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

## Logical Model: LogEnObjectiveFindingsHdrEhnCz - Detailed Descriptions

Draft as of 2025-10-01

Definitions for the ObjectiveFindingsCz logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

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