OutpatientBundle-Mracena-L3
type: Bundle
node role: treeRoot
id:
  v: OutpatientBundle-Mracena-L3
meta:
  profile:
    v: https://hl7.cz/fhir/amb/StructureDefinition/cz-bundle-amb
    l: cz-bundle-amb
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
type:
  v: document
timestamp:
  v: 2026-01-29T09:50:08+01:00
entry:
  full url:
    v: urn:uuid:pastillnes0
    l: pastillnes0
  resource: pastillnes0
entry:
  full url:
    v: urn:uuid:pastillnes1
    l: pastillnes1
  resource: pastillnes1
entry:
  full url:
    v: urn:uuid:pastillnes2
    l: pastillnes2
  resource: pastillnes2
entry:
  full url:
    v: urn:uuid:medicaldevice1
    l: medicaldevice1
  resource: medicaldevice1
entry:
  full url:
    v: urn:uuid:procedureHx1
    l: procedureHx1
  resource: procedureHx1
entry:
  full url:
    v: urn:uuid:immunization1
    l: immunization1
  resource: immunization1
entry:
  full url:
    v: urn:uuid:immunization2
    l: immunization2
  resource: immunization2
entry:
  full url:
    v: urn:uuid:immunization3
    l: immunization3
  resource: immunization3
entry:
  full url:
    v: urn:uuid:familyhistory1
    l: familyhistory1
  resource: familyhistory1
entry:
  full url:
    v: urn:uuid:familyhistory2
    l: familyhistory2
  resource: familyhistory2
entry:
  full url:
    v: urn:uuid:alcoholuse1
    l: alcoholuse1
  resource: alcoholuse1
entry:
  full url:
    v: urn:uuid:problem1
    l: problem1
  resource: problem1
entry:
  full url:
    v: urn:uuid:problem2
    l: problem2
  resource: problem2
entry:
  full url:
    v: urn:uuid:problem3
    l: problem3
  resource: problem3
entry:
  full url:
    v: urn:uuid:procedure1
    l: procedure1
  resource: procedure1
entry:
  full url:
    v: urn:uuid:procedure2
    l: procedure2
  resource: procedure2
entry:
  full url:
    v: urn:uuid:deviceUseStatement1
    l: deviceUseStatement1
  resource: deviceUseStatement1
entry:
  full url:
    v: urn:uuid:medicationadministration1
    l: medicationadministration1
  resource: medicationadministration1
entry:
  full url:
    v: urn:uuid:medicationadministration2
    l: medicationadministration2
  resource: medicationadministration2
entry:
  full url:
    v: urn:uuid:medicationadministration3
    l: medicationadministration3
  resource: medicationadministration3
entry:
  full url:
    v: urn:uuid:observation1
    l: observation1
  resource: observation1
entry:
  full url:
    v: urn:uuid:observation2
    l: observation2
  resource: observation2
entry:
  full url:
    v: urn:uuid:medication1
    l: medication1
  resource: medication1
entry:
  full url:
    v: urn:uuid:medication2
    l: medication2
  resource: medication2
entry:
  full url:
    v: urn:uuid:medication3
    l: medication3
  resource: medication3

