HL7 Czech PS Implementation Guide
0.0.1 - ci-build Czechia flag

HL7 Czech PS Implementation Guide, 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/ps/ and changes regularly. See the Directory of published versions

ConceptMap: ConceptMap: Health Issues to FHIR Patient Summary (CZ) (Experimental)

Official URL: https://hl7.cz/fhir/ps/ConceptMap/healthIssues2FHIR-cz-ps Version: 0.0.1
Draft as of 2025-12-29 Computable Name: HealthIssues2FHIRCzPs

PS Health Issues Model to this guide mapping

Mapping from (not specified) to (not specified)


Group 1 Mapping from A.2.4 Health Issues to Composition (CZ PS)

Source CodeRelationshipTarget Code
problems (A.2.4 - Current health problems)is equivalent toComposition.section:sectionProblems.entry (Composition.section:sectionProblems.entry.ofType(CZ_ConditionPs))
procedure (A.2.4 - Procedures)is equivalent toComposition.section:sectionProceduresHx.entry (Composition.section:sectionProceduresHx.entry.ofType(CZ_ProcedurePs))
device (A.2.4 - Medical devices and implants)is equivalent toComposition.section:sectionMedicalDevices.entry (Composition.section:sectionMedicalDevices.entry.ofType(CZ_MedicalDevice))
functionalStatus (A.2.4 - Functional status)is equivalent toComposition.section:sectionFunctionalStatus.entry (Composition.section:sectionFunctionalStatus.entry.ofType(CZ_FunctionalStatusPs))

Group 2 Mapping from A.2.4 Health Issues to Condition (CZ PS)

Source CodeRelationshipTarget CodeComment
problems.description (A.2.4.1.1 Problem description)is equivalent toCondition.code.text
problems.code (A.2.4.1.2 Code)is equivalent toCondition.code.coding
problems.onsetDate (A.2.4.1.3 Date of onset)is equivalent toCondition.onset (Condition.onset dateTime)
problems.abatementDate (A.2.4.1.4 Date of resolution or remission)is equivalent toCondition.abatement (Condition.abatement dateTime)Problems with an active clinical status SHALL NOT have this element populated.
problems.abatementReason (A.2.4.1.5 Circumstances of resolution)is equivalent toCondition.note (Condition.note[+].text)
problems.severity (A.2.4.1.6 Severity)is equivalent toCondition.severity
problems.stage (A.2.4.1.7 Disease stage)is equivalent toCondition.stage.summary
problems.verificationStatus (A.2.4.1.7 Disease stage)is equivalent toCondition.verificationStatus

Group 3 Mapping from A.2.4 Health Issues to Procedure (CZ PS)

Source CodeRelationshipTarget CodeComment
procedure.code (A.2.4.2.1 Procedure code)is equivalent toProcedure.code.coding
procedure.description (A.2.4.2.2 Procedure description)is equivalent toProcedure.code.text
procedure.bodySite (A.2.4.2.3 Body site)is equivalent toProcedure.bodySite
procedure.performedDate (A.2.4.2.4 Date performed)is equivalent toProcedure.performed[] (Procedure.performedDateTime)
procedure.reasonCode (A.2.4.2.5 Reason)is equivalent toProcedure.reasonCode
procedure.outcome (A.2.4.2.6 Outcome)is equivalent toProcedure.outcome
procedure.complication (A.2.4.2.7 Complication)is equivalent toProcedure.complication
procedure.usedDevice (A.2.4.2.8 Target medical device)is equivalent toProcedure.focalDevice.manipulatedIt is RECOMMENDED to also populate Procedure.focalDevice.action to specify the type of device manipulation.
procedure.performedQuantity (A.2.4.2.9 Number of occurrences)is equivalent toProcedure.performedQuantity

Group 4 Mapping from A.2.4 Health Issues to Medical Device (CZ)

Source CodeRelationshipTarget Code
device.code (A.2.4.3.1 Medical device)is equivalent toDevice.type
device.identifier (A.2.4.3.2 Device identifier)is equivalent toDevice.udiCarrier

Group 5 Mapping from A.2.4 Health Issues to DeviceUseStatement (HDR)

Source CodeRelationshipTarget Code
device.useStartDate (A.2.4.3.3 Implantation / start of use date)is equivalent toDeviceUseStatement.timingPeriod.start
device.useEndDate (A.2.4.3.4 Explantation / end of use date)is equivalent toDeviceUseStatement.timingPeriod.end
device.reasonCode (A.2.4.3.5 Reason)is equivalent toDeviceUseStatement.reasonCode
device.reasonCode (A.2.4.3.5 Reason)is equivalent toDeviceUseStatement.reasonReference

Group 6 Mapping from A.2.4 Health Issues to Observation (CZ PS)

Source CodeRelationshipTarget CodeComment
functionalStatus.effectiveDateTime (A.2.4.4.1 Date and time)is equivalent toObservation.effective[x] (Observation.effectiveDateTime)
functionalStatus.performer (A.2.4.4.2 Assessed by)is equivalent toObservation.perform
functionalStatus.note (A.2.4.4.3 Description)is equivalent toObservation.value[x] (Observation.valueString)
functionalStatus.assessment (A.2.4.4.4 Formal assessment)is equivalent toObservation.hasMemberContains references to individual formalized functional status assessment Observations.
functionalStatus.assessment.onsetDate (A.2.4.4.4.1 Date of onset)(not mapped)The onset date of functional limitation is currently not mapped in the CZ Patient Summary. This decision reflects the absence of harmonized guidance in the European Patient Summary Implementation Guide. The mapping will be revisited once a standardized approach is defined at the European level.
functionalStatus.assessment.valueText (A.2.4.4.4.2 Assessment result (text))is equivalent toObservation.valueCodeableConcept.text
functionalStatus.assessment (A.2.4.4.4.3 Assessment description)is equivalent toObservation.code
functionalStatus.assessment.valueCodeableConcept (A.2.4.4.4.4 Assessment result (coded))is equivalent toObservation.valueCodeableConcept.code