HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - 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 0.0.2 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.1 - Hospital Discharge Report header data element

Official URL: https://hl7.cz/fhir/hdr/StructureDefinition/Header | Version: 0.0.2
Draft as of 2025-09-29 | Computable Name: LogEnHeaderHdrCz

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

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
--- | --- | --- | --- | ---
Header |  | 0..* | Base | A.1 - Hospital Discharge Report header data element
subject |  | 1..1 | Subject | A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
payer |  | 0..1 | Base | A.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
insuranceCode |  | 0..1 | Identifier | A.1.3.1 - Health insurance code
insuranceName |  | 0..1 | string | A.1.3.2 - Health insurance name
insuranceNumber |  | 0..1 | Identifier | A.1.3.3 - Health insurance number
informationRecipient |  | 0..* | Base | A.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
identifier |  | 0..1 | Identifier | A.1.4.1 - Recipient identifier
name |  | 0..1 | HumanName | A.1.4.2 - Recipient name
organizationID |  | 0..* | Identifier | A.1.4.3 - Recipient organisation ID
organization |  | 0..1 | Base | A.1.4.4 - Recipient organisation
address |  | 0..1 | Address | A.1.4.5 - Address
country |  | 1..1 | CodeableConcept | A.1.4.6 - Country
telecom |  | 0..* | ContactPoint | A.1.4.7 - Telecom
author |  | 1..* | Base | A.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
identifier |  | 1..* | Identifier | A.1.5.1 - Author identifier
name |  | 1..1 | HumanName | A.1.5.2 - Author name
organizationID |  | 0..* | Identifier | A.1.5.3 - Author organisation ID
organization |  | 1..1 | Base | A.1.5.4 - Author organisation
dateTime |  | 1..1 | dateTime | A.1.5.5 - Date Time
attester |  | 0..* | Base | A.1.6 - Attester (multiple attesters could be provided)
identifier |  | 1..* | Identifier | A.1.6.1 - Attester identifier
name |  | 1..1 | HumanName | A.1.6.2 - Attester name
organizationID |  | 0..* | Identifier | A.1.6.3 - Attester organisation ID
organization |  | 1..1 | Base | A.1.6.4 - Attester organisation
dateTime |  | 1..1 | dateTime | A.1.6.5 - Approval date and time
legalAuthenticator |  | 0..1 | Base | A.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
identifier |  | 1..* | Identifier | A.1.7.1 - Legal authenticator identifier
name |  | 1..1 | HumanName | A.1.7.2 - Legal authenticator name
organizationID |  | 0..* | Identifier | A.1.7.3 - Legal authenticator organisation ID
organization |  | 1..1 | Base | A.1.7.4 - Legal authenticator organisation
dateTime |  | 1..1 | dateTime | A.1.7.5 - Authentication date and time
documentMetadata |  | 1..1 | Base | A.1.8 - Document metadata
identifier |  | 1..1 | Identifier | A.1.8.1 - Document ID
type |  | 1..1 | CodeableConcept | A.1.8.2 - Document type
status |  | 1..1 | CodeableConcept | A.1.8.3 - Document status
dateTime |  | 1..1 | dateTime | A.1.8.4 - Report date and time
title |  | 1..1 | string | A.1.8.5 - Document title
custodian |  | 1..1 | Base | A.1.8.6 - Report custodian
confidentiality |  | 1..1 | CodeableConcept | A.1.8.7 - Confidentiality
language |  | 1..1 | CodeableConcept | A.1.8.8 - Language
version |  | 0..1 | string | A.1.8.9 - Version
digitalSignature |  | 1..* | DigitalSignatureCz | A.1.9 - Digital signature
Documentation for this format

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Header |  | 0..* | Base | A.1 - Hospital Discharge Report header data element
subject |  | 1..1 | Subject | A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
payer |  | 0..1 | Base | A.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
insuranceCode |  | 0..1 | Identifier | A.1.3.1 - Health insurance code
insuranceName |  | 0..1 | string | A.1.3.2 - Health insurance name
insuranceNumber |  | 0..1 | Identifier | A.1.3.3 - Health insurance number