urn:…
type: Composition
meta:
  profile:
    v: https://hl7.cz/fhir/amb/StructureDefinition/cz-composition-amb
    l: cz-composition-amb
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Composition 418da506-19c3-4e00-94d5-31a15f8c7860 Profile: Composition: Outpatient Encounter Report (CZ) status: Final type: Outpatient Note date: 2026-01-29 09:50:08+0100 author: Practitioner Janský Jan title: Ambulantní zpráva - L3 composition
extension:
  url:
    v: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
    l: presentedForm
status:
  v: final
type:
  coding: https://loinc.org/rdf/34108-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 34108-1
    display:
      v: Outpatient Note
date:
  v: 2026-01-29T09:50:08+01:00
title:
  v: Ambulantní zpráva - L3 composition
section:
  title:
    v: Dříve vyslovaná přání
  code:
    coding: https://loinc.org/rdf/42348-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 42348-3
      display:
        v: Advance healthcare directives
  text:
    status:
      v: additional
    div:
      v: Pacient si nepřeje být resuscitován.
section:
  title:
    v: Alergie a intolerance
  code:
    coding: https://loinc.org/rdf/48765-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 48765-2
      display:
        v: Allergies and adverse reactions Document
  text:
    status:
      v: additional
    div:
      v: Penicilin – anafylaktická reakce (2018) Latex – kontaktní dermatitida Ořechy – kopřivka, otok rtů (dětský věk)
section:
  title:
    v: Varování
  code:
    coding: https://loinc.org/rdf/104605-1
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 104605-1
      display:
        v: Alert
  text:
    status:
      v: additional
    div:
      v: Pacient na dlouhodobé antikoagulační léčbě.
section:
  title:
    v: Stav při přijetí/příchodu
  code:
    coding: https://loinc.org/rdf/67851-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 67851-6
      display:
        v: Admission evaluation note
  text:
    status:
      v: additional
    div:
      v: Pacient přichází do ambulance s bolestí na hrudi, dušností a kašlem. Při vyšetření je zjištěna tachykardie, hypotenze a cyanóza.
section:
  title:
    v: Anamnéza
  code:
    coding: https://loinc.org/rdf/35090-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 35090-0
      display:
        v: Patient history
  section:
    title:
      v: Historie zdravotních problémů
    code:
      coding: https://loinc.org/rdf/11348-0
    text:
      status:
        v: additional
      div:
        v: Hypertenze Fibrilace síní Astma bronchiale
    entry:
      l: pastillnes0
      reference:
        v: urn:uuid:pastillnes0
    entry:
      l: pastillnes1
      reference:
        v: urn:uuid:pastillnes1
    entry:
      l: pastillnes2
      reference:
        v: urn:uuid:pastillnes2
  section:
    title:
      v: Historie zdravotnických prostředků
    code:
      coding: https://loinc.org/rdf/46264-8
    text:
      status:
        v: additional
      div:
        v: Pacient má v anamnéze implantaci kardiostimulátoru pro fibrilaci síní.
    entry:
      l: medicaldevice1
      reference:
        v: urn:uuid:medicaldevice1
  section:
    title:
      v: Historie výkonů
    code:
      coding: https://loinc.org/rdf/47519-4
    text:
      status:
        v: additional
      div:
        v: Pacient prodělal v minulosti několik kardiologických výkonů, včetně implantace kardiostimulátoru a katetrizačního vyšetření koronárních tepen.
    entry:
      l: procedureHx1
      reference:
        v: urn:uuid:procedureHx1
  section:
    title:
      v: Historie očkování
    code:
      coding: https://loinc.org/rdf/11369-6
    text:
      status:
        v: additional
      div:
        v: Pacient je očkován proti chřipce, pneumokokům a COVID-19.
    entry:
      l: immunization1
      reference:
        v: urn:uuid:immunization1
    entry:
      l: immunization2
      reference:
        v: urn:uuid:immunization2
    entry:
      l: immunization3
      reference:
        v: urn:uuid:immunization3
  section:
    title:
      v: Kontakty s infekčními nemocnými
    text:
      status:
        v: additional
      div:
        v: Pacient v posledních měsících neměl žádné známé kontakty s osobami trpícími infekčním onemocněním.
  section:
    title:
      v: Cestovní anamnéza
    code:
      coding: https://loinc.org/rdf/10182-4
    text:
      status:
        v: additional
      div:
        v: Pacient v posledních 6 měsících necestoval do zahraničí.
  section:
    title:
      v: Rodinná anamnéza

urn:…
type: Patient
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient f21b91f9-5e7a-47b9-a884-cbc720257590 Profile: Patient (CZ core) Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/rid
    l: rid
  value:
    v: 2066425387
name:
  use:
    v: usual
  family:
    v: Mrakomorová
  given:
    v: Mračena
gender:
  v: female
birth date:
  v: 1971-11-26

urn:…
type: Practitioner
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner 77fa78d2-154c-4d38-824e-3c38b39c6a42 Profile: Practitioner (CZ core) name: Janský Jan
name:
  use:
    v: usual
  family:
    v: Jan
  given:
    v: Janský
  prefix:
    v: Prof. MUDr.

urn:…
type: Consent
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-consent-hdr
    l: cz-consent-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Consent 64054bb3-093f-4b94-aa58-17940bc4d3ad Profile: Consent (Advance Directives) (HDR CZ) Participants Role Details Who the consent applies to Patient Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) The subject has given their consent.
status:
  v: active
scope:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentscope
      l: consentscope
    code:
      v: adr
    display:
      v: Advanced Care Directive
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentcategorycodes
      l: consentcategorycodes
    code:
      v: dnr
    display:
      v: Do Not Resuscitate
date time:
  v: 2025-12-01T10:00:00+01:00

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/amb/StructureDefinition/cz-allergyintolerance-amb
    l: cz-allergyintolerance-amb
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance ad596f22-799b-4cdb-b8f2-6198a6d0a53c Profile: AllergyIntolerance: Outpatient Encounter Report (CZ) identifier: http://example.org/hospital/allergy-intolerances/allergy-penicilin-001 clinicalStatus: Active verificationStatus: Confirmed type: Allergy code: Allergy to penicillin patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
identifier:
  system:
    v: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: allergy-penicilin-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
    display:
      v: Confirmed
type:
  v: allergy
code:
  coding: http://snomed.info/id/91936005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 91936005

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/amb/StructureDefinition/cz-allergyintolerance-amb
    l: cz-allergyintolerance-amb
text:
  status:
    v: additional
  div:
    v: Pacient má intoleranci na latex.
identifier:
  system:
    v: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: intolerance-latex-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
    display:
      v: Confirmed
type:
  v: intolerance
code:
  coding: http://snomed.info/id/111088007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 111088007
    display:
      v: latex

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/amb/StructureDefinition/cz-allergyintolerance-amb
    l: cz-allergyintolerance-amb
text:
  status:
    v: additional
  div:
    v: Pacient má alergii na ořechy.
identifier:
  system:
    v: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: allergy-nuts-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
    display:
      v: Confirmed
type:
  v: allergy
code:
  coding: http://snomed.info/id/91934008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 91934008

urn:…
type: Flag
meta:
  profile:
    v: https://hl7.cz/fhir/amb/StructureDefinition/cz-flag-amb
    l: cz-flag-amb
text:
  status:
    v: additional
  div:
    v: Pacient na dlouhodobé antikoagulační léčbě.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/flag-priority
    l: flag-priority
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/flag-priority-code
        l: flag-priority-code
      code:
        v: PH
      display:
        v: High priority
identifier:
  system:
    v: http://example.org/hospital/flags
    l: flags
  value:
    v: flag-anticoagulation-001
status:
  v: active
code:
  coding: http://snomed.info/id/49436004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 49436004
period:
  start:
    v: 2020-01-01

pastillnes0
type: Condition
id:
  v: pastillnes0
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition pastillnes0 Profile: Condition (HDR CZ) code: Hypertension subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003

pastillnes1
type: Condition
id:
  v: pastillnes1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition pastillnes1 Profile: Condition (HDR CZ) code: Atrial fibrillation subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/49436004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 49436004

pastillnes2
type: Condition
id:
  v: pastillnes2
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition pastillnes2 Profile: Condition (HDR CZ) code: Asthma subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/195967001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 195967001

medicaldevice1
type: Device
id:
  v: medicaldevice1
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device
    l: cz-medical-device
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Device medicaldevice1 Profile: Medical Device (CZ) identifier: http://example.org/medical-devices/device-001 manufacturer: Medtronic modelNumber: W1DR01 type: Cardiac pacemaker patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
identifier:
  system:
    v: http://example.org/medical-devices
    l: medical-devices
  value:
    v: device-001
manufacturer:
  v: Medtronic
model number:
  v: W1DR01
type:
  coding: http://snomed.info/id/14106009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 14106009
    display:
      v: Cardiac pacemaker

procedureHx1
type: Procedure
id:
  v: procedureHx1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-hdr
    l: cz-procedure-hdr
text:
  status:
    v: additional
  div:
    v: Pacient prodělal v roce 2015 implantaci kardiostimulátoru pro léčbu fibrilace síní.
status:
  v: completed
code:
  coding: http://snomed.info/id/307280005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 307280005
performed: DateTime
  v: 2015-06-15T10:00:00+01:00

immunization1
type: Immunization
id:
  v: immunization1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-immunization-hdr
    l: cz-immunization-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization immunization1 Profile: Immunization (HDR CZ) status: Completed vaccineCode: Influenza virus antigen only vaccine product patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) occurrence: 2025-10-01 10:00:00+0100
status:
  v: completed
vaccine code:
  coding: http://snomed.info/id/1181000221105
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1181000221105
occurrence: DateTime
  v: 2025-10-01T10:00:00+01:00

immunization2
type: Immunization
id:
  v: immunization2
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-immunization-hdr
    l: cz-immunization-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization immunization2 Profile: Immunization (HDR CZ) status: Completed vaccineCode: Streptococcus pneumoniae antigen only vaccine product patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) occurrence: 2024-05-01 10:00:00+0100
status:
  v: completed
vaccine code:
  coding: http://snomed.info/id/981000221107
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 981000221107
occurrence: DateTime
  v: 2024-05-01T10:00:00+01:00

immunization3
type: Immunization
id:
  v: immunization3
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-immunization-hdr
    l: cz-immunization-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization immunization3 Profile: Immunization (HDR CZ) status: Completed vaccineCode: Administration of SARS-CoV-2 vaccine patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) occurrence: 2021-03-01 10:00:00+0100
status:
  v: completed
vaccine code:
  coding: http://snomed.info/id/1156257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1156257007
occurrence: DateTime
  v: 2021-03-01T10:00:00+01:00

familyhistory1
type: FamilyMemberHistory
id:
  v: familyhistory1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-familyMemberHistory-hdr
    l: cz-familyMemberHistory-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: FamilyMemberHistory familyhistory1 Profile: FamilyMemberHistory (HDR CZ) status: Completed patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) relationship: natural mother Conditions - Code * Hypertension
status:
  v: completed
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: NMTH
condition:
  code:
    coding: http://snomed.info/id/38341003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 38341003

familyhistory2
type: FamilyMemberHistory
id:
  v: familyhistory2
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-familyMemberHistory-hdr
    l: cz-familyMemberHistory-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: FamilyMemberHistory familyhistory2 Profile: FamilyMemberHistory (HDR CZ) status: Completed patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) relationship: natural father Conditions - Code * Type 2 diabetes mellitus
status:
  v: completed
relationship:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
      l: v3-RoleCode
    code:
      v: NFTH
condition:
  code:
    coding: http://snomed.info/id/44054006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 44054006

alcoholuse1
type: Observation
id:
  v: alcoholuse1
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation alcoholuse1 status: Final category: Social History code: History of Alcohol use note subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) effective: 2025-11-01 10:00:00+0100 value: Pacientka příležitostně konzumuje alkoholické nápoje, přibližně 1-2 skleničky vína týdně. note: Pacientka příležitostně..., cca 1–2 skleničky vína týdně. component code: Počet nápojů za týden value: 1-2 drink/wk component code: Typ value: Víno
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: social-history
    display:
      v: Social History
code:
  coding: https://loinc.org/rdf/108238-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 108238-7
    display:
      v: History of Alcohol use note
effective: DateTime
  v: 2025-11-01T10:00:00+01:00
value: String
  v: Pacientka příležitostně konzumuje alkoholické nápoje, přibližně 1-2 skleničky vína týdně.
note:
  text:
    v: Pacientka příležitostně..., cca 1–2 skleničky vína týdně.
component:
  code:
    text:
      v: Počet nápojů za týden
  value: Range
    low:
      value:
        v: 1
      unit:
        v: drink/wk
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: {drinks}/wk
    high:
      value:
        v: 2
      unit:
        v: drink/wk
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: {drinks}/wk
component:
  code:
    text:
      v: Typ
  value: CodeableConcept
    text:
      v: Víno

