HL7 Czech PS Implementation Guide
0.0.1 - ci-build
CZ
HL7 Czech PS Implementation Guide
0.0.1 - ci-build
CZ
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
Below is a browsable diagram showing how the Health Issues model is realized by the HL7 FHIR profiles defined in this guide. The mapping covers all aspects of health problems, procedures, medical devices, and functional status assessment.
| Health Issues (Logical Model) | Relationship | FHIR Target | ||||
|---|---|---|---|---|---|---|
| Source Element | Display | Equivalence | Target (Resource.Profile) | Target Element | Comments | |
| problems | A.2.4 - Current health problems | equivalent | (Composition.cz-composition-ps) | Composition.section:sectionProblems.entry | Maps to ofType(CZ_ConditionPs) | |
| procedure | A.2.4 - Procedures | equivalent | (Composition.cz-composition-ps) | Composition.section:sectionProceduresHx.entry | Maps to ofType(CZ_ProcedurePs) | |
| device | A.2.4 - Medical devices and implants | equivalent | (Composition.cz-composition-ps) | Composition.section:sectionMedicalDevices.entry | Maps to ofType(CZ_MedicalDevice) | |
| functionalStatus | A.2.4 - Functional status | equivalent | (Composition.cz-composition-ps) | Composition.section:sectionFunctionalStatus.entry | Maps to ofType(CZ_FunctionalStatusPs) | |
| Health Problems (Logical Model) | Relationship | FHIR Target | ||||
|---|---|---|---|---|---|---|
| Source Element | Display | Equivalence | Target (Resource.Profile) | Target Element | Comments | |
| problems.description | A.2.4.1.1 Problem description | equivalent | (Condition.cz-condition-ps) | Condition.code.text | ||
| problems.code | A.2.4.1.2 Code | equivalent | (Condition.cz-condition-ps) | Condition.code.coding | ||
| problems.onsetDate | A.2.4.1.3 Date of onset | equivalent | (Condition.cz-condition-ps) | Condition.onset | Mapped to dateTime | |
| problems.abatementDate | A.2.4.1.4 Date of resolution or remission | equivalent | (Condition.cz-condition-ps) | Condition.abatement | Mapped to dateTime. Problems with active clinical status SHALL NOT have this element populated. | |
| problems.abatementReason | A.2.4.1.5 Circumstances of resolution | equivalent | (Condition.cz-condition-ps) | Condition.note | Mapped to note[+].text | |
| problems.severity | A.2.4.1.6 Severity | equivalent | (Condition.cz-condition-ps) | Condition.severity | ||
| problems.stage | A.2.4.1.7 Disease stage | equivalent | (Condition.cz-condition-ps) | Condition.stage.summary | ||
| problems.verificationStatus | A.2.4.1.8 Verification status of diagnosis | equivalent | (Condition.cz-condition-ps) | Condition.verificationStatus | ||
| Procedures (Logical Model) | Relationship | FHIR Target | ||||
|---|---|---|---|---|---|---|
| Source Element | Display | Equivalence | Target (Resource.Profile) | Target Element | Comments | |
| procedure.code | A.2.4.2.1 Procedure code | equivalent | (Procedure.cz-procedure-ps) | Procedure.code.coding | ||
| procedure.description | A.2.4.2.2 Procedure description | equivalent | (Procedure.cz-procedure-ps) | Procedure.code.text | ||
| procedure.bodySite | A.2.4.2.3 Body site | equivalent | (Procedure.cz-procedure-ps) | Procedure.bodySite | ||
| procedure.performedDate | A.2.4.2.4 Date performed | equivalent | (Procedure.cz-procedure-ps) | Procedure.performed[] | Mapped to performedDateTime | |
| procedure.reasonCode | A.2.4.2.5 Reason | equivalent | (Procedure.cz-procedure-ps) | Procedure.reasonCode | ||
| procedure.outcome | A.2.4.2.6 Outcome | equivalent | (Procedure.cz-procedure-ps) | Procedure.outcome | ||
| procedure.complication | A.2.4.2.7 Complication | equivalent | (Procedure.cz-procedure-ps) | Procedure.complication | ||
| procedure.usedDevice | A.2.4.2.8 Target medical device | equivalent | (Procedure.cz-procedure-ps) | Procedure.focalDevice.manipulated | It 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 | equivalent | (Procedure.cz-procedure-ps) | Procedure.performedQuantity | ||
| Medical Devices (Logical Model) | Relationship | FHIR Target | ||||
|---|---|---|---|---|---|---|
| Element | Description | Relation | Resource/Profile | Element | Description | Notes |
| device.code | A.2.4.3.1 Medical device | equivalent | (Device.cz-medical-device) | Device.type | ||
| device.identifier | A.2.4.3.2 Device identifier | equivalent | (Device.cz-medical-device) | Device.udiCarrier | ||
| Device Use Statement (Logical Model) | Relationship | FHIR Target | ||||
|---|---|---|---|---|---|---|
| Element | Description | Relation | Resource/Profile | Element | Description | Notes |
| device.useStartDate | A.2.4.3.3 Implantation / start of use date | equivalent | (DeviceUseStatement.cz-deviceUseStatement-hdr) | DeviceUseStatement.timingPeriod.start | ||
| device.useEndDate | A.2.4.3.4 Explantation / end of use date | equivalent | (DeviceUseStatement.cz-deviceUseStatement-hdr) | DeviceUseStatement.timingPeriod.end | ||
| device.reasonCode | A.2.4.3.5 Reason | equivalent | (DeviceUseStatement.cz-deviceUseStatement-hdr) | DeviceUseStatement.reasonCode | ||
| device.reasonCode | A.2.4.3.5 Reason | equivalent | (DeviceUseStatement.cz-deviceUseStatement-hdr) | DeviceUseStatement.reasonReference | ||
| Functional Status (Logical Model) | Relationship | FHIR Target | ||||
|---|---|---|---|---|---|---|
| Element | Description | Relation | Resource/Profile | Element | Description | Notes |
| functionalStatus.effectiveDateTime | A.2.4.4.1 Date and time | equivalent | (Observation.cz-observation-ps) | Observation.effective[x] | Mapped to effectiveDateTime | |
| functionalStatus.performer | A.2.4.4.2 Assessed by | equivalent | (Observation.cz-observation-ps) | Observation.performer | ||
| functionalStatus.note | A.2.4.4.3 Description | equivalent | (Observation.cz-observation-ps) | Observation.value[x] | Mapped to valueString | |
| functionalStatus.assessment | A.2.4.4.4 Formal assessment | equivalent | (Observation.cz-observation-ps) | Observation.hasMember | Contains references to individual formalized functional status assessment Observations. | |
| functionalStatus.assessment.onsetDate | A.2.4.4.4.1 Date of onset | unmatched | (Observation.cz-observation-ps) | 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) | equivalent | (Observation.cz-observation-ps) | Observation.valueCodeableConcept.text | ||
| functionalStatus.assessment | A.2.4.4.4.3 Assessment description | equivalent | (Observation.cz-observation-ps) | Observation.code | ||
| functionalStatus.assessment.valueCodeableConcept | A.2.4.4.4.4 Assessment result (coded) | equivalent | (Observation.cz-observation-ps) | Observation.valueCodeableConcept.code | ||