HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build CZ

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

Table of Contents

.. 0 Table of Contents
... 1 Home
... 2 Domovská stránka
... 3 Scope and content
... 4 Oblasti a obsah
... 5 Background
... 6 Background
... 7 Authors
... 8 Autoři
... 9 Copyright
... 10 Autorská práva
... 11 Dependencies
... 12 Závislosti
... 13 Examples
... 14 Příklady
... 15 Logical models
... 16 Datová sada - logické modely CZ
... 17 Model maps
... 18 Mapování logického modelu
... 19 Obligations
... 20 Obligations
... 21 Downloads
... 22 Ke stažení
... 23 Implementation notes
... 24 Implementační poznámky
... 25 Artifacts
.... 25.1 Address Obligations (HDR CZ)
.... 25.2 Allergy Intolerance Obligations (HDR CZ)
.... 25.3 Attachments: Obligations
.... 25.4 Composition: Obligations
.... 25.5 Consent Obligations (HDR CZ)
.... 25.6 Dosage: Obligations (HDR CZ) - hospital stay
.... 25.7 Dosage: Obligations (HDR CZ) - medication summary
.... 25.8 Encounter: Obligations
.... 25.9 Flag Obligations (HDR CZ)
.... 25.10 Immunization Obligations: HDR CZ
.... 25.11 Immunization Recommendation Obligations (HDR CZ)
.... 25.12 Medication Administration Obligations (HDR CZ)
.... 25.13 Medication Obligations: (HDR CZ) - hospital stay
.... 25.14 Medication Obligations: (HDR CZ) - medication summary
.... 25.15 MedicationDispense: Obligations (HDR CZ) - hospital stay
.... 25.16 MedicationDispense: Obligations (HDR CZ) - medication summary
.... 25.17 MedicationRequest: Obligations (HDR CZ) - hospital stay
.... 25.18 MedicationRequest: Obligations (HDR CZ) - medication summary
.... 25.19 MedicationStatement: Obligations (HDR CZ)
.... 25.20 Observations: Anthropometric Data obligations
.... 25.21 Observations: Infectious Contact obligations
.... 25.22 Organization: Obligations
.... 25.23 Patient: Obligations
.... 25.24 Procedure: Obligations
.... 25.25 A - Propouštěcí zpráva
.... 25.26 A.1 – Hlavička dokumentu
.... 25.27 A.2.1 - Dříve vyslovená přání
.... 25.28 A.2.10 Porod
.... 25.29 A.2.2 - Urgentní informace
.... 25.30 A.2.3 - Kontakt se zdravotními službami
.... 25.31 A.2.4 - Stav při přijetí
.... 25.32 A.2.5 - Anamnéza
.... 25.33 A.2.6 Průběh hospitalizace
.... 25.34 A.2.7 - Detail propoštěcí zprávy
.... 25.35 A.2.7.1 Objektivní nález
.... 25.36 A.2.7.2 - Funkční stav při propuštění
.... 25.37 A.2.8.1 Plán péče
.... 25.38 A.2.8.2 Souhrn medikace
.... 25.39 A.3 - Vizuální podoba dokumentu
.... 25.40 A.4 - Přílohy (cz)
.... 25.41 A - Hospital Discharge Report (eHN)
.... 25.42 A.1 - Hospital Discharge Report header data element
.... 25.43 A.2.1 - Advance Directives (eHN)
.... 25.44 A.2.10 - Delivery
.... 25.45 A.2.2 - Alerts (eHN)
.... 25.46 A.2.3 - Encounter (eHN)
.... 25.47 A.2.4 - Admission evaluation (eHN)
.... 25.48 A.2.5 - Patient history (eHN)
.... 25.49 A.2.6 - Hospital stay (eHN)
.... 25.50 A.2.7 - Discharge details (eHN)
.... 25.51 A.2.7.1 - Objective findings
.... 25.52 A.2.7.2 - Functional status
.... 25.53 A.2.8.1 - Care plan
.... 25.54 A.2.8.2 - Medication summary
.... 25.55 A.3 - Presented form
.... 25.56 A.4 - Additional attachments
.... 25.57 Allergy Intolerance (HDR CZ)
.... 25.58 Attachment: HDR (CZ)
.... 25.59 Bundle (HDR CZ)
.... 25.60 Care Plan (HDR CZ)
.... 25.61 Composition (HDR CZ)
.... 25.62 Condition (HDR CZ)
.... 25.63 Consent (Advance Directives) (HDR CZ)
.... 25.64 Coverage: Obligations
.... 25.65 DeviceUseStatement (HDR)
.... 25.66 Encounter (HDR CZ)
.... 25.67 FamilyMemberHistory (HDR CZ)
.... 25.68 Flag (HDR CZ)
.... 25.69 Immunization (HDR CZ)
.... 25.70 Immunization Recommendation (HDR CZ)
.... 25.71 Medical Device: Obligations
.... 25.72 Medication Administration: HDR (CZ)
.... 25.73 MedicationDispense (HDR)
.... 25.74 MedicationRequest (HDR CZ)
.... 25.75 Observation: Anthropometric Data (HDR CZ)
.... 25.76 Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference
.... 25.77 Observation: Anthropometric Data (HDR CZ) - BMI
.... 25.78 Observation: Anthropometric Data (HDR CZ) - Chest Circumference
.... 25.79 Observation: Anthropometric Data (HDR CZ) - Head Circumference
.... 25.80 Observation: Anthropometric Data (HDR CZ) - Height
.... 25.81 Observation: APGAR Score (CZ)
.... 25.82 Observation: APGAR Score at 1 Minute (CZ)
.... 25.83 Observation: APGAR Score at 10 Minutes (CZ)
.... 25.84 Observation: APGAR Score at 5 Minutes (CZ)
.... 25.85 Observation: Birth Length (CZ)
.... 25.86 Observation: Birth Weight (CZ)
.... 25.87 Observation: Fetal Presentation During Delivery (CZ)
.... 25.88 Observation: Infectious Contact (HDR CZ)
.... 25.89 Observation: Maternal - Gestational age at delivery (CZ)
.... 25.90 Observation: Maternal - Gravidity (CZ)
.... 25.91 Observation: Maternal - Multiple pregnancy and fetus count (CZ)
.... 25.92 Observation: Maternal - Parity (CZ)
.... 25.93 Observation: SDOH (HDR CZ)
.... 25.94 Observation: travel history (HDR CZ)
.... 25.95 Practitioner Role: Obligations
.... 25.96 Practitioner: Obligations
.... 25.97 Procedure (HDR CZ)
.... 25.98 Procedure: Maternal - Induction of labor (CZ)
.... 25.99 Procedure: Method of Delivery (CZ)
.... 25.100 Related Person: Obligations
.... 25.101 CZ Consent Category
.... 25.102 CZ Induction of Labor
.... 25.103 CZ Method of Delivery
.... 25.104 CZ Provision Code
.... 25.105 eHDSI Condition Present On Admission
.... 25.106 eHDSI Treatment Class
.... 25.107 Exposure of transmissible agents
.... 25.108 Temporary HDR Code System
.... 25.109 AdvanceDirectives CORE
.... 25.110 AdvanceDirectives DNR
.... 25.111 Allergy Information Unknown
.... 25.112 Allergy-Penicillin-Novakova-Jana
.... 25.113 AllergyIntolerance - cow's milk protein
.... 25.114 AllergyIntolerance - No Known Allergies
.... 25.115 AllergyIntolerance - Penicillin
.... 25.116 AllergyIntolerance - Strawberry
.... 25.117 AllergyIntolerance - Strawberry for patient Novak
.... 25.118 Ambulance interního lékařství, MUDr. Jiří Zdvořilý
.... 25.119 Cardiac Arrest Flag
.... 25.120 CarePlan-Novak-Petr
.... 25.121 Coverage-Novakova-Jana
.... 25.122 CRP - Novák Petr
.... 25.123 CZ-CarePlan-HDR Example
.... 25.124 CZ-Condition-HDR Angiodysplasia
.... 25.125 CZ-Condition-HDR Atrial Fibrillation
.... 25.126 CZ-Condition-HDR Example
.... 25.127 CZ-Condition-HDR Example 2
.... 25.128 CZ-Condition-HDR Example 3
.... 25.129 CZ-Condition-HDR Example E890 for patient Novak
.... 25.130 CZ-Condition-HDR Example K409
.... 25.131 CZ-Condition-HDR Hypercholesterolemia
.... 25.132 CZ-Condition-HDR Hypothyroidism
.... 25.133 CZ-Condition-HDR Iron Deficiency Anemia
.... 25.134 CZ-Condition-HDR Osteoporosis
.... 25.135 CZ-Condition-HDR Presbycusis
.... 25.136 CZ-Condition-HDR TIA
.... 25.137 CZ-Condition-HDR Varicose Veins
.... 25.138 CZ-Encounter-HDR L1 Example of encounter for Novak Petr
.... 25.139 CZ-Encounter-HDR Example
.... 25.140 CZ-Encounter-HDR Example of encounter for Novakova Jana
.... 25.141 CZ-Encounter-HDR Example of encounter with emergency priority
.... 25.142 CZ-Encounter-HDR Example of finished hospital encounter
.... 25.143 CZ-MedicationStatement-HDR Example of Atorvastatin
.... 25.144 CZ-MedicationStatement-HDR Example of Bisoprolol
.... 25.145 CZ-MedicationStatement-HDR Example of Calcium D3
.... 25.146 CZ-MedicationStatement-HDR Example of Euthyrox
.... 25.147 CZ-MedicationStatement-HDR Example of Ibalgin
.... 25.148 CZ-MedicationStatement-HDR Example of Iron Supplement
.... 25.149 CZ-MedicationStatement-HDR Example of Levothyroxine
.... 25.150 CZ-MedicationStatement-HDR Example of Paracetamol
.... 25.151 CZ-MedicationStatement-HDR Example of Rivaroxaban
.... 25.152 CZ-Procedure-HDR Example - Acute appendicitis
.... 25.153 CZ-Procedure-HDR Example - Appendectomy
.... 25.154 CZ-Procedure-HDR Example - Colonoscopy
.... 25.155 CZ-Procedure-HDR Example - Inguinal hernia
.... 25.156 CZ-Procedure-HDR Example - No known procedures
.... 25.157 CZ-Procedure-HDR Example - Pacemaker
.... 25.158 CZ-Procedure-HDR Example - Pacemaker 2
.... 25.159 CZObservationSdohHdrExample
.... 25.160 Device-Pacemaker
.... 25.161 Discharge Summary Document - Base64
.... 25.162 Discharge Summary Document - PDF
.... 25.163 DischargeBundle-Novak-Petr
.... 25.164 DischargeBundle-Novak-Petr-L1
.... 25.165 DischargeBundle-Novak-Petr-L1-core
.... 25.166 DischargeBundle-Novak-Petr-L1-plus
.... 25.167 DischargeBundle-Novak-Petr-Subsections
.... 25.168 DischargeBundle-Novakova-Jana-NaturalBirth
.... 25.169 Dispense – Euthyrox
.... 25.170 Dispense – Euthyrox for patient Novak
.... 25.171 Dispense – Ibalgin 400
.... 25.172 Dispense – Paracetamol
.... 25.173 Dosažený stupeň vzdělání
.... 25.174 Erytrocyty
.... 25.175 Example Czech Location
.... 25.176 ExampleAbdominalCircumference
.... 25.177 ExampleBloodPressure
.... 25.178 ExampleBMI
.... 25.179 ExampleChestCircumference
.... 25.180 ExampleHeadCircumference
.... 25.181 ExampleHeight
.... 25.182 ExampleSdohAlcohol
.... 25.183 ExampleSdohAlcoholSporadic
.... 25.184 ExampleSdohSmoking
.... 25.185 ExampleSdohSmokingEnded
.... 25.186 ExampleWeight
.... 25.187 Goal for Hernia Treatment
.... 25.188 Gynekologická propouštěcí zpráva - spontánní vaginální porod
.... 25.189 Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)
.... 25.190 GynNaturalBirth-Apgar1
.... 25.191 GynNaturalBirth-Apgar10
.... 25.192 GynNaturalBirth-Apgar5
.... 25.193 GynNaturalBirth-BirthLength
.... 25.194 GynNaturalBirth-BirthWeight
.... 25.195 GynNaturalBirth-DeliveryMethod
.... 25.196 GynNaturalBirth-FetalPresentation
.... 25.197 GynNaturalBirth-GestationalAgeAtDelivery
.... 25.198 GynNaturalBirth-Gravidity
.... 25.199 GynNaturalBirth-MultiplePregnancy
.... 25.200 GynNaturalBirth-Parity
.... 25.201 GynNaturalBirthJana-Apgar1
.... 25.202 GynNaturalBirthJana-Apgar10
.... 25.203 GynNaturalBirthJana-Apgar5
.... 25.204 GynNaturalBirthJana-BirthInjury
.... 25.205 GynNaturalBirthJana-BirthLength
.... 25.206 GynNaturalBirthJana-BirthOutcome
.... 25.207 GynNaturalBirthJana-BirthWeight
.... 25.208 GynNaturalBirthJana-DeliveryMethod
.... 25.209 GynNaturalBirthJana-FetalPresentation
.... 25.210 GynNaturalBirthJana-GestationalAgeAtDelivery
.... 25.211 GynNaturalBirthJana-Gravidity
.... 25.212 GynNaturalBirthJana-MultiplePregnancy
.... 25.213 GynNaturalBirthJana-Parity
.... 25.214 HDR - GYNPOR - Alergie na trávy, prach a pyl / Environmental allergies
.... 25.215 HDR - GYNPOR - Alergie na Zinnat / Zinnat allergy
.... 25.216 HDR - GYNPOR - APGAR v 1. minutě / APGAR at 1 minute
.... 25.217 HDR - GYNPOR - APGAR v 10. minutě / APGAR at 10 minutes
.... 25.218 HDR - GYNPOR - APGAR v 5. minutě / APGAR at 5 minutes
.... 25.219 HDR - GYNPOR - Dokumentový bundle gynekologické propouštěcí zprávy / Gynecology discharge report document bundle
.... 25.220 HDR - GYNPOR - Dopegyt 250 mg / Dopegyt 250 mg
.... 25.221 HDR - GYNPOR - Dopegyt při propuštění / Dopegyt at discharge
.... 25.222 HDR - GYNPOR - Fraxiparine 0,6 ml / Fraxiparine 0.6 ml
.... 25.223 HDR - GYNPOR - Fraxiparine při propuštění / Fraxiparine at discharge
.... 25.224 HDR - GYNPOR - Gestační diabetes mellitus / Gestational diabetes mellitus
.... 25.225 HDR - GYNPOR - Gestační hypertenze / Gestational hypertension
.... 25.226 HDR - GYNPOR - Gestační stáří při porodu / Gestational age at delivery
.... 25.227 HDR - GYNPOR - Gravidita IV / Gravidity IV
.... 25.228 HDR - GYNPOR - Gynekologická propouštěcí zpráva po porodu / Gynecology discharge report after delivery
.... 25.229 HDR - GYNPOR - Hospitalizace k porodu / Delivery hospitalization
.... 25.230 HDR - GYNPOR - Indukce porodu / Labor induction
.... 25.231 HDR - GYNPOR - Jediné živě narozené dítě / Single liveborn infant
.... 25.232 HDR - GYNPOR - Jednoplodové těhotenství / Singleton pregnancy
.... 25.233 HDR - GYNPOR - Krevní skupina / Blood group
.... 25.234 HDR - GYNPOR - Lidocaine EGIS / Lidocaine EGIS
.... 25.235 HDR - GYNPOR - Matka Petra Dvořáková / Mother Petra Dvorakova
.... 25.236 HDR - GYNPOR - Nemocnice Prostějov / Hospital
.... 25.237 HDR - GYNPOR - Novorozenec Jan Dvořák / Newborn Jan Dvorak
.... 25.238 HDR - GYNPOR - OFOST / OFOST
.... 25.239 HDR - GYNPOR - Parita II / Parity II
.... 25.240 HDR - GYNPOR - Podání Lidocaine EGISu / Lidocaine EGIS administration
.... 25.241 HDR - GYNPOR - Podání OFOSTu / OFOST administration
.... 25.242 HDR - GYNPOR - Podání Prostin E2 / Prostin E2 administration
.... 25.243 HDR - GYNPOR - Pojištění matky / Maternal coverage
.... 25.244 HDR - GYNPOR - Porodnický ultrazvuk / Obstetric ultrasound
.... 25.245 HDR - GYNPOR - Porodní délka / Birth length
.... 25.246 HDR - GYNPOR - Porodní hmotnost / Birth weight
.... 25.247 HDR - GYNPOR - Porodní oddělení Nemocnice Prostějov / Maternity department
.... 25.248 HDR - GYNPOR - Propouštějící lékař / Discharging practitioner
.... 25.249 HDR - GYNPOR - Prostin E2 / Prostin E2
.... 25.250 HDR - GYNPOR - Pupečník kolem krku / Cord around neck
.... 25.251 HDR - GYNPOR - Přijímající lékař / Admitting practitioner
.... 25.252 HDR - GYNPOR - Trhlina hráze I. stupně / First degree perineal tear
.... 25.253 HDR - GYNPOR - Ultrazvuk Samsung R7 / Samsung R7 ultrasound device
.... 25.254 HDR - GYNPOR - Vaginální porod / Vaginal delivery
.... 25.255 HDR - GYNPOR - Zdravotní pojišťovna 111 / Payer 111
.... 25.256 HDR - GYNPOR - Základní diagnóza porodu / Primary delivery diagnosis
.... 25.257 Hematokrit
.... 25.258 Hematologická laboratoř Brno
.... 25.259 Hemoglobin
.... 25.260 Immunization example of Covid
.... 25.261 Immunization recommendation example
.... 25.262 Infekční kontakt
.... 25.263 Koníčky
.... 25.264 Leukocyty
.... 25.265 Medication – Covid vaccine
.... 25.266 Medication – Ibalgin 400
.... 25.267 Medication – Paracetamol
.... 25.268 Medication-Fentanyl-Epidural
.... 25.269 Medication-Ropivacaine-Epidural
.... 25.270 MedicationStatement-Fentanyl-Epidural-Jana
.... 25.271 MedicationStatement-Ropivacaine-Epidural-Jana
.... 25.272 Mestska nemocnice Brno - areal
.... 25.273 Mracena2
.... 25.274 Observation - Travel History
.... 25.275 Organization-1
.... 25.276 Organization-Brno-Hospital
.... 25.277 Organization-Brno-Maternity
.... 25.278 Organization-L1
.... 25.279 Organization-L1-HOSP
.... 25.280 Organization-L1-Odd
.... 25.281 Organization-Payer-111
.... 25.282 Organization: Registering healthcare provider example
.... 25.283 Organization: Registering healthcare provider example gynecology
.... 25.284 Očkování Covid
.... 25.285 Panel krevního obrazu
.... 25.286 Patient - Mracena
.... 25.287 Patient-Novak-Jan-Newborn
.... 25.288 Patient-Novak-Petr
.... 25.289 Patient-Novak-Petr-L1
.... 25.290 Patient-Novakova-Jana
.... 25.291 Pfizer výrobce vakcíny
.... 25.292 Porodni oddeleni - pokoj 3
.... 25.293 Porodni oddeleni - pokoj 3 luzko 01
.... 25.294 Porodni oddeleni Brno
.... 25.295 Použití kardiostimulátoru
.... 25.296 Pracovní zapojení
.... 25.297 Practitioner Role for L1 documentr
.... 25.298 Practitioner-2
.... 25.299 Practitioner-Admitter
.... 25.300 Practitioner-Author
.... 25.301 Practitioner-Author-detail
.... 25.302 Practitioner-Author-L1
.... 25.303 Practitioner-L1
.... 25.304 Practitioner-Novakova-Jana-Author
.... 25.305 Practitioner-NovakovaJana-GP
.... 25.306 Practitioner-NovakovaJana-GYN
.... 25.307 Practitioner-Referrer
.... 25.308 Practitioner-Referrer-detail
.... 25.309 Practitioner-UZV
.... 25.310 PractitionerRole-NovakovaJana-GP
.... 25.311 PractitionerRole-NovakovaJana-GYN
.... 25.312 PractitionerRole1
.... 25.313 Propouštěcí zpráva
.... 25.314 Propouštěcí zpráva L1
.... 25.315 Propouštěcí zpráva pacienta Novák Petr
.... 25.316 Propouštěcí zpráva z nemocnice
.... 25.317 RelatedPerson-Novak-Petr-Husband
.... 25.318 Sample Czech Location 1
.... 25.319 Sample Czech Location 2
.... 25.320 Sample Czech Location 3
.... 25.321 Sample Czech Location 4
.... 25.322 Sample Czech Location Chrudim Chir1
.... 25.323 Sample Czech Location Chrudim JIP
.... 25.324 Signature of hospital discharge report for document
.... 25.325 Signature of image order
.... 25.326 Sociální síť
.... 25.327 Sova
.... 25.328 Sovak
.... 25.329 Společenské uplatnění
.... 25.330 Stav při propuštění
.... 25.331 Střední podvýživa
.... 25.332 Trombocyty
.... 25.333 UZV - Novák Petr
.... 25.334 Vzdělání
.... 25.335 Vzorek krve – EDTA
... 26 HospitalDischargeReport Relationships
... 27 Header Relationships
... 28 InPatientEncounter Relationships
... 29 AdmissionEvaluation Relationships
... 30 ObjectiveFindings Relationships
... 31 FunctionalStatus Relationships
... 32 HospitalStay Relationships
... 33 PatientHistory Relationships
... 34 Delivery Relationships
... 35 Alerts Relationships
... 36 AdvanceDirectives Relationships
... 37 PlanOfCare Relationships
... 38 MedicationSummary Relationships