FHIR IG analytics| Package | hl7.fhir.cz.lab-order |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ClinicalInformationCz.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/HL7-cz/lab-order/StructureDefinition-ClinicalInformationCz.html |
| URL | https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformationCz |
| Version | 0.0.1 |
| Status | draft |
| Date | 2026-01-21T19:55:28+00:00 |
| Name | LabOrderClinicalInformationCz |
| Title | A.2.7 - Clinical information (anamnesis) |
| Realm | cz |
| Authority | hl7 |
| Description | Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results |
| Type | https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformationCz |
| Kind | logical |
| ConceptMap | |
| LabOrderBody2FHIR-cz | CZ Body Model to this guide Map |
| StructureDefinition | |
| LabOrderBody | A.2 Laboratory Order body data elements |
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition ClinicalInformationCz
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ClinicalInformationCz | 0..* | Base | A.2.7 - Clinical information (anamnesis) | |
  clinicalInfoText | 0..1 | string | A.2.7.1 - Clinical information in free text | |
 clinicalInfoFormalized | 0..1 | CodeableConcept | A.2.7.2 - Clinical information (medical history) formalized | |
| description | 0..* | CodeableConcept | A.2.7.3 - Description of the problem/diagnosis/condition | |
| medication | 0..* | CodeableConcept | A.2.7.4 - Medications | |
| vaccination | 0..* | CodeableConcept | A.2.7.5 - Vaccinations | |
| finding | 0..* | CodeableConcept | A.2.7.6 - Physical findings | |
| hospitalizationDate | 0..* | dateTime | A.2.7.7 - Date of hospitalization | |
| urgentInformation | 0..1 | Base | A.2.7.8 - Urgent information | |
 allergies | 1..* | CodeableConcept | A.2.7.8.1 - Allergies and intolerances | |
 warnings | 0..* | string | A.2.7.8.2 - Warnings | |
| additionalData | 0..1 | Base | A.2.7.9 - Additional formalised data | |
 date | 0..1 | date | A.2.7.9.1 - Date | |
| code | 1..1 | CodeableConcept | A.2.7.9.2 - Code | |
| value | 0..1 | Narrative | A.2.7.9.3 - Data value This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "ClinicalInformationCz",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "draft"
}
],
"url": "https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformationCz",
"version": "0.0.1",
"name": "LabOrderClinicalInformationCz",
"title": "A.2.7 - Clinical information (anamnesis)",
"status": "draft",
"date": "2026-01-21T19:55:28+00:00",
"publisher": "HL7 Czech Republic",
"contact": [
{
"name": "HL7 Czech Republic",
"telecom": [
{
"system": "url",
"value": "https://www.hl7.cz/"
}
]
}
],
"description": "Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CZ",
"display": "Czechia"
}
]
}
],
"fhirVersion": "4.0.1",
"kind": "logical",
"abstract": false,
"type": "https://hl7.cz/fhir/lab-order/StructureDefinition/ClinicalInformationCz",
"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": "ClinicalInformationCz",
"path": "ClinicalInformationCz",
"short": "A.2.7 - Clinical information (anamnesis)",
"definition": "Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "ClinicalInformationCz.clinicalInfoText",
"path": "ClinicalInformationCz.clinicalInfoText",
"short": "A.2.7.1 - Clinical information in free text",
"definition": "Clinical information necessary for proper ordering or interpretation of results.",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalInformationCz.clinicalInfoText",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "ClinicalInformationCz.clinicalInfoFormalized",
"path": "ClinicalInformationCz.clinicalInfoFormalized",
"short": "A.2.7.2 - Clinical information (medical history) formalized",
"definition": "Clinical information (medical history) formalized",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalInformationCz.clinicalInfoFormalized",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.description",
"path": "ClinicalInformationCz.description",
"short": "A.2.7.3 - Description of the problem/diagnosis/condition",
"definition": "Diagnosis and other clinical information affecting the course or outcome of the examination.\n- Preferred system(s): MKN-10\n- Preferred system(s): Orphacode",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalInformationCz.description",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.medication",