problem1
type: Condition
id:
  v: problem1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition problem1 Profile: Condition (HDR CZ) code: Atrial fibrillation subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/49436004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 49436004

problem2
type: Condition
id:
  v: problem2
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition problem2 Profile: Condition (HDR CZ) code: Hypertension subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003

problem3
type: Condition
id:
  v: problem3
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition problem3 Profile: Condition (HDR CZ) code: Asthma subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/195967001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 195967001

procedure1
type: Procedure
id:
  v: procedure1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-hdr
    l: cz-procedure-hdr
text:
  status:
    v: additional
  div:
    v: Během vyšetření byla provedena spirometrie, která potvrdila přítomnost obstrukční poruchy dýchacích cest.
status:
  v: completed
code:
  coding: http://snomed.info/id/127783003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 127783003
performed: DateTime
  v: 2025-11-01T10:00:00+01:00

procedure2
type: Procedure
id:
  v: procedure2
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-hdr
    l: cz-procedure-hdr
text:
  status:
    v: additional
  div:
    v: Dále byla provedena echokardiografie, která ukázala dilataci levé síně a normální funkci levé komory.
status:
  v: completed
code:
  coding: http://snomed.info/id/40701008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 40701008
performed: DateTime
  v: 2025-11-01T10:00:00+01:00

deviceUseStatement1
type: DeviceUseStatement
id:
  v: deviceUseStatement1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-deviceUseStatement-hdr
    l: cz-deviceUseStatement-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: DeviceUseStatement deviceUseStatement1 Profile: DeviceUseStatement (HDR) status: Active subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) timing: 2025-11-01 10:00:00+0100 device: Device: identifier = http://example.org/medical-devices#device-001; manufacturer = Medtronic; modelNumber = W1DR01; type = Cardiac pacemaker bodySite: Thorax
status:
  v: active
timing: DateTime
  v: 2025-11-01T10:00:00+01:00
device:
  l: medicaldevice1
  reference:
    v: urn:uuid:medicaldevice1
body site:
  coding: http://snomed.info/id/51185008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 51185008
    display:
      v: Thorax

medicationadministration1
type: MedicationAdministration
id:
  v: medicationadministration1
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationAdministration medicationadministration1 status: Completed medication: Medication METOPROLOL MEDREG 100MG TBL FLM 50 subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) effective: 2025-11-01 10:30:00+0100 Dosages - Text Route Method Dose * Metoprolol 5 mg i.v. (pomalu), 1 dávka Intravenous route Inject 5 mg
status:
  v: completed
medication: Reference
  l: medication2
  reference:
    v: urn:uuid:medication2
effective: DateTime
  v: 2025-11-01T10:30:00+01:00
dosage:
  text:
    v: Metoprolol 5 mg i.v. (pomalu), 1 dávka
  route:
    coding: http://snomed.info/id/47625008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 47625008
  method:
    coding: http://snomed.info/id/740685003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 740685003
  dose:
    value:
      v: 5
    unit:
      v: mg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org

medicationadministration2
type: MedicationAdministration
id:
  v: medicationadministration2
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationAdministration medicationadministration2 status: Completed medication: urn:uuid:medication4 subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) effective: 2025-11-01 11:00:00+0100 Dosages - Text Route Method Dose * Paracetamol 1 g p.o., 1 dávka Oral route Dose form administration method 1 g
status:
  v: completed
medication: Reference
  l: medication4
  reference:
    v: urn:uuid:medication4
effective: DateTime
  v: 2025-11-01T11:00:00+01:00
dosage:
  text:
    v: Paracetamol 1 g p.o., 1 dávka
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  method:
    coding: http://snomed.info/id/736665006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 736665006
  dose:
    value:
      v: 1
    unit:
      v: g
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org

