| Package | hl7.fhir.cz.hdr |
| Type | StructureDefinition |
| Id | ObjectiveFindingsCz |
| FHIR Version | R4 |
| Source | https://hl7.cz/fhir/hdr/https://build.fhir.org/ig/HL7-cz/hdr/StructureDefinition-ObjectiveFindingsCz.html |
| URL | https://hl7.cz/fhir/hdr/StructureDefinition/ObjectiveFindingsCz |
| Version | 0.0.2 |
| Status | draft |
| Date | 2025-07-18T09:03:32+00:00 |
| Name | ObjectiveFindingsHdrEhnCz |
| Title | A.2.7.1 - Objective findings |
| Realm | cz |
| Authority | hl7 |
| Description | Hospital Discharge Report - Objective Findings- A.2.7.1 eHN |
| Type | https://hl7.cz/fhir/hdr/StructureDefinition/ObjectiveFindingsCz |
| Kind | logical |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ObjectiveFindingsCz
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ObjectiveFindingsCz | 0..* | Base | A.2.7.1 - Objective findings | |
  date | 1..1 | dateTime | A.2.8.1.1 - Date | |
 anthropometricObservations | 0..* | BackboneElement | A.2.8.1.3 - Anthropometric observations | |
 description | 0..1 | string | A.2.8.1.3.1 - Result description | |
| details | 1..1 | BackboneElement | A.2.8.1.3.2 - Observation details | |
 result | 1..1 | BackboneElement | A.2.8.1.3.3 - Observation result | |
| vitalSigns | 0..* | BackboneElement | A.2.8.1.4 - Vital signs | |
| description | 0..1 | string | A.2.8.1.4.1 - Result description | |
| details | 1..1 | BackboneElement | A.2.8.1.4.2 - Observation details | |
| result | 1..1 | BackboneElement | A.2.8.1.4.3 - Observation result | |
| physicalExamination | 0..1 | BackboneElement | A.2.8.1.5 - Physical examination | |
 description | 1..1 | string | A.2.8.1.5.1 - Observation Note | |
| Documentation for this format | ||||
FHIR{
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"div": "<!-- snip (see above) -->"
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"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": "ObjectiveFindingsCz.physicalExamination.description",
"path": "ObjectiveFindingsCz.physicalExamination.description",
"short": "A.2.8.1.5.1 - Observation Note",
"definition": "A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)",
"min": 1,
"max": "1",
"base": {
"path": "ObjectiveFindingsCz.physicalExamination.description",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
]
}
]
},
"differential": {
"element": [
{
"id": "ObjectiveFindingsCz",
"path": "ObjectiveFindingsCz",
"short": "A.2.7.1 - Objective findings",
"definition": "Hospital Discharge Report - Objective Findings- A.2.7.1 eHN"
},
{
"id": "ObjectiveFindingsCz.date",
"path": "ObjectiveFindingsCz.date",
"short": "A.2.8.1.1 - Date",
"definition": "Date and time of the examination at or before discharge",
"min": 1,
"max": "1",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "ObjectiveFindingsCz.anthropometricObservations",
"path": "ObjectiveFindingsCz.anthropometricObservations",
"short": "A.2.8.1.3 - Anthropometric observations",
"definition": "Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "ObjectiveFindingsCz.anthropometricObservations.description",
"path": "ObjectiveFindingsCz.anthropometricObservations.description",
"short": "A.2.8.1.3.1 - Result description",
"definition": "Narrative representation of the observation result and findings.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "ObjectiveFindingsCz.anthropometricObservations.details",
"path": "ObjectiveFindingsCz.anthropometricObservations.details",
"short": "A.2.8.1.3.2 - Observation details",
"definition": "Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "ObjectiveFindingsCz.anthropometricObservations.result",
"path": "ObjectiveFindingsCz.anthropometricObservations.result",
"short": "A.2.8.1.3.3 - Observation result",
"definition": "Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "ObjectiveFindingsCz.vitalSigns",
"path": "ObjectiveFindingsCz.vitalSigns",
"short": "A.2.8.1.4 - Vital signs",
"definition": "Observation of Vital signs:\n• Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate\n• Optional: 02 saturation, temperature, pain (scale), ...",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "ObjectiveFindingsCz.vitalSigns.description",
"path": "ObjectiveFindingsCz.vitalSigns.description",
"short": "A.2.8.1.4.1 - Result description",
"definition": "Narrative representation of the observation result and findings.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "ObjectiveFindingsCz.vitalSigns.details",
"path": "ObjectiveFindingsCz.vitalSigns.details",
"short": "A.2.8.1.4.2 - Observation details",
"definition": "Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "ObjectiveFindingsCz.vitalSigns.result",
"path": "ObjectiveFindingsCz.vitalSigns.result",
"short": "A.2.8.1.4.3 - Observation result",
"definition": "Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.",
"min": 1,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "ObjectiveFindingsCz.physicalExamination",
"path": "ObjectiveFindingsCz.physicalExamination",
"short": "A.2.8.1.5 - Physical examination",
"definition": "Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "ObjectiveFindingsCz.physicalExamination.description",
"path": "ObjectiveFindingsCz.physicalExamination.description",
"short": "A.2.8.1.5.1 - Observation Note",
"definition": "A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)",
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
]
}
]
}
}