informationRecipient |  | 0..* | Base | A.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
identifier |  | 0..1 | Identifier | A.1.4.1 - Recipient identifier
name |  | 0..1 | HumanName | A.1.4.2 - Recipient name
organizationID |  | 0..* | Identifier | A.1.4.3 - Recipient organisation ID
organization |  | 0..1 | Base | A.1.4.4 - Recipient organisation
address |  | 0..1 | Address | A.1.4.5 - Address
country |  | 1..1 | CodeableConcept | A.1.4.6 - Country
telecom |  | 0..* | ContactPoint | A.1.4.7 - Telecom
author |  | 1..* | Base | A.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
identifier |  | 1..* | Identifier | A.1.5.1 - Author identifier
name |  | 1..1 | HumanName | A.1.5.2 - Author name
organizationID |  | 0..* | Identifier | A.1.5.3 - Author organisation ID
organization |  | 1..1 | Base | A.1.5.4 - Author organisation
dateTime |  | 1..1 | dateTime | A.1.5.5 - Date Time
attester |  | 0..* | Base | A.1.6 - Attester (multiple attesters could be provided)
identifier |  | 1..* | Identifier | A.1.6.1 - Attester identifier
name |  | 1..1 | HumanName | A.1.6.2 - Attester name
organizationID |  | 0..* | Identifier | A.1.6.3 - Attester organisation ID
organization |  | 1..1 | Base | A.1.6.4 - Attester organisation
dateTime |  | 1..1 | dateTime | A.1.6.5 - Approval date and time
legalAuthenticator |  | 0..1 | Base | A.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
identifier |  | 1..* | Identifier | A.1.7.1 - Legal authenticator identifier
name |  | 1..1 | HumanName | A.1.7.2 - Legal authenticator name
organizationID |  | 0..* | Identifier | A.1.7.3 - Legal authenticator organisation ID
organization |  | 1..1 | Base | A.1.7.4 - Legal authenticator organisation
dateTime |  | 1..1 | dateTime | A.1.7.5 - Authentication date and time
documentMetadata |  | 1..1 | Base | A.1.8 - Document metadata
identifier |  | 1..1 | Identifier | A.1.8.1 - Document ID
type |  | 1..1 | CodeableConcept | A.1.8.2 - Document type
status |  | 1..1 | CodeableConcept | A.1.8.3 - Document status
dateTime |  | 1..1 | dateTime | A.1.8.4 - Report date and time
title |  | 1..1 | string | A.1.8.5 - Document title
custodian |  | 1..1 | Base | A.1.8.6 - Report custodian
confidentiality |  | 1..1 | CodeableConcept | A.1.8.7 - Confidentiality
language |  | 1..1 | CodeableConcept | A.1.8.8 - Language
version |  | 0..1 | string | A.1.8.9 - Version
digitalSignature |  | 1..* | DigitalSignatureCz | A.1.9 - Digital signature
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Header |  | 0..* | Base | A.1 - Hospital Discharge Report header data element
subject |  | 1..1 | Subject | A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
payer |  | 0..1 | Base | A.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
insuranceCode |  | 0..1 | Identifier | A.1.3.1 - Health insurance code
insuranceName |  | 0..1 | string | A.1.3.2 - Health insurance name
insuranceNumber |  | 0..1 | Identifier | A.1.3.3 - Health insurance number
informationRecipient |  | 0..* | Base | A.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
identifier |  | 0..1 | Identifier | A.1.4.1 - Recipient identifier
name |  | 0..1 | HumanName | A.1.4.2 - Recipient name
organizationID |  | 0..* | Identifier | A.1.4.3 - Recipient organisation ID
organization |  | 0..1 | Base | A.1.4.4 - Recipient organisation
address |  | 0..1 | Address | A.1.4.5 - Address
country |  | 1..1 | CodeableConcept | A.1.4.6 - Country
telecom |  | 0..* | ContactPoint | A.1.4.7 - Telecom
author |  | 1..* | Base | A.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
identifier |  | 1..* | Identifier | A.1.5.1 - Author identifier
name |  | 1..1 | HumanName | A.1.5.2 - Author name
organizationID |  | 0..* | Identifier | A.1.5.3 - Author organisation ID
organization |  | 1..1 | Base | A.1.5.4 - Author organisation
dateTime |  | 1..1 | dateTime | A.1.5.5 - Date Time
attester |  | 0..* | Base | A.1.6 - Attester (multiple attesters could be provided)
identifier |  | 1..* | Identifier | A.1.6.1 - Attester identifier
