LogHealthIssuesCzEn
type: StructureDefinition
node role: treeRoot
id:
  v: LogHealthIssuesCzEn
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition LogHealthIssuesCzEn Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> LogHealthIssuesCzEn 0..* Base A.2.4 Health Issues #xD; problems 1..* Base A.2.4.1 Current health problems #xD; description 1..1 string A.2.4.1.1 Problem description #xD; code 0..1 CodeableConcept A.2.4.1.2 Code #xD; onsetDate 1..1 date A.2.4.1.3 Date of onset #xD; abatementDate 0..1 date A.2.4.1.4 Date of resolution or remission #xD; abatementReason 0..1 string A.2.4.1.5 Circumstances of resolution #xD; severity 0..1 CodeableConcept A.2.4.1.6 Severity #xD; stage 0..* CodeableConcept A.2.4.1.7 Disease stage #xD; verificationStatus 0..1 CodeableConcept A.2.4.1.8 Diagnosis confirmation status #xD; procedure 1..* Base A.2.4.2 Procedures #xD; code 0..* CodeableConcept A.2.4.2.1 Procedure code #xD; description 1..1 string A.2.4.2.2 Procedure description #xD; bodySite 0..1 CodeableConcept A.2.4.2.3 Body site #xD; performedDate 1..1 date A.2.4.2.4 Date performed #xD; reasonCode 0..1 CodeableConcept A.2.4.2.5 Reason #xD; outcome 0..1 CodeableConcept A.2.4.2.6 Outcome #xD; complication 0..* CodeableConcept A.2.4.2.7 Complication #xD; usedDevice 0..1 Reference() A.2.4.2.8 Target medical device #xD; performedQuantity 0..1 integer A.2.4.2.9 Number of occurrences #xD; device 1..* Base A.2.4.3 Medical devices and implants #xD; code 1..1 CodeableConcept A.2.4.3.1 Medical device #xD; identifier 0..* Identifier A.2.4.3.2 Device identifier #xD; useStartDate 1..1 date A.2.4.3.3 Implantation / start of use date #xD; useEndDate 0..1 date A.2.4.3.4 Explantation / end of use date #xD; reasonCode 0..1 CodeableConcept A.2.4.3.5 Reason #xD; functionalStatus 0..1 Base A.2.4.4 Functional status #xD; effectiveDateTime 1..1 dateTime A.2.4.4.1 Date and time #xD; performer 0..* Practitioner A.2.4.4.2 Assessed by #xD; note 0..1 string A.2.4.4.3 Description #xD; assessment 0..* Base A.2.4.4.4 Formal assessment #xD; onsetDate 0..…
url:
  v: https://hl7.cz/fhir/ps/StructureDefinition/LogHealthIssuesCzEn
  l: LogHealthIssuesCzEn
version:
  v: 0.0.1
name:
  v: LogCzHealthIssuesEn
title:
  v: A.2.4 Health Issues
status:
  v: draft
date:
  v: 2025-12-29T14:27:43+00:00
publisher:
  v: HL7 Czech Republic
contact:
  name:
    v: HL7 Czech Republic
  telecom:
    system:
      v: url
    value:
      v: https://www.hl7.cz/
description:
  v: Logical model for health issues in the Patient Summary.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: CZ
    display:
      v: Czechia
fhir version:
  v: 4.0.1
kind:
  v: logical
abstract:
  v: false
type:
  v: https://hl7.cz/fhir/ps/StructureDefinition/LogHealthIssuesCzEn
  l: LogHealthIssuesCzEn
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  l: Base
derivation:
  v: specialization
snapshot:
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    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
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      v: A.2.4 Health Issues
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      v: LogHealthIssuesCzEn.problems
    path:
      v: LogHealthIssuesCzEn.problems
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      v: A.2.4.1 Current health problems
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      v: Nosological entities (diseases with defined or presumed etiology and pathophysiology), as well as clinical syndromes or other clinically significant conditions not yet classified.
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      v: A.2.4.1.1 Problem description
    definition:
      v: Health conditions affecting the patient that must be known to the healthcare professional. Free-text description.
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      v: LogHealthIssuesCzEn.problems.code
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      v: LogHealthIssuesCzEn.problems.code
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      v: A.2.4.1.2 Code
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      v: Formal coded representation of the health problem (classification).
