HL7 Czech Outpatient Encounter Report Implementation Guide
0.1.0 - ci-build
HL7 Czech Outpatient Encounter Report Implementation Guide
0.1.0 - ci-build
HL7 Czech Outpatient Encounter Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/amb/ and changes regularly. See the Directory of published versions
{
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"date" : "2026-02-15T14:30:45+01:00",
"author" : [
{
"reference" : "urn:uuid:a47ac10b-58cc-4372-a567-0e02b2c3d479"
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],
"title" : "Ambulantní zpráva - L3 composition",
"section" : [
{
"title" : "Dříve vyslovaná přání",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3",
"display" : "Advance healthcare directives"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient si žádá, aby byl informován před jakoukoliv hospitalizací.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7"
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},
{
"title" : "Alergie a intolerance",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Aspirin – gastrointestinální nesnášenlivost</li><li>Penicilin – kopřivka</li><li>Mořské krevety – anafylaktická reakce</li></ul></div>"
},
"entry" : [
{
"reference" : "urn:uuid:f4b5c6d7-e8f9-40ab-ad23-c3d4e5f6a7b8"
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{
"reference" : "urn:uuid:a5c6d7e8-f9a0-41bc-ae34-d4e5f6a7b8c9"
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{
"reference" : "urn:uuid:b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da"
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},
{
"title" : "Varování",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "104605-1",
"display" : "Alert"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient má diabetes mellitus typ 2 - vyžaduje monitorování hladiny glukózy.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:c7e8f9a0-b1c2-43de-a056-f6a7b8c9deb1"
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]
},
{
"title" : "Stav při přijetí/příchodu",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "67851-6",
"display" : "Admission evaluation note"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient přichází na kontrolu s mírnou únavou a lehkou bolestí v krku. Ostatní příznaky se nepředstavují. Fyzikální vyšetření je v normě, vitální funkce jsou stabilní.</div>"
}
},
{
"title" : "Anamnéza",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "35090-0",
"display" : "Patient history"
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]
},
"section" : [
{
"title" : "Historie zdravotních problémů",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11348-0",
"display" : "History of Past illness note"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Diabetes mellitus typu 2</li><li>Hyperlipidémie</li><li>Nadváha</li></ul></div>"
},
"entry" : [
{
"reference" : "urn:uuid:d8f9a0b1-c2d3-44ef-b167-a7b8c9daeb2"
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{
"reference" : "urn:uuid:e9a0b1c2-d3e4-45f0-b278-b8c9daebf3"
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{
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]
},
{
"title" : "Souhrn medikace",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient užívá následující medikaci: Metformin 850 mg 3x denně, Atorvastatin 20 mg denně, Lisinopril 10 mg denně.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:abc2c3d4-e5f6-4712-b49a-daebf04g05"
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{
"reference" : "urn:uuid:bcd3d4e5-f6a7-4823-b5ab-ebf05h16"
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{
"reference" : "urn:uuid:cde4e5f6-a7b8-4934-b6bc-f06i27"
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},
{
"title" : "Plán péče",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care note"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacientovi bude doporučeno pokračovat v aktuální medikaci, zvýšit fyzickou aktivitu a provést lab testy za 3 měsíce. Doporučena kontrola dietou řízená specialistou.</div>"
}
},
{
"title" : "Přílohy",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "77599-9",
"display" : "Additional documentation"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Neobsahuje přílohované dokumenty.</div>"
}
}
]
}
},
{
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"resource" : {
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"id" : "a62559b6-14bc-4bc6-ae50-a0eb75357e63",
"meta" : {
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🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"
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},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_a62559b6-14bc-4bc6-ae50-a0eb75357e63\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient a62559b6-14bc-4bc6-ae50-a0eb75357e63</b></p><a name=\"a62559b6-14bc-4bc6-ae50-a0eb75357e63\"> </a><a name=\"hca62559b6-14bc-4bc6-ae50-a0eb75357e63\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-patient-core.html\">Patient (CZ core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jan Novák Male, DoB: 1968-03-15 ( https://ncez.mzcr.cz/fhir/sid/rid#5194827361)</p><hr/></div>"
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"identifier" : [
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"name" : [
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"use" : "usual",
"family" : "Novák",
"given" : [
"Jan"
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"gender" : "male",
"birthDate" : "1968-03-15"
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},
{
"fullUrl" : "urn:uuid:a47ac10b-58cc-4372-a567-0e02b2c3d479",
"resource" : {
"resourceType" : "Practitioner",
"id" : "a47ac10b-58cc-4372-a567-0e02b2c3d479",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core"
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},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_a47ac10b-58cc-4372-a567-0e02b2c3d479\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner a47ac10b-58cc-4372-a567-0e02b2c3d479</b></p><a name=\"a47ac10b-58cc-4372-a567-0e02b2c3d479\"> </a><a name=\"hca47ac10b-58cc-4372-a567-0e02b2c3d479\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-practitioner-core.html\">Practitioner (CZ core)</a></p></div><p><b>name</b>: Jan Svoboda </p></div>"
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"family" : "Svoboda",
"given" : [
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{
"fullUrl" : "urn:uuid:e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7",
"resource" : {
"resourceType" : "Consent",
"id" : "e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7",
"meta" : {
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🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-consent-hdr"
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},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Consent_e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Consent e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7</b></p><a name=\"e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7\"> </a><a name=\"hce3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"https://build.fhir.org/ig/HL7-cz/hdr/StructureDefinition-cz-consent-hdr.html\">Consent (Advance Directives) (HDR CZ)</a></p></div><h2>Participants</h2><table class=\"grid\"><tr><td><b>Role</b></td><td><b>Details</b></td></tr><tr><td><title>Who the consent applies to</title>Patient</td><td><a href=\"Bundle-OutpatientBundle-Novak-L3.html#urn-uuid-a62559b6-14bc-4bc6-ae50-a0eb75357e63\">Jan Novák Male, DoB: 1968-03-15 ( https://ncez.mzcr.cz/fhir/sid/rid#5194827361)</a></td></tr></table><p>The subject has given their consent.</p></div>"
},
"status" : "active",
"scope" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentscope",
"code" : "adr",
"display" : "Advanced Care Directive"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
"code" : "jpp",
"display" : "Patient information rights"
}
]
}
],
"patient" : {
"reference" : "urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"
},
"dateTime" : "2026-01-15T10:00:00+01:00"
}
},
{
"fullUrl" : "urn:uuid:f4b5c6d7-e8f9-40ab-ad23-c3d4e5f6a7b8",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "f4b5c6d7-e8f9-40ab-ad23-c3d4e5f6a7b8",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/amb/StructureDefinition/cz-allergyintolerance-amb"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_f4b5c6d7-e8f9-40ab-ad23-c3d4e5f6a7b8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance f4b5c6d7-e8f9-40ab-ad23-c3d4e5f6a7b8</b></p><a name=\"f4b5c6d7-e8f9-40ab-ad23-c3d4e5f6a7b8\"> </a><a name=\"hcf4b5c6d7-e8f9-40ab-ad23-c3d4e5f6a7b8\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cz-allergyintolerance-amb.html\">AllergyIntolerance: Outpatient Encounter Report (CZ)</a></p></div><p><b>identifier</b>: <code>http://example.org/hospital/allergy-intolerances</code>/allergy-aspirin-001</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: Intolerance</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 387458008}\">Aspirin</span></p><p><b>patient</b>: <a href=\"Bundle-OutpatientBundle-Novak-L3.html#urn-uuid-a62559b6-14bc-4bc6-ae50-a0eb75357e63\">Jan Novák Male, DoB: 1968-03-15 ( https://ncez.mzcr.cz/fhir/sid/rid#5194827361)</a></p></div>"
},
"identifier" : [
{
"system" : "http://example.org/hospital/allergy-intolerances",
"value" : "allergy-aspirin-001"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"type" : "intolerance",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "387458008"
}
]
},
"patient" : {
"reference" : "urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"
}
}
},
{
"fullUrl" : "urn:uuid:a5c6d7e8-f9a0-41bc-ae34-d4e5f6a7b8c9",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "a5c6d7e8-f9a0-41bc-ae34-d4e5f6a7b8c9",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/amb/StructureDefinition/cz-allergyintolerance-amb"
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_a5c6d7e8-f9a0-41bc-ae34-d4e5f6a7b8c9\"> </a>Pacient má alergii na penicilin projevující se kopřivkou.</div>"
},
"identifier" : [
{
"system" : "http://example.org/hospital/allergy-intolerances",
"value" : "allergy-penicillin-001"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"type" : "allergy",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "91936005"
}
]
},
"patient" : {
"reference" : "urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"
}
}
},
{
"fullUrl" : "urn:uuid:b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/amb/StructureDefinition/cz-allergyintolerance-amb"
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da\"> </a>Pacient má vážnou alergii na mořské krevety s anafylaktickou reakcí.</div>"
},
"identifier" : [
{
"system" : "http://example.org/hospital/allergy-intolerances",
"value" : "allergy-shellfish-001"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"type" : "allergy",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "227037002"
}
]
},
"patient" : {
"reference" : "urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"
}
}
},
{
"fullUrl" : "urn:uuid:c7e8f9a0-b1c2-43de-a056-f6a7b8c9deb1",
"resource" : {
"resourceType" : "Flag",
"id" : "c7e8f9a0-b1c2-43de-a056-f6a7b8c9deb1",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/amb/StructureDefinition/cz-flag-amb"
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Flag_c7e8f9a0-b1c2-43de-a056-f6a7b8c9deb1\"> </a>Pacient má diabetes mellitus typu 2 - vyžaduje pravidelné monitorování glukózy.</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/flag-priority",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/flag-priority-code",
"code" : "PH",
"display" : "High priority"
}
]
}
}
],
"identifier" : [
{
"system" : "http://example.org/hospital/flags",
"value" : "flag-diabetes-001"
}
],
"status" : "active",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
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}
]
},
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},
"period" : {
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}
}
}
]
}