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: ObjectiveFindingsHdrEhnCz - Detailed Descriptions

Draft as of 2025-08-23

Definitions for the ObjectiveFindingsCz logical model.

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

0. ObjectiveFindingsCz
Definition

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

ShortA.2.7.1 - Objective findings
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ObjectiveFindingsCz.date
Definition

Date and time of the examination at or before discharge

ShortA.2.8.1.1 - Date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
4. ObjectiveFindingsCz.anthropometricObservations
Definition

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

ShortA.2.8.1.3 - Anthropometric observations
Control0..*
TypeBase
6. ObjectiveFindingsCz.anthropometricObservations.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.3.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. ObjectiveFindingsCz.anthropometricObservations.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.3.2 - Observation details
Control1..1
TypeBase
10. ObjectiveFindingsCz.anthropometricObservations.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.3.3 - Observation result
Control1..1
TypeBase
12. ObjectiveFindingsCz.vitalSigns
Definition

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

ShortA.2.8.1.4 - Vital signs
Control0..*
TypeBase
14. ObjectiveFindingsCz.vitalSigns.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.4.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. ObjectiveFindingsCz.vitalSigns.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.4.2 - Observation details
Control1..1
TypeBase
18. ObjectiveFindingsCz.vitalSigns.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.4.3 - Observation result
Control1..1
TypeBase
20. ObjectiveFindingsCz.physicalExamination
Definition

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

ShortA.2.8.1.5 - Physical examination
Control0..1
TypeBase
22. ObjectiveFindingsCz.physicalExamination.description
Definition

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

ShortA.2.8.1.5.1 - Observation Note
Control1..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. ObjectiveFindingsCz
Definition

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

ShortA.2.7.1 - Objective findings
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ObjectiveFindingsCz.date
Definition

Date and time of the examination at or before discharge

ShortA.2.8.1.1 - Date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
4. ObjectiveFindingsCz.anthropometricObservations
Definition

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

ShortA.2.8.1.3 - Anthropometric observations
Control0..*
TypeBase
6. ObjectiveFindingsCz.anthropometricObservations.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.3.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. ObjectiveFindingsCz.anthropometricObservations.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.3.2 - Observation details
Control1..1
TypeBase
10. ObjectiveFindingsCz.anthropometricObservations.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.3.3 - Observation result
Control1..1
TypeBase
12. ObjectiveFindingsCz.vitalSigns
Definition

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

ShortA.2.8.1.4 - Vital signs
Control0..*
TypeBase
14. ObjectiveFindingsCz.vitalSigns.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.4.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. ObjectiveFindingsCz.vitalSigns.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.4.2 - Observation details
Control1..1
TypeBase
18. ObjectiveFindingsCz.vitalSigns.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.4.3 - Observation result
Control1..1
TypeBase
20. ObjectiveFindingsCz.physicalExamination
Definition

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

ShortA.2.8.1.5 - Physical examination
Control0..1
TypeBase
22. ObjectiveFindingsCz.physicalExamination.description
Definition

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

ShortA.2.8.1.5.1 - Observation Note
Control1..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. ObjectiveFindingsCz
Definition

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

ShortA.2.7.1 - Objective findings
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. ObjectiveFindingsCz.date
Definition

Date and time of the examination at or before discharge

ShortA.2.8.1.1 - Date
Control1..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
4. ObjectiveFindingsCz.anthropometricObservations
Definition

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

ShortA.2.8.1.3 - Anthropometric observations
Control0..*
TypeBase
6. ObjectiveFindingsCz.anthropometricObservations.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.3.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. ObjectiveFindingsCz.anthropometricObservations.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.3.2 - Observation details
Control1..1
TypeBase
10. ObjectiveFindingsCz.anthropometricObservations.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.3.3 - Observation result
Control1..1
TypeBase
12. ObjectiveFindingsCz.vitalSigns
Definition

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

ShortA.2.8.1.4 - Vital signs
Control0..*
TypeBase
14. ObjectiveFindingsCz.vitalSigns.description
Definition

Narrative representation of the observation result and findings.

ShortA.2.8.1.4.1 - Result description
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. ObjectiveFindingsCz.vitalSigns.details
Definition

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

ShortA.2.8.1.4.2 - Observation details
Control1..1
TypeBase
18. ObjectiveFindingsCz.vitalSigns.result
Definition

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

ShortA.2.8.1.4.3 - Observation result
Control1..1
TypeBase
20. ObjectiveFindingsCz.physicalExamination
Definition

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

ShortA.2.8.1.5 - Physical examination
Control0..1
TypeBase
22. ObjectiveFindingsCz.physicalExamination.description
Definition

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

ShortA.2.8.1.5.1 - Observation Note
Control1..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension