{
  "resourceType" : "Bundle",
  "id" : "OutpatientBundle-Novak-L3",
  "meta" : {
    "profile" : ["https://hl7.cz/fhir/amb/StructureDefinition/cz-bundle-amb"]
  },
  "language" : "en",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:c1e2f3a4-b5c6-47d8-a9e0-f0a1b2c3d4e5"
  },
  "type" : "document",
  "timestamp" : "2026-02-15T14:30:45+01:00",
  "entry" : [{
    "fullUrl" : "urn:uuid:d2f3a4b5-c6d7-48e9-ab01-a1b2c3d4e5f6",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "d2f3a4b5-c6d7-48e9-ab01-a1b2c3d4e5f6",
      "meta" : {
        "profile" : ["https://hl7.cz/fhir/amb/StructureDefinition/cz-composition-amb"]
      },
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<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 67781-5}\">Zpráva o vyšetření či ošetření</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>"
      },
      "extension" : [{
        "url" : "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
      }],
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "67781-5",
          "display" : "Zpráva o vyšetření či ošetření"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"
      },
      "date" : "2026-02-15T14:30:45+01:00",
      "author" : [{
        "reference" : "urn:uuid:a47ac10b-58cc-4372-a567-0e02b2c3d479"
      }],
      "title" : "Ambulantní zpráva - L3 composition",
      "section" : [{
        "title" : "Dříve vyslovaná přání",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "42348-3",
            "display" : "Advance healthcare directives"
          }]
        },
        "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"
        }]
      },
      {
        "title" : "Alergie a intolerance",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "48765-2",
            "display" : "Allergies and adverse reactions Document"
          }]
        },
        "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"
        },
        {
          "reference" : "urn:uuid:a5c6d7e8-f9a0-41bc-ae34-d4e5f6a7b8c9"
        },
        {
          "reference" : "urn:uuid:b6d7e8f9-a0b1-42cd-af45-e5f6a7b8c9da"
        }]
      },
      {
        "title" : "Varování",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "104605-1",
            "display" : "Alert"
          }]
        },
        "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"
        }]
      },
      {
        "title" : "Stav při přijetí/příchodu",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "67851-6",
            "display" : "Admission evaluation note"
          }]
        },
        "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"
          }]
        },
        "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"
          },
          {
            "reference" : "urn:uuid:e9a0b1c2-d3e4-45f0-b278-b8c9daebf3"
          },
          {
            "reference" : "urn:uuid:faa1b2c3-e4f5-4601-b389-c9daebf04"
          }]
        }]
      },
      {
        "title" : "Souhrn medikace",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10160-0",
            "display" : "History of Medication use Narrative"
          }]
        },
        "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"
        },
        {
          "reference" : "urn:uuid:bcd3d4e5-f6a7-4823-b5ab-ebf05h16"
        },
        {
          "reference" : "urn:uuid:cde4e5f6-a7b8-4934-b6bc-f06i27"
        }]
      },
      {
        "title" : "Plán péče",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "18776-5",
            "display" : "Plan of care note"
          }]
        },
        "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"
          }]
        },
        "text" : {
          "status" : "additional",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Neobsahuje přílohované dokumenty.</div>"
        }
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "a62559b6-14bc-4bc6-ae50-a0eb75357e63",
      "meta" : {
        "profile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"]
      },
      "language" : "en",
      "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://hl7.cz/fhir/core/0.3.0/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>"
      },
      "identifier" : [{
        "system" : "https://ncez.mzcr.cz/fhir/sid/rid",
        "value" : "5194827361"
      }],
      "name" : [{
        "use" : "usual",
        "family" : "Novák",
        "given" : ["Jan"]
      }],
      "gender" : "male",
      "birthDate" : "1968-03-15"
    }
  },
  {
    "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"]
      },
      "language" : "en",
      "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://hl7.cz/fhir/core/0.3.0/StructureDefinition-cz-practitioner-core.html\">Practitioner (CZ core)</a></p></div><p><b>name</b>: Jan Svoboda </p></div>"
      },
      "name" : [{
        "use" : "usual",
        "family" : "Svoboda",
        "given" : ["Jan"],
        "prefix" : ["MUDr."]
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7",
    "resource" : {
      "resourceType" : "Consent",
      "id" : "e3a4b5c6-d7e8-49fa-ac12-b2c3d4e5f6a7",
      "meta" : {
        "profile" : ["https://hl7.cz/fhir/hdr/StructureDefinition/cz-consent-hdr"]
      },
      "language" : "en",
      "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\">Patient</td><td><a href=\"Bundle-OutpatientBundle-Novak-L1.html#urn-uuid-a62559b6-14bc-4bc6-ae50-a0eb75357e63\">Jan Novák  (no stated gender), DoB: 1968-03-15 ( Passport number\u00a0(use:\u00a0official,\u00a0))</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"]
      },
      "language" : "en",
      "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 (substance)</span></p><p><b>patient</b>: <a href=\"Bundle-OutpatientBundle-Novak-L1.html#urn-uuid-a62559b6-14bc-4bc6-ae50-a0eb75357e63\">Jan Novák  (no stated gender), DoB: 1968-03-15 ( Passport number\u00a0(use:\u00a0official,\u00a0))</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"]
      },
      "language" : "en",
      "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"]
      },
      "language" : "en",
      "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"]
      },
      "language" : "en",
      "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",
          "code" : "44054006"
        }]
      },
      "subject" : {
        "reference" : "urn:uuid:a62559b6-14bc-4bc6-ae50-a0eb75357e63"
      },
      "period" : {
        "start" : "2015-01-01"
      }
    }
  }]
}