HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - 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 0.1.0 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 ImmunizationRecommendation (CZ HDR)
.... 25.71 Medical Device: Obligations
.... 25.72 MedicationDispense (HDR)
.... 25.73 MedicationRequest (HDR CZ)
.... 25.74 Observation: Anthropometric Data (HDR CZ)
.... 25.75 Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference
.... 25.76 Observation: Anthropometric Data (HDR CZ) - BMI
.... 25.77 Observation: Anthropometric Data (HDR CZ) - Chest Circumference
.... 25.78 Observation: Anthropometric Data (HDR CZ) - Head Circumference
.... 25.79 Observation: Anthropometric Data (HDR CZ) - Height
.... 25.80 Observation: APGAR Score (CZ)
.... 25.81 Observation: APGAR Score at 1 Minute (CZ)
.... 25.82 Observation: APGAR Score at 10 Minutes (CZ)
.... 25.83 Observation: APGAR Score at 5 Minutes (CZ)
.... 25.84 Observation: Birth Length (CZ)
.... 25.85 Observation: Birth Weight (CZ)
.... 25.86 Observation: Fetal Presentation During Delivery (CZ)
.... 25.87 Observation: Infectious Contact (HDR CZ)
.... 25.88 Observation: Maternal - Gestational age at delivery (CZ)
.... 25.89 Observation: Maternal - Gravidity (CZ)
.... 25.90 Observation: Maternal - Multiple pregnancy and fetus count (CZ)
.... 25.91 Observation: Maternal - Parity (CZ)
.... 25.92 Observation: SDOH (HDR CZ)
.... 25.93 Observation: travel history (HDR CZ)
.... 25.94 Practitioner Role: Obligations
.... 25.95 Practitioner: Obligations
.... 25.96 Procedure (HDR CZ)
.... 25.97 Procedure: Maternal - Induction of labor (CZ)
.... 25.98 Procedure: Method of Delivery (CZ)
.... 25.99 Related Person: Obligations
.... 25.100 CZ Consent Category
.... 25.101 CZ Induction of Labor
.... 25.102 CZ Method of Delivery
.... 25.103 CZ Provision Code
.... 25.104 eHDSI Condition Present On Admission
.... 25.105 eHDSI Treatment Class
.... 25.106 Exposure of transmissible agents
.... 25.107 Temporary HDR Code System
.... 25.108 AdvanceDirectives CORE
.... 25.109 AdvanceDirectives DNR
.... 25.110 Allergy Information Unknown
.... 25.111 Allergy-Penicillin-Novakova-Jana
.... 25.112 AllergyIntolerance - cow's milk protein
.... 25.113 AllergyIntolerance - No Known Allergies
.... 25.114 AllergyIntolerance - Penicillin
.... 25.115 AllergyIntolerance - Strawberry
.... 25.116 AllergyIntolerance - Strawberry
.... 25.117 Ambulance interního lékařství, MUDr. Jiří Zdvořilý
.... 25.118 Cardiac Arrest Flag
.... 25.119 CarePlan-Novak-Petr
.... 25.120 Coverage-Novakova-Jana
.... 25.121 CRP - Novák Petr
.... 25.122 CZ-CarePlan-HDR Example
.... 25.123 CZ-Condition-HDR Angiodysplasia
.... 25.124 CZ-Condition-HDR Atrial Fibrillation
.... 25.125 CZ-Condition-HDR Example
.... 25.126 CZ-Condition-HDR Example 2
.... 25.127 CZ-Condition-HDR Example 3
.... 25.128 CZ-Condition-HDR Example 3
.... 25.129 CZ-Condition-HDR Example K409
.... 25.130 CZ-Condition-HDR Hypercholesterolemia
.... 25.131 CZ-Condition-HDR Hypothyroidism
.... 25.132 CZ-Condition-HDR Iron Deficiency Anemia
.... 25.133 CZ-Condition-HDR Osteoporosis
.... 25.134 CZ-Condition-HDR Presbycusis
.... 25.135 CZ-Condition-HDR TIA
.... 25.136 CZ-Condition-HDR Varicose Veins
.... 25.137 CZ-Encounter-HDR L1 Example of encounter for Novak Petr
.... 25.138 CZ-Encounter-HDR Example
.... 25.139 CZ-Encounter-HDR Example of encounter for Novakova Jana
.... 25.140 CZ-Encounter-HDR Example of encounter with emergency priority
.... 25.141 CZ-Encounter-HDR Example of finished hospital encounter
.... 25.142 CZ-MedicationStatement-HDR Example of Atorvastatin
.... 25.143 CZ-MedicationStatement-HDR Example of Bisoprolol
.... 25.144 CZ-MedicationStatement-HDR Example of Calcium D3
.... 25.145 CZ-MedicationStatement-HDR Example of Euthyrox
.... 25.146 CZ-MedicationStatement-HDR Example of Ibalgin
.... 25.147 CZ-MedicationStatement-HDR Example of Iron Supplement
.... 25.148 CZ-MedicationStatement-HDR Example of Levothyroxine
.... 25.149 CZ-MedicationStatement-HDR Example of Paracetamol
.... 25.150 CZ-MedicationStatement-HDR Example of Rivaroxaban
.... 25.151 CZ-Procedure-HDR Example - Acute appendicitis
.... 25.152 CZ-Procedure-HDR Example - Appendectomy
.... 25.153 CZ-Procedure-HDR Example - Colonoscopy
.... 25.154 CZ-Procedure-HDR Example - Inguinal hernia
.... 25.155 CZ-Procedure-HDR Example - No known procedures
.... 25.156 CZ-Procedure-HDR Example - Pacemaker
.... 25.157 CZ-Procedure-HDR Example - Pacemaker
.... 25.158 CZObservationSdohHdrExample
.... 25.159 Device-Pacemaker
.... 25.160 Discharge Summary Document - Base64
.... 25.161 Discharge Summary Document - PDF
.... 25.162 DischargeBundle-Novak-Petr
.... 25.163 DischargeBundle-Novak-Petr-L1
.... 25.164 DischargeBundle-Novak-Petr-L1-core
.... 25.165 DischargeBundle-Novak-Petr-L1-plus
.... 25.166 DischargeBundle-Novak-Petr-Subsections
.... 25.167 DischargeBundle-Novakova-Jana-NaturalBirth
.... 25.168 Dispense – Euthyrox
.... 25.169 Dispense – Euthyrox
.... 25.170 Dispense – Ibalgin 400
.... 25.171 Dispense – Paracetamol
.... 25.172 Dosažený stupeň vzdělání
.... 25.173 Erytrocyty
.... 25.174 Example Czech Location
.... 25.175 ExampleAbdominalCircumference
.... 25.176 ExampleBloodPressure
.... 25.177 ExampleBMI
.... 25.178 ExampleChestCircumference
.... 25.179 ExampleHeadCircumference
.... 25.180 ExampleHeight
.... 25.181 ExampleSdohAlcohol
.... 25.182 ExampleSdohAlcoholSporadic
.... 25.183 ExampleSdohSmoking
.... 25.184 ExampleSdohSmokingEnded
.... 25.185 ExampleWeight
.... 25.186 Goal for Hernia Treatment
.... 25.187 Gynekologická propouštěcí zpráva - spontánní vaginální porod
.... 25.188 Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)
.... 25.189 GynNaturalBirth-Apgar1
.... 25.190 GynNaturalBirth-Apgar10
.... 25.191 GynNaturalBirth-Apgar5
.... 25.192 GynNaturalBirth-BirthLength
.... 25.193 GynNaturalBirth-BirthWeight
.... 25.194 GynNaturalBirth-DeliveryMethod
.... 25.195 GynNaturalBirth-FetalPresentation
.... 25.196 GynNaturalBirth-GestationalAgeAtDelivery
.... 25.197 GynNaturalBirth-Gravidity
.... 25.198 GynNaturalBirth-MultiplePregnancy
.... 25.199 GynNaturalBirth-Parity
.... 25.200 GynNaturalBirthJana-Apgar1
.... 25.201 GynNaturalBirthJana-Apgar10
