HL7 Czech Health information exchange Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/HIE/ and changes regularly. See the Directory of published versions

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Official URL: https://hl7.cz/fhir/hie/ImplementationGuide/hl7.fhir.cz.hie				Version: 0.0.1	Highlight text changes?
Draft as of 2026-10-15					Computable Name: HL7CzHIEImplementationGuide

Introduction

This implementation specification focuses on the national implementation of the MHD (Mobile access to Health Documents) profile and Restful ATNA within the environment of Accredited Affinity Domains (AAfD) and the central eHealth services (EZ), based on the national Standard of Accredited Affinity Domains.

Scope

This guide is divided into several pages which are listed at the top of each page in the menu bar.

• Home: This page provides the introduction and scope for this guide.
• Volume 1:
  • Mobile Access to Health Documents (MHD): This section specifies Czech national extensions to the Mobile Access to Health Documents (MHD)
  • Restful ATNA (ATNA): This section specifies Czech national extensions to the Restful ATNA (ATNA)
• Volume 2:
  • Record Audit Event [ITI-20]: This section describes the additional requirements for the Czech HIE of the Record Audit Event [ITI-20] transaction defined in the Add RESTful ATNA (Query and Feed) supplement published in the IHE ITI Trial Implementation.
  • Provide Document Bundle [ITI-65]: This section describes the additional requirements for the Czech HIE of the Provide Document Bundle [ITI-65] transaction defined in the MHD Profile published in the IHE ITI Trial Implementation “Mobile Access to Health Documents”.
  • Find Document Lists [ITI-66]: This section describes the additional requirements for the Czech HIE of the Find Document Lists [ITI-66] transaction defined in the MHD Profile published in the IHE ITI Trial Implementation “Mobile Access to Health Documents”.
  • Find Document References [ITI-67]: This section describes the additional requirements for the Czech HIE of the Find Document References [ITI-67] transaction defined in the MHD Profile published in the IHE ITI Trial Implementation “Mobile Access to Health Documents”.
  • Retrieve Document [ITI-68]: This section describes the additional requirements for the Czech HIE of the Retrieve Document [ITI-68] transaction defined in the MHD Profile published in the IHE ITI Trial Implementation “Mobile Access to Health Documents”.
  • Retrieve ATNA Audit Event [ITI-81]: This section describes the additional requirements for the Czech HIE of the Retrieve ATNA Audit Event [ITI-81] transaction defined in the Add RESTful ATNA (Query and Feed) supplement published in the IHE ITI Trial Implementation.
• Volume 3: This page describes implementation of ATC Audit Event Content Profiles.
• Appendix:
  • Profiles: This section contains all profiles defined in this implementation guide.
• About:
  • Authors: This segment contains informaction about authors.
  • Downloads: This segment contains informaction about downloads.
  • Dependencies: This segment contains informaction about dependencies.
  • Copyright: This segment contains informaction about copyright.
• Artifacts: This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Dependencies

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.extensions.r4#5.3.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.uv.xver-r5.r4#0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 (built Fri, Mar 20, 2026 15:40+1100+11:00)

Package hl7.fhir.eu.extensions.r4#1.3.0 This guide lists the extensions specified for the European REALM. (built Fri, Mar 27, 2026 19:47+0100+01:00)

Package ihe.pharm.mpd.r4#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.base#2.0.0 This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Apr 27, 2026 22:40+0300+03:00)

Package hl7.fhir.cz.terminology#0.3.0 HL7 Czech Terminology Implementation Guide (built Mon, Jul 27, 2026 16:44+0200+02:00)

Package hl7.fhir.eu.mpd#1.0.0 This guide describes how to represent in HL7 FHIR Prescription and Dispense in the European context (built Mon, May 11, 2026 17:24+0200+02:00)

Package hl7.fhir.eu.laboratory#2.0.0 This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, May 5, 2026 16:28+0200+02:00)

Package hl7.fhir.cz.core#current HL7 Czech Base and Core Resources Implementation Guide (built Thu, Aug 6, 2026 14:49+0000+00:00)

Package hl7.fhir.uv.extensions.r4#5.1.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package ihe.iti.mhd#4.2.2 ImplementationGuide for IHE IT Infrastructure Technical Framework Supplement Mobile access to Health Documents (MHD) (built Sat, May 18, 2024 12:30-0500-05:00)

Package hl7.fhir.uv.tools.r4#1.3.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Oct 6, 2026 15:55+1100+11:00)

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.hie.r4) and R4B (hl7.fhir.cz.hie.r4b) are available.

IP statements

This publication includes IP covered under the following statements.

• ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
  Show Usage
  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: CZ_ATCCs, CZ_ATNA_Audit_Creator... Show 37 more, CZ_ATNA_Audit_Record_Repository, CZ_AuditEvent, CZ_AuditEventIti65Recipient, CZ_AuditEventIti65Source, CZ_AuditEventIti66Consumer, CZ_AuditEventIti66Responder, CZ_AuditEventIti67Consumer, CZ_AuditEventIti67Responder, CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder, CZ_DocumentAuditEvent, CZ_DocumentAuditEventTypeCs, CZ_DocumentAuditEventTypeVs, CZ_DocumentEntryAuthorRoleCs, CZ_DocumentEntryAuthorRoleVs, CZ_DocumentEntryConfidentialityCodeVs, CZ_FindDocumentReferencesComprehensiveResponse, CZ_FindListsComprehensiveResponse, CZ_Folder, CZ_HIEPurposeOfUseCs, CZ_HIEPurposeOfUseVs, CZ_MHD_DocumentConsumer, CZ_MHD_DocumentRecipient, CZ_MHD_DocumentResponder, CZ_MHD_DocumentSource, CZ_MhdDocumentReferenceComprehensive, CZ_MhdProvideDocumentBundleComprehensive, CZ_MhdProvideDocumentBundleComprehensiveResponse, CZ_MhdSubmissionSetComprehensive, CZ_ParticipantsCs, CZ_ParticipantsVs, CZ_PolicyAuditEvent, CZ_PolicyAuditEventTypeCs, CZ_PolicyAuditEventTypeVs, CzMhdHomeCommunityId, DocumentReferenceHCId and HL7CzHIEImplementationGuide
• These codes are excerpted from Digital Imaging and Communications in Medicine (DICOM) Standard, Part 16: Content Mapping Resource, Copyright © 2011 by the National Electrical Manufacturers Association.
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  • DICOM Controlled Terminology Definitions: AuditEvent/CZ-AuditEventIti65RecipientExample, AuditEvent/CZ-AuditEventIti65SourceExample... Show 17 more, AuditEvent/CZ-AuditEventIti66ConsumerExample, AuditEvent/CZ-AuditEventIti66ResponderExample, AuditEvent/CZ-AuditEventIti67ConsumerExample, AuditEvent/CZ-AuditEventIti67ResponderExample, AuditEvent/CZ-AuditEventIti68ConsumerExample, AuditEvent/CZ-AuditEventIti68ResponderExample, AuditEvent/CZ-PolicyAuditEventExample, CZ_AuditEventIti65Recipient, CZ_AuditEventIti65Source, CZ_AuditEventIti66Consumer, CZ_AuditEventIti66Responder, CZ_AuditEventIti67Consumer, CZ_AuditEventIti67Responder, CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder, CZ_DocumentAuditEvent and CZ_PolicyAuditEvent
  • Audit Event ID: AuditEvent/CZ-AuditEventIti66ConsumerExample, AuditEvent/CZ-AuditEventIti66ResponderExample... Show 11 more, AuditEvent/CZ-AuditEventIti67ConsumerExample, AuditEvent/CZ-AuditEventIti67ResponderExample, AuditEvent/CZ-AuditEventIti68ConsumerExample, AuditEvent/CZ-AuditEventIti68ResponderExample, CZ_AuditEventIti66Consumer, CZ_AuditEventIti66Responder, CZ_AuditEventIti67Consumer, CZ_AuditEventIti67Responder, CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder and CZ_DocumentAuditEvent
• These codes are excerpted from ISO Standard, TS 21089-2017 - Health Informatics - Trusted End-to-End Information Flows, Copyright by ISO International. Copies of this standard are available through the ISO Web Site at www.iso.org.
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  • ISO 21089 2017 Health Record Lifecycle Events: CZ_DocumentAuditEvent
