HL7 Czech Laboratory Order IG
0.0.1 - ci-build
HL7 Czech Laboratory Order IG
0.0.1 - ci-build
HL7 Czech Laboratory Order IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/lab-order/ and changes regularly. See the Directory of published versions
| Page standards status: Draft | Maturity Level: 1 |
Definitions for the ClinicalInformationCz logical model.
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalInformationCz | |
| Definition | Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results |
| Short | A.2.7 - Clinical information (anamnesis) |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. ClinicalInformationCz.clinicalInfoText | |
| Definition | Clinical information necessary for proper ordering or interpretation of results. |
| Short | A.2.7.1 - Clinical information in free text |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 4. ClinicalInformationCz.clinicalInfoFormalized | |
| Definition | Clinical information (medical history) formalized |
| Short | A.2.7.2 - Clinical information (medical history) formalized |
| Control | 0..1 |
| Type | CodeableConcept |
| 6. ClinicalInformationCz.description | |
| Definition | Diagnosis and other clinical information affecting the course or outcome of the examination.
|
| Short | A.2.7.3 - Description of the problem/diagnosis/condition |
| Control | 0..* |
| Type | CodeableConcept |
| 8. ClinicalInformationCz.medication | |
| Definition | A medication block containing information about medications that affect the course or result of the test or its interpretation.
|
| Short | A.2.7.4 - Medications |
| Control | 0..* |
| Type | CodeableConcept |
| 10. ClinicalInformationCz.vaccination | |
| Definition | Vaccinations |
| Short | A.2.7.5 - Vaccinations |
| Control | 0..* |
| Type | CodeableConcept |
| 12. ClinicalInformationCz.finding | |
| Definition | Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature) |
| Short | A.2.7.6 - Physical findings |
| Control | 0..* |
| Type | CodeableConcept |
| 14. ClinicalInformationCz.urgentInformation | |
| Definition | Urgent information block in the same structure as other document types (discharge report, patient summary) |
| Short | A.2.7.7 - Urgent information |
| Control | 0..1 |
| Type | Base |
| 16. ClinicalInformationCz.urgentInformation.allergies | |
| Definition | Allergies and intolerances that may affect order execution or interpretation of results |
| Short | A.2.7.7.1 - Allergies and intolerances |
| Control | 1..* |
| Type | CodeableConcept |
| 18. ClinicalInformationCz.urgentInformation.warnings | |
| Definition | Warnings and cautions that may affect order execution or interpretation of results |
| Short | A.2.7.7.2 - Warnings |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. ClinicalInformationCz.additionalData | |
| Definition | A.2.7.8 - Additional formalised data |
| Short | A.2.7.8 - Additional formalised data |
| Control | 0..1 |
| Type | Base |
| 22. ClinicalInformationCz.additionalData.date | |
| Definition | Date of discovery of the data, to be indicated if different from the date of the order. |
| Short | A.2.7.8.1 - Date |
| Control | 0..1 |
| Type | date |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 24. ClinicalInformationCz.additionalData.code | |
| Definition | Observation code identifying the significance of the data (height, weight, week of gestation, etc.)
|
| Short | A.2.7.8.2 - Code |
| Control | 1..1 |
| Type | CodeableConcept |
| 26. ClinicalInformationCz.additionalData.value | |
| Definition | Data value including unit of measurement. |
| Short | A.2.7.8.3 - Data value |
| Control | 0..1 |
| Type | Narrative |
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalInformationCz | |
| Definition | Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results |
| Short | A.2.7 - Clinical information (anamnesis) |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. ClinicalInformationCz.clinicalInfoText | |
| Definition | Clinical information necessary for proper ordering or interpretation of results. |
| Short | A.2.7.1 - Clinical information in free text |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 4. ClinicalInformationCz.clinicalInfoFormalized | |
| Definition | Clinical information (medical history) formalized |
| Short | A.2.7.2 - Clinical information (medical history) formalized |
| Control | 0..1 |
| Type | CodeableConcept |
| 6. ClinicalInformationCz.description | |
| Definition | Diagnosis and other clinical information affecting the course or outcome of the examination.
|
| Short | A.2.7.3 - Description of the problem/diagnosis/condition |
| Control | 0..* |
| Type | CodeableConcept |
| 8. ClinicalInformationCz.medication | |
| Definition | A medication block containing information about medications that affect the course or result of the test or its interpretation.