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      v: LogHealthIssuesCzEn.problems.onsetDate
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      v: LogHealthIssuesCzEn.problems.onsetDate
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      v: A.2.4.1.3 Date of onset
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      v: Date of disease onset. Exact or approximate date.
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        l: date
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      v: LogHealthIssuesCzEn.problems.abatementDate
    path:
      v: LogHealthIssuesCzEn.problems.abatementDate
    short:
      v: A.2.4.1.4 Date of resolution or remission
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      v: Date when the problem was resolved or went into remission. Problems with an 'active' clinical status do not have this element populated.
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id:
  v: LogHealthIssuesCzEn.problems.abatementReason
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  v: LogHealthIssuesCzEn.problems.abatementReason
short:
  v: A.2.4.1.5 Circumstances of resolution
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  v: Reason why the problem status changed to inactive (e.g., surgical procedure, medical treatment). Used only if not documented elsewhere in the Patient Summary.
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id:
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  v: LogHealthIssuesCzEn.problems.severity
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  v: A.2.4.1.6 Severity
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id:
  v: LogHealthIssuesCzEn.problems.stage
path:
  v: LogHealthIssuesCzEn.problems.stage
short:
  v: A.2.4.1.7 Disease stage
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  v: Stage or grading of the disease expressed as text and/or code according to the selected scale (e.g., TNM, ICD-O).
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id:
  v: LogHealthIssuesCzEn.problems.verificationStatus
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  v: LogHealthIssuesCzEn.problems.verificationStatus
short:
  v: A.2.4.1.8 Diagnosis confirmation status
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  v: Status of diagnostic confirmation (e.g., suspected, provisional, confirmed).
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id:
  v: LogHealthIssuesCzEn.procedure
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  v: A.2.4.2 Procedures
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  v: Relevant therapeutic and diagnostic or diagnostic-therapeutic procedures with impact on current or future care.
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id:
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  v: A.2.4.2.1 Procedure code
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  v: Procedure code in the selected coding system.
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id:
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  v: A.2.4.2.2 Procedure description
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  v: Free-text description of the
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id:
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short:
  v: A.2.4.2.3 Body site
definition:
  v: Anatomical location and laterality of the procedure using controlled terminology.
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id:
  v: LogHealthIssuesCzEn.procedure.performedDate
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  v: LogHealthIssuesCzEn.procedure.performedDate
short:
  v: A.2.4.2.4 Date performed
definition:
  v: Date when the procedure was performed.
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id:
  v: LogHealthIssuesCzEn.procedure.reasonCode
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  v: LogHealthIssuesCzEn.procedure.reasonCode
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  v: A.2.4.2.5 Reason
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  v: Reason for performing the procedure, expressed as text or code.
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id:
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  v: A.2.4.2.6 Outcome
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  v: Formal coded representation of the procedure outcome.
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id:
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short:
  v: A.2.4.2.7 Complication
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  v: Complications associated with the procedure.
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id:
  v: LogHealthIssuesCzEn.procedure.usedDevice
path:
  v: LogHealthIssuesCzEn.procedure.usedDevice
short:
  v: A.2.4.2.8 Target medical device
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  v: Reference to a medical device that was implanted, removed, or otherwise manipulated during the procedure.
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id:
  v: LogHealthIssuesCzEn.procedure.performedQuantity
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  v: LogHealthIssuesCzEn.procedure.performedQuantity
short:
  v: A.2.4.2.9 Number of occurrences
definition:
  v: Number of times the procedure was performed.
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id:
  v: LogHealthIssuesCzEn.device
path:
  v: LogHealthIssuesCzEn.device
short:
  v: A.2.4.3 Medical devices and implants
definition:
  v: Implanted or external medical devices on which the patient depends or which significantly affect the health status.
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id:
  v: LogHealthIssuesCzEn.device.code
path:
  v: LogHealthIssuesCzEn.device.code
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  v: A.2.4.3.1 Medical device
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  v: Coded and/or textual description of the medical device (implanted or external).
