HL7 Czech EMS Implementation Guide
0.0.2 - ci-build Czechia flag

HL7 Czech EMS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-ems/ and changes regularly. See the Directory of published versions

Example Bundle: Bundle: EMS report

Document Subject

Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Marital Status:Married
Other Ids:
  • https://ncez.mzcr.cz/fhir/sid/rid/2066425387
  • https://ncez.mzcr.cz/fhir/sid/rcis/7711260678 (use: official, )
Contact Detail
  • +420601601601
  • Testovací 2517/87, 37005, České Budějovice(home)
Languages:
  • Czech (preferred)
  • English
  • German
wife:
Links:
  • General Practitioner: MUDr. Josef Švejk (Identifier: https://ncez.mzcr.cz/fhir/sid/krzp/123456789)

Document Content

Handover

Ukončení

Patient history

Anamnéza

Medical devices history

Historie zdravotních pomůcek a implantátů

Procedure

Mediální kyslík NEPODÁN.

Travel history

Cestovní anamnéza

Family history

Rodinná anamnéza

Alcohol use

Spotřeba alkoholu

Tobacco use

Spotřeba tabáku

Allergies

Urgetní anamnéza

Payers

Zdravotní pojištění

Dispatch

Údaje o výjezdu

Timeline

Časová osa výjezdu

Findings

Nálezy při vyšetření

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:cd343afa-039d-4576-b5e4-e89598aeb628

Resource Encounter:

identifier: http://example.org/hospital/ku-123456789

status: In Progress

class: ambulatory

type: EMS pacienta Novotného

serviceProvider: Organization Fakultní nemocnice Motol

Locations

-LocationPeriod
*Location2025-05-20 10:42:00+0100 --> 2025-05-20 10:59:00+0100

Entry 3 - fullUrl = urn:uuid:040eb849-a513-4d74-b3f3-d2f246a26877

Resource DocumentReference:

status: Current

content

Attachments

-ContentTypeDataTitle
*image/svg+xml(base64 data - 2,804 base64 chars)Organization logo

Entry 4 - fullUrl = urn:uuid:821077d6-ce17-4602-b3ad-d4bef845a950

Resource Organization:

Organization Logo: DocumentReference: status = current

identifier: https://ncez.mzcr.cz/fhir/sid/ico/456789655

type: Fakultní nemocnice

name: Fakultní nemocnice Motol

contact

telecom: +420257216007, fax: +420257216007(Work)

address: Plzeňská 951/125, 150 00 Praha 5(work)

Entry 5 - fullUrl = urn:uuid:2e877c76-633d-479b-a6d4-c6d95942de3f

Resource Practitioner:

identifier: https://ncez.mzcr.cz/fhir/sid/krzp/123456789

name: Novák Roman

gender: Male

Entry 6 - fullUrl = urn:uuid:1e9f88f5-2b1d-4af3-886f-55b649cfe4c3

Resource Practitioner:

identifier: https://ncez.mzcr.cz/fhir/sid/krzp/123456788

name: Rychlý Pavel

gender: Male

Entry 7 - fullUrl = urn:uuid:f41da185-