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Packagehl7.fhir.cz.hdr
Resource TypeStructureDefinition
IdStructureDefinition-ObjectiveFindingsCz.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/HL7-cz/hdr/StructureDefinition-ObjectiveFindingsCz.html
URLhttps://hl7.cz/fhir/hdr/StructureDefinition/ObjectiveFindingsCz
Version0.1.0
Statusdraft
Date2025-12-22T16:16:03+00:00
NameLogEnObjectiveFindingsHdrEhnCz
TitleA.2.7.1 - Objective findings
Realmcz
Authorityhl7
DescriptionHospital Discharge Report - Objective Findings- A.2.7.1 eHN
Typehttps://hl7.cz/fhir/hdr/StructureDefinition/ObjectiveFindingsCz
Kindlogical

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Narrative

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

Generated Narrative: StructureDefinition ObjectiveFindingsCz

NameFlagsCard.TypeDescription & Constraintsdoco
.. ObjectiveFindingsCz 0..*BaseA.2.7.1 - Objective findings
... date 1..1dateTimeA.2.8.1.1 - Date
... anthropometricObservations 0..*BaseA.2.8.1.3 - Anthropometric observations
.... description 0..1stringA.2.8.1.3.1 - Result description
.... details 1..1BaseA.2.8.1.3.2 - Observation details
.... result 1..1BaseA.2.8.1.3.3 - Observation result
... vitalSigns 0..*BaseA.2.8.1.4 - Vital signs
.... description 0..1stringA.2.8.1.4.1 - Result description
.... details 1..1BaseA.2.8.1.4.2 - Observation details
.... result 1..1BaseA.2.8.1.4.3 - Observation result
... physicalExamination 0..1BaseA.2.8.1.5 - Physical examination
.... description 1..1stringA.2.8.1.5.1 - Observation Note

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "ObjectiveFindingsCz",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://hl7.cz/fhir/hdr/StructureDefinition/ObjectiveFindingsCz",
  "version": "0.1.0",
  "name": "LogEnObjectiveFindingsHdrEhnCz",
  "title": "A.2.7.1 - Objective findings",
  "status": "draft",
  "date": "2025-12-22T16:16:03+00:00",
  "publisher": "HL7 Czech Republic",
  "contact": [
    {
      "name": "HL7 Czech Republic",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.hl7.cz/"
        }
      ]
    }
  ],
  "description": "Hospital Discharge Report - Objective Findings- A.2.7.1 eHN",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "CZ",
          "display": "Czechia"
        }
      ]
    }
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  "fhirVersion": "4.0.1",
  "kind": "logical",
  "abstract": false,
  "type": "https://hl7.cz/fhir/hdr/StructureDefinition/ObjectiveFindingsCz",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation": "specialization",
  "snapshot": {
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      {
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        "valueString": "4.0.1"
      }
    ],
    "element": [
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        "path": "ObjectiveFindingsCz",
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        "definition": "Hospital Discharge Report - Objective Findings- A.2.7.1 eHN",
        "min": 0,
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      },
      {
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        "path": "ObjectiveFindingsCz.date",
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        "min": 1,
        "max": "1",
        "base": {
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      {
        "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,
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        ]
      },
      {
        "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,
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        "base": {
          "path": "ObjectiveFindingsCz.anthropometricObservations.description",
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        ]
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      {
        "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",
        "base": {
          "path": "ObjectiveFindingsCz.anthropometricObservations.details",
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        ]
      },
      {
        "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.",
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        ]
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      {
        "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": "*",
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          "path": "ObjectiveFindingsCz.vitalSigns",
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        ]
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      {
        "id": "ObjectiveFindingsCz.vitalSigns.description",
        "path": "ObjectiveFindingsCz.vitalSigns.description",
        "short": "A.2.8.1.4.1 - Result description",
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        "min": 0,
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      },
      {
        "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,
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        ]
      },
      {
        "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.",
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      },
      {
        "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",
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      },
      {
        "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": {
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  "differential": {
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      {
        "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",
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      {
        "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,
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        "id": "ObjectiveFindingsCz.anthropometricObservations.description",
        "path": "ObjectiveFindingsCz.anthropometricObservations.description",
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        "definition": "Narrative representation of the observation result and findings.",
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        "type": [
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        ]
      },
      {
        "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,
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      {
        "id": "ObjectiveFindingsCz.anthropometricObservations.result",
        "path": "ObjectiveFindingsCz.anthropometricObservations.result",
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        "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.",
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      {
        "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,
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      },
      {
        "id": "ObjectiveFindingsCz.vitalSigns.description",
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        ]
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      {
        "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,
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        "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.",
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      },
      {
        "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": "Base"
          }
        ]
      },
      {
        "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, ...)",
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        "max": "1",
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          }
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      }
    ]
  }
}