medicationadministration3
type: MedicationAdministration
id:
  v: medicationadministration3
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationAdministration medicationadministration3 status: Completed medication: Medication SALBUTAMOL POLPHARMA 2MG TBL NOB 30 subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) effective: 2025-11-01 11:30:00+0100 Dosages - Text Route Method Dose * Salbutamol inhal. (2 vdechy) Oral route Inhale 2 inhalation
status:
  v: completed
medication: Reference
  l: medication3
  reference:
    v: urn:uuid:medication3
effective: DateTime
  v: 2025-11-01T11:30:00+01:00
dosage:
  text:
    v: Salbutamol inhal. (2 vdechy)
  route:
    coding: http://snomed.info/id/26643006
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 26643006
  method:
    coding: http://snomed.info/id/740666001
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 740666001
  dose:
    value:
      v: 2
    unit:
      v: inhalation
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org

observation1
type: Observation
id:
  v: observation1
meta:
  profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory
    l: cz-observation-result-laboratory
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation1 Profile: Observation Laboratory (CZ) status: Final category: Laboratory code: NT-proBNP [Mass/volume] in Serum or Plasma subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) effective: 2025-11-01 12:00:00+0100 performer: Practitioner Janský Jan value: 1500 pg/mL (Details: UCUM codepg/mL = 'picogram per milliliter')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
    display:
      v: Laboratory
code:
  coding: https://loinc.org/rdf/33762-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 33762-6
    display:
      v: NT-proBNP [Mass/volume] in Serum or Plasma
effective: DateTime
  v: 2025-11-01T12:00:00+01:00
value: Quantity
  value:
    v: 1500
  unit:
    v: pg/mL
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: pg/mL

observation2
type: Observation
id:
  v: observation2
meta:
  profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory
    l: cz-observation-result-laboratory
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation2 Profile: Observation Laboratory (CZ) status: Final category: Laboratory code: Gas panel - Arterial blood subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) effective: 2025-11-01 12:30:00+0100 performer: Practitioner Janský Jan component code: pH of Arterial blood value: 7.3 1 (Details: UCUM code1 = '1*') component code: pCO2 of Arterial blood value: 50 mmHg (Details: UCUM codemm[Hg] = 'millimeter of mercury') component code: pO2 of Arterial blood value: 60 mmHg (Details: UCUM codemm[Hg] = 'millimeter of mercury') component code: HCO3- of Arterial blood value: 22 mmol/L (Details: UCUM codemmol/L = 'millimole per liter')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
    display:
      v: Laboratory
code:
  coding: https://loinc.org/rdf/24336-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 24336-0
    display:
      v: Gas panel - Arterial blood
effective: DateTime
  v: 2025-11-01T12:30:00+01:00
component:
  code:
    coding: https://loinc.org/rdf/2744-1
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 2744-1
      display:
        v: pH of Arterial blood
  value: Quantity
    value:
      v: 7.3
    unit:
      v: 1
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: 1
component:
  code:
    coding: https://loinc.org/rdf/2019-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 2019-8
      display:
        v: pCO2 of Arterial blood
  value: Quantity
    value:
      v: 50
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/2019-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 2019-8
      display:
        v: pO2 of Arterial blood
  value: Quantity
    value:
      v: 60
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/1960-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 1960-4
      display:
        v: HCO3- of Arterial blood
  value: Quantity
    value:
      v: 22
    unit:
      v: mmol/L
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mmol/L

medication1
type: Medication
id:
  v: medication1
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication1 Profile: Medication (CZ) identifier: http://example.org/medications/medication-001 code: WARFARIN ORION 3MG TBL NOB 100
identifier:
  system:
    v: http://example.org/medications
    l: medications
  value:
    v: medication-001
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecive-pripravky
      l: dlp-lecive-pripravky
    code:
      v: 0094113
    display:
      v: WARFARIN ORION 3MG TBL NOB 100

medication2
type: Medication
id:
  v: medication2
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication2 Profile: Medication (CZ) identifier: http://example.org/medications/medication-002 code: METOPROLOL MEDREG 100MG TBL FLM 50
identifier:
  system:
    v: http://example.org/medications
    l: medications
  value:
    v: medication-002
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecive-pripravky
      l: dlp-lecive-pripravky
    code:
      v: 0246762
    display:
      v: METOPROLOL MEDREG 100MG TBL FLM 50

