HL7 Czech Hospital Discharge Report Implementation Guide
0.0.1 - ci-build Czech Republic (CZE)

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 0.0.1 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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

A - Hospital Discharge Report (eHN)

Hospital Discharge Report

A.1 - Hospital Discharge Report header data element

Hospital Discharge Report - Hospital Discharge Report header data element - A.1 eHN

A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject

Hospital Discharge Report - Hospital Discharge Report subject data element - A.1.1 and A.1.2 eHN

A.2.1 - Advance Directives (eHN)

Hospital Discharge Report - Advance Directives - A.2.1 eHN

A.2.2 - Alerts (eHN)

Hospital Discharge Report - Alerts - A.2.2 eHN

A.2.3 - Encounter (eHN)

Hospital Discharge Report - Encounter - A.2.3 eHN

A.2.4 - Admission evaluation (eHN)

Hospital Discharge Report - Admission evaluation - A.2.4 eHN

A.2.5 - Patient history (eHN)

Hospital Discharge Report - Patient history - A.2.5 eHN

A.2.6 - Hospital stay (eHN)

Hospital Discharge Report - Hospital stay - A.2.6 eHN

A.2.7 - Discharge details (eHN)

Hospital Discharge Report - Discharge details - A.2.7 eHN

A.2.7.1 - Objective findings

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

A.2.7.2 - Functional status

Hospital Discharge Report - Functional status - A.2.7.2 eHN

A.2.8.1 - Care plan

Hospital Discharge Report - Care plan after discharge - A.2.8.1 eHN

A.2.8.2 - Medication summary

Hospital Discharge Report - Medication Summary after discharge - A.2.8.2 eHN

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Allergy Intolerance (HDR CZ)

This profile constrains the AllergyIntolerance resource for the purpose of this project.

Bundle (HDR CZ)

Clinical document used to represent a Hospital Discharge Report for the scope of this guide.

Care Plan (HDR CZ)

This profile constrains the CarePlan resource for the purpose of this guide.

Composition (HDR CZ)

This profile defines how to represent Composition resource in HL7 FHIR for the scope of this guide.

Condition (HDR CZ)

This profile represents the constraint applied to the Condition in the scope of this guide. It supports the Diagnostic summary part of the eHN data model adding two additional categories: First category distinguishes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatment during hospital stay (treated, untreated).

Consent (Advance Directives) (HDR CZ)

This profile constrains the Consent resource for the purpose of representing Advance Directives in this project.

Encounter (HDR CZ)

This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide.

FamilyMemberHistory (HDR CZ)

This profile represents the constraints applied to the FamilyMemberHistory resource by this guide.

Flag (HDR CZ)

This profile constrains the Flag resource to represent alerts or warnings in FHIR for the purpose of this project.

Immunization (HDR CZ)

This profile constrains the Immunization resource for the purpose of this guide.

ImmunizationRecommendation (CZ HDR)

This profile defines how to represent Immunization Recommandations for the purpose of this guide.

Medication (HDR CZ)

This profile constrains the Medication resource for the purpose of this guide, adapted from the MPD work.

MedicationRequest (HDR CZ)

This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.

Observation: Anthropometric Data (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Infectious Contact (HDR CZ)

Infectious Contact profile represents potential patient exposure to an agent (exposure source).

Observation: SDOH (HDR CZ)

Profile for Social Determinants of Health (SDOH) observations that involve assessment (e.g., by a provider, payer, etc.) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation).

Observation: travel history (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch travel history.

Procedure (HDR CZ)

This profile represents the constraints applied to the Procedure resource by this guide.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

CZ Consent Category

ValueSet for Consent Categories in the Czech HDR project.

CZ Provision Code

ValueSet for provision codes in the Czech HDR project, using ICD-10 and Orphacode.

eHDSI Condition Present On Admission

The Value Set is used to assert if a condition is Present on Admission

eHDSI Treatment Class

The Value set is used to encode category of treatment of the condition during encounter

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

CZ Advance Directives Model to this guide Map

eHN HDR Advance Directives Model to this guide mapping

CZ Alerts Model to this guide Map

eHN HDR Alerts Model to this guide mapping

CZ HDR Model to this guide Map

CZ Hospital Discharge Report Model to this guide mapping

CZ Header Model to this guide Map

CZ HDR Header Model to this guide mapping

eHN Encounter Model to this guide Map

eHN HDR Encounter Model to this guide mapping

eHN Hospital Stay Model to this guide Map

eHN HDR Hospital Stay Model to this guide Map

eHN Hospital Stay Model to this guide Map

eHN HDR Hospital Stay Model to this guide Map

eHN Medication Summary Model to this guide Map

eHN HDR Medication Summary Model to this guide Map

eHN Plan of Care Model to this guide Map

eHN HDR Plan of Care Model to this guide Map

eHN Subject Model to this guide Map

eHN HDR Subject Model to this guide mapping

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AdvanceDirectives DNR

Czech hdr - example od advance directive

Allergy Information Unknown

No information is available regarding the patient’s allergy status.

AllergyIntolerance - No Known Allergies

Patient has no known allergies.

AllergyIntolerance - Penicillin

Patient experiences skin rash and lip swelling in response to penicillin.

AllergyIntolerance - Strawberry

Patient experiences itching and tongue swelling in response to strawberries.

AllergyIntolerance - Strawberry

Patient experiences itching and tongue swelling in response to strawberries.

