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

## ConceptMap: CZ Patient History to this guide Map (Experimental)

Official URL: https://hl7.cz/fhir/hdr/ConceptMap/patientHistory2FHIR-cz-hdr | Version: 0.1.0
Draft as of 2026-03-20 | Computable Name: PatientHistory2FHIRCzHdr

CZ HDR Patient History Model to this guide Map

Mapping from (not specified) to (not specified)

Group 1 Mapping from A.2.5 - Patient history (eHN) to ImmunizationRecommendation (CZ HDR)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type
PatientHistory.medicalHistory.vaccination.nextVaccinationDate | is related to | ImmunizationRecommendation.recommendation.dateCriterion[nextDose].value

Group 2 Mapping from A.2.5 - Patient history (eHN) to Composition (HDR CZ)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.medicalHistory | is related to | Composition.section | 1..* | todo | several sections
PatientHistory.medicalHistory.historyOfConditions | is related to | ​Composition.section:sectionPatientHx.section:sectionPastIllnessHx | 0..1 | todo | The same section used by the hospital stay ?
PatientHistory.medicalHistory.historyOfConditions.resolution | is related to | ​Composition.section:sectionPatientHx.section:sectionPastIllnessHx.text | 1..1 | todo | The resolution circumstances may be described as resource or composiiton.section text ; or indirectly determined by the resource (e.g. Procedure) that has been perfomed in reason of this Condition no more active
PatientHistory.medicalHistory.medicalDevices | is related to | ​Composition.section:sectionPatientHx.section:sectionHistoryMedicalDevices | 0..1 | todo |
PatientHistory.medicalHistory.vaccination | is equivalent to | ​Composition.section:sectionPatientHx.section:sectionImmunizations | 0..1 | todo |
PatientHistory.medicalHistory.epidemiologicalHistory | (not mapped) | decison not to have as distict section
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts | is related to | ​Composition.section:sectionPatientHx.section:sectionInfectiousContacts | 0..1 | todo |
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory | is related to | ​Composition.section:sectionPatientHx.section:sectionTravelHx | 0..1 | todo |
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.period | is related to | ​Composition.section:sectionPatientHx.section:sectionTravelHx | 0..1 | todo | To be specified
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.country | is related to | ​Composition.section:sectionPatientHx.section:sectionTravelHx | 0..1 | todo | To be specified
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.comment | is related to | ​Composition.section:sectionPatientHx.section:sectionTravelHx | 0..1 | todo | To be specified
PatientHistory.familyHistory | is related to | ​Composition.section:sectionPatientHx.section:sectionFamilyHistory | 0..1 | todo |
PatientHistory.socialDeterminants | is related to | ​Composition.section:sectionPatientHx.section:sectionSocialHistory | 0..1 | todo |
PatientHistory.useOfSubstances | is related to | ​Composition.section:sectionPatientHx.section:sectionSocialHistory | 0..1 | todo | To be specified

Group 3 Mapping from A.2.5 - Patient history (eHN) to Condition (HDR CZ)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.medicalHistory.historyOfConditions.conditionSpecification | is related to | Condition.text | 0..1 | todo |
PatientHistory.medicalHistory.historyOfConditions.conditionDetails | is related to | Condition | 0..* | todo |
PatientHistory.medicalHistory.historyOfConditions.onsetDate | is equal to | Condition.onSetDateTime |
PatientHistory.medicalHistory.historyOfConditions.endDate | is equal to | Condition.abatementDateTime |
PatientHistory.medicalHistory.historyOfConditions.clinicalStatus | is equivalent to | Composition.clinicalStatus |
PatientHistory.medicalHistory.historyOfConditions.resolution | is related to | Condition.text | 0..1 | todo | The resolution circumstances may be described as resource or composiiton.section text ; or indirectly determined by the resource (e.g. Procedure) that has been perfomed in reason of this Condition no more active
PatientHistory.medicalHistory.historyOfConditions.severity | is related to | Composition.severity |
PatientHistory.medicalHistory.historyOfConditions.stage | is equivalent to | Composition.stage |

Group 4 Mapping from A.2.5 - Patient history (eHN) to Medical Device (CZ)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.medicalHistory.medicalDevices.description | is related to | Device.text | 0..1 | todo | if referring to the description of the device
PatientHistory.medicalHistory.medicalDevices.identifier | is related to | Device.identifier | 0..* | todo | if generic identifier
PatientHistory.medicalHistory.medicalDevices.identifier | is related to | Device.udiCarrier | 0..* | todo | if it is the udiCarrier

Group 5 Mapping from A.2.5 - Patient history (eHN) to DeviceUseStatement

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.medicalHistory.medicalDevices.description | is related to | DeviceUseStatement.text | 0..1 | todo | if referring to the description of the usage of the device
PatientHistory.medicalHistory.medicalDevices.implantDate | is related to | DeviceUseStatement.timing[x] | 0..1 | todo | If the usage period is highlighted
PatientHistory.medicalHistory.medicalDevices.endDate | is related to | DeviceUseStatement.timingPeriod.end |
PatientHistory.medicalHistory.medicalDevices.reason | is related to | DeviceUseStatement.reasonCode | 0..* | todo | if details about the body structure have to be provided
PatientHistory.medicalHistory.medicalDevices.reason | is related to | DeviceUseStatement.reasonReference | 0..* | todo |
PatientHistory.medicalHistory.historyOfProcedures | is related to | Composition.section:sectionPatientHx.section:sectionSignificantProcedures | The same section usd by the hospital stay ?