medication3
type: Medication
id:
  v: medication3
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication3 Profile: Medication (CZ) identifier: http://example.org/medications/medication-003 code: SALBUTAMOL POLPHARMA 2MG TBL NOB 30
identifier:
  system:
    v: http://example.org/medications
    l: medications
  value:
    v: medication-003
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecive-pripravky
      l: dlp-lecive-pripravky
    code:
      v: 0269356
    display:
      v: SALBUTAMOL POLPHARMA 2MG TBL NOB 30

v: 11348-0

v: History of Past illness note

v: 46264-8

v: History of medical device use

v: 47519-4

v: History of Procedures Document

v: 11369-6

v: History of Immunization note

v: infection-contact

v: Infectious contacts

v: 10182-4

v: History of Travel note

coding: https://loinc.org/rdf/10157-6
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 10157-6
  display:
    v: History of family member diseases note

status:
  v: additional
div:
  v: V rodinné anamnéze je uvedena hypertenze u matky a diabetes mellitus 2. typu u otce.

l: familyhistory1
reference:
  v: urn:uuid:familyhistory1

l: familyhistory2
reference:
  v: urn:uuid:familyhistory2

title:
  v: Sociální anamnéza
code:
  coding: https://loinc.org/rdf/29762-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29762-2
    display:
      v: Social history note
text:
  status:
    v: additional
  div:
    v: Pacient je vdaná, žije s manželem a dvěma dětmi. Pracuje jako učitelka.

title:
  v: Anamnéza - Alkohol
code:
  coding: https://loinc.org/rdf/11331-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11331-6
    display:
      v: History of Alcohol use
text:
  status:
    v: additional
  div:
    v: Pacientka příležitostně konzumuje alkoholické nápoje, přibližně 1-2 skleničky vína týdně.
entry:
  l: alcoholuse1
  reference:
    v: urn:uuid:alcoholuse1

title:
  v: Anamnéza - Tabák
code:
  coding: https://loinc.org/rdf/11367-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11367-0
    display:
      v: History of Tobacco use
text:
  status:
    v: additional
  div:
    v: Pacientka nekouří a nikdy nekouřila.

title:
  v: Anamnéza - Drogy
code:
  coding: https://loinc.org/rdf/11343-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11343-1
    display:
      v: History of Other nonmedical drug use
text:
  status:
    v: additional
  div:
    v: Pacientka neužívá žádné nelegální drogy a nikdy neužívala.

title:
  v: Anamnéza - Užívání návykových látek
code:
  coding: https://loinc.org/rdf/108229-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 108229-6
    display:
      v: Use of substance note
text:
  status:
    v: additional
  div:
    v: Pacientka neužívá žádné návykové látky a nikdy neužívala.

