HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build
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
| Draft as of 2025-09-19 |
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 |
| Short | A.2.7.1 - Objective findings |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances 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 |
| Short | A.2.8.1.1 - Date |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This 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. |
| Short | A.2.8.1.3 - Anthropometric observations |
| Control | 0..* |
| Type | Base |
| 6. ObjectiveFindingsCz.anthropometricObservations.description | |
| Definition | Narrative representation of the observation result and findings. |
| Short | A.2.8.1.3.1 - Result description |
| Control | 0..1 |
| Type | string |
| Primitive Value | This 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. |
| Short | A.2.8.1.3.2 - Observation details |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.3.3 - Observation result |
| Control | 1..1 |
| Type | Base |
| 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), ... |
| Short | A.2.8.1.4 - Vital signs |
| Control | 0..* |
| Type | Base |
| 14. ObjectiveFindingsCz.vitalSigns.description | |
| Definition | Narrative representation of the observation result and findings. |
| Short | A.2.8.1.4.1 - Result description |
| Control | 0..1 |
| Type | string |
| Primitive Value | This 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. |
| Short | A.2.8.1.4.2 - Observation details |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.4.3 - Observation result |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.5 - Physical examination |
| Control | 0..1 |
| Type | Base |
| 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, ...) |
| Short | A.2.8.1.5.1 - Observation Note |
| Control | 1..1 |
| Type | string |
| Primitive Value | This 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 |
| Short | A.2.7.1 - Objective findings |
| Logical Model | Instances 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 |
| Short | A.2.8.1.1 - Date |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This 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. |
| Short | A.2.8.1.3 - Anthropometric observations |
| Control | 0..* |
| Type | Base |
| 6. ObjectiveFindingsCz.anthropometricObservations.description | |
| Definition | Narrative representation of the observation result and findings. |
| Short | A.2.8.1.3.1 - Result description |
| Control | 0..1 |
| Type | string |
| Primitive Value | This 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. |
| Short | A.2.8.1.3.2 - Observation details |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.3.3 - Observation result |
| Control | 1..1 |
| Type | Base |
| 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), ... |
| Short | A.2.8.1.4 - Vital signs |
| Control | 0..* |
| Type | Base |
| 14. ObjectiveFindingsCz.vitalSigns.description | |
| Definition | Narrative representation of the observation result and findings. |
| Short | A.2.8.1.4.1 - Result description |
| Control | 0..1 |
| Type | string |
| Primitive Value | This 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. |
| Short | A.2.8.1.4.2 - Observation details |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.4.3 - Observation result |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.5 - Physical examination |
| Control | 0..1 |
| Type | Base |
| 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, ...) |
| Short | A.2.8.1.5.1 - Observation Note |
| Control | 1..1 |
| Type | string |
| Primitive Value | This 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 |
| Short | A.2.7.1 - Objective findings |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances 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 |
| Short | A.2.8.1.1 - Date |
| Control | 1..1 |
| Type | dateTime |
| Primitive Value | This 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. |
| Short | A.2.8.1.3 - Anthropometric observations |
| Control | 0..* |
| Type | Base |
| 6. ObjectiveFindingsCz.anthropometricObservations.description | |
| Definition | Narrative representation of the observation result and findings. |
| Short | A.2.8.1.3.1 - Result description |
| Control | 0..1 |
| Type | string |
| Primitive Value | This 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. |
| Short | A.2.8.1.3.2 - Observation details |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.3.3 - Observation result |
| Control | 1..1 |
| Type | Base |
| 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), ... |
| Short | A.2.8.1.4 - Vital signs |
| Control | 0..* |
| Type | Base |
| 14. ObjectiveFindingsCz.vitalSigns.description | |
| Definition | Narrative representation of the observation result and findings. |
| Short | A.2.8.1.4.1 - Result description |
| Control | 0..1 |
| Type | string |
| Primitive Value | This 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. |
| Short | A.2.8.1.4.2 - Observation details |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.4.3 - Observation result |
| Control | 1..1 |
| Type | Base |
| 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. |
| Short | A.2.8.1.5 - Physical examination |
| Control | 0..1 |
| Type | Base |
| 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, ...) |
| Short | A.2.8.1.5.1 - Observation Note |
| Control | 1..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |