| Package | hl7.fhir.cz.hdr |
| Type | StructureDefinition |
| Id | AlertsCz |
| FHIR Version | R4 |
| Source | https://hl7.cz/fhir/hdr/https://build.fhir.org/ig/HL7-cz/hdr/StructureDefinition-AlertsCz.html |
| URL | https://hl7.cz/fhir/hdr/StructureDefinition/AlertsCz |
| Version | 0.0.2 |
| Status | draft |
| Date | 2025-07-18T09:03:32+00:00 |
| Name | AlertsEhnCz |
| Title | A.2.2 - Alerts (eHN) |
| Realm | cz |
| Authority | hl7 |
| Description | Hospital Discharge Report - Alerts - A.2.2 eHN |
| Type | https://hl7.cz/fhir/hdr/StructureDefinition/AlertsCz |
| Kind | logical |
| ConceptMap | |
| alerts2FHIR-cz-hdr | CZ Alerts Model to this guide Map |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition AlertsCz
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  AlertsCz | 0..* | Base | A.2.2 - Alerts (eHN) | |
  allergy | 1..* | BackboneElement | A.2.2.1 - Allergy and Intolerance | |
  description | 0..1 | string | A.2.2.1.1 - Allergy description | |
| agent | 1..1 | CodeableConcept | A.2.2.1.2 - Agent or Allergen | |
| typeOfPropensity | 0..1 | CodeableConcept | A.2.2.1.3 - Type of propensity | |
| manifestation | 0..* | CodeableConcept | A.2.2.1.4 - Allergy manifestation | |
| criticality | 0..1 | CodeableConcept | A.2.2.1.5 - Criticality | |
| onsetDate | 0..1 | BackboneElement | A.2.2.1.6 - Onset date | |
| date | 0..1 | dateTime | Onset date | |
 code | 0..1 | CodeableConcept | Onset date (code) | |
| endDate | 0..1 | BackboneElement | A.2.2.1.7 - End date | |
| date | 0..1 | dateTime | End date | |
| code | 0..1 | CodeableConcept | End date (code) | |
| status | 0..1 | CodeableConcept | A.2.2.1.8 - Status | |
| certainty | 0..1 | CodeableConcept | A.2.2.1.9 - Certainty | |
| lastOccurrence | 0..1 | dateTime | A.2.2.1.10 - Last Occurrence | |
| medicalAlerts | 0..* | BackboneElement | A.2.2.2 - Medical alerts (relevant for the respective hospital stay) | |
 description | 0..1 | CodeableConcept | A.2.2.2.1 - Healthcare alert description | |
| code | 0..1 | CodeableConcept | A.2.2.2.3 - Code | |
| specialistPhysician | 0..1 | BackboneElement | A.2.2.2.4 - Specialist physician | |
| comment | 0..1 | string | A.2.2.2.5 - Comment | |
| priority | 0..1 | CodeableConcept | A.2.2.2.6 - Priority | |
| period | 0..1 | BackboneElement | A.2.2.2.7 - Period | |
| Documentation for this format | ||||
FHIR{
"resourceType": "StructureDefinition",
"id": "AlertsCz",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://hl7.cz/fhir/hdr/StructureDefinition/AlertsCz",
"version": "0.0.2",
"name": "AlertsEhnCz",
"title": "A.2.2 - Alerts (eHN)",
"status": "draft",
"date": "2025-07-18T09:03:32+00:00",
"publisher": "HL7 Czech Republic",
"contact": [
{
"name": "HL7 Czech Republic",
"telecom": [
{
"system": "url",
"value": "https://www.hl7.cz/"
}
]
}
],
"description": "Hospital Discharge Report - Alerts - A.2.2 eHN",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "203",
"display": "Czech Republic (CZE)"
}
]
}
],
"fhirVersion": "4.0.1",
"kind": "logical",
"abstract": false,
"type": "https://hl7.cz/fhir/hdr/StructureDefinition/AlertsCz",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "AlertsCz",
"path": "AlertsCz",
"short": "A.2.2 - Alerts (eHN)",
"definition": "Hospital Discharge Report - Alerts - A.2.2 eHN",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "AlertsCz.allergy",
"path": "AlertsCz.allergy",
"short": "A.2.2.1 - Allergy and Intolerance",
"definition": "A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).",
"min": 1,
"max": "*",
"base": {
"path": "AlertsCz.allergy",
"min": 1,
"max": "*"
},
"type": [
{
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}
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{
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"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "AlertsCz.allergy.id",
"path": "AlertsCz.allergy.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
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{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
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],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "AlertsCz.allergy.extension",
"path": "AlertsCz.allergy.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
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"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
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"min": 0,
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{
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{
"key": "ele-1",
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"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
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],
"isModifier": false,
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"mapping": [
{
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},
{
"id": "AlertsCz.allergy.modifierExtension",
"path": "AlertsCz.allergy.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
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],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
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],
"isModifier": true,
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"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "AlertsCz.allergy.description",
"path": "AlertsCz.allergy.description",
"short": "A.2.2.1.1 - Allergy description",
"definition": "Textual description of the allergy or intolerance",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.description",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "AlertsCz.allergy.agent",
"path": "AlertsCz.allergy.agent",
"short": "A.2.2.1.2 - Agent or Allergen",
"definition": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.",
"min": 1,
"max": "1",
"base": {
"path": "AlertsCz.allergy.agent",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.typeOfPropensity",
"path": "AlertsCz.allergy.typeOfPropensity",
"short": "A.2.2.1.3 - Type of propensity",
"definition": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.typeOfPropensity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.manifestation",
"path": "AlertsCz.allergy.manifestation",
"short": "A.2.2.1.4 - Allergy manifestation",
"definition": "Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided.",
"min": 0,
"max": "*",
"base": {
"path": "AlertsCz.allergy.manifestation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.criticality",
"path": "AlertsCz.allergy.criticality",
"short": "A.2.2.1.5 - Criticality",
"definition": "Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.criticality",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.onsetDate",
"path": "AlertsCz.allergy.onsetDate",
"short": "A.2.2.1.6 - Onset date",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence).",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.onsetDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "AlertsCz.allergy.onsetDate.id",
"path": "AlertsCz.allergy.onsetDate.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
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]
},
{
"id": "AlertsCz.allergy.onsetDate.extension",
"path": "AlertsCz.allergy.onsetDate.extension",
"slicing": {
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{
"type": "value",
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],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
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"min": 0,
"max": "*",
"base": {
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"min": 0,
"max": "*"
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"type": [
{
"code": "Extension"
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],
"constraint": [
{
"key": "ele-1",
"severity": "error",
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{
"key": "ext-1",
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"mapping": [
{
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},
{
"id": "AlertsCz.allergy.onsetDate.modifierExtension",
"path": "AlertsCz.allergy.onsetDate.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
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"modifiers"
],
"min": 0,
"max": "*",
"base": {
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"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
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],
"constraint": [
{
"key": "ele-1",
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},
{
"key": "ext-1",
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}
],
"isModifier": true,
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"isSummary": true,
"mapping": [
{
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}
]
},
{
"id": "AlertsCz.allergy.onsetDate.date",
"path": "AlertsCz.allergy.onsetDate.date",
"short": "Onset date",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date.",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.onsetDate.date",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "AlertsCz.allergy.onsetDate.code",
"path": "AlertsCz.allergy.onsetDate.code",
"short": "Onset date (code)",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.onsetDate.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.endDate",
"path": "AlertsCz.allergy.endDate",
"short": "A.2.2.1.7 - End date",
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.endDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "AlertsCz.allergy.endDate.id",
"path": "AlertsCz.allergy.endDate.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "AlertsCz.allergy.endDate.extension",
"path": "AlertsCz.allergy.endDate.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "AlertsCz.allergy.endDate.modifierExtension",
"path": "AlertsCz.allergy.endDate.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "AlertsCz.allergy.endDate.date",
"path": "AlertsCz.allergy.endDate.date",
"short": "End date",
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.endDate.date",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "AlertsCz.allergy.endDate.code",
"path": "AlertsCz.allergy.endDate.code",
"short": "End date (code)",
"definition": "Date of resolution of the allergy expressed by code (e.g. age group)",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.endDate.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.status",