title:
  v: Souhrn vyšetření
code:
  coding: https://loinc.org/rdf/67781-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 67781-5
    display:
      v: Summarization of encounter note
text:
  status:
    v: additional
  div:
    v: Při vyšetření je pacientka orientovaná, spolupracující, bez známek akutního ohrožení. Fyziologické nálezy jsou zjištěny na srdci a plicích, bez edémů dolních končetin. EKG ukazuje fibrilaci síní s rychlou komorovou odpovědí.
section:
  title:
    v: Aktuální problémy
  code:
    coding: https://loinc.org/rdf/11450-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11450-4
      display:
        v: Problem list - Reported
  text:
    status:
      v: additional
    div:
      v: 1. Fibrilace síní 2. Hypertenze 3. Astma bronchiale
  entry:
    l: problem1
    reference:
      v: urn:uuid:problem1
  entry:
    l: problem2
    reference:
      v: urn:uuid:problem2
  entry:
    l: problem3
    reference:
      v: urn:uuid:problem3
section:
  title:
    v: Výkony a léčba
  code:
    coding: https://loinc.org/rdf/29554-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 29554-3
      display:
        v: Procedure Narrative
  text:
    status:
      v: additional
    div:
      v: Během vyšetření byla provedena spirometrie, která potvrdila přítomnost obstrukční poruchy dýchacích cest. Dále byla provedena echokardiografie, která ukázala dilataci levé síně a normální funkci levé komory.
  entry:
    l: procedure1
    reference:
      v: urn:uuid:procedure1
  entry:
    l: procedure2
    reference:
      v: urn:uuid:procedure2
section:
  title:
    v: Zdravotnické prostředky
  code:
    coding: https://loinc.org/rdf/57080-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 57080-4
      display:
        v: Implanted medical device Narrative
  text:
    status:
      v: additional
    div:
      v: Pacientka má implantovaný kardiostimulátor pro fibrilaci síní, který byl implantován v roce 2015.
  entry:
    l: medicaldevice1
    reference:
      v: urn:uuid:medicaldevice1
  entry:
    l: deviceUseStatement1
    reference:
      v: urn:uuid:deviceUseStatement1
section:
  title:
    v: Medikace během vyšetření
  code:
    coding: https://loinc.org/rdf/29549-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 29549-3
      display:
        v: Medication administered Narrative
  text:
    status:
      v: additional
    div:
      v: Během návštěvy byla pacientce podána následující medikace: Metoprolol 5 mg i.v. (pomalu), 1 dávka – k úpravě rychlé komorové odpovědi při fibrilaci síní. Paracetamol 1 g p.o., 1 dávka – analgeticky pro bolest na hrudi. Salbutamol inhal. (2 vdechy) – úlevově při dušnosti/bronchokonstrikci. Domácí chronická medikace je uvedena v sekci „Souhrn medikace“.
  entry:
    l: medicationadministration1
    reference:
      v: urn:uuid:medicationadministration1
  entry:
    l: medicationadministration2
    reference:
      v: urn:uuid:medicationadministration2
  entry:
    l: medicationadministration3
    reference:
      v: urn:uuid:medicationadministration3
section:
  title:
    v: Výsledky vyšetření
  code:
    coding: https://loinc.org/rdf/30954-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 30954-2
      display:
        v: Relevant diagnostic tests/laboratory data note
  text:
    status:
      v: additional
    div:
      v: Laboratorní výsledky ukazují zvýšené hodnoty NT-proBNP, což je konzistentní s dekompenzací srdečního selhání. Dále jsou přítomny známky hypoxémie v arteriální krevní plynů.
  entry:
    l: observation1
    reference:
      v: urn:uuid:observation1
  entry:
    l: observation2
    reference:
      v: urn:uuid:observation2
section:
  title:
    v: Klinický souhrn
  code:
    coding: https://loinc.org/rdf/51848-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 51848-0
      display:
        v: Evaluation note
  text:
    status:
      v: additional
    div:
      v: Pacientka přichází s dekompenzací srdečního selhání, pravděpodobně vyvolanou fibrilací síní s rychlou komorovou odpovědí. Dále je přítomna obstrukční porucha dýchacích cest, pravděpodobně zhoršená astmatem bronchiale. Plán péče zahrnuje úpravu medikace, sledování a další diagnostické testy.

title:
  v: Souhrn medikace
code:
  coding: https://loinc.org/rdf/10160-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 10160-0
    display:
      v: History of Medication use Narrative
text:
  status:
    v: additional
  div:
    v: Pacient užívá následující medikaci: Warfarin 5 mg denně, Metoprolol 50 mg denně, Salbutamol inhalátor podle potřeby.
entry:
  l: medication1
  reference:
    v: urn:uuid:medication1
entry:
  l: medication2
  reference:
    v: urn:uuid:medication2
entry:
  l: medication3
  reference:
    v: urn:uuid:medication3

title:
  v: Plán péče
code:
  coding: https://loinc.org/rdf/18776-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18776-5
    display:
      v: Plan of care note
text:
  status:
    v: additional
  div:
    v: 1. Úprava medikace: zvýšení dávky Metoprololu, přidání diuretika pro kontrolu tekutin, úprava dávkování Warfarinu podle INR. 2. Sledování: pravidelné kontroly INR, monitorování srdečního rytmu a funkce plic. 3. Další diagnostické testy: plánované echokardiografie a spirometrie za 3 měsíce.

title:
  v: Přílohy
code:
  coding: https://loinc.org/rdf/77599-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 77599-9
    display:
      v: Additional documentation
text:
  status:
    v: additional
  div:
    v: Neobsahuje žádné přílohy.