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
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
Actors and Obligations used to describe the Outpatient Encounter Report functional requirements for the specified data elements. Informative for this version of the guide.
| Flag Obligations (AMB CZ) |
This profile defines the obligations for the CZ_FlagAmb profile used in the Amb CZ project. |
Logical model in czech language. Informative for this version of the guide.
| A - Ambulantní zpráva |
Ambulantní zpráva |
| A.1 - Hlavička dokumentu |
Záhlaví dokumentu s administrativními údaji |
| A.2.1 - Dříve vyslovená přání |
Ambulantní zpráva - Dříve vyslovená přání |
| A.2.2 - Urgentní informace |
Urgentní informace |
| A.2.3 - Údaje o ambulantním kontaktu |
Záznam o ambulantním kontaktu v rámci ambulantní zprávy. |
| A.2.4 - Stav při přijetí |
Stav při přijetí (Nepovinná sekce uvádět pouze v případě významu pro zajištění kontinuity péče.) |
| A.2.6 - Anamnéza pacienta |
Anamnéza pacienta |
| A.2.7 - Průběh ambulantního kontaktu |
Popis průběhu ambulantního kontaktu zahrnující diagnostické souhrny, výkony, léčbu, vyšetření i klinické shrnutí. |
| A.2.8 - Souhrn medikace |
Souhrnná informace o medikaci, doporučené na období po propuštění, s vyznačením, zda se jedná o medikaci pokračující, změněnou či nově zahájenou. |
| A.2.9.1 - Plán péče |
Plán péče po ambulantním kontaktu |
| A.3 - Prezentační forma |
Ambulantní zpráva - čitelná lidským okem, je požadován PDF formát. Obsahuje informace o průběhu hospitalizace v rozsahu vydané zprávy. |
| A.4 - Ostatní přílohy |
Ostatní přílohy |
These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.
| A - Outpatient Encounter Report |
Outpatient Encounter Report |
| A.1 - Header |
Header with administrative data |
| A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject |
Outpatient Report - Outpatient Report subject data element - A.1.1 and A.1.2 eHN |
| A.1.1 - Identifikace a A.1.2 - informace o pacientovi |
Ambulantní zpráva - Informace o pacientovi. |
| A.1.9 - Digital signature |
Digital signature - Electronic signature or seal of a document according to Act 327/2011 §54a |
| A.1.9 - Digitální podpis |
Nemocniční propouštěcí zpráva - Elektronický podpis dle zákona 327/2011 §54a |
| A.2.1 - Advance Directives |
Advance Directives |
| A.2.2 - Alerts |
Alerts |
| A.2.3 - Encounter |
Encounter |
| A.2.4 - Admission Evaluation |
Admission Evaluation |
| A.2.6 - Patient History |
Patient History |
| A.2.7 - Outpatient stay |
Outpatient stay |
| A.2.8 - Medication Summary |
Medication Summary |
| A.2.9.1 - Plan of Care |
Plan of Care |
| A.3 - Presented Form |
Presented form - Entire report as issued. Various formats could be provided, pdf format is recommended. |
| A.4 - Attachments |
Attachments |
These define constraints on FHIR resources for systems conforming to this implementation guide.
| AllergyIntolerance: Outpatient Encounter Report (CZ) |
AllergyIntolerance resource to represent information about allergies or intolerances relevant to ambulatory care in the scope of this guide. |
| Bundle Outpatient Encounter Report (CZ) |
Clinical document used to represent a Outpatient Encounter Report for the scope of this guide. |
| Composition: Outpatient Encounter Report (CZ) |
Clinical document used to represent an Outpatient Encounter Report for the scope of this guide. |
| Encounter (AMB CZ) |
This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide. |
| Flag: Outpatient Encounter Report (CZ) |
Flag resource to represent important clinical or administrative information about the patient relevant to ambulatory care in the scope of this guide. |
These define transformations to convert between codes by systems conforming with this implementation guide.
| CZ Admition Evaluation Model to this guide Map |
AMB Admition Evaluation Model to this guide mapping |
| CZ Advance Directives Model to this guide Map |
AMB Advance Directives Model to this guide mapping |
| CZ Alerts Model to this guide Map |
AMB Alerts Model to this guide mapping |
| CZ Attachement Model to this guide Map |
AMB Attachement Model to this guide mapping |
| CZ Encounter Model to this guide Map |
AMB Encounter Model to this guide mapping |
| CZ Header Model to this guide Map |
AMB Header Model to this guide mapping |
| CZ Medication Summary Model to this guide Map |
AMB Medication Summary Model to this guide mapping |
| CZ Patient History Model to this guide Map |
AMB Patient History Model to this guide mapping |
| CZ Patient Stay Model to this guide Map |
AMB Patient Stay Model to this guide mapping |
| CZ Plan of Care Model to this guide Map |
AMB Plan of Care Model to this guide mapping |
| CZ Presented Form Model to this guide Map |
AMB Presented Form Model to this guide mapping |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| Ambulantní zpráva |
Example Composition for Outpatient Report for patient Mrakomorová Mračena |
| OutpatientBundle-Mracena |
Example Bundle for Outpatient Report for patient Mrakomorová Mračena |
| Patient-Mracena |
Patient, contact information and practitioner |
| Practitioner-123456789 |
Practitioner id(KRZP)=123456789 |