HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - 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 0.1.0 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
| Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationstatement-obl-hdr | Version: 0.1.0 | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_MedicationStatementObligationsHdr | ||
Profile for MedicationStatement with obligations (HDR CZ).
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
 identifier |
Σ | 1..* | Identifier | External identifier | ||||||||||
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) | ||||||||||
  Slices for medication[x] |
Σ | 1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||||||||
  medicationCodeableConcept |
CodeableConcept | |||||||||||||
 medicationReference |
Reference(Medication (CZ)) | |||||||||||||
  medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required)
| ||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | The date/time or interval when the medication is/was/will be taken
| ||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
| ||||||||||
 reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Value set of DLP Lecive pripravky | 📦0.3.0-ballot | HL7 Czech Base and Core Implementation Guide vnull |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from CZ_MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
Σ | 1..* | Identifier | External identifier | ||||||||||
| basedOn |
Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||||||||
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) | ||||||||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||||||||
| Slices for medication[x] |
Σ | 1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication (CZ)) | |||||||||||||
| medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required)
| ||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication | ||||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | The date/time or interval when the medication is/was/will be taken
| ||||||||||
| dateAsserted |
Σ | 0..1 | dateTime | When the statement was asserted? | ||||||||||
| informationSource |
0..1 | Reference(Patient (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Person or organization that provided the information about the taking of this medication | |||||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
| ||||||||||
| reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| note |
0..* | Annotation | Further information about the statement | |||||||||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationStatement.status | Base | required | Medication status codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.category | Base | preferred | Medication usage category codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Value set of DLP Lecive pripravky | 📦0.3.0-ballot | HL7 Czech Base and Core Implementation Guide vnull |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from CZ_MedicationStatement
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
Σ | 1..* | Identifier | External identifier | ||||||||||
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) | ||||||||||
| Slices for medication[x] |
Σ | 1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication (CZ)) | |||||||||||||
| medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required)
| ||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | The date/time or interval when the medication is/was/will be taken
| ||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
| ||||||||||
| reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.status | Base | required | Medication status codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Value set of DLP Lecive pripravky | 📦0.3.0-ballot | HL7 Czech Base and Core Implementation Guide vnull |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from CZ_MedicationStatement
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
| Slices for medication[x] |
Content/Rules for all slices | |||||||||||||
| medication[x]:medicationCodeableConcept |
O | 0..1 | CodeableConcept | What medication was taken
| ||||||||||
| Slices for effective[x] |
0..1 | dateTime, Period | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this | |||||||||||
| effective[x]:effectivePeriod |
O | 0..1 | Period | The date/time or interval when the medication is/was/will be taken
| ||||||||||
 reasonCode |
O | 0..* | CodeableConcept | Reason for why the medication is being/was taken
| ||||||||||
| reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| Documentation for this format | ||||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationStatement |
0..* | CZ_MedicationStatement | Czech Medication Statement | |||||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
| identifier |
Σ | 1..* | Identifier | External identifier | ||||||||||
| basedOn |
Σ | 0..* | Reference(MedicationRequest | CarePlan | ServiceRequest) | Fulfils plan, proposal or order | ||||||||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation) | Part of referenced event | ||||||||||
| status |
?!SΣ | 1..1 | code | active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken Binding: Medication Status Codes (required) | ||||||||||
| statusReason |
0..* | CodeableConcept | Reason for current status Binding: SNOMEDCTDrugTherapyStatusCodes (example): A coded concept indicating the reason for the status of the statement. | |||||||||||
| category |
Σ | 0..1 | CodeableConcept | Type of medication usage Binding: Medication usage category codes (preferred): A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered. | ||||||||||
| Slices for medication[x] |
Σ | 1..1 | What medication was taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying the substance or product being taken. | |||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||||
| medicationReference |
Reference(Medication (CZ)) | |||||||||||||
| medication[x]:medicationCodeableConcept |
OΣ | 0..1 | CodeableConcept | What medication was taken Binding: Value set of DLP Lecive pripravky (required)
| ||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Group) | Who is/was taking the medication | ||||||||||
| context |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with MedicationStatement | ||||||||||
| Slices for effective[x] |
Σ | 0..1 | The date/time or interval when the medication is/was/will be taken Slice: Unordered, Open by type:$this | |||||||||||
| effectiveDateTime |
dateTime | |||||||||||||
| effectivePeriod |
Period | |||||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | The date/time or interval when the medication is/was/will be taken
| ||||||||||
| dateAsserted |
Σ | 0..1 | dateTime | When the statement was asserted? | ||||||||||
| informationSource |
0..1 | Reference(Patient (CZ core) | Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Organization (CZ core)) | Person or organization that provided the information about the taking of this medication | |||||||||||
| derivedFrom |
0..* | Reference(Resource) | Additional supporting information | |||||||||||
| reasonCode |
O | 0..* | CodeableConcept | Reason for why the medication is being/was taken Binding: Condition/Problem/DiagnosisCodes (example): A coded concept identifying why the medication is being taken.
| ||||||||||
| reasonReference |
O | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication is being/was taken
| ||||||||||
| note |
0..* | Annotation | Further information about the statement | |||||||||||
| dosage |
0..* | Dosage | Details of how medication is/was taken or should be taken | |||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationStatement.status | Base | required | Medication status codes | 📦4.0.1 | FHIR Std. |
| MedicationStatement.statusReason | Base | example | SNOMED CT Drug Therapy Status codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.category | Base | preferred | Medication usage category codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationStatement.medication[x]:medicationCodeableConcept | Base | required | Value set of DLP Lecive pripravky | 📦0.3.0-ballot | HL7 Czech Base and Core Implementation Guide vnull |
| MedicationStatement.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationStatement | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationStatement | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from CZ_MedicationStatement
Other representations of profile: CSV, Excel, Schematron