"path": "ClinicalInformationCz.medication",
"short": "A.2.7.4 - Medications",
"definition": "A medication block containing information about medications that affect the course or result of the test or its interpretation.\n- Preferred system(s): DLP\n- Preferred system(s): ATC",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalInformationCz.medication",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.vaccination",
"path": "ClinicalInformationCz.vaccination",
"short": "A.2.7.5 - Vaccinations",
"definition": "Vaccinations",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalInformationCz.vaccination",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.finding",
"path": "ClinicalInformationCz.finding",
"short": "A.2.7.6 - Physical findings",
"definition": "Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature)",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalInformationCz.finding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.hospitalizationDate",
"path": "ClinicalInformationCz.hospitalizationDate",
"short": "A.2.7.7 - Date of hospitalization",
"definition": "Date of patient hospitalization",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalInformationCz.hospitalizationDate",
"min": 0,
"max": "*"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "ClinicalInformationCz.urgentInformation",
"path": "ClinicalInformationCz.urgentInformation",
"short": "A.2.7.8 - Urgent information",
"definition": "Urgent information block in the same structure as other document types (discharge report, patient summary)",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalInformationCz.urgentInformation",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "ClinicalInformationCz.urgentInformation.allergies",
"path": "ClinicalInformationCz.urgentInformation.allergies",
"short": "A.2.7.8.1 - Allergies and intolerances",
"definition": "Allergies and intolerances that may affect order execution or interpretation of results",
"min": 1,
"max": "*",
"base": {
"path": "ClinicalInformationCz.urgentInformation.allergies",
"min": 1,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.urgentInformation.warnings",
"path": "ClinicalInformationCz.urgentInformation.warnings",
"short": "A.2.7.8.2 - Warnings",
"definition": "Warnings and cautions that may affect order execution or interpretation of results",
"min": 0,
"max": "*",
"base": {
"path": "ClinicalInformationCz.urgentInformation.warnings",
"min": 0,
"max": "*"
},
"type": [
{
"code": "string"
}
]
},
{
"id": "ClinicalInformationCz.additionalData",
"path": "ClinicalInformationCz.additionalData",
"short": "A.2.7.9 - Additional formalised data",
"definition": "A.2.7.9 - Additional formalised data",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalInformationCz.additionalData",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Base"
}
]
},
{
"id": "ClinicalInformationCz.additionalData.date",
"path": "ClinicalInformationCz.additionalData.date",
"short": "A.2.7.9.1 - Date",
"definition": "Date of discovery of the data, to be indicated if different from the date of the order.",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalInformationCz.additionalData.date",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
]
},
{
"id": "ClinicalInformationCz.additionalData.code",
"path": "ClinicalInformationCz.additionalData.code",
"short": "A.2.7.9.2 - Code",
"definition": "Observation code identifying the significance of the data (height, weight, week of gestation, etc.)\n- Preferred system(s): NČLP\n- Preferred system(s): SNOMED CT",
"min": 1,
"max": "1",
"base": {
"path": "ClinicalInformationCz.additionalData.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.additionalData.value",
"path": "ClinicalInformationCz.additionalData.value",
"short": "A.2.7.9.3 - Data value",
"definition": "Data value including unit of measurement.",
"min": 0,
"max": "1",
"base": {
"path": "ClinicalInformationCz.additionalData.value",
"min": 0,
"max": "1"
},
"type": [
{
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}
]
}
]
},
"differential": {
"element": [
{
"id": "ClinicalInformationCz",
"path": "ClinicalInformationCz",
"short": "A.2.7 - Clinical information (anamnesis)",
"definition": "Information and data communicated to the laboratory affecting the execution of the order or the interpretation of the results"