.... 25.202 GynNaturalBirthJana-Apgar5
.... 25.203 GynNaturalBirthJana-BirthInjury
.... 25.204 GynNaturalBirthJana-BirthLength
.... 25.205 GynNaturalBirthJana-BirthOutcome
.... 25.206 GynNaturalBirthJana-BirthWeight
.... 25.207 GynNaturalBirthJana-DeliveryMethod
.... 25.208 GynNaturalBirthJana-FetalPresentation
.... 25.209 GynNaturalBirthJana-GestationalAgeAtDelivery
.... 25.210 GynNaturalBirthJana-Gravidity
.... 25.211 GynNaturalBirthJana-MultiplePregnancy
.... 25.212 GynNaturalBirthJana-Parity
.... 25.213 HDR - GYNPOR - Alergie na trávy, prach a pyl / Environmental allergies
.... 25.214 HDR - GYNPOR - Alergie na Zinnat / Zinnat allergy
.... 25.215 HDR - GYNPOR - APGAR v 1. minutě / APGAR at 1 minute
.... 25.216 HDR - GYNPOR - APGAR v 10. minutě / APGAR at 10 minutes
.... 25.217 HDR - GYNPOR - APGAR v 5. minutě / APGAR at 5 minutes
.... 25.218 HDR - GYNPOR - Dokumentový bundle gynekologické propouštěcí zprávy / Gynecology discharge report document bundle
.... 25.219 HDR - GYNPOR - Dopegyt 250 mg / Dopegyt 250 mg
.... 25.220 HDR - GYNPOR - Dopegyt při propuštění / Dopegyt at discharge
.... 25.221 HDR - GYNPOR - Fraxiparine 0,6 ml / Fraxiparine 0.6 ml
.... 25.222 HDR - GYNPOR - Fraxiparine při propuštění / Fraxiparine at discharge
.... 25.223 HDR - GYNPOR - Gestační diabetes mellitus / Gestational diabetes mellitus
.... 25.224 HDR - GYNPOR - Gestační hypertenze / Gestational hypertension
.... 25.225 HDR - GYNPOR - Gestační stáří při porodu / Gestational age at delivery
.... 25.226 HDR - GYNPOR - Gravidita IV / Gravidity IV
.... 25.227 HDR - GYNPOR - Gynekologická propouštěcí zpráva po porodu / Gynecology discharge report after delivery
.... 25.228 HDR - GYNPOR - Hospitalizace k porodu / Delivery hospitalization
.... 25.229 HDR - GYNPOR - Indukce porodu / Labor induction
.... 25.230 HDR - GYNPOR - Jediné živě narozené dítě / Single liveborn infant
.... 25.231 HDR - GYNPOR - Jednoplodové těhotenství / Singleton pregnancy
.... 25.232 HDR - GYNPOR - Krevní skupina / Blood group
.... 25.233 HDR - GYNPOR - Lidocaine EGIS / Lidocaine EGIS
.... 25.234 HDR - GYNPOR - Matka Petra Dvořáková / Mother Petra Dvorakova
.... 25.235 HDR - GYNPOR - Nemocnice Prostějov / Hospital
.... 25.236 HDR - GYNPOR - Novorozenec Jan Dvořák / Newborn Jan Dvorak
.... 25.237 HDR - GYNPOR - OFOST / OFOST
.... 25.238 HDR - GYNPOR - Parita II / Parity II
.... 25.239 HDR - GYNPOR - Pojištění matky / Maternal coverage
.... 25.240 HDR - GYNPOR - Porodnický ultrazvuk / Obstetric ultrasound
.... 25.241 HDR - GYNPOR - Porodní délka / Birth length
.... 25.242 HDR - GYNPOR - Porodní hmotnost / Birth weight
.... 25.243 HDR - GYNPOR - Porodní oddělení Nemocnice Prostějov / Maternity department
.... 25.244 HDR - GYNPOR - Propouštějící lékař / Discharging practitioner
.... 25.245 HDR - GYNPOR - Prostin E2 / Prostin E2
.... 25.246 HDR - GYNPOR - Pupečník kolem krku / Cord around neck
.... 25.247 HDR - GYNPOR - Přijímající lékař / Admitting practitioner
.... 25.248 HDR - GYNPOR - Trhlina hráze I. stupně / First degree perineal tear
.... 25.249 HDR - GYNPOR - Ultrazvuk Samsung R7 / Samsung R7 ultrasound device
