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

Plain Language Summary goes here

## Home

Official URL: https://hl7.cz/fhir/amb/ImplementationGuide/hl7.fhir.cz.amb | Version: 0.1.0
Draft as of 2026-01-30 | Computable Name: HL7CzAmbEncounterReportImplementationGuide

### Introduction

This implementation guide specifies a set of rules to be applied to HL7 FHIR to define Outpatient Encounter Report (or any kind of similar encounter) in the Czech national context.

Its main objective is to define the content components and the preferred structure to be used. The purpose of this standard is to define the representation of the discharge report as a patient's medical record for the purpose of electronic exchange between individuals, healthcare providers and infrastructure components in the Czech Republic.

This includes both national and cross-border scenarios.

### Scope

This guide is divided into several pages which are listed at the top of each page in the menu bar.

- Home: This page provides the introduction, scope short, references, dependencies, cross version analysis and IP statement for this guide.
- Introduction:
  - Scope and content: This segment contains general information about Imaging report.
  - Background: This segment contains background information about Imaging report.
- Functional:
  - ​Use cases: This segment contains information about use cases.
  - ​Workflow: This segment contains information about workflow.
  - Logical models: This segment contains information about logical models.
  - ​Terminology considerations: This segment contains information about terminology.
- Implementation:
  - Mapping to profiles: This segment contains information about logical model maps to profiles.
  - Examples: This segment contains information about examples.
  - Obligations: This segment contains information about obligations.
  - Implementation notes: This segment contains information for implementation.
- About:
  - Authors: This segment contains informaction about authors.
  - Downloads: This segment contains informaction about downloads.
  - Dependencies: This segment contains informaction about dependencies.
  - Copyright: This segment contains informaction about copyright.
- Artifacts: This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Dependencies

IG | Package | FHIR | Comment
--- | --- | --- | ---
HL7 Czech Outpatient Encounter Report Implementation Guide | hl7.fhir.cz.amb#0.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.1 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
HL7 Czech Base and Core Implementation Guide | hl7.fhir.cz.core#current | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.0.0 | R4 |
fhir.dicom | fhir.dicom#2022.4.20221006 | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#0.1.0-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.3.0 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#0.1.1-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.2.0 | R4 |
HL7 Czech Terminology Implementation Guide | hl7.fhir.cz.terminology#current | R4 |
HL7 Czech Hospital Discharge Report Implementation Guide | hl7.fhir.cz.hdr#current | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions#0.1.1-ballot | R5 |
HL7 Terminology (THO) | hl7.terminology.r5#6.2.0 | R5 |
HL7 Europe Laboratory Report | hl7.fhir.eu.laboratory#0.1.1 | R4 |
HL7 Europe Hospital Discharge Report | hl7.fhir.eu.hdr#0.1.0-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.4.0 | R4 |
Medication Prescription and Dispense (MPD) | ihe.pharm.mpd.r4#1.0.0-comment-2 | R4 |
Medication Prescription and Dispense (MPD) | ihe.pharm.mpd#1.0.0-comment-2 | R5 |
HL7 Terminology (THO) | hl7.terminology.r5#6.3.0 | R5 |
HL7 CZ Laboratory IG | hl7.fhir.cz.lab#current | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.0 | R4 |
HL7 Europe Laboratory Report | hl7.fhir.eu.laboratory#current | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions#current | R5 |
HL7 Terminology (THO) | hl7.terminology.r5#7.0.1 | R5 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#current | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#2.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.5.0 | R4 |
International Patient Access | hl7.fhir.uv.ipa#1.1.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.0.0 | R4 |
FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 | hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#1.2.0 | R4 |
HL7 Czech Imaging Report IG | hl7.fhir.cz.img#current | R4 |
HL7 Czech Imaging Order IG | hl7.fhir.cz.img-order#current | R4 |
HL7 Europe Imaging Report R4 | hl7.fhir.eu.imaging-r4#current | R4 |
fhir.dicom | fhir.dicom#2025.3.20250714 | R4 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#0.9.0 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.eu.extensions.r4#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.base#0.1.0-ballot This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, May 5, 2025 21:42+0200+02:00)

Package hl7.fhir.cz.terminology#current HL7 Czech Terminology Implementation Guide (built Tue, Dec 23, 2025 17:10+0000+00:00)

Package hl7.fhir.cz.core#current HL7 Czech Base and Core Resources Implementation Guide (built Fri, Dec 19, 2025 09:24+0000+00:00)

