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FHIR IG Statistics: StructureDefinition/HospitalDischargeReportCz

Packagehl7.fhir.cz.hdr
TypeStructureDefinition
IdHospitalDischargeReportCz
FHIR VersionR4
Sourcehttps://hl7.cz/fhir/hdr/https://build.fhir.org/ig/HL7-cz/hdr/StructureDefinition-HospitalDischargeReportCz.html
URLhttps://hl7.cz/fhir/hdr/StructureDefinition/HospitalDischargeReportCz
Version0.0.2
Statusdraft
Date2025-07-18T09:03:32+00:00
NameHospitalDischargeReportEhnCz
TitleA - Hospital Discharge Report (eHN)
Realmcz
Authorityhl7
DescriptionHospital Discharge Report
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/HospitalDischargeReportCz
Kindlogical

Resources that use this resource

ConceptMap
hdr2FHIR-cz-hdrCZ HDR Model to this guide Map

Resources that this resource uses

StructureDefinition
AttachmentsCzA.4 - Additional attachments
PresentedFormCzA.3 - Presented form
AdmissionEvaluationA.2.4 - Admission evaluation (eHN)
AdvanceDirectivesA.2.1 - Advance Directives (eHN)
AlertsA.2.2 - Alerts (eHN)
FunctionalStatusA.2.7.2 - Functional status
HeaderA.1 - Hospital Discharge Report header data element
HospitalStayA.2.6 - Hospital stay (eHN)
InPatientEncounterA.2.3 - Encounter (eHN)
MedicationSummaryA.2.8.2 - Medication summary
ObjectiveFindingsA.2.7.1 - Objective findings
PatientHistoryA.2.5 - Patient history (eHN)
PlanOfCareA.2.8.1 - Care plan

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition HospitalDischargeReportCz

NameFlagsCard.TypeDescription & Constraintsdoco
.. HospitalDischargeReportCz 0..*BaseA - Hospital Discharge Report (eHN)
... header 1..1HeaderA.1 - Hospital Discharge Report header data element
... body 0..1BackboneElementA.2 - Hospital Discharge Report body data element
.... advanceDirectives 0..1AdvanceDirectivesA.2.1 - Advance directives
.... alerts 0..1AlertsA.2.2 - Alerts
.... encounter 1..1InPatientEncounterA.2.3 - Encounter
.... admissionEvaluation 0..1AdmissionEvaluationA.2.4 - Admission evaluation
.... patientHistory 0..1PatientHistoryA.2.5 - Patient history
.... hospitalStay 0..1HospitalStayA.2.6 - Course of hospitalisation (Hospital stay)
.... dischargeDetails 0..1BackboneElementA.2.7 - Discharge details
..... objectiveFindings 0..1ObjectiveFindingsA.2.7.1 - Objective findings
..... functionalStatus 0..1FunctionalStatusA.2.7.2 - Functional status
..... dischargeNote 0..1stringA.2.7.3 - Discharge note
.... recommendations 0..1BackboneElementA.2.8 - Care plan and other recommendations after discharge.
..... carePlan 0..*PlanOfCareA.2.8.1 - Care plan
..... medicationSummary 1..*MedicationSummaryA.2.8.2 - Medication summary
... presentedForm 1..*PresentedFormCzA.3 - Presented Form
... media 0..*AttachmentsCzA.4 - Media Attachment

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "HospitalDischargeReportCz",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.cz/fhir/hdr/StructureDefinition/HospitalDischargeReportCz",
  "version": "0.0.2",
  "name": "HospitalDischargeReportEhnCz",
  "title": "A - Hospital Discharge Report (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",
  "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/HospitalDischargeReportCz",
  "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": "HospitalDischargeReportCz",
        "path": "HospitalDischargeReportCz",
        "short": "A - Hospital Discharge Report (eHN)",
        "definition": "Hospital Discharge Report",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Base",
          "min": 0,
          "max": "*"
        },
        "isModifier": false
      },
      {
        "id": "HospitalDischargeReportCz.header",
        "path": "HospitalDischargeReportCz.header",
        "short": "A.1 - Hospital Discharge Report header data element",
        "definition": "Hospital Discharge Report header data element",
        "min": 1,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.header",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/Header"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body",
        "path": "HospitalDischargeReportCz.body",
        "short": "A.2 - Hospital Discharge Report body data element",
        "definition": "Hospital Discharge Report body data element",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body",
          "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": "HospitalDischargeReportCz.body.id",
        "path": "HospitalDischargeReportCz.body.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": "HospitalDischargeReportCz.body.extension",
        "path": "HospitalDischargeReportCz.body.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": "HospitalDischargeReportCz.body.modifierExtension",
        "path": "HospitalDischargeReportCz.body.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": "HospitalDischargeReportCz.body.advanceDirectives",
        "path": "HospitalDischargeReportCz.body.advanceDirectives",
        "short": "A.2.1 - Advance directives",
        "definition": "Advance directives",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.advanceDirectives",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.alerts",
        "path": "HospitalDischargeReportCz.body.alerts",
        "short": "A.2.2 - Alerts",
        "definition": "Alerts",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.alerts",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/Alerts"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.encounter",
        "path": "HospitalDischargeReportCz.body.encounter",
        "short": "A.2.3 - Encounter",
        "definition": "Encounter",
        "min": 1,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.encounter",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.admissionEvaluation",
        "path": "HospitalDischargeReportCz.body.admissionEvaluation",
        "short": "A.2.4 - Admission evaluation",
        "definition": "Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.admissionEvaluation",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.patientHistory",
        "path": "HospitalDischargeReportCz.body.patientHistory",
        "short": "A.2.5 - Patient history",
        "definition": "Patient history (might include information about provenance of the information)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.patientHistory",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.hospitalStay",
        "path": "HospitalDischargeReportCz.body.hospitalStay",
        "short": "A.2.6 - Course of hospitalisation (Hospital stay)",
        "definition": "Course of hospitalisation (Hospital stay)",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.hospitalStay",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.dischargeDetails",
        "path": "HospitalDischargeReportCz.body.dischargeDetails",
        "short": "A.2.7 - Discharge details",
        "definition": "Discharge details (structured information should be provided, however if not available, at least a summary note should be present).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.dischargeDetails",
          "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": "HospitalDischargeReportCz.body.dischargeDetails.id",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.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": "HospitalDischargeReportCz.body.dischargeDetails.extension",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.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": "HospitalDischargeReportCz.body.dischargeDetails.modifierExtension",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.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": "HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings",
        "short": "A.2.7.1 - Objective findings",
        "definition": "Objective findings",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.dischargeDetails.functionalStatus",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.functionalStatus",
        "short": "A.2.7.2 - Functional status",
        "definition": "Functional status can be assessed in several different ways, usually with a focus on the persona's abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one's own affairs.\nFor details see: https://paciowg.github.io/functional-status-ig/",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.dischargeDetails.functionalStatus",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.dischargeDetails.dischargeNote",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.dischargeNote",
        "short": "A.2.7.3 - Discharge note",
        "definition": "Discharge summary note",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.dischargeDetails.dischargeNote",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.recommendations",
        "path": "HospitalDischargeReportCz.body.recommendations",
        "short": "A.2.8 - Care plan and other recommendations after discharge.",
        "definition": "Care plan and other recommendations after discharge.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "HospitalDischargeReportCz.body.recommendations",
          "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": "HospitalDischargeReportCz.body.recommendations.id",
        "path": "HospitalDischargeReportCz.body.recommendations.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": "HospitalDischargeReportCz.body.recommendations.extension",
        "path": "HospitalDischargeReportCz.body.recommendations.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": "HospitalDischargeReportCz.body.recommendations.modifierExtension",
        "path": "HospitalDischargeReportCz.body.recommendations.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": "HospitalDischargeReportCz.body.recommendations.carePlan",
        "path": "HospitalDischargeReportCz.body.recommendations.carePlan",
        "short": "A.2.8.1 - Care plan",
        "definition": "Care plan after discharge. Multiple care plans could be provided.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "HospitalDischargeReportCz.body.recommendations.carePlan",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.recommendations.medicationSummary",
        "path": "HospitalDischargeReportCz.body.recommendations.medicationSummary",
        "short": "A.2.8.2 - Medication summary",
        "definition": "Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "HospitalDischargeReportCz.body.recommendations.medicationSummary",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.presentedForm",
        "path": "HospitalDischargeReportCz.presentedForm",
        "short": "A.3 - Presented Form",
        "definition": "Entire order as issued. Various formats could be provided,  pdf format is recommended.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "HospitalDischargeReportCz.presentedForm",
          "min": 1,
          "max": "*"
        },
        "type": [
          {
            "code": "https://hl7.cz/fhir/hdr/StructureDefinition/PresentedFormCz"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.media",
        "path": "HospitalDischargeReportCz.media",
        "short": "A.4 - Media Attachment",
        "definition": "Aditional media attachment",
        "min": 0,
        "max": "*",
        "base": {
          "path": "HospitalDischargeReportCz.media",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "https://hl7.cz/fhir/hdr/StructureDefinition/AttachmentsCz"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "HospitalDischargeReportCz",
        "path": "HospitalDischargeReportCz",
        "short": "A - Hospital Discharge Report (eHN)",
        "definition": "Hospital Discharge Report"
      },
      {
        "id": "HospitalDischargeReportCz.header",
        "path": "HospitalDischargeReportCz.header",
        "short": "A.1 - Hospital Discharge Report header data element",
        "definition": "Hospital Discharge Report header data element",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/Header"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body",
        "path": "HospitalDischargeReportCz.body",
        "short": "A.2 - Hospital Discharge Report body data element",
        "definition": "Hospital Discharge Report body data element",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.advanceDirectives",
        "path": "HospitalDischargeReportCz.body.advanceDirectives",
        "short": "A.2.1 - Advance directives",
        "definition": "Advance directives",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/AdvanceDirectives"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.alerts",
        "path": "HospitalDischargeReportCz.body.alerts",
        "short": "A.2.2 - Alerts",
        "definition": "Alerts",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/Alerts"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.encounter",
        "path": "HospitalDischargeReportCz.body.encounter",
        "short": "A.2.3 - Encounter",
        "definition": "Encounter ",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/InPatientEncounter"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.admissionEvaluation",
        "path": "HospitalDischargeReportCz.body.admissionEvaluation",
        "short": "A.2.4 - Admission evaluation",
        "definition": "Admission evaluation - Admission status should be reported exceptionally only if it is relevant to ensure continuity of care.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/AdmissionEvaluation"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.patientHistory",
        "path": "HospitalDischargeReportCz.body.patientHistory",
        "short": "A.2.5 - Patient history",
        "definition": "Patient history (might include information about provenance of the information)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/PatientHistory"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.hospitalStay",
        "path": "HospitalDischargeReportCz.body.hospitalStay",
        "short": "A.2.6 - Course of hospitalisation (Hospital stay)",
        "definition": "Course of hospitalisation (Hospital stay)",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/HospitalStay"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.dischargeDetails",
        "path": "HospitalDischargeReportCz.body.dischargeDetails",
        "short": "A.2.7 - Discharge details",
        "definition": "Discharge details (structured information should be provided, however if not available, at least a summary note should be present).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.objectiveFindings",
        "short": "A.2.7.1 - Objective findings",
        "definition": "Objective findings",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/ObjectiveFindings"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.dischargeDetails.functionalStatus",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.functionalStatus",
        "short": "A.2.7.2 - Functional status",
        "definition": "Functional status can be assessed in several different ways, usually with a focus on the persona's abilities to perform basic activities of daily living (ADL), which include basic self-care such as bathing, feeding, and toileting and instrumental activities of daily living (IADL), which includes activities such as cooking, shopping, and managing one's own affairs.\nFor details see: https://paciowg.github.io/functional-status-ig/",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/FunctionalStatus"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.dischargeDetails.dischargeNote",
        "path": "HospitalDischargeReportCz.body.dischargeDetails.dischargeNote",
        "short": "A.2.7.3 - Discharge note",
        "definition": "Discharge summary note",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.recommendations",
        "path": "HospitalDischargeReportCz.body.recommendations",
        "short": "A.2.8 - Care plan and other recommendations after discharge.",
        "definition": "Care plan and other recommendations after discharge.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.recommendations.carePlan",
        "path": "HospitalDischargeReportCz.body.recommendations.carePlan",
        "short": "A.2.8.1 - Care plan",
        "definition": "Care plan after discharge. Multiple care plans could be provided.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/PlanOfCare"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.body.recommendations.medicationSummary",
        "path": "HospitalDischargeReportCz.body.recommendations.medicationSummary",
        "short": "A.2.8.2 - Medication summary",
        "definition": "Summary information on the medication recommended for the period after discharge, indicating whether the medication is changed or newly started. Compared to previous practices, the overview is supplemented with medication that has been discontinued.",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "http://hl7.eu/fhir/hdr/StructureDefinition/MedicationSummary"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.presentedForm",
        "path": "HospitalDischargeReportCz.presentedForm",
        "short": "A.3 - Presented Form",
        "definition": "Entire order as issued. Various formats could be provided,  pdf format is recommended.",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "https://hl7.cz/fhir/hdr/StructureDefinition/PresentedFormCz"
          }
        ]
      },
      {
        "id": "HospitalDischargeReportCz.media",
        "path": "HospitalDischargeReportCz.media",
        "short": "A.4 - Media Attachment",
        "definition": "Aditional media attachment",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "https://hl7.cz/fhir/hdr/StructureDefinition/AttachmentsCz"
          }
        ]
      }
    ]
  }
}