.... 25.250 HDR - GYNPOR - Vaginální porod / Vaginal delivery
.... 25.251 HDR - GYNPOR - Zdravotní pojišťovna 111 / Payer 111
.... 25.252 HDR - GYNPOR - Základní diagnóza porodu / Primary delivery diagnosis
.... 25.253 Hematokrit
.... 25.254 Hematologická laboratoř Brno
.... 25.255 Hemoglobin
.... 25.256 Immunization example of Covid
.... 25.257 Immunization recommendation example
.... 25.258 Infekční kontakt
.... 25.259 Koníčky
.... 25.260 Leukocyty
.... 25.261 Medication – Covid vaccine
.... 25.262 Medication – Ibalgin 400
.... 25.263 Medication – Paracetamol
.... 25.264 Medication-Fentanyl-Epidural
.... 25.265 Medication-Ropivacaine-Epidural
.... 25.266 MedicationStatement-Fentanyl-Epidural-Jana
.... 25.267 MedicationStatement-Ropivacaine-Epidural-Jana
.... 25.268 Mestska nemocnice Brno - areal
.... 25.269 Mracena2
.... 25.270 Observation - Travel History
.... 25.271 Organization-1
.... 25.272 Organization-Brno-Hospital
.... 25.273 Organization-Brno-Maternity
.... 25.274 Organization-L1
.... 25.275 Organization-L1-HOSP
.... 25.276 Organization-L1-Odd
.... 25.277 Organization-Payer-111
.... 25.278 Organization: Registering healthcare provider example
.... 25.279 Organization: Registering healthcare provider example
.... 25.280 Očkování Covid
.... 25.281 Panel krevního obrazu
.... 25.282 Patient - Mracena
.... 25.283 Patient-Novak-Jan-Newborn
.... 25.284 Patient-Novak-Petr
.... 25.285 Patient-Novak-Petr-L1
.... 25.286 Patient-Novakova-Jana
.... 25.287 Pfizer výrobce vakcíny
.... 25.288 Porodni oddeleni - pokoj 3
.... 25.289 Porodni oddeleni - pokoj 3 luzko 01
.... 25.290 Porodni oddeleni Brno
.... 25.291 Použití kardiostimulátoru
.... 25.292 Pracovní zapojení
.... 25.293 Practitioner Role for L1 documentr
.... 25.294 Practitioner-2
.... 25.295 Practitioner-Admitter
.... 25.296 Practitioner-Author
.... 25.297 Practitioner-Author-detail
.... 25.298 Practitioner-Author-L1
.... 25.299 Practitioner-L1
.... 25.300 Practitioner-Novakova-Jana-Author
.... 25.301 Practitioner-NovakovaJana-GP
.... 25.302 Practitioner-NovakovaJana-GYN
.... 25.303 Practitioner-Referrer
.... 25.304 Practitioner-Referrer-detail
.... 25.305 Practitioner-UZV
.... 25.306 PractitionerRole-NovakovaJana-GP
.... 25.307 PractitionerRole-NovakovaJana-GYN
.... 25.308 PractitionerRole1
.... 25.309 Propouštěcí zpráva
.... 25.310 Propouštěcí zpráva
.... 25.311 Propouštěcí zpráva
.... 25.312 Propouštěcí zpráva z nemocnice
.... 25.313 RelatedPerson-Novak-Petr-Husband
.... 25.314 Sample Czech Location 1
.... 25.315 Sample Czech Location 2
.... 25.316 Sample Czech Location 2
.... 25.317 Sample Czech Location 2
.... 25.318 Sample Czech Location 3
.... 25.319 Sample Czech Location 4
.... 25.320 Signature of image order
.... 25.321 Signature of image order
.... 25.322 Sociální síť
.... 25.323 Sova
.... 25.324 Sovak
.... 25.325 Společenské uplatnění
.... 25.326 Stav při propuštění
.... 25.327 Střední podvýživa
.... 25.328 Trombocyty
.... 25.329 UZV - Novák Petr
.... 25.330 Vzdělání
.... 25.331 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