name |  | 1..1 | HumanName | A.1.6.2 - Attester name
organizationID |  | 0..* | Identifier | A.1.6.3 - Attester organisation ID
organization |  | 1..1 | Base | A.1.6.4 - Attester organisation
dateTime |  | 1..1 | dateTime | A.1.6.5 - Approval date and time
legalAuthenticator |  | 0..1 | Base | A.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
identifier |  | 1..* | Identifier | A.1.7.1 - Legal authenticator identifier
name |  | 1..1 | HumanName | A.1.7.2 - Legal authenticator name
organizationID |  | 0..* | Identifier | A.1.7.3 - Legal authenticator organisation ID
organization |  | 1..1 | Base | A.1.7.4 - Legal authenticator organisation
dateTime |  | 1..1 | dateTime | A.1.7.5 - Authentication date and time
documentMetadata |  | 1..1 | Base | A.1.8 - Document metadata
identifier |  | 1..1 | Identifier | A.1.8.1 - Document ID
type |  | 1..1 | CodeableConcept | A.1.8.2 - Document type
status |  | 1..1 | CodeableConcept | A.1.8.3 - Document status
dateTime |  | 1..1 | dateTime | A.1.8.4 - Report date and time
title |  | 1..1 | string | A.1.8.5 - Document title
custodian |  | 1..1 | Base | A.1.8.6 - Report custodian
confidentiality |  | 1..1 | CodeableConcept | A.1.8.7 - Confidentiality
language |  | 1..1 | CodeableConcept | A.1.8.8 - Language
version |  | 0..1 | string | A.1.8.9 - Version
digitalSignature |  | 1..* | DigitalSignatureCz | A.1.9 - Digital signature
Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(25 nested mandatory elements)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Header |  | 0..* | Base | A.1 - Hospital Discharge Report header data element
subject |  | 1..1 | Subject | A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
payer |  | 0..1 | Base | A.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
insuranceCode |  | 0..1 | Identifier | A.1.3.1 - Health insurance code
insuranceName |  | 0..1 | string | A.1.3.2 - Health insurance name
insuranceNumber |  | 0..1 | Identifier | A.1.3.3 - Health insurance number
informationRecipient |  | 0..* | Base | A.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
identifier |  | 0..1 | Identifier | A.1.4.1 - Recipient identifier
name |  | 0..1 | HumanName | A.1.4.2 - Recipient name
organizationID |  | 0..* | Identifier | A.1.4.3 - Recipient organisation ID
organization |  | 0..1 | Base | A.1.4.4 - Recipient organisation
address |  | 0..1 | Address | A.1.4.5 - Address
country |  | 1..1 | CodeableConcept | A.1.4.6 - Country
telecom |  | 0..* | ContactPoint | A.1.4.7 - Telecom
author |  | 1..* | Base | A.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
identifier |  | 1..* | Identifier | A.1.5.1 - Author identifier
name |  | 1..1 | HumanName | A.1.5.2 - Author name
organizationID |  | 0..* | Identifier | A.1.5.3 - Author organisation ID
organization |  | 1..1 | Base | A.1.5.4 - Author organisation
dateTime |  | 1..1 | dateTime | A.1.5.5 - Date Time
attester |  | 0..* | Base | A.1.6 - Attester (multiple attesters could be provided)
identifier |  | 1..* | Identifier | A.1.6.1 - Attester identifier
name |  | 1..1 | HumanName | A.1.6.2 - Attester name
organizationID |  | 0..* | Identifier | A.1.6.3 - Attester organisation ID
organization |  | 1..1 | Base | A.1.6.4 - Attester organisation
dateTime |  | 1..1 | dateTime | A.1.6.5 - Approval date and time
legalAuthenticator |  | 0..1 | Base | A.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
identifier |  | 1..* | Identifier | A.1.7.1 - Legal authenticator identifier
name |  | 1..1 | HumanName | A.1.7.2 - Legal authenticator name
organizationID |  | 0..* | Identifier | A.1.7.3 - Legal authenticator organisation ID
organization |  | 1..1 | Base | A.1.7.4 - Legal authenticator organisation
dateTime |  | 1..1 | dateTime | A.1.7.5 - Authentication date and time
documentMetadata |  | 1..1 | Base | A.1.8 - Document metadata
identifier |  | 1..1 | Identifier | A.1.8.1 - Document ID
type |  | 1..1 | CodeableConcept | A.1.8.2 - Document type
status |  | 1..1 | CodeableConcept | A.1.8.3 - Document status
