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

## Logical Model: A.2.10 - Delivery

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/LMBirthSummaryEnCz | Version: 0.1.0
Draft as of 2026-03-20 | Computable Name: LMEnBirthSummaryHdrCz

Hospital Discharge Report – Delivery section. Records key information about the course of labour and delivery and its outcome.

Usages:

- This Logical Model 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
--- | --- | --- | --- | ---
LMBirthSummaryEnCz |  | 0..* | Base | A.2.10 - Delivery
mother |  | 0..* | BackboneElement | A.2.10.1 - Maternal delivery information
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
gestationalAgeAtDelivery |  | 1..1 | string | A.2.10.1.1 - Gestational age at delivery
gravidity |  | 1..1 | integer | A.2.10.1.2 - Gravidity
parity |  | 1..1 | integer | A.2.10.1.3 - Parity
laborInduction |  | 0..1 | CodeableConcept | A.2.10.1.4 - Labour pre-induction / induction
birthInjury |  | 1..* | BackboneElement | A.2.10.1.5 - Birth injury
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..* | string | A.2.10.1.5.1 - Birth injury description
code |  | 0..* | CodeableConcept | A.2.10.1.5.2 - Birth injury code
multiplePregnancy |  | 0..1 | boolean | A.2.10.1.6 - Multiple pregnancy
fetusCount |  | 0..1 | integer | A.2.10.1.6.1 - Number of fetuses
newborn |  | 0..* | BackboneElement | A.2.10.2 - Fetus/Newborn
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
birthDateTime |  | 1..1 | dateTime | A.2.10.2.1 - Date and time of birth
fetalPresentation |  | 1..1 | CodeableConcept | A.2.10.2.2 - Fetal presentation during delivery
deliveryMethod |  | 1..1 | CodeableConcept | A.2.10.2.3 - Delivery method
birthOutcome |  | 1..1 | CodeableConcept | A.2.10.2.4 - Birth outcome
sex |  | 1..1 | CodeableConcept | A.2.10.2.5 - Newborn sex
birthWeight |  | 1..1 | Quantity | A.2.10.2.6 - Birth weight
birthLength |  | 1..1 | Quantity | A.2.10.2.7 - Birth length
apgarScore |  | 1..1 | BackboneElement | A.2.10.2.8 - Apgar score
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
minute1 |  | 1..1 | integer | A.2.10.2.8.1 - Apgar score at 1 minute
minute5 |  | 1..1 | integer | A.2.10.2.8.2 - Apgar score at 5 minutes
minute10 |  | 1..1 | integer | A.2.10.2.8.3 - Apgar score at 10 minutes
name |  | 0..1 | string | A.2.10.2.9 - Newborn name
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LMBirthSummaryEnCz |  | 0..* | Base | A.2.10 - Delivery
mother |  | 0..* | BackboneElement | A.2.10.1 - Maternal delivery information
gestationalAgeAtDelivery |  | 1..1 | string | A.2.10.1.1 - Gestational age at delivery
gravidity |  | 1..1 | integer | A.2.10.1.2 - Gravidity
parity |  | 1..1 | integer | A.2.10.1.3 - Parity
laborInduction |  | 0..1 | CodeableConcept | A.2.10.1.4 - Labour pre-induction / induction
birthInjury |  | 1..* | BackboneElement | A.2.10.1.5 - Birth injury
description |  | 0..* | string | A.2.10.1.5.1 - Birth injury description
code |  | 0..* | CodeableConcept | A.2.10.1.5.2 - Birth injury code
