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

## Resource Profile: Medication Obligations: (HDR CZ) - hospital stay

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medication-hospitalstay-obl-hdr | Version: 0.1.0
Standards status: Informative | Maturity Level: 0 | Computable Name: CZ_MedicationHospitalStayObligationsHdr

Profile for Medication Obligations in the Czech Republic Health Data Repository (HDR CZ). - hospital stay.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
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 | Business identifier for this medication
code | O Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky (required)
Additional Bindings | Purpose
Český číselník ATC skupin | candidate
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: Lékové formy (preferred)
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | required | https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky | Not State | Unknown
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | Lékové formy | 📦0.2.0 | HL7 Czech Terminology Implementation Guide vnull

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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_Medication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
code | O | 0..1 | CodeableConcept | Codes that identify this medication
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
form | O | 0..1 | CodeableConcept | powder | tablets | capsule +
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
ingredient |  |  |  |
item[x] | O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
Obligations | Actor
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
Slices for item[x] |  |  |  | Content/Rules for all slices
item[x]:itemCodeableConcept | O | 0..1 | CodeableConcept | The actual ingredient or content
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
strength | O | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Business identifier for this medication
code | O Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky (required)
Additional Bindings | Purpose
Český číselník ATC skupin | candidate
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization (CZ core)) | Manufacturer of the item
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: Lékové formy (preferred)
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemCodeableConcept | O | 0..1 | CodeableConcept | The actual ingredient or content Binding: https://sukl.cz/terminology/ValueSet/dlp-lecive-latky (preferred)
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
item[x]:itemReference |  | 0..1 | Reference(Medication (CZ)) | The actual ingredient or content
isActive |  | 0..1 | boolean | Active ingredient indicator
strength | O | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | required | https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky | Not State | Unknown
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | Lékové formy | 📦0.2.0 | HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept | Base | preferred | https://sukl.cz/terminology/ValueSet/dlp-lecive-latky | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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_Medication

Summary

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
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 | Business identifier for this medication
code | O Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky (required)
Additional Bindings | Purpose
Český číselník ATC skupin | candidate
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: Lékové formy (preferred)
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.code | Base | required | https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky | Not State | Unknown
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | Lékové formy | 📦0.2.0 | HL7 Czech Terminology Implementation Guide vnull

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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_Medication

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
code | O | 0..1 | CodeableConcept | Codes that identify this medication
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
form | O | 0..1 | CodeableConcept | powder | tablets | capsule +
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
ingredient |  |  |  |
item[x] | O | 1..1 | CodeableConcept, Reference(Substance | Medication) | The actual ingredient or content
Obligations | Actor
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
Slices for item[x] |  |  |  | Content/Rules for all slices
item[x]:itemCodeableConcept | O | 0..1 | CodeableConcept | The actual ingredient or content
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
strength | O | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Medication |  | 0..* | CZ_Medication | Czech Medication
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Business identifier for this medication
code | O Σ | 0..1 | CodeableConcept | Codes that identify this medication Binding: https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky (required)
Additional Bindings | Purpose
Český číselník ATC skupin | candidate
Obligations | Actor
SHALL:able-to-populate | Creator_L2
SHALL:display | Consumer_L2
SHALL:able-to-populate | Creator_L3
SHALL:display | Consumer_L3
status | ?!Σ | 0..1 | code | active | inactive | entered-in-error Binding: Medication Status Codes (required): A coded concept defining if the medication is in active use.
manufacturer | Σ | 0..1 | Reference(Organization (CZ core)) | Manufacturer of the item
form | O | 0..1 | CodeableConcept | powder | tablets | capsule + Binding: Lékové formy (preferred)
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
amount | Σ | 0..1 | Ratio | Amount of drug in package
ingredient |  | 0..* | BackboneElement | Active or inactive ingredient
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for item[x] | O | 1..1 |  | The actual ingredient or content Slice: Unordered, Closed by type:$this
Obligations | Actor
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
itemCodeableConcept |  |  | CodeableConcept |
itemReference |  |  | Reference(Substance | Medication) |
item[x]:itemCodeableConcept | O | 0..1 | CodeableConcept | The actual ingredient or content Binding: https://sukl.cz/terminology/ValueSet/dlp-lecive-latky (preferred)
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
item[x]:itemReference |  | 0..1 | Reference(Medication (CZ)) | The actual ingredient or content
isActive |  | 0..1 | boolean | Active ingredient indicator
strength | O | 0..1 | Ratio | Quantity of ingredient present
Obligations | Actor
SHOULD:populate-if-known | Creator_L2
SHOULD:display | Consumer_L2
SHOULD:populate-if-known | Creator_L3
SHOULD:display | Consumer_L3
batch |  | 0..1 | BackboneElement | Details about packaged medications
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
lotNumber |  | 0..1 | string | Identifier assigned to batch
expirationDate |  | 0..1 | dateTime | When batch will expire
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Medication.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Medication.code | Base | required | https://sukl.cz/terminology/ValueSet/dlp-lecive-pripravky | Not State | Unknown
Medication.status | Base | required | Medication status codes | 📍4.0.1 | FHIR Std.
Medication.form | Base | preferred | Lékové formy | 📦0.2.0 | HL7 Czech Terminology Implementation Guide vnull
Medication.ingredient.​item[x]:itemCodeableConcept | Base | preferred | https://sukl.cz/terminology/ValueSet/dlp-lecive-latky | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Medication | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Medication | 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 | Medication | 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 | Medication | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Medication | 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_Medication

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron