HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build Czechia flag

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

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Official URL: https://hl7.cz/fhir/hdr/ImplementationGuide/hl7.fhir.cz.hdr Version: 0.0.2
Draft as of 2025-09-19 Computable Name: HL7CzHospitalDischargeIg

Introduction

Specify a set of rules that will be used for HL7 FHIR to define how to represent hospital discahrge messages in the Czech national context, in line with European eHN guidelines.

Its main objective is to define the content components and the preferred structure to be used to construct a hospital discharge report.The purpose of this standard is to define the representation of the discharge report as a patient's medical record for the purpose of electronic exchange of health information between individuals, healthcare providers and infrastructure in the Czech Republic.

This includes both jurisdictional and cross-border scenarios.

This guide does not describe how to exchange this message.

Information Models

Fig. 1: Hospital discharge report structure

Basic Sections of the Hospital Discharge Report

Section Cardinality Obligation Link
A.1 Header with Administrative Document Data 1..1 Mandatory Link
A.2 Document Content 1..1 Mandatory Link
A.2.1 Previously Expressed Wishes 0..1 Required Link
A.2.2 Urgent Information 1..1 Mandatory Link
A.2.3 Hospitalization Data 1..1 Mandatory Link
A.2.4 Reason for Admission 0..1 Required Link
A.2.5 Condition at Admission (Initial Examination) 0..1 Optional Link
A.2.6 Medical History 0..1 Optional Link
A.2.7 Course of Hospitalization 1..1 Mandatory Link
A.2.8 Condition at Discharge 1..1 Mandatory Link
A.2.9 Recommendations 0..1 Required Link
A.3 Presentation form 1..1 Mandatory [Link]
A.4 Attachments 0..1 Optional [Link]

Scope

This document presents Czech use concepts defined via FHIR processable artefacts; these are collaborative outputs with agreed approaches to varied kinds of healthcare related information based on the core FHIR R4 specification.

This guide is divided into several pages which are listed at the top of each page in the menu bar.

  • Home: This page provides the introduction and scope for this guide.
  • Artifacts: These page lists detailed descriptions and formal definitions for all the Czech HDR artifacts and logic model defined in this guide.

Dependencies

IGPackageFHIRComment
.. HL7 Czech Hospital Discharge Report Implementation Guidehl7.fhir.cz.hdr#0.0.2R4
... HL7 Terminology (THO)hl7.terminology.r4#6.5.0R4Automatically added as a dependency - all IGs depend on HL7 Terminology
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.2.0R4
... International Patient Summary Implementation Guidehl7.fhir.uv.ips#1.1.0R4
.... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
.... fhir.dicomfhir.dicom#2022.4.20221006R4
... HL7 Europe Extensionshl7.fhir.eu.extensions.r4#0.1.1-ballotR4
.... HL7 Terminology (THO)hl7.terminology.r4#6.2.0R4
.... HL7 Terminology (THO)hl7.terminology.r5#6.2.0R5
... HL7 Europe Laboratory Reporthl7.fhir.eu.laboratory#0.1.1R4
... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base#0.1.0-ballotR4
.... HL7 Terminology (THO)hl7.terminology.r4#6.3.0R4
... HL7 Europe Hospital Discharge Reporthl7.fhir.eu.hdr#0.1.0-ballotR4
.... HL7 Terminology (THO)hl7.terminology.r4#6.4.0R4
.... Medication Prescription and Dispense (MPD)ihe.pharm.mpd.r4#1.0.0-comment-2R4
... Medication Prescription and Dispense (MPD)ihe.pharm.mpd#1.0.0-comment-2R5
.... HL7 Terminology (THO)hl7.terminology.r5#6.3.0R5
... HL7 Czech Base and Core Implementation Guidehl7.fhir.cz.core#currentR4
.... HL7 Czech Terminology Implementation Guidehl7.fhir.cz.terminology#currentR4
... HL7 CZ Laboratory IGhl7.fhir.cz.lab#currentR4
.... HL7 Europe Laboratory Reporthl7.fhir.eu.laboratory#currentR4
..... HL7 Europe Extensionshl7.fhir.eu.extensions#currentR5
...... HL7 Terminology (THO)hl7.terminology.r5#6.5.0R5
..... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base#currentR4
... HL7 Czech Imaging Report IGhl7.fhir.cz.img#currentR4
.... HL7 Czech Imaging Order IGhl7.fhir.cz.img-order#currentR4
... FHIR Tooling Extensions IGhl7.fhir.uv.tools.r4#0.8.0R4for example references

Package hl7.fhir.uv.extensions.r4#5.2.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.ips#1.1.0

International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.eu.extensions.r4#0.1.1-ballot

This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.extensions#0.1.1-ballot

This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.laboratory#0.1.1

This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Mar 25, 2025 12:00+0100+01:00)

Package hl7.fhir.eu.base#0.1.0-ballot

This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, May 5, 2025 21:42+0200+02:00)

Package ihe.pharm.mpd.r4#1.0.0-comment-2

ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.hdr#0.1.0-ballot

This implementation guide specifies the Hospital Discharge Report in the European context, as defined in eHN Hospital Discharge Report guidelines. (built Tue, Jun 3, 2025 12:48+0200+02:00)

Package ihe.pharm.mpd#1.0.0-comment-2

ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.cz.terminology#current

HL7 Czech Terminology Implementation Guide (built Fri, Sep 12, 2025 21:03+0000+00:00)

Package hl7.fhir.cz.core#current

HL7 Czech Base and Core Resources Implementation Guide (built Fri, Aug 15, 2025 12:06+0000+00:00)

Package hl7.fhir.eu.extensions#current

This guide lists the extensions specified for the European REALM. (built Wed, Sep 10, 2025 13:42+0000+00:00)

Package hl7.fhir.eu.base#current

This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Fri, Sep 5, 2025 14:52+0000+00:00)

Package hl7.fhir.eu.laboratory#current

This guide describes how the Laboratory Report can be represented in the European REALM. (built Wed, Jul 2, 2025 14:40+0000+00:00)

Package hl7.fhir.cz.lab#current

Czech Laboratory Implementation Guide (built Fri, Aug 22, 2025 10:27+0000+00:00)

Package hl7.fhir.cz.img-order#current

HL7 Czech Imaging Order Implementation Guide (built Fri, Sep 12, 2025 08:01+0000+00:00)

Package hl7.fhir.cz.img#current

Czech Imaging Report Implementation Guide (built Fri, Sep 12, 2025 07:58+0000+00:00)

Package hl7.fhir.uv.tools.r4#0.8.0

This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Aug 5, 2025 20:09+1000+10:00)

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B} systems. Packages for both R4 (hl7.fhir.cz.hdr.r4) and R4B (hl7.fhir.cz.hdr.r4b) are available.

IP statements

This publication includes IP covered under the following statements.