multiplePregnancy |  | 0..1 | boolean | A.2.10.1.6 - Multiple pregnancy
fetusCount |  | 0..1 | integer | A.2.10.1.6.1 - Number of fetuses
newborn |  | 0..* | BackboneElement | A.2.10.2 - Fetus/Newborn
birthDateTime |  | 1..1 | dateTime | A.2.10.2.1 - Date and time of birth
fetalPresentation |  | 1..1 | CodeableConcept | A.2.10.2.2 - Fetal presentation during delivery
deliveryMethod |  | 1..1 | CodeableConcept | A.2.10.2.3 - Delivery method
birthOutcome |  | 1..1 | CodeableConcept | A.2.10.2.4 - Birth outcome
sex |  | 1..1 | CodeableConcept | A.2.10.2.5 - Newborn sex
birthWeight |  | 1..1 | Quantity | A.2.10.2.6 - Birth weight
birthLength |  | 1..1 | Quantity | A.2.10.2.7 - Birth length
apgarScore |  | 1..1 | BackboneElement | A.2.10.2.8 - Apgar score
minute1 |  | 1..1 | integer | A.2.10.2.8.1 - Apgar score at 1 minute
minute5 |  | 1..1 | integer | A.2.10.2.8.2 - Apgar score at 5 minutes
minute10 |  | 1..1 | integer | A.2.10.2.8.3 - Apgar score at 10 minutes
name |  | 0..1 | string | A.2.10.2.9 - Newborn name
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LMBirthSummaryEnCz |  | 0..* | Base | A.2.10 - Delivery
mother |  | 0..* | BackboneElement | A.2.10.1 - Maternal delivery information
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
gestationalAgeAtDelivery |  | 1..1 | string | A.2.10.1.1 - Gestational age at delivery
gravidity |  | 1..1 | integer | A.2.10.1.2 - Gravidity
parity |  | 1..1 | integer | A.2.10.1.3 - Parity
laborInduction |  | 0..1 | CodeableConcept | A.2.10.1.4 - Labour pre-induction / induction
birthInjury |  | 1..* | BackboneElement | A.2.10.1.5 - Birth injury
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..* | string | A.2.10.1.5.1 - Birth injury description
code |  | 0..* | CodeableConcept | A.2.10.1.5.2 - Birth injury code
multiplePregnancy |  | 0..1 | boolean | A.2.10.1.6 - Multiple pregnancy
fetusCount |  | 0..1 | integer | A.2.10.1.6.1 - Number of fetuses
newborn |  | 0..* | BackboneElement | A.2.10.2 - Fetus/Newborn
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
birthDateTime |  | 1..1 | dateTime | A.2.10.2.1 - Date and time of birth
fetalPresentation |  | 1..1 | CodeableConcept | A.2.10.2.2 - Fetal presentation during delivery
deliveryMethod |  | 1..1 | CodeableConcept | A.2.10.2.3 - Delivery method
birthOutcome |  | 1..1 | CodeableConcept | A.2.10.2.4 - Birth outcome
sex |  | 1..1 | CodeableConcept | A.2.10.2.5 - Newborn sex
birthWeight |  | 1..1 | Quantity | A.2.10.2.6 - Birth weight
birthLength |  | 1..1 | Quantity | A.2.10.2.7 - Birth length
apgarScore |  | 1..1 | BackboneElement | A.2.10.2.8 - Apgar score
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
minute1 |  | 1..1 | integer | A.2.10.2.8.1 - Apgar score at 1 minute
minute5 |  | 1..1 | integer | A.2.10.2.8.2 - Apgar score at 5 minutes
minute10 |  | 1..1 | integer | A.2.10.2.8.3 - Apgar score at 10 minutes
name |  | 0..1 | string | A.2.10.2.9 - Newborn name
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Summary