dateTime |  | 1..1 | dateTime | A.1.8.4 - Report date and time
title |  | 1..1 | string | A.1.8.5 - Document title
custodian |  | 1..1 | Base | A.1.8.6 - Report custodian
confidentiality |  | 1..1 | CodeableConcept | A.1.8.7 - Confidentiality
language |  | 1..1 | CodeableConcept | A.1.8.8 - Language
version |  | 0..1 | string | A.1.8.9 - Version
digitalSignature |  | 1..* | DigitalSignatureCz | A.1.9 - Digital signature
Documentation for this format

Differential View

This structure is derived from Base

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Header |  | 0..* | Base | A.1 - Hospital Discharge Report header data element
subject |  | 1..1 | Subject | A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
payer |  | 0..1 | Base | A.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
insuranceCode |  | 0..1 | Identifier | A.1.3.1 - Health insurance code
insuranceName |  | 0..1 | string | A.1.3.2 - Health insurance name
insuranceNumber |  | 0..1 | Identifier | A.1.3.3 - Health insurance number
informationRecipient |  | 0..* | Base | A.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
identifier |  | 0..1 | Identifier | A.1.4.1 - Recipient identifier
name |  | 0..1 | HumanName | A.1.4.2 - Recipient name
organizationID |  | 0..* | Identifier | A.1.4.3 - Recipient organisation ID
organization |  | 0..1 | Base | A.1.4.4 - Recipient organisation
address |  | 0..1 | Address | A.1.4.5 - Address
country |  | 1..1 | CodeableConcept | A.1.4.6 - Country
telecom |  | 0..* | ContactPoint | A.1.4.7 - Telecom
author |  | 1..* | Base | A.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
identifier |  | 1..* | Identifier | A.1.5.1 - Author identifier
name |  | 1..1 | HumanName | A.1.5.2 - Author name
organizationID |  | 0..* | Identifier | A.1.5.3 - Author organisation ID
organization |  | 1..1 | Base | A.1.5.4 - Author organisation
dateTime |  | 1..1 | dateTime | A.1.5.5 - Date Time
attester |  | 0..* | Base | A.1.6 - Attester (multiple attesters could be provided)
identifier |  | 1..* | Identifier | A.1.6.1 - Attester identifier
name |  | 1..1 | HumanName | A.1.6.2 - Attester name
organizationID |  | 0..* | Identifier | A.1.6.3 - Attester organisation ID
organization |  | 1..1 | Base | A.1.6.4 - Attester organisation
dateTime |  | 1..1 | dateTime | A.1.6.5 - Approval date and time
legalAuthenticator |  | 0..1 | Base | A.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
identifier |  | 1..* | Identifier | A.1.7.1 - Legal authenticator identifier
name |  | 1..1 | HumanName | A.1.7.2 - Legal authenticator name
organizationID |  | 0..* | Identifier | A.1.7.3 - Legal authenticator organisation ID
organization |  | 1..1 | Base | A.1.7.4 - Legal authenticator organisation
dateTime |  | 1..1 | dateTime | A.1.7.5 - Authentication date and time
documentMetadata |  | 1..1 | Base | A.1.8 - Document metadata
identifier |  | 1..1 | Identifier | A.1.8.1 - Document ID
type |  | 1..1 | CodeableConcept | A.1.8.2 - Document type
status |  | 1..1 | CodeableConcept | A.1.8.3 - Document status
dateTime |  | 1..1 | dateTime | A.1.8.4 - Report date and time
title |  | 1..1 | string | A.1.8.5 - Document title
custodian |  | 1..1 | Base | A.1.8.6 - Report custodian
confidentiality |  | 1..1 | CodeableConcept | A.1.8.7 - Confidentiality
language |  | 1..1 | CodeableConcept | A.1.8.8 - Language
version |  | 0..1 | string | A.1.8.9 - Version
digitalSignature |  | 1..* | DigitalSignatureCz | A.1.9 - Digital signature
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Header |  | 0..* | Base | A.1 - Hospital Discharge Report header data element
subject |  | 1..1 | Subject | A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject
payer |  | 0..1 | Base | A.1.3 - Health insurance and payment information - Health insurance information is not always required, however, in some jurisdictions, the insurance number is also used as the patient identifier. It is necessary not just for identification but also forms access to funding for care.