|
| Short | A.2.7.4 - Medications |
| Control | 0..* |
| Type | CodeableConcept |
| 10. ClinicalInformationCz.vaccination | |
| Definition | Vaccinations |
| Short | A.2.7.5 - Vaccinations |
| Control | 0..* |
| Type | CodeableConcept |
| 12. ClinicalInformationCz.finding | |
| Definition | Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature) |
| Short | A.2.7.6 - Physical findings |
| Control | 0..* |
| Type | CodeableConcept |
| 14. ClinicalInformationCz.urgentInformation | |
| Definition | Urgent information block in the same structure as other document types (discharge report, patient summary) |
| Short | A.2.7.7 - Urgent information |
| Control | 0..1 |
| Type | Base |
| 16. ClinicalInformationCz.urgentInformation.allergies | |
| Definition | Allergies and intolerances that may affect order execution or interpretation of results |
| Short | A.2.7.7.1 - Allergies and intolerances |
| Control | 1..* |
| Type | CodeableConcept |
| 18. ClinicalInformationCz.urgentInformation.warnings | |
| Definition | Warnings and cautions that may affect order execution or interpretation of results |
| Short | A.2.7.7.2 - Warnings |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. ClinicalInformationCz.additionalData | |
| Definition | A.2.7.8 - Additional formalised data |
| Short | A.2.7.8 - Additional formalised data |
| Control | 0..1 |
| Type | Base |
| 22. ClinicalInformationCz.additionalData.date | |
| Definition | Date of discovery of the data, to be indicated if different from the date of the order. |
| Short | A.2.7.8.1 - Date |
| Control | 0..1 |
| Type | date |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 24. ClinicalInformationCz.additionalData.code | |
| Definition | Observation code identifying the significance of the data (height, weight, week of gestation, etc.)
|
| Short | A.2.7.8.2 - Code |
| Control | 1..1 |
| Type | CodeableConcept |
| 26. ClinicalInformationCz.additionalData.value | |
| Definition | Data value including unit of measurement. |
| Short | A.2.7.8.3 - Data value |
| Control | 0..1 |
| Type | Narrative |
Guidance on how to interpret the contents of this table can be foundhere
| 0. ClinicalInformationCz | |
| Definition | Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results |
| Short | A.2.7 - Clinical information (anamnesis) |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. ClinicalInformationCz.clinicalInfoText | |
| Definition | Clinical information necessary for proper ordering or interpretation of results. |
| Short | A.2.7.1 - Clinical information in free text |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 4. ClinicalInformationCz.clinicalInfoFormalized | |
| Definition | Clinical information (medical history) formalized |
| Short | A.2.7.2 - Clinical information (medical history) formalized |
| Control | 0..1 |
| Type | CodeableConcept |
| 6. ClinicalInformationCz.description | |
| Definition | Diagnosis and other clinical information affecting the course or outcome of the examination.
|
| Short | A.2.7.3 - Description of the problem/diagnosis/condition |
| Control | 0..* |
| Type | CodeableConcept |
| 8. ClinicalInformationCz.medication | |
| Definition | A medication block containing information about medications that affect the course or result of the test or its interpretation.
|
| Short | A.2.7.4 - Medications |
| Control | 0..* |
| Type | CodeableConcept |
| 10. ClinicalInformationCz.vaccination | |
| Definition | Vaccinations |
| Short | A.2.7.5 - Vaccinations |
| Control | 0..* |
| Type | CodeableConcept |
| 12. ClinicalInformationCz.finding | |
| Definition | Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature) |
| Short | A.2.7.6 - Physical findings |
| Control | 0..* |
| Type | CodeableConcept |
| 14. ClinicalInformationCz.urgentInformation | |
| Definition | Urgent information block in the same structure as other document types (discharge report, patient summary) |
| Short | A.2.7.7 - Urgent information |
| Control | 0..1 |
| Type | Base |
| 16. ClinicalInformationCz.urgentInformation.allergies | |
| Definition | Allergies and intolerances that may affect order execution or interpretation of results |
| Short | A.2.7.7.1 - Allergies and intolerances |
| Control | 1..* |
| Type | CodeableConcept |
| 18. ClinicalInformationCz.urgentInformation.warnings | |
| Definition | Warnings and cautions that may affect order execution or interpretation of results |
| Short | A.2.7.7.2 - Warnings |
| Control | 0..* |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. ClinicalInformationCz.additionalData | |
| Definition | A.2.7.8 - Additional formalised data |
| Short | A.2.7.8 - Additional formalised data |
| Control | 0..1 |
| Type | Base |
| 22. ClinicalInformationCz.additionalData.date | |
| Definition | Date of discovery of the data, to be indicated if different from the date of the order. |
| Short | A.2.7.8.1 - Date |
| Control | 0..1 |
| Type | date |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 24. ClinicalInformationCz.additionalData.code | |
| Definition | Observation code identifying the significance of the data (height, weight, week of gestation, etc.)
|
| Short | A.2.7.8.2 - Code |
| Control | 1..1 |
| Type | CodeableConcept |
| 26. ClinicalInformationCz.additionalData.value | |
| Definition | Data value including unit of measurement. |
| Short | A.2.7.8.3 - Data value |
| Control | 0..1 |
| Type | Narrative |