Mandatory: 0 element(15 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LMBirthSummaryEnCz |  | 0..* | Base | A.2.10 - Delivery
mother |  | 0..* | BackboneElement | A.2.10.1 - Maternal delivery information
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
gestationalAgeAtDelivery |  | 1..1 | string | A.2.10.1.1 - Gestational age at delivery
gravidity |  | 1..1 | integer | A.2.10.1.2 - Gravidity
parity |  | 1..1 | integer | A.2.10.1.3 - Parity
laborInduction |  | 0..1 | CodeableConcept | A.2.10.1.4 - Labour pre-induction / induction
birthInjury |  | 1..* | BackboneElement | A.2.10.1.5 - Birth injury
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..* | string | A.2.10.1.5.1 - Birth injury description
code |  | 0..* | CodeableConcept | A.2.10.1.5.2 - Birth injury code
multiplePregnancy |  | 0..1 | boolean | A.2.10.1.6 - Multiple pregnancy
fetusCount |  | 0..1 | integer | A.2.10.1.6.1 - Number of fetuses
newborn |  | 0..* | BackboneElement | A.2.10.2 - Fetus/Newborn
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
birthDateTime |  | 1..1 | dateTime | A.2.10.2.1 - Date and time of birth
fetalPresentation |  | 1..1 | CodeableConcept | A.2.10.2.2 - Fetal presentation during delivery
deliveryMethod |  | 1..1 | CodeableConcept | A.2.10.2.3 - Delivery method
birthOutcome |  | 1..1 | CodeableConcept | A.2.10.2.4 - Birth outcome
sex |  | 1..1 | CodeableConcept | A.2.10.2.5 - Newborn sex
birthWeight |  | 1..1 | Quantity | A.2.10.2.6 - Birth weight
birthLength |  | 1..1 | Quantity | A.2.10.2.7 - Birth length
apgarScore |  | 1..1 | BackboneElement | A.2.10.2.8 - Apgar score
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
minute1 |  | 1..1 | integer | A.2.10.2.8.1 - Apgar score at 1 minute
minute5 |  | 1..1 | integer | A.2.10.2.8.2 - Apgar score at 5 minutes
minute10 |  | 1..1 | integer | A.2.10.2.8.3 - Apgar score at 10 minutes
name |  | 0..1 | string | A.2.10.2.9 - Newborn name
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LMBirthSummaryEnCz |  | 0..* | Base | A.2.10 - Delivery
mother |  | 0..* | BackboneElement | A.2.10.1 - Maternal delivery information
gestationalAgeAtDelivery |  | 1..1 | string | A.2.10.1.1 - Gestational age at delivery
gravidity |  | 1..1 | integer | A.2.10.1.2 - Gravidity
parity |  | 1..1 | integer | A.2.10.1.3 - Parity
laborInduction |  | 0..1 | CodeableConcept | A.2.10.1.4 - Labour pre-induction / induction
birthInjury |  | 1..* | BackboneElement | A.2.10.1.5 - Birth injury
description |  | 0..* | string | A.2.10.1.5.1 - Birth injury description
code |  | 0..* | CodeableConcept | A.2.10.1.5.2 - Birth injury code
multiplePregnancy |  | 0..1 | boolean | A.2.10.1.6 - Multiple pregnancy
fetusCount |  | 0..1 | integer | A.2.10.1.6.1 - Number of fetuses
newborn |  | 0..* | BackboneElement | A.2.10.2 - Fetus/Newborn
birthDateTime |  | 1..1 | dateTime | A.2.10.2.1 - Date and time of birth
fetalPresentation |  | 1..1 | CodeableConcept | A.2.10.2.2 - Fetal presentation during delivery
deliveryMethod |  | 1..1 | CodeableConcept | A.2.10.2.3 - Delivery method
birthOutcome |  | 1..1 | CodeableConcept | A.2.10.2.4 - Birth outcome
sex |  | 1..1 | CodeableConcept | A.2.10.2.5 - Newborn sex
birthWeight |  | 1..1 | Quantity | A.2.10.2.6 - Birth weight
birthLength |  | 1..1 | Quantity | A.2.10.2.7 - Birth length
apgarScore |  | 1..1 | BackboneElement | A.2.10.2.8 - Apgar score
minute1 |  | 1..1 | integer | A.2.10.2.8.1 - Apgar score at 1 minute
minute5 |  | 1..1 | integer | A.2.10.2.8.2 - Apgar score at 5 minutes
minute10 |  | 1..1 | integer | A.2.10.2.8.3 - Apgar score at 10 minutes
name |  | 0..1 | string | A.2.10.2.9 - Newborn name
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
LMBirthSummaryEnCz |  | 0..* | Base | A.2.10 - Delivery
mother |  | 0..* | BackboneElement | A.2.10.1 - Maternal delivery information
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
gestationalAgeAtDelivery |  | 1..1 | string | A.2.10.1.1 - Gestational age at delivery
gravidity |  | 1..1 | integer | A.2.10.1.2 - Gravidity
parity |  | 1..1 | integer | A.2.10.1.3 - Parity
laborInduction |  | 0..1 | CodeableConcept | A.2.10.1.4 - Labour pre-induction / induction
birthInjury |  | 1..* | BackboneElement | A.2.10.1.5 - Birth injury
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 0..* | string | A.2.10.1.5.1 - Birth injury description
code |  | 0..* | CodeableConcept | A.2.10.1.5.2 - Birth injury code
multiplePregnancy |  | 0..1 | boolean | A.2.10.1.6 - Multiple pregnancy
fetusCount |  | 0..1 | integer | A.2.10.1.6.1 - Number of fetuses
newborn |  | 0..* | BackboneElement | A.2.10.2 - Fetus/Newborn
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
birthDateTime |  | 1..1 | dateTime | A.2.10.2.1 - Date and time of birth
fetalPresentation |  | 1..1 | CodeableConcept | A.2.10.2.2 - Fetal presentation during delivery
deliveryMethod |  | 1..1 | CodeableConcept | A.2.10.2.3 - Delivery method
birthOutcome |  | 1..1 | CodeableConcept | A.2.10.2.4 - Birth outcome
sex |  | 1..1 | CodeableConcept | A.2.10.2.5 - Newborn sex
birthWeight |  | 1..1 | Quantity | A.2.10.2.6 - Birth weight
birthLength |  | 1..1 | Quantity | A.2.10.2.7 - Birth length
apgarScore |  | 1..1 | BackboneElement | A.2.10.2.8 - Apgar score
@id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
minute1 |  | 1..1 | integer | A.2.10.2.8.1 - Apgar score at 1 minute
minute5 |  | 1..1 | integer | A.2.10.2.8.2 - Apgar score at 5 minutes
minute10 |  | 1..1 | integer | A.2.10.2.8.3 - Apgar score at 10 minutes
name |  | 0..1 | string | A.2.10.2.9 - Newborn name
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Base

Summary

Mandatory: 0 element(15 nested mandatory elements)

Other representations of profile: CSV, Excel