Package hl7.fhir.eu.extensions#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.laboratory#0.1.1 This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Mar 25, 2025 12:00+0100+01:00)

Package ihe.pharm.mpd.r4#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.hdr#0.1.0-ballot This implementation guide specifies the Hospital Discharge Report in the European context, as defined in eHN Hospital Discharge Report guidelines. (built Tue, Jun 3, 2025 12:48+0200+02:00)

Package ihe.pharm.mpd#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.extensions#current This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 13:26+0000+00:00)

Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2 The cross-version extensions available in FHIR R4 from FHIR R5 (built Sat, Sep 13, 2025 16:55-0400-04:00)

Package hl7.fhir.eu.extensions.r4#1.2.0 This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+0100+01:00)

Package hl7.fhir.eu.base#current This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Dec 22, 2025 08:18+0000+00:00)

Package hl7.fhir.eu.laboratory#current This guide describes how the Laboratory Report can be represented in the European REALM. (built Mon, Dec 1, 2025 17:23+0000+00:00)

Package hl7.fhir.cz.lab#current Czech Laboratory Implementation Guide (built Wed, Dec 10, 2025 22:15+0000+00:00)

Package hl7.fhir.cz.img-order#current HL7 Czech Imaging Order Implementation Guide (built Wed, Jan 28, 2026 16:09+0000+00:00)

Package hl7.fhir.eu.imaging-r4#current This guide describes how a Imaging Report can be represented in the European REALM using FHIR R4. (built Mon, Jan 26, 2026 22:51+0000+00:00)

Package hl7.fhir.cz.img#current Czech Imaging Report Implementation Guide (built Wed, Jan 28, 2026 16:02+0000+00:00)

Package hl7.fhir.cz.hdr#current This guide contains implementation specification for the HL7 Czech Hospital Discharge Report (built Mon, Dec 22, 2025 16:16+0000+00:00)

Package hl7.fhir.uv.tools.r4#0.9.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Dec 16, 2025 23:18+1100+11:00)

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.amb.r4) and R4B (hl7.fhir.cz.amb.r4b) are available.

### IP statements

This publication includes IP covered under the following statements.

- ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
  Show Usage
  - ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: AdmitionEvaluation2FHIRCzAmb, AdvanceDirectives2FHIRCzAmb... Show 44 more, Alerts2FHIRCzAmb, Attachement2FHIRCzAmb, CZ_AllergyIntoleranceAmb, CZ_BundleAmb, CZ_CompositionAmb, CZ_EncounterAmb, CZ_FlagAmb, CZ_FlagObligationsAmb, Encounter2FHIRCzAmb, HL7CzAmbEncounterReportImplementationGuide, Header2FHIRCzAmb, LogCzAdmissionEvaluationCz, LogCzAdvanceDirectivesCz, LogCzAlertsCz, LogCzAttachmentsCz, LogCzDigitalSignatureCz, LogCzEncounterCz, LogCzHeaderAmbCz, LogCzMedicationSummaryCz, LogCzOutpatientEncounterReportCz, LogCzOutpatientStayCz, LogCzPatientHistoryCz, LogCzPlanOfCareCz, LogCzPresentedFormCz, LogCzSubjectHdrCz, LogEnAdmissionEvaluationCz, LogEnAdvanceDirectivesCz, LogEnAlertsCz, LogEnAttachmentsCz, LogEnDigitalSignatureCz, LogEnEncounterCz, LogEnHeaderAmbCz, LogEnMedicationSummaryCz, LogEnOutpatientEncounterReportCz, LogEnOutpatientStayCz, LogEnPatientHistoryCz, LogEnPlanOfCareCz, LogEnPresentedFormCz, LogEnSubjectHdrEhnCz, MedicationSummary2FHIRCzAmb, PatientHistory2FHIRCzAmb, PatientStay2FHIRCzAmb, PlanOfCare2FHIRCzAmb and PresentedForm2FHIRCzAmb
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: Bundle/OutpatientBundle-Mracena, CZ_CompositionAmb and Composition/698056a8-57a6-49ed-909e-ea4216b18a6d
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  - identifierType: Bundle/OutpatientBundle-Mracena and Patient/00d304b8-5839-43dd-9239-69aed544f7e1
  - ActCode: CZ_EncounterAmb
  - ParticipationType: CZ_EncounterAmb