"path": "AlertsCz.allergy.status",
"short": "A.2.2.1.8 - Status",
"definition": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.certainty",
"path": "AlertsCz.allergy.certainty",
"short": "A.2.2.1.9 - Certainty",
"definition": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.certainty",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.lastOccurrence",
"path": "AlertsCz.allergy.lastOccurrence",
"short": "A.2.2.1.10 - Last Occurrence",
"definition": "A.2.2.1.10 - Last Occurrence",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.allergy.lastOccurrence",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "AlertsCz.medicalAlerts",
"path": "AlertsCz.medicalAlerts",
"short": "A.2.2.2 - Medical alerts (relevant for the respective hospital stay)",
"definition": "Medical alerts (relevant for the respective hospital stay)",
"min": 0,
"max": "*",
"base": {
"path": "AlertsCz.medicalAlerts",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "AlertsCz.medicalAlerts.id",
"path": "AlertsCz.medicalAlerts.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "AlertsCz.medicalAlerts.extension",
"path": "AlertsCz.medicalAlerts.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "AlertsCz.medicalAlerts.modifierExtension",
"path": "AlertsCz.medicalAlerts.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "AlertsCz.medicalAlerts.description",
"path": "AlertsCz.medicalAlerts.description",
"short": "A.2.2.2.1 - Healthcare alert description",
"definition": "A warning, other than included in allergies.\nThe warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text.\nAny clinical information that is imperative to know so that the life or health of the patient does not come under threat.\nExample 1: the patient has a rare disease that requires special treatment\nExample 2: Airway Alert / Difficult Intubation\nExample 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices.\nExample 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact.\nExample 5: participation in a clinical trial that has to be taken into account in a healthcare contact.",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.medicalAlerts.description",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.medicalAlerts.code",
"path": "AlertsCz.medicalAlerts.code",
"short": "A.2.2.2.3 - Code",
"definition": "A.2.2.2.3 - Code",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.medicalAlerts.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.medicalAlerts.specialistPhysician",
"path": "AlertsCz.medicalAlerts.specialistPhysician",
"short": "A.2.2.2.4 - Specialist physician",
"definition": "A.2.2.2.4 - Specialist physician",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.medicalAlerts.specialistPhysician",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "AlertsCz.medicalAlerts.comment",
"path": "AlertsCz.medicalAlerts.comment",
"short": "A.2.2.2.5 - Comment",
"definition": "A.2.2.2.5 - Comment",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.medicalAlerts.comment",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "AlertsCz.medicalAlerts.priority",
"path": "AlertsCz.medicalAlerts.priority",
"short": "A.2.2.2.6 - Priority",
"definition": "A.2.2.2.6 - Priority",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.medicalAlerts.priority",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.medicalAlerts.period",
"path": "AlertsCz.medicalAlerts.period",
"short": "A.2.2.2.7 - Period",
"definition": "A.2.2.2.7 - Period",
"min": 0,
"max": "1",
"base": {
"path": "AlertsCz.medicalAlerts.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
]
}
]
},
"differential": {
"element": [
{
"id": "AlertsCz",
"path": "AlertsCz",
"short": "A.2.2 - Alerts (eHN)",
"definition": "Hospital Discharge Report - Alerts - A.2.2 eHN"
},
{
"id": "AlertsCz.allergy",
"path": "AlertsCz.allergy",
"short": "A.2.2.1 - Allergy and Intolerance",
"definition": "A record of allergies and intolerances (primarily to be used for new allergies or intolerances that occurred during the hospital stay).",
"min": 1,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "AlertsCz.allergy.description",
"path": "AlertsCz.allergy.description",
"short": "A.2.2.1.1 - Allergy description",
"definition": "Textual description of the allergy or intolerance",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "AlertsCz.allergy.agent",
"path": "AlertsCz.allergy.agent",
"short": "A.2.2.1.2 - Agent or Allergen",
"definition": "A specific allergen or other agent/substance (drug, food, chemical agent, etc.) to which the patient has an adverse reaction propensity.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.typeOfPropensity",
"path": "AlertsCz.allergy.typeOfPropensity",
"short": "A.2.2.1.3 - Type of propensity",
"definition": "This element describes whether this condition refers to an allergy, non-allergy intolerance, or unknown class of intolerance (not known to be allergy or intolerance)",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.manifestation",
"path": "AlertsCz.allergy.manifestation",
"short": "A.2.2.1.4 - Allergy manifestation",