insuranceCode |  | 0..1 | Identifier | A.1.3.1 - Health insurance code
insuranceName |  | 0..1 | string | A.1.3.2 - Health insurance name
insuranceNumber |  | 0..1 | Identifier | A.1.3.3 - Health insurance number
informationRecipient |  | 0..* | Base | A.1.4 - Information recipient - (intended recipient or recipients of the report), if applicable
identifier |  | 0..1 | Identifier | A.1.4.1 - Recipient identifier
name |  | 0..1 | HumanName | A.1.4.2 - Recipient name
organizationID |  | 0..* | Identifier | A.1.4.3 - Recipient organisation ID
organization |  | 0..1 | Base | A.1.4.4 - Recipient organisation
address |  | 0..1 | Address | A.1.4.5 - Address
country |  | 1..1 | CodeableConcept | A.1.4.6 - Country
telecom |  | 0..* | ContactPoint | A.1.4.7 - Telecom
author |  | 1..* | Base | A.1.5 - Author (by whom the Hospital discharge report was/were authored). Multiple authors could be provided.
identifier |  | 1..* | Identifier | A.1.5.1 - Author identifier
name |  | 1..1 | HumanName | A.1.5.2 - Author name
organizationID |  | 0..* | Identifier | A.1.5.3 - Author organisation ID
organization |  | 1..1 | Base | A.1.5.4 - Author organisation
dateTime |  | 1..1 | dateTime | A.1.5.5 - Date Time
attester |  | 0..* | Base | A.1.6 - Attester (multiple attesters could be provided)
identifier |  | 1..* | Identifier | A.1.6.1 - Attester identifier
name |  | 1..1 | HumanName | A.1.6.2 - Attester name
organizationID |  | 0..* | Identifier | A.1.6.3 - Attester organisation ID
organization |  | 1..1 | Base | A.1.6.4 - Attester organisation
dateTime |  | 1..1 | dateTime | A.1.6.5 - Approval date and time
legalAuthenticator |  | 0..1 | Base | A.1.7 - Legal authenticator (The person taking responsibility for the medical content of the document)
identifier |  | 1..* | Identifier | A.1.7.1 - Legal authenticator identifier
name |  | 1..1 | HumanName | A.1.7.2 - Legal authenticator name
organizationID |  | 0..* | Identifier | A.1.7.3 - Legal authenticator organisation ID
organization |  | 1..1 | Base | A.1.7.4 - Legal authenticator organisation
dateTime |  | 1..1 | dateTime | A.1.7.5 - Authentication date and time
documentMetadata |  | 1..1 | Base | A.1.8 - Document metadata
identifier |  | 1..1 | Identifier | A.1.8.1 - Document ID
type |  | 1..1 | CodeableConcept | A.1.8.2 - Document type
status |  | 1..1 | CodeableConcept | A.1.8.3 - Document status
dateTime |  | 1..1 | dateTime | A.1.8.4 - Report date and time
title |  | 1..1 | string | A.1.8.5 - Document title
custodian |  | 1..1 | Base | A.1.8.6 - Report custodian
confidentiality |  | 1..1 | CodeableConcept | A.1.8.7 - Confidentiality
language |  | 1..1 | CodeableConcept | A.1.8.8 - Language
version |  | 0..1 | string | A.1.8.9 - Version
digitalSignature |  | 1..* | DigitalSignatureCz | A.1.9 - Digital signature
Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(25 nested mandatory elements)

Other representations of profile: CSV, Excel