},
{
"id": "ClinicalInformationCz.clinicalInfoText",
"path": "ClinicalInformationCz.clinicalInfoText",
"short": "A.2.7.1 - Clinical information in free text",
"definition": "Clinical information necessary for proper ordering or interpretation of results.",
"min": 0,
"max": "1",
"type": [
{
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}
]
},
{
"id": "ClinicalInformationCz.clinicalInfoFormalized",
"path": "ClinicalInformationCz.clinicalInfoFormalized",
"short": "A.2.7.2 - Clinical information (medical history) formalized",
"definition": "Clinical information (medical history) formalized",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.description",
"path": "ClinicalInformationCz.description",
"short": "A.2.7.3 - Description of the problem/diagnosis/condition",
"definition": "Diagnosis and other clinical information affecting the course or outcome of the examination.\n- Preferred system(s): MKN-10\n- Preferred system(s): Orphacode",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
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},
{
"id": "ClinicalInformationCz.medication",
"path": "ClinicalInformationCz.medication",
"short": "A.2.7.4 - Medications",
"definition": "A medication block containing information about medications that affect the course or result of the test or its interpretation.\n- Preferred system(s): DLP\n- Preferred system(s): ATC",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.vaccination",
"path": "ClinicalInformationCz.vaccination",
"short": "A.2.7.5 - Vaccinations",
"definition": "Vaccinations",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.finding",
"path": "ClinicalInformationCz.finding",
"short": "A.2.7.6 - Physical findings",
"definition": "Physical examination of the patient (systolic and diastolic blood pressure, heart rate, saturation, respiratory rate, current body temperature)",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.hospitalizationDate",
"path": "ClinicalInformationCz.hospitalizationDate",
"short": "A.2.7.7 - Date of hospitalization",
"definition": "Date of patient hospitalization",
"min": 0,
"max": "*",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "ClinicalInformationCz.urgentInformation",
"path": "ClinicalInformationCz.urgentInformation",
"short": "A.2.7.8 - Urgent information",
"definition": "Urgent information block in the same structure as other document types (discharge report, patient summary)",
"min": 0,
"max": "1",
"type": [
{
"code": "Base"
}
]
},
{
"id": "ClinicalInformationCz.urgentInformation.allergies",
"path": "ClinicalInformationCz.urgentInformation.allergies",
"short": "A.2.7.8.1 - Allergies and intolerances",
"definition": "Allergies and intolerances that may affect order execution or interpretation of results",
"min": 1,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.urgentInformation.warnings",
"path": "ClinicalInformationCz.urgentInformation.warnings",
"short": "A.2.7.8.2 - Warnings",
"definition": "Warnings and cautions that may affect order execution or interpretation of results",
"min": 0,
"max": "*",
"type": [
{
"code": "string"
}
]
},
{
"id": "ClinicalInformationCz.additionalData",
"path": "ClinicalInformationCz.additionalData",
"short": "A.2.7.9 - Additional formalised data",
"definition": "A.2.7.9 - Additional formalised data",
"min": 0,
"max": "1",
"type": [
{
"code": "Base"
}
]
},
{
"id": "ClinicalInformationCz.additionalData.date",
"path": "ClinicalInformationCz.additionalData.date",
"short": "A.2.7.9.1 - Date",
"definition": "Date of discovery of the data, to be indicated if different from the date of the order.",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
]
},
{
"id": "ClinicalInformationCz.additionalData.code",
"path": "ClinicalInformationCz.additionalData.code",
"short": "A.2.7.9.2 - Code",
"definition": "Observation code identifying the significance of the data (height, weight, week of gestation, etc.)\n- Preferred system(s): NČLP\n- Preferred system(s): SNOMED CT",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "ClinicalInformationCz.additionalData.value",
"path": "ClinicalInformationCz.additionalData.value",
"short": "A.2.7.9.3 - Data value",
"definition": "Data value including unit of measurement.",
"min": 0,
"max": "1",
"type": [
{
"code": "Narrative"
}
]
}
]
}
}