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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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_d2f3a4b5-c6d7-48e9-ab01-a1b2c3d4e5f6"> </a><p class="res-header-id"><b>Generated Narrative: Composition d2f3a4b5-c6d7-48e9-ab01-a1b2c3d4e5f6</b></p><a name="d2f3a4b5-c6d7-48e9-ab01-a1b2c3d4e5f6"> </a><a name="hcd2f3a4b5-c6d7-48e9-ab01-a1b2c3d4e5f6"> </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-composition-amb.html">Composition: Outpatient Encounter Report (CZ)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 34108-1}">Outpatient Note</span></p><p><b>date</b>: 2026-02-15 14:30:45+0100</p><p><b>author</b>: <a href="Bundle-OutpatientBundle-Novak-L1.html#urn-uuid-a47ac10b-58cc-4372-a567-0e02b2c3d479">Practitioner Jan Svoboda </a></p><p><b>title</b>: Ambulantní zpráva - L3 composition</p></div>
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<title value="Ambulantní zpráva - L3 composition"/>
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<title value="Dříve vyslovaná přání"/>
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<code value="42348-3"/>
<display value="Advance healthcare directives"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Pacient si žádá, aby byl informován před jakoukoliv hospitalizací.</div>
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<title value="Alergie a intolerance"/>
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<display value="Allergies and adverse reactions Document"/>
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<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>
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<reference value="urn:uuid:b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da"/>
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<section>
<title value="Varování"/>
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<system value="http://loinc.org"/>
<code value="104605-1"/>
<display value="Alert"/>
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<text>
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<div xmlns="http://www.w3.org/1999/xhtml">Pacient má diabetes mellitus typ 2 - vyžaduje monitorování hladiny glukózy.</div>
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<title value="Stav při přijetí/příchodu"/>
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<code value="67851-6"/>
<display value="Admission evaluation note"/>
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<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>
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<section>
<title value="Anamnéza"/>
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<display value="Patient history"/>
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<section>
<title value="Historie zdravotních problémů"/>
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<coding>
<system value="http://loinc.org"/>
<code value="11348-0"/>
<display value="History of Past illness note"/>
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<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Diabetes mellitus typu 2</li><li>Hyperlipidémie</li><li>Nadváha</li></ul></div>
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<title value="Souhrn medikace"/>
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<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
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<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>
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<reference value="urn:uuid:cde4e5f6-a7b8-4934-b6bc-f06i27"/>
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<title value="Plán péče"/>
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<code value="18776-5"/>
<display value="Plan of care note"/>
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<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>
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<section>
<title value="Přílohy"/>
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<display value="Additional documentation"/>
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<div xmlns="http://www.w3.org/1999/xhtml">Neobsahuje přílohované dokumenty.</div>
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<Patient>
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value="https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"/>
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<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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<gender value="male"/>
<birthDate value="1968-03-15"/>
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<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 value="Svoboda"/>
<given value="Jan"/>
<prefix value="MUDr."/>
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<fullUrl value="urn:uuid:e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7"/>
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<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>
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<display value="Advanced Care Directive"/>
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<code value="jpp"/>
<display value="Patient information rights"/>
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<patient>
<reference value="urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"/>
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<dateTime value="2026-01-15T10:00:00+01:00"/>
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<entry>
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<AllergyIntolerance>
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<meta>
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<text>
<status value="generated"/>
<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>
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<system value="http://example.org/hospital/allergy-intolerances"/>
<value value="allergy-aspirin-001"/>
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<coding>
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value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="intolerance"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387458008"/>
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<patient>
<reference value="urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"/>
</patient>
</AllergyIntolerance>
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<fullUrl value="urn:uuid:a5c6d7e8-f9a0-41bc-ae34-d4e5f6a7b8c9"/>
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<AllergyIntolerance>
<id value="a5c6d7e8-f9a0-41bc-ae34-d4e5f6a7b8c9"/>
<meta>
<profile
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<text>
<status value="additional"/>
<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>
</text>
<identifier>
<system value="http://example.org/hospital/allergy-intolerances"/>
<value value="allergy-penicillin-001"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91936005"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"/>
</patient>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da"/>
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<AllergyIntolerance>
<id value="b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da"/>
<meta>
<profile
value="https://hl7.cz/fhir/amb/StructureDefinition/cz-allergyintolerance-amb"/>
</meta>
<text>
<status value="additional"/>
<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>
</text>
<identifier>
<system value="http://example.org/hospital/allergy-intolerances"/>
<value value="allergy-shellfish-001"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="227037002"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"/>
</patient>
</AllergyIntolerance>
</resource>
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<entry>
<fullUrl value="urn:uuid:c7e8f9a0-b1c2-43de-a056-f6a7b8c9deb1"/>
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<id value="c7e8f9a0-b1c2-43de-a056-f6a7b8c9deb1"/>
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<profile
value="https://hl7.cz/fhir/amb/StructureDefinition/cz-flag-amb"/>
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<text>
<status value="additional"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/flag-priority">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/flag-priority-code"/>
<code value="PH"/>
<display value="High priority"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="http://example.org/hospital/flags"/>
<value value="flag-diabetes-001"/>
</identifier>
<status value="active"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="44054006"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"/>
</subject>
<period>
<start value="2015-01-01"/>
</period>
</Flag>
</resource>
</entry>
</Bundle>