# Delivery Relationships - HL7 Czech Hospital Discharge Report Implementation Guide v0.1.0

* [**Table of Contents**](toc.md)
* **Delivery Relationships**

## Delivery Relationships

# BirthSummary -> Composition (HDR)

**Ongoing alignment:**The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.

### BirthSummary -> Composition (HDR)

 This page explains how conceptual elements from the BirthSummary logical model are expressed in the corresponding FHIR profiles used by this Implementation Guide. 

#### Model Overview


**Mapping Context**
*  **Source logical model:** [LMBirthSummaryEnCz](StructureDefinition-LMBirthSummaryEnCz.md) 
*  **Target concept map:** [birthSummary2FHIR-hdr-cz](ConceptMap-birthSummary2FHIR-hdr-cz.md) 
*  **Main target profile:** [CZ_CompositionHdr](StructureDefinition-cz-composition-hdr.md) 

| | | | | | | |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| Element | Description | Relation | Resource/Profile | Element | Description | Notes |
| DeliveryDetails | Delivery section as a whole. | equivalent | Composition (cz-composition-hdr) | section:sectionHospitalCourse.section:sectionDelivery | Delivery subsection in hospital course. |  |
| DeliveryDetails.newborn | Newborn/fetus part. | related-to | Composition (cz-composition-hdr) | section:sectionHospitalCourse.section:sectionDelivery.entry:newborn | Entry slice for newborn patient reference. |  |
| PregnancyHx.mother | Maternal pregnancy history. | related-to | Composition (cz-composition-hdr) | section:sectionPatientHx.section:sectionPregnancyHx | Pregnancy history subsection. |  |
| DeliveryDetails.newborn.deliveryMethod | Method of delivery. | equivalent | Procedure (cz-procedure-method-of-delivery) | Procedure.code | Coded delivery method. |  |
| DeliveryDetails.mother.laborInduction | Pre-induction / induction. | equivalent | Procedure (cz-procedure-induction-of-labor) | Procedure.code | Induction procedure code. |  |
| DeliveryDetails.mother.birthInjury.code | Birth injury diagnosis code. | equivalent | Condition (cz-condition-hdr) | Condition.code | Coded maternal birth injury. |  |
| PregnancyHx.mother.gravidity | Total number of pregnancies. | equivalent | Observation (cz-observation-gravidity) | Observation.valueInteger | Gravidity value. |  |
| PregnancyHx.mother.parity | Total number of prior births. | equivalent | Observation (cz-observation-parity) | Observation.valueInteger | Parity value. |  |
| PregnancyHx.mother.multiplePregnancy | Multiple pregnancy indicator. | equivalent | Observation (cz-observation-multiple-pregnancy) | Observation.valueBoolean | True/false for multiple pregnancy. |  |
| DeliveryDetails.newborn.fetalPresentation | Fetal presentation during delivery. | equivalent | Observation (cz-observation-fetal-presentation) | Observation.valueCodeableConcept | Presentation/position coding. |  |
| DeliveryDetails.newborn.birthWeight | Birth weight. | equivalent | Observation (cz-observation-birth-weight) | Observation.valueQuantity | Weight in grams. |  |
| DeliveryDetails.newborn.birthLength | Birth length. | equivalent | Observation (cz-observation-birth-length) | Observation.valueQuantity | Length in centimeters. |  |
| PregnancyHx.mother.gestationalAgeAtDelivery | Gestational age at delivery. | related-to | Observation | Observation.valueString | Text format like 39+6. | No dedicated CZ profile yet. |
| DeliveryDetails.newborn.sex | Newborn sex. | equivalent | Patient (cz-patient-core) | Patient.gender | Administrative gender of newborn. |  |
| DeliveryDetails.newborn.name | Newborn name. | related-to | Patient (cz-patient-core) | Patient.name.given | Given name mapping. |  |
| DeliveryDetails.newborn.birthOutcome | Birth outcome. | related-to | Observation | Observation.value[x] | Generic delivery observation without a dedicated CZ profile. | Referenced from Composition.section:sectionHospitalCourse.section:sectionDelivery.entry:deliveryObservation. |
| DeliveryDetails.newborn.apgarScore.minute1 / minute5 / minute10 | Apgar score values at 1, 5 and 10 minutes. | related-to | Observation (cz-observation-apgar-score-1min / -5min / -10min) | Observation.valueInteger | APGAR score observation with dedicated profile per minute. | Referenced from Composition.section:sectionHospitalCourse.section:sectionDelivery.entry:apgarScore. |