AllergyIntolerance - cow's milk protein

Patient experiences rash and itching after ingestion of cow's milk protein due to intolerance.

AngiodysplasiaCondition
AtorvastatinMedication
AtrialFibrillationCondition
BisoprololMedication
CRP - Novák Petr

Czech HDR - example of CRP observation for Novák Petr

CZ-CarePlan-HDR Example

Czech HDR - example of a care plan

CZ-Condition-HDR Example

Czech HDR - example of a condition (Heart Failure)

CZ-Condition-HDR Example 2

Czech HDR - example of a condition (Cardiac arrhythmia - Brugada Syndrome)

CZ-Condition-HDR Example 3

Czech HDR - example of a condition (Postoperative Hypothyroidism)

CZ-Condition-HDR Example 3

Czech HDR - example of a condition (Postoperative Hypothyroidism)

CZ-Condition-HDR Example K409

Example of a condition K409 with details on admission

CZ-Encounter-HDR Example

Czech HDR - example of an inpatient encounter

CZ-Procedure-HDR Example - Acute appendicitis

Czech HDR - example of a Procedure - Acute appendicitis.

CZ-Procedure-HDR Example - Appendectomy

Czech HDR - example of a Procedure - Appendectomy

CZ-Procedure-HDR Example - No known procedures

Czech HDR - example of a Procedure - No known procedures.

CZ-Procedure-HDR Example - Pacemaker

Czech HDR - example of a Procedure - Pacemaker

CZObservationSdohHdrExample

Example instance for SDOH observation (assessment-based) using CZ_ObservationSdohHdr profile.

CalciumD3Medication
Cardiac Arrest Flag

A flag indicating that the patient has a history of cardiac arrest.

CarePlan-Novak-Petr

Czech HDR - example of a care plan

ColonoscopyProcedure
Device-Pacemaker

Heart pacemaker Medtronic W1DR01

Discharge Summary Document - Base64

DocumentReference for discharge summary, base64 encoded HTML

Discharge Summary Document - PDF

DocumentReference with Base64 PDF content directly inserted

DischargeBundle
DischargeBundle-Novak-Petr
Erytrocyty

Příklad pro HDR - Počet erytrocytů v krvi

Example Czech Location

Example instance of a location conforming to the CZ_LocationCore profile.

ExampleAbdominalCircumference

Example instance for abdominal circumference observation using the CZ_ObservationAbdominalCircumferenceHdr profile.

ExampleBMI

Example instance for BMI observation using the CZ_ObservationBMIHdr profile.

ExampleChestCircumference

Example instance for chest circumference observation using the CZ_ObservationChestCircumferenceHdr profile.

ExampleHeadCircumference

Example instance for head circumference observation using the CZ_ObservationHeadCircumferenceHdr profile.

ExampleHeight

Example instance for height observation using the CZ_ObservationHeightHdr profile.

ExampleSdohAlcohol

Example of Social History Observation - Alcohol Use

ExampleSdohSmoking

Example of Social History Observation - Smoking

ExampleWeight

Example instance for weight observation using the CZ_ObservationWeightHdr profile.

Goal for Hernia Treatment

Czech HDR - example of a goal for hernia treatment

Hematokrit

Příklad pro HDR - Hematokrit v krvi

Hematologická laboratoř Brno

Referenční laboratoř pro klinickou hematologii

Hemoglobin

Příklad pro HDR - Hladina hemoglobinu v krvi

HospitalEncounter
HospitalEncounter-Novak-Petr
HypercholesterolemiaCondition
HypothyroidismCondition
Immunization example of Covid

Immunization of Covid

Immunization recommendation example

Immunization recommendation of vaccination

IronDeficiencyAnemiaCondition
IronSupplementMedication
Leukocyty

Příklad pro HDR - Počet leukocytů v krvi

LevothyroxineMedication
Medication-Euthyrox
Medication-Ibalgin400
Medication-Paracetamol
MedicationStatement-Euthyrox-Novak
MedicationStatement-Ibalgin400-Novak
MedicationStatement-Paracetamol-Novak
Mracena2

Patient, contact information and practitioner

Organization-1

An example of the organization of a provider

Organization: Registering healthcare provider example

Example of registering healthcare provider

OsteoporosisCondition
Panel krevního obrazu

Panel obsahující základní hematologické hodnoty

Patient - Mracena

Patient, contact information and practitioner

Patient-Novak-Petr

Example of patient Petr Novak with identification by czech national identifiers (RID, RCIS), registrating healthcare provider and contact information

Practitioner-2

Practitioner id(NRZP)=987654321

Practitioner-Admitter

Participant Admitter HDR

Practitioner-Author

Participant Referrer HDR

Practitioner-Author-detail

practitioner's detail

Practitioner-Referrer

Participant Referrer HDR

Practitioner-Referrer-detail

practitioner's detail

Practitioner-UZV

Participant UZV HDR

PractitionerRole1

General practitioner's office

PresbycusisCondition
Procedure-inguinal-hernia
Propouštěcí zpráva
Propouštěcí zpráva
RivaroxabanMedication
Sample Czech Location 2

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 2

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 2

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 3

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 4

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 5

Example instance of a location conforming to the CZ_LocationCore profile.

Sova

Practitioner

Sovak

Practitioner

TIACondition
Trombocyty

Příklad pro HDR - Počet trombocytů v krvi

UZV - Novák Petr

Czech HDR - example of an ultrasound observation for Novák Petr

VaricoseVeinsCondition
Vzorek krve – EDTA