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    v: CodeableConcept
    l: CodeableConcept

id:
  v: LogHealthIssuesCzEn.device.identifier
path:
  v: LogHealthIssuesCzEn.device.identifier
short:
  v: A.2.4.3.2 Device identifier
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  v: Normalized identifier (e.g., UDI) according to Regulation (EU) 2017/745.
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id:
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  v: LogHealthIssuesCzEn.device.useStartDate
short:
  v: A.2.4.3.3 Implantation / start of use date
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  v: Date of implantation or start of device use (exact or approximate).
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id:
  v: LogHealthIssuesCzEn.device.useEndDate
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  v: LogHealthIssuesCzEn.device.useEndDate
short:
  v: A.2.4.3.4 Explantation / end of use date
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  v: Date of explantation or end of device use (exact or approximate).
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id:
  v: LogHealthIssuesCzEn.device.reasonCode
path:
  v: LogHealthIssuesCzEn.device.reasonCode
short:
  v: A.2.4.3.5 Reason
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  v: Clinical reason for implantation or removal of the medical device (text and/or code).
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id:
  v: LogHealthIssuesCzEn.functionalStatus
path:
  v: LogHealthIssuesCzEn.functionalStatus
short:
  v: A.2.4.4 Functional status
definition:
  v: Assessment of the patient’s ability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL).
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id:
  v: LogHealthIssuesCzEn.functionalStatus.effectiveDateTime
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  v: LogHealthIssuesCzEn.functionalStatus.effectiveDateTime
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  v: A.2.4.4.1 Date and time
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  v: Date and time of the functional status assessment.
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type:
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    v: dateTime
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id:
  v: LogHealthIssuesCzEn.functionalStatus.performer
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  v: LogHealthIssuesCzEn.functionalStatus.performer
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  v: A.2.4.4.2 Assessed by
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  v: Person who performed the assessment or is the source of the information.
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id:
  v: LogHealthIssuesCzEn.functionalStatus.note
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  v: LogHealthIssuesCzEn.functionalStatus.note
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  v: A.2.4.4.3 Description
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  v: Free-text description of the patient’s functional status.
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id:
  v: LogHealthIssuesCzEn.functionalStatus.assessment
path:
  v: LogHealthIssuesCzEn.functionalStatus.assessment
short:
  v: A.2.4.4.4 Formal assessment
definition:
  v: Formalized functional status assessment according to a selected evaluation system (e.g., ICF).
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id:
  v: LogHealthIssuesCzEn.functionalStatus.assessment.onsetDate
path:
  v: LogHealthIssuesCzEn.functionalStatus.assessment.onsetDate
short:
  v: A.2.4.4.4.1 Date of onset
definition:
  v: Date when the functional limitation began.
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id:
  v: LogHealthIssuesCzEn.functionalStatus.assessment.valueText
path:
  v: LogHealthIssuesCzEn.functionalStatus.assessment.valueText
short:
  v: A.2.4.4.4.2 Assessment result (text)
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  v: Assessment result expressed as free text.
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id:
  v: LogHealthIssuesCzEn.functionalStatus.assessment.code
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  v: A.2.4.4.4.3 Assessment description
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  v: Assessment description including code (default system: ICF).
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id:
  v: LogHealthIssuesCzEn.functionalStatus.assessment.valueCodeableConcept
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  v: LogHealthIssuesCzEn.functionalStatus.assessment.valueCodeableConcept
short:
  v: A.2.4.4.4.4 Assessment result (coded)
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  v: Coded result of the functional status assessment.
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element:
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    v: LogHealthIssuesCzEn
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    v: LogHealthIssuesCzEn
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    v: A.2.4 Health Issues
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    v: Logical model for health issues in the Patient Summary.
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    v: LogHealthIssuesCzEn.problems
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    v: LogHealthIssuesCzEn.problems
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    v: A.2.4.1 Current health problems
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    v: Nosological entities (diseases with defined or presumed etiology and pathophysiology), as well as clinical syndromes or other clinically significant conditions not yet classified.
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    v: A.2.4.1.1 Problem description
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    v: Health conditions affecting the patient that must be known to the healthcare professional. Free-text description.
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    v: Formal coded representation of the health problem (classification).
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    v: LogHealthIssuesCzEn.problems.onsetDate
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    v: A.2.4.1.3 Date of onset
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    v: Date of disease onset. Exact or approximate date.
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