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

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

Official URL: https://hl7.cz/fhir/hdr/ConceptMap/patientHistory2FHIR-cz-hdr | Version: 0.0.2
Draft as of 2025-09-29 | 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 | Relationship | Target Code
PatientHistory.medicalHistory.vaccination.nextVaccinationDate (A.2.6.1.4.8 - Next vaccination date) | is related to | ImmunizationRecommendation.recommendation.dateCriterion[nextDose].value

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

Source Code | Relationship | Target Code | Comment
PatientHistory.medicalHistory (A.2.6.1 - Medical history) | is related to | Composiiton.section | several sections
PatientHistory.medicalHistory.historyOfConditions (A.2.6.1.1 - History of problems) | is related to | Composiiton.section:sectionDiagnosticSummary | The same section used by the hospital stay ?
PatientHistory.medicalHistory.historyOfConditions.resolution (A.2.6.1.1.6 - Resolution circumstances) | is related to | Composition.section:sectionDiagnosticSummary.text | 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 (A.2.6.1.2 - Devices and Implants) | is related to | Composition.section:sectionMedicalDevices |
PatientHistory.medicalHistory.vaccination (A.2.6.1.4 - Vaccination) | is equivalent to | Composition.section:sectionImmunizations |
PatientHistory.medicalHistory.epidemiologicalHistory (A.2.6.1.5 - Epidemiological history) | (not mapped) | decison not to have as distict section
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts (A.2.6.1.5.1 - Infectious contacts) | is related to | Composition.section:infectiousContacts |
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory (A.2.6.1.5.2 - Travel history) | is related to | Composition.section:sectionTravelHx |
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.period (A.2.6.1.5.2.1 - Time period) | is related to | Composition.section:sectionTravelHx | To be specified
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.country (A.2.6.1.5.2.2 - Country visited) | is related to | Composition.section:sectionTravelHx | To be specified
PatientHistory.medicalHistory.epidemiologicalHistory.travelHistory.comment (A.2.6.1.5.2.3 - Comment) | is related to | Composition.section:sectionTravelHx | To be specified
PatientHistory.familyHistory (A.2.6.2 - Family history) | is related to | Composition.section:sectionFamilyHistory |
PatientHistory.socialDeterminants (A.2.6.3 - Social determinants of health) | is related to | Composition.section:sectionSocialHistory |
PatientHistory.useOfSubstances (A.2.6.4 - Use of substances) | is related to | Composition.section:sectionSocialHistory | To be specified

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

Source Code | Relationship | Target Code | Comment
PatientHistory.medicalHistory.historyOfConditions.conditionSpecification (A.2.6.1.1.1 - Problem description) | is related to | Condition.text |
PatientHistory.medicalHistory.historyOfConditions.conditionDetails (A.2.6.1.1.2 - Problem details) | is related to | Condition |
PatientHistory.medicalHistory.historyOfConditions.onsetDate (A.2.6.1.1.3 - Onset date) | is equal to | Condition.onSetDateTime |
PatientHistory.medicalHistory.historyOfConditions.endDate (A.2.6.1.1.4 - End date) | is equal to | Condition.abatementDateTime |
PatientHistory.medicalHistory.historyOfConditions.clinicalStatus (A.2.6.1.1.5 - Clinical status) | is equivalent to | Composition.clinicalStatus |
PatientHistory.medicalHistory.historyOfConditions.resolution (A.2.6.1.1.6 - Resolution circumstances) | is related to | Condition.text | 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 (A.2.6.1.1.7 - Severity) | is related to | Composition.severity |
PatientHistory.medicalHistory.historyOfConditions.stage (A.2.6.1.1.8 - Stage) | is equivalent to | Composition.stage |

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

Source Code | Relationship | Target Code | Comment
PatientHistory.medicalHistory.medicalDevices.description (A.2.6.1.2.1 - Device and implant description) | is related to | Device.text | if referring to the description of the device
PatientHistory.medicalHistory.medicalDevices.identifier (A.2.6.1.2.2 - Device ID) | is related to | Device.identifier | if generic identifier
PatientHistory.medicalHistory.medicalDevices.identifier (A.2.6.1.2.2 - Device ID) | is related to | Device.udiCarrier | if it is the udiCarrier