Group 6 Mapping from A.2.5 - Patient history (eHN) to Immunization (HDR CZ)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type
PatientHistory.medicalHistory.vaccination.diseaseOrAgent | is equivalent to | Immunization.protocolApplied.targetDisease | 0..* | todo
PatientHistory.medicalHistory.vaccination.vaccine | is related to | Immunization.vaccineCode | 1..1 | todo
PatientHistory.medicalHistory.vaccination.productName | is related to | ​Immunization.extension:administeredProduct | 0..1 | todo
PatientHistory.medicalHistory.vaccination.manufacturerOrMAH | is related to | Immunization.manufacturer | 0..1 | todo
PatientHistory.medicalHistory.vaccination.orderNumber | is related to | Immunization.protocolApplied.doseNumberPositiveInt
PatientHistory.medicalHistory.vaccination.vaccinationDate | is related to | Immunization.occurenceDateTime

Group 7 Mapping from A.2.5 - Patient history (eHN) to Observation: SDOH (HDR CZ)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.socialDeterminants.participationInSociety | is related to | Observation | 0..* | todo | category to be defined
PatientHistory.socialDeterminants.participationInSociety.workSituation | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.participationInSociety.hobby | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.participationInSociety.socailNetwork | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.education | is related to | Observation | 0..* | todo | category to be defined
PatientHistory.socialDeterminants.education.level | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.education.comment | is related to | Observation.note | 0..* | todo | category and code to be defined
PatientHistory.socialDeterminants.livingSituation | is related to | Observation | 0..* | todo | category to be defined
PatientHistory.socialDeterminants.livingSituation.houseType | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.livingSituation.homeAdaption | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.livingSituation.livingConditions | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.familySituation | is related to | Observation | 0..* | todo | category to be defined
PatientHistory.socialDeterminants.familySituation.comment | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.familySituation.familyComposition | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.familySituation.maritalStatus | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.familySituation.numberOfChildren | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.familySituation.numberOfChildrenAtHome | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.familySituation.childDetails | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.socialDeterminants.familySituation.careResponsibility | is related to | ​Observation.value[x] | 0..1 | todo | category and code to be defined

Group 8 Mapping from A.2.5 - Patient history (eHN) to Procedure (HDR CZ)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.medicalHistory.historyOfProcedures.procedureCode | is related to | Procedure.code | 1..1 | todo |
PatientHistory.medicalHistory.historyOfProcedures.description | is related to | Procedure.text | 1..1 | todo |
PatientHistory.medicalHistory.historyOfProcedures.bodySite | is related to | Procedure.bodySite | 0..* | todo |
PatientHistory.medicalHistory.historyOfProcedures.bodySite | is related to | ​Procedure.extension:bodySite | 0..1 | todo | if details about the body structure have to be provided
PatientHistory.medicalHistory.historyOfProcedures.date | is related to | Procedure.perfomedDateTime |
PatientHistory.medicalHistory.historyOfProcedures.reason | is equivalent to | Procedure.reasonCode | 0..* | todo |
PatientHistory.medicalHistory.historyOfProcedures.reason | is equivalent to | Procedure.reasonReference | 0..* | todo |
PatientHistory.medicalHistory.historyOfProcedures.outcome | is equivalent to | Procedure.outcome | 0..1 | todo |
PatientHistory.medicalHistory.historyOfProcedures.focalDevice | is equivalent to | Procedure.focalDevice | 0..* | todo |

Group 9 Mapping from A.2.5 - Patient history (eHN) to Observation

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.useOfSubstances.alcohol | is related to | Observation | 0..* | todo | category and code to be defined
PatientHistory.useOfSubstances.alcohol.currentStatus | is related to | Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.useOfSubstances.alcohol.periodAndQuantity | is related to | Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.useOfSubstances.alcohol.comment | is related to | Observation.note | 0..* | todo | category and code to be defined
PatientHistory.useOfSubstances.tobacco | is related to | Observation | 0..* | todo | category and code to be defined
PatientHistory.useOfSubstances.tobacco.currentStatus | is related to | Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.useOfSubstances.tobacco.periodAndQuantity | is related to | Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.useOfSubstances.tobacco.comment | is related to | Observation.note | 0..* | todo | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption | is related to | Observation | 0..* | todo | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.currentStatus | is related to | Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.periodAndQuantity | is related to | Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.drugType | is related to | Observation | 0..* | todo | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.route | is related to | Observation.value[x] | 0..1 | todo | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.comment | is related to | Observation.note | 0..* | todo | category and code to be defined

Group 10 Mapping from A.2.5 - Patient history (eHN) to FamilyMemberHistory

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.familyHistory.relationship | is equivalent to | FamilyMemberHistory.relationship | 1..1 | todo |
PatientHistory.familyHistory.birthDate | is equivalent to | FamilyMemberHistory.bornDate |
PatientHistory.familyHistory.deathDateOrAge | is equivalent to | FamilyMemberHistory.deceased[x] | 0..1 | todo |
PatientHistory.familyHistory.conditions | is equivalent to | FamilyMemberHistory.condition.code | 1..1 | todo |
PatientHistory.familyHistory.causeOfDeath | is equivalent to | FamilyMemberHistory.condition.code | 1..1 | todo | If FamilyMemberHistory.condition.contributedToDeath is true

Group 11 Mapping from A.2.5 - Patient history (eHN) to Observation: Infectious Contact (HDR CZ)

Source Code | Card. | Type | Relationship | Target Code | Card. | Type | Comment
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.period | is equivalent to | ​Observation.effective[x] | 0..1 | todo |
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.infectiousAgent | is equivalent to | Observation.valueCodeableConcept | In the current value set the disease is indicated
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.proximity | is related to | Composition.section:sectionPatientHx.section:sectionInfectiousContacts | in this version as textual description
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.country | is related to | Composition.section:sectionPatientHx.section:sectionInfectiousContacts | in this version as textual description
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.note | is equivalent to | Observation.note | 0..* | todo |