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: CZ_MhdDocumentReferenceComprehensive
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  • SNOMED Clinical Terms® (SNOMED CT®): CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder and CZ_DocumentEntryConfidentialityCodeVs
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  • Audit event entity type: AuditEvent/CZ-AuditEventIti65RecipientExample, AuditEvent/CZ-AuditEventIti65SourceExample... Show 16 more, AuditEvent/CZ-AuditEventIti66ConsumerExample, AuditEvent/CZ-AuditEventIti66ResponderExample, AuditEvent/CZ-AuditEventIti67ConsumerExample, AuditEvent/CZ-AuditEventIti67ResponderExample, AuditEvent/CZ-AuditEventIti68ConsumerExample, AuditEvent/CZ-AuditEventIti68ResponderExample, AuditEvent/CZ-PolicyAuditEventExample, CZ_AuditEventIti65Recipient, CZ_AuditEventIti65Source, CZ_AuditEventIti66Consumer, CZ_AuditEventIti66Responder, CZ_AuditEventIti67Consumer, CZ_AuditEventIti67Responder, CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder and CZ_PolicyAuditEvent
  • AuditEventEntityRole: AuditEvent/CZ-AuditEventIti65RecipientExample, AuditEvent/CZ-AuditEventIti65SourceExample... Show 15 more, AuditEvent/CZ-AuditEventIti66ConsumerExample, AuditEvent/CZ-AuditEventIti66ResponderExample, AuditEvent/CZ-AuditEventIti67ConsumerExample, AuditEvent/CZ-AuditEventIti67ResponderExample, AuditEvent/CZ-AuditEventIti68ConsumerExample, AuditEvent/CZ-AuditEventIti68ResponderExample, CZ_AuditEventIti65Recipient, CZ_AuditEventIti65Source, CZ_AuditEventIti66Consumer, CZ_AuditEventIti66Responder, CZ_AuditEventIti67Consumer, CZ_AuditEventIti67Responder, CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder and CZ_PolicyAuditEvent
  • Confidentiality: CZ_MhdDocumentReferenceComprehensive
  • ParticipationType: AuditEvent/CZ-AuditEventIti65RecipientExample, AuditEvent/CZ-AuditEventIti65SourceExample... Show 16 more, AuditEvent/CZ-AuditEventIti66ConsumerExample, AuditEvent/CZ-AuditEventIti66ResponderExample, AuditEvent/CZ-AuditEventIti67ConsumerExample, AuditEvent/CZ-AuditEventIti67ResponderExample, AuditEvent/CZ-AuditEventIti68ConsumerExample, AuditEvent/CZ-AuditEventIti68ResponderExample, AuditEvent/CZ-PolicyAuditEventExample, CZ_AuditEventIti65Recipient, CZ_AuditEventIti65Source, CZ_AuditEventIti66Consumer, CZ_AuditEventIti66Responder, CZ_AuditEventIti67Consumer, CZ_AuditEventIti67Responder, CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder and CZ_PolicyAuditEvent
  • RoleClass: AuditEvent/CZ-AuditEventIti65RecipientExample, AuditEvent/CZ-AuditEventIti65SourceExample... Show 16 more, AuditEvent/CZ-AuditEventIti66ConsumerExample, AuditEvent/CZ-AuditEventIti66ResponderExample, AuditEvent/CZ-AuditEventIti67ConsumerExample, AuditEvent/CZ-AuditEventIti67ResponderExample, AuditEvent/CZ-AuditEventIti68ConsumerExample, AuditEvent/CZ-AuditEventIti68ResponderExample, AuditEvent/CZ-PolicyAuditEventExample, CZ_AuditEventIti65Recipient, CZ_AuditEventIti65Source, CZ_AuditEventIti66Consumer, CZ_AuditEventIti66Responder, CZ_AuditEventIti67Consumer, CZ_AuditEventIti67Responder, CZ_AuditEventIti68Consumer, CZ_AuditEventIti68Responder and CZ_PolicyAuditEvent