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

Source Code | Relationship | Target Code | Comment
PatientHistory.medicalHistory.medicalDevices.description (A.2.6.1.2.1 - Device and implant description) | is related to | DeviceUseStatement.text | if referring to the description of the usage of the device
PatientHistory.medicalHistory.medicalDevices.implantDate (A.2.6.1.2.3 - Implant date) | is related to | DeviceUseStatement.timing[x] | If the usage period is highlighted
PatientHistory.medicalHistory.medicalDevices.endDate (A.2.6.1.2.4 - End date) | is related to | DeviceUseStatement.timingPeriod.end |
PatientHistory.medicalHistory.medicalDevices.reason (A.2.6.1.2.5 - Reason) | is related to | DeviceUseStatement.reasonCode | if details about the body structure have to be provided
PatientHistory.medicalHistory.medicalDevices.reason (A.2.6.1.2.5 - Reason) | is related to | DeviceUseStatement.reasonReference |
PatientHistory.medicalHistory.historyOfProcedures (A.2.6.1.3 - History of procedures) | is related to | Composition.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 | Relationship | Target Code
PatientHistory.medicalHistory.vaccination.diseaseOrAgent (A.2.6.1.4.1 - Disease or agent targeted) | is equivalent to | Immunization.protocolApplied.targetDisease
PatientHistory.medicalHistory.vaccination.vaccine (A.2.6.1.4.2 - Vaccine/prophylaxis) | is related to | Immunization.vaccineCode
PatientHistory.medicalHistory.vaccination.productName (A.2.6.1.4.4 - Vaccine medicinal product) | is related to | Immunization.extension:administeredProduct
PatientHistory.medicalHistory.vaccination.manufacturerOrMAH (A.2.6.1.4.5 - Marketing Authorisation Holder) | is related to | Immunization.manufacturer
PatientHistory.medicalHistory.vaccination.orderNumber (A.2.6.1.4.6 - Number in a series of vaccinations / doses) | is related to | Immunization.protocolApplied.doseNumberPositiveInt
PatientHistory.medicalHistory.vaccination.vaccinationDate (A.2.6.1.4.7 - Date of vaccination) | is related to | Immunization.occurenceDateTime

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

Source Code | Relationship | Target Code | Comment
PatientHistory.socialDeterminants.participationInSociety (A.2.6.3.1 - Participation in society) | is related to | Observation | category to be defined
PatientHistory.socialDeterminants.participationInSociety.workSituation (A.2.6.3.1.1 - Work situation) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.participationInSociety.hobby (A.2.6.3.1.2 - Hobby) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.participationInSociety.socailNetwork (A.2.6.3.1.3 - Social network) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.education (A.2.6.3.2 - Education) | is related to | Observation | category to be defined
PatientHistory.socialDeterminants.education.level (A.2.6.3.2.1 - Education level) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.education.comment (A.2.6.3.2.2 - Comment) | is related to | Observation.note | category and code to be defined
PatientHistory.socialDeterminants.livingSituation (A.2.6.3.3 - Living situation) | is related to | Observation | category to be defined
PatientHistory.socialDeterminants.livingSituation.houseType (A.2.6.3.3.1 - House type) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.livingSituation.homeAdaption (A.2.6.3.3.2 - Home adaption) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.livingSituation.livingConditions (A.2.6.3.3.3 - Living conditions) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.familySituation (A.2.6.3.4 - Family situation) | is related to | Observation | category to be defined
PatientHistory.socialDeterminants.familySituation.comment (A.2.6.3.4.1 - Comment) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.familySituation.familyComposition (A.2.6.3.4.2 - Family composition) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.familySituation.maritalStatus (A.2.6.3.4.3 - Marital status) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.familySituation.numberOfChildren (A.2.6.3.4.4 - Number of children) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.familySituation.numberOfChildrenAtHome (A.2.6.3.4.5 - Number of children at home) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.familySituation.childDetails (A.2.6.3.4.6 - Child details) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.socialDeterminants.familySituation.careResponsibility (A.2.6.3.4.7 - Care responsibility) | is related to | Observation.value[x] | category and code to be defined

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

Source Code | Relationship | Target Code | Comment
PatientHistory.medicalHistory.historyOfProcedures.procedureCode (A.2.6.1.3.1 - Procedure code) | is related to | Procedure.code |
PatientHistory.medicalHistory.historyOfProcedures.description (A.2.6.1.3.2 - Procedure description) | is related to | Procedure.text |
PatientHistory.medicalHistory.historyOfProcedures.bodySite (A.2.6.1.3.3 - Body site) | is related to | Procedure.bodySite |
PatientHistory.medicalHistory.historyOfProcedures.bodySite (A.2.6.1.3.3 - Body site) | is related to | Procedure.extension:bodySite | if details about the body structure have to be provided
PatientHistory.medicalHistory.historyOfProcedures.date (A.2.6.1.3.4 - Procedure date) | is related to | Procedure.perfomedDateTime |
PatientHistory.medicalHistory.historyOfProcedures.reason (A.2.6.1.3.5 - Procedure reason) | is equivalent to | Procedure.reasonCode |
PatientHistory.medicalHistory.historyOfProcedures.reason (A.2.6.1.3.5 - Procedure reason) | is equivalent to | Procedure.reasonReference |
PatientHistory.medicalHistory.historyOfProcedures.outcome (A.2.6.1.3.6 - Outcome) | is equivalent to | Procedure.outcome |
PatientHistory.medicalHistory.historyOfProcedures.focalDevice (A.2.6.1.3.7 - Focal device) | is equivalent to | Procedure.focalDevice |

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

Source Code | Relationship | Target Code | Comment
PatientHistory.useOfSubstances.alcohol (A.2.6.4.1 - Alcohol use) | is related to | Observation | category and code to be defined
PatientHistory.useOfSubstances.alcohol.currentStatus (A.2.6.4.1.1 - Status) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.useOfSubstances.alcohol.periodAndQuantity (A.2.6.4.1.2 - Period and quantity) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.useOfSubstances.alcohol.comment (A.2.6.4.1.3 - Comment) | is related to | Observation.note | category and code to be defined
PatientHistory.useOfSubstances.tobacco (A.2.6.4.2 - Tobacco use) | is related to | Observation | category and code to be defined
PatientHistory.useOfSubstances.tobacco.currentStatus (A.2.6.4.2.1 - Status) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.useOfSubstances.tobacco.periodAndQuantity (A.2.6.4.2.2 - Period and quantity) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.useOfSubstances.tobacco.comment (A.2.6.4.2.3 - Comment) | is related to | Observation.note | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption (A.2.6.4.3 - Drug consumption) | is related to | Observation | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.currentStatus (A.2.6.4.3.1 - Status) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.periodAndQuantity (A.2.6.4.3.2 - Period and quantity) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.drugType (A.2.6.4.3.3 - Drug or medication type) | is related to | Observation | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.route (A.2.6.4.3.4 - Route of administration) | is related to | Observation.value[x] | category and code to be defined
PatientHistory.useOfSubstances.drugConsumption.comment (A.2.6.4.3.5 - Comment) | is related to | Observation.note | category and code to be defined

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

Source Code | Relationship | Target Code | Comment
PatientHistory.familyHistory.relationship (A.2.6.2.1 - Patient relationship) | is equivalent to | FamilyMemberHistory.relationship |
PatientHistory.familyHistory.birthDate (A.2.6.2.2 - Date of birth) | is equivalent to | FamilyMemberHistory.bornDate |
PatientHistory.familyHistory.deathDateOrAge (A.2.6.2.3 - Age or date of death) | is equivalent to | FamilyMemberHistory.deceased[x] |
PatientHistory.familyHistory.conditions (A.2.6.2.5 - Condition) | is equivalent to | FamilyMemberHistory.condition.code |
PatientHistory.familyHistory.causeOfDeath (A.2.6.2.6 - Cause of death) | is equivalent to | FamilyMemberHistory.condition.code | If FamilyMemberHistory.condition.contributedToDeath is true

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

Source Code | Relationship | Target Code | Comment
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.period (A.2.6.1.5.1.1 - Time period) | is equivalent to | Observation.effective[x] |
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.infectiousAgent (A.2.6.1.5.1.2 - Infectious agent) | is equivalent to | Observation.valueCodeableConcept | In the current value set the disease is indicated
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.proximity (A.2.6.1.5.1.3 - Proximity) | is related to | Composition.section:infectiousContacts | in this version as textual description
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.country (A.2.6.1.5.1.4 - Country) | is related to | Composition.section:infectiousContacts | in this version as textual description
PatientHistory.medicalHistory.epidemiologicalHistory.infectiousContacts.note (A.2.6.1.5.1.5 - Additional information) | is equivalent to | Observation.note |