AlertsCz
type: StructureDefinition
node role: treeRoot
id:
  v: AlertsCz
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition AlertsCz Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> AlertsCz 0..* Base A.2.2 - Alerts (eHN) #xD; allergy 1..* Base A.2.2.1 - Allergy and Intolerance #xD; description 0..1 string A.2.2.1.1 - Allergy description #xD; agent 1..1 CodeableConcept A.2.2.1.2 - Agent or Allergen #xD; typeOfPropensity 0..1 CodeableConcept A.2.2.1.3 - Type of propensity #xD; manifestation 0..* CodeableConcept A.2.2.1.4 - Allergy manifestation #xD; criticality 0..1 CodeableConcept A.2.2.1.5 - Criticality #xD; onsetDate 0..1 Base A.2.2.1.6 - Onset date #xD; date 0..1 dateTime Onset date #xD; code 0..1 CodeableConcept Onset date (code) #xD; endDate 0..1 Base A.2.2.1.7 - End date #xD; date 0..1 dateTime End date #xD; code 0..1 CodeableConcept End date (code) #xD; status 0..1 CodeableConcept A.2.2.1.8 - Status #xD; certainty 0..1 CodeableConcept A.2.2.1.9 - Certainty #xD; lastOccurrence 0..1 dateTime A.2.2.1.10 - Last Occurrence #xD; medicalAlerts 0..* Base A.2.2.2 - Medical alerts (relevant for the respective hospital stay) #xD; <a href="StructureDefinition-AlertsCz-definitions.html#AlertsCz.medicalAlerts.description" title="A warning, other than included in allergies.#xA;The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text.#xA;Any clinical information that is imperative to know so that the life or health of the patient does not come under threat.#xA;Example 1: the patient has a rare disease that requires special treatment#xA;Example 2: Airway Alert / Difficult Intubation#xA;Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices.#xA;Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact.#xA;Exa…
url:
  v: https://hl7.cz/fhir/hdr/StructureDefinition/AlertsCz
  l: AlertsCz
version:
  v: 0.1.0
name:
  v: LMEnAlertsEhnCz
title:
  v: A.2.2 - Alerts (eHN)
status:
  v: draft
date:
  v: 2026-05-15T07:20:13+00:00
publisher:
  v: HL7 Czech Republic
contact:
  name:
    v: HL7 Czech Republic
  telecom:
    system:
      v: url
    value:
      v: https://www.hl7.cz/
description:
  v: Hospital Discharge Report - Alerts - A.2.2 eHN
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: CZ
    display:
      v: Czechia
fhir version:
  v: 4.0.1
kind:
  v: logical
abstract:
  v: false
type:
  v: https://hl7.cz/fhir/hdr/StructureDefinition/AlertsCz
  l: AlertsCz
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  l: Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: AlertsCz
    path:
      v: AlertsCz
    short:
      v: A.2.2 - Alerts (eHN)
    definition:
      v: Hospital Discharge Report - Alerts - A.2.2 eHN
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
  element:
    id:
      v: AlertsCz.allergy
    path:
      v: AlertsCz.allergy
    short:
      v: A.2.2.1 - Allergy and Intolerance
    definition:
      v: A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).
    min:
      v: 1
    max:
      v: *
    base:
      path:
        v: AlertsCz.allergy
      min:
        v: 1
      max:
        v: *
    type:
      code:
        v: Base
        l: Base
  element:
    id:
      v: AlertsCz.allergy.description
    path:
      v: AlertsCz.allergy.description
    short:
      v: A.2.2.1.1 - Allergy description
    definition:
      v: Textual description of the allergy or intolerance
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: AlertsCz.allergy.description
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: string
        l: string
  element:
    id:
      v: AlertsCz.allergy.agent
    path:
      v: AlertsCz.allergy.agent
    short:
      v: A.2.2.1.2 - Agent or Allergen
    definition:
      v: A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: AlertsCz.allergy.agent
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: CodeableConcept
        l: CodeableConcept
  element:
    id:
      v: AlertsCz.allergy.typeOfPropensity
    path:
      v: AlertsCz.allergy.typeOfPropensity
    short:
      v: A.2.2.1.3 - Type of propensity
    definition:
      v: This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: AlertsCz.allergy.typeOfPropensity
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: CodeableConcept
        l: CodeableConcept
  element:
    id:
      v: AlertsCz.allergy.manifestation
    path:
      v: AlertsCz.allergy.manifestation
    short:
      v: A.2.2.1.4 - Allergy manifestation
    definition:
      v: Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided.
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: AlertsCz.allergy.manifestation
      min:
        v: 0
      max:
        v: *

code:
  v: CodeableConcept
  l: CodeableConcept

id:
  v: AlertsCz.allergy.criticality
path:
  v: AlertsCz.allergy.criticality
short:
  v: A.2.2.1.5 - Criticality
definition:
  v: Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.criticality
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.allergy.onsetDate
path:
  v: AlertsCz.allergy.onsetDate
short:
  v: A.2.2.1.6 - Onset date
definition:
  v: Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.onsetDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: AlertsCz.allergy.onsetDate.date
path:
  v: AlertsCz.allergy.onsetDate.date
short:
  v: Onset date
definition:
  v: Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.onsetDate.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: AlertsCz.allergy.onsetDate.code
path:
  v: AlertsCz.allergy.onsetDate.code
short:
  v: Onset date (code)
definition:
  v: Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.onsetDate.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.allergy.endDate
path:
  v: AlertsCz.allergy.endDate
short:
  v: A.2.2.1.7 - End date
definition:
  v: Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.endDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: AlertsCz.allergy.endDate.date
path:
  v: AlertsCz.allergy.endDate.date
short:
  v: End date
definition:
  v: Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.endDate.date
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: AlertsCz.allergy.endDate.code
path:
  v: AlertsCz.allergy.endDate.code
short:
  v: End date (code)
definition:
  v: Date of resolution of the allergy expressed by code (e.g. age group)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.endDate.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.allergy.status
path:
  v: AlertsCz.allergy.status
short:
  v: A.2.2.1.8 - Status
definition:
  v: Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.status
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.allergy.certainty
path:
  v: AlertsCz.allergy.certainty
short:
  v: A.2.2.1.9 - Certainty
definition:
  v: Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.certainty
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.allergy.lastOccurrence
path:
  v: AlertsCz.allergy.lastOccurrence
short:
  v: A.2.2.1.10 - Last Occurrence
definition:
  v: A.2.2.1.10 - Last Occurrence
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.allergy.lastOccurrence
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: AlertsCz.medicalAlerts
path:
  v: AlertsCz.medicalAlerts
short:
  v: A.2.2.2 - Medical alerts (relevant for the respective hospital stay)
definition:
  v: Medical alerts (relevant for the respective hospital stay)
min:
  v: 0
max:
  v: *
base:
  path:
    v: AlertsCz.medicalAlerts
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Base
    l: Base

id:
  v: AlertsCz.medicalAlerts.description
path:
  v: AlertsCz.medicalAlerts.description
short:
  v: A.2.2.2.1 - Healthcare alert description
definition:
  v: A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.medicalAlerts.description
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.medicalAlerts.code
path:
  v: AlertsCz.medicalAlerts.code
short:
  v: A.2.2.2.3 - Code
definition:
  v: A.2.2.2.3 - Code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.medicalAlerts.code
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.medicalAlerts.specialistPhysician
path:
  v: AlertsCz.medicalAlerts.specialistPhysician
short:
  v: A.2.2.2.4 - Specialist physician
definition:
  v: A.2.2.2.4 - Specialist physician
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.medicalAlerts.specialistPhysician
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: AlertsCz.medicalAlerts.comment
path:
  v: AlertsCz.medicalAlerts.comment
short:
  v: A.2.2.2.5 - Comment
definition:
  v: A.2.2.2.5 - Comment
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.medicalAlerts.comment
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: AlertsCz.medicalAlerts.priority
path:
  v: AlertsCz.medicalAlerts.priority
short:
  v: A.2.2.2.6 - Priority
definition:
  v: A.2.2.2.6 - Priority
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.medicalAlerts.priority
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.medicalAlerts.period
path:
  v: AlertsCz.medicalAlerts.period
short:
  v: A.2.2.2.7 - Period
definition:
  v: A.2.2.2.7 - Period
min:
  v: 0
max:
  v: 1
base:
  path:
    v: AlertsCz.medicalAlerts.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Base
    l: Base

element:
  id:
    v: AlertsCz
  path:
    v: AlertsCz
  short:
    v: A.2.2 - Alerts (eHN)
  definition:
    v: Hospital Discharge Report - Alerts - A.2.2 eHN
element:
  id:
    v: AlertsCz.allergy
  path:
    v: AlertsCz.allergy
  short:
    v: A.2.2.1 - Allergy and Intolerance
  definition:
    v: A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).
  min:
    v: 1
  max:
    v: *
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: AlertsCz.allergy.description
  path:
    v: AlertsCz.allergy.description
  short:
    v: A.2.2.1.1 - Allergy description
  definition:
    v: Textual description of the allergy or intolerance
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
      l: string
element:
  id:
    v: AlertsCz.allergy.agent
  path:
    v: AlertsCz.allergy.agent
  short:
    v: A.2.2.1.2 - Agent or Allergen
  definition:
    v: A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
element:
  id:
    v: AlertsCz.allergy.typeOfPropensity
  path:
    v: AlertsCz.allergy.typeOfPropensity
  short:
    v: A.2.2.1.3 - Type of propensity
  definition:
    v: This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
element:
  id:
    v: AlertsCz.allergy.manifestation
  path:
    v: AlertsCz.allergy.manifestation
  short:
    v: A.2.2.1.4 - Allergy manifestation
  definition:
    v: Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
element:
  id:
    v: AlertsCz.allergy.criticality
  path:
    v: AlertsCz.allergy.criticality
  short:
    v: A.2.2.1.5 - Criticality
  definition:
    v: Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
element:
  id:
    v: AlertsCz.allergy.onsetDate
  path:
    v: AlertsCz.allergy.onsetDate
  short:
    v: A.2.2.1.6 - Onset date
  definition:
    v: Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence).
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: AlertsCz.allergy.onsetDate.date
  path:
    v: AlertsCz.allergy.onsetDate.date
  short:
    v: Onset date
  definition:
    v: Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: dateTime
      l: dateTime
element:
  id:
    v: AlertsCz.allergy.onsetDate.code
  path:
    v: AlertsCz.allergy.onsetDate.code
  short:
    v: Onset date (code)
  definition:
    v: Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
element:
  id:
    v: AlertsCz.allergy.endDate
  path:
    v: AlertsCz.allergy.endDate
  short:
    v: A.2.2.1.7 - End date
  definition:
    v: Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Base
      l: Base
element:
  id:
    v: AlertsCz.allergy.endDate.date
  path:
    v: AlertsCz.allergy.endDate.date
  short:
    v: End date
  definition:
    v: Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: dateTime
      l: dateTime
element:
  id:
    v: AlertsCz.allergy.endDate.code
  path:
    v: AlertsCz.allergy.endDate.code

v: End date (code)

v: Date of resolution of the allergy expressed by code (e.g. age group)

v: 0

v: 1

code:
  v: CodeableConcept
  l: CodeableConcept

id:
  v: AlertsCz.allergy.status
path:
  v: AlertsCz.allergy.status
short:
  v: A.2.2.1.8 - Status
definition:
  v: Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.allergy.certainty
path:
  v: AlertsCz.allergy.certainty
short:
  v: A.2.2.1.9 - Certainty
definition:
  v: Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.allergy.lastOccurrence
path:
  v: AlertsCz.allergy.lastOccurrence
short:
  v: A.2.2.1.10 - Last Occurrence
definition:
  v: A.2.2.1.10 - Last Occurrence
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime

id:
  v: AlertsCz.medicalAlerts
path:
  v: AlertsCz.medicalAlerts
short:
  v: A.2.2.2 - Medical alerts (relevant for the respective hospital stay)
definition:
  v: Medical alerts (relevant for the respective hospital stay)
min:
  v: 0
max:
  v: *
type:
  code:
    v: Base
    l: Base

id:
  v: AlertsCz.medicalAlerts.description
path:
  v: AlertsCz.medicalAlerts.description
short:
  v: A.2.2.2.1 - Healthcare alert description
definition:
  v: A warning, other than included in allergies. The warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text. Any clinical information that is imperative to know so that the life or health of the patient does not come under threat. Example 1: the patient has a rare disease that requires special treatment Example 2: Airway Alert / Difficult Intubation Example 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices. Example 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact. Example 5: participation in a clinical trial that has to be taken into account in a healthcare contact.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.medicalAlerts.code
path:
  v: AlertsCz.medicalAlerts.code
short:
  v: A.2.2.2.3 - Code
definition:
  v: A.2.2.2.3 - Code
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.medicalAlerts.specialistPhysician
path:
  v: AlertsCz.medicalAlerts.specialistPhysician
short:
  v: A.2.2.2.4 - Specialist physician
definition:
  v: A.2.2.2.4 - Specialist physician
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base

id:
  v: AlertsCz.medicalAlerts.comment
path:
  v: AlertsCz.medicalAlerts.comment
short:
  v: A.2.2.2.5 - Comment
definition:
  v: A.2.2.2.5 - Comment
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: AlertsCz.medicalAlerts.priority
path:
  v: AlertsCz.medicalAlerts.priority
short:
  v: A.2.2.2.6 - Priority
definition:
  v: A.2.2.2.6 - Priority
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept

id:
  v: AlertsCz.medicalAlerts.period
path:
  v: AlertsCz.medicalAlerts.period
short:
  v: A.2.2.2.7 - Period
definition:
  v: A.2.2.2.7 - Period
min:
  v: 0
max:
  v: 1
type:
  code:
    v: Base
    l: Base