"definition": "Description of the clinical manifestation of the allergic reaction including date of manifestation and severity. Example: anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction). Multiple manifestations could be provided.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.criticality",
"path": "AlertsCz.allergy.criticality",
"short": "A.2.2.1.5 - Criticality",
"definition": "Potential risk for future life-threatening adverse reactions when exposed to a substance known to cause an adverse reaction.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.onsetDate",
"path": "AlertsCz.allergy.onsetDate",
"short": "A.2.2.1.6 - Onset date",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date, partial date or life period (childhood, adolescence).",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "AlertsCz.allergy.onsetDate.date",
"path": "AlertsCz.allergy.onsetDate.date",
"short": "Onset date",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction. Could be also expressed using a date or partial date.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "AlertsCz.allergy.onsetDate.code",
"path": "AlertsCz.allergy.onsetDate.code",
"short": "Onset date (code)",
"definition": "Date of onset of allergy, e.g., date of the first observation of the reaction expressed using code for life period (childhood, adolescence).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.endDate",
"path": "AlertsCz.allergy.endDate",
"short": "A.2.2.1.7 - End date",
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "AlertsCz.allergy.endDate.date",
"path": "AlertsCz.allergy.endDate.date",
"short": "End date",
"definition": "Date of resolution of the allergy (e.g. when the clinician deemed there is no longer any need to track the underlying condition)",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "AlertsCz.allergy.endDate.code",
"path": "AlertsCz.allergy.endDate.code",
"short": "End date (code)",
"definition": "Date of resolution of the allergy expressed by code (e.g. age group)",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.status",
"path": "AlertsCz.allergy.status",
"short": "A.2.2.1.8 - Status",
"definition": "Current status of the allergy or intolerance, for example, whether it is active, in remission, resolved, and so on …",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.certainty",
"path": "AlertsCz.allergy.certainty",
"short": "A.2.2.1.9 - Certainty",
"definition": "Assertion about the certainty associated with a propensity, or potential risk, of a reaction to the identified substance. Diagnostic and/or clinical evidence of condition.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.allergy.lastOccurrence",
"path": "AlertsCz.allergy.lastOccurrence",
"short": "A.2.2.1.10 - Last Occurrence",
"definition": "A.2.2.1.10 - Last Occurrence",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "AlertsCz.medicalAlerts",
"path": "AlertsCz.medicalAlerts",
"short": "A.2.2.2 - Medical alerts (relevant for the respective hospital stay)",
"definition": "Medical alerts (relevant for the respective hospital stay)",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "AlertsCz.medicalAlerts.description",
"path": "AlertsCz.medicalAlerts.description",
"short": "A.2.2.2.1 - Healthcare alert description",
"definition": "A warning, other than included in allergies.\nThe warning can be entered in code (there are codes for frequently used alerts) but seeing the dynamic nature of the warnings, these alerts will often be entered as free text.\nAny clinical information that is imperative to know so that the life or health of the patient does not come under threat.\nExample 1: the patient has a rare disease that requires special treatment\nExample 2: Airway Alert / Difficult Intubation\nExample 3: Diagnoses such as malignant hyperthermia, porphyria, and bleeding disorders; special treatments like anticoagulants or immunosuppressants; implanted devices.\nExample 4: transplanted organs illustrate other information that has to be taken into account in a healthcare contact.\nExample 5: participation in a clinical trial that has to be taken into account in a healthcare contact.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.medicalAlerts.code",
"path": "AlertsCz.medicalAlerts.code",
"short": "A.2.2.2.3 - Code",
"definition": "A.2.2.2.3 - Code",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.medicalAlerts.specialistPhysician",
"path": "AlertsCz.medicalAlerts.specialistPhysician",
"short": "A.2.2.2.4 - Specialist physician",
"definition": "A.2.2.2.4 - Specialist physician",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "AlertsCz.medicalAlerts.comment",
"path": "AlertsCz.medicalAlerts.comment",
"short": "A.2.2.2.5 - Comment",
"definition": "A.2.2.2.5 - Comment",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "AlertsCz.medicalAlerts.priority",
"path": "AlertsCz.medicalAlerts.priority",
"short": "A.2.2.2.6 - Priority",
"definition": "A.2.2.2.6 - Priority",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "AlertsCz.medicalAlerts.period",
"path": "AlertsCz.medicalAlerts.period",
"short": "A.2.2.2.7 - Period",
"definition": "A.2.2.2.7 - Period",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
}
]
}
}