborn in grams.

                ShortA.2.10.2.6 - Birth weight
                Control1..1
                TypeQuantity
                54. LMBirthSummaryEnCz.newborn.birthLength
                Definition

                Birth length of the newborn in centimetres.

                ShortA.2.10.2.7 - Birth length
                Control1..1
                TypeQuantity
                56. LMBirthSummaryEnCz.newborn.apgarScore
                Definition

                A.2.10.2.8 - Apgar score

                ShortA.2.10.2.8 - Apgar score
                Control1..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. LMBirthSummaryEnCz.newborn.apgarScore.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                60. LMBirthSummaryEnCz.newborn.apgarScore.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on LMBirthSummaryEnCz.newborn.apgarScore.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 62. LMBirthSummaryEnCz.newborn.apgarScore.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  64. LMBirthSummaryEnCz.newborn.apgarScore.minute1
                  Definition

                  Apgar score assessed at 1 minute after birth (0–10).

                  ShortA.2.10.2.8.1 - Apgar score at 1 minute
                  Control1..1
                  Typeinteger
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  66. LMBirthSummaryEnCz.newborn.apgarScore.minute5
                  Definition

                  Apgar score assessed at 5 minutes after birth (0–10).

                  ShortA.2.10.2.8.2 - Apgar score at 5 minutes
                  Control1..1
                  Typeinteger
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  68. LMBirthSummaryEnCz.newborn.apgarScore.minute10
                  Definition

                  Apgar score assessed at 10 minutes after birth (0–10).

                  ShortA.2.10.2.8.3 - Apgar score at 10 minutes
                  Control1..1
                  Typeinteger
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  70. LMBirthSummaryEnCz.newborn.name
                  Definition

                  Given name of the newborn if assigned at the time of discharge.

                  ShortA.2.10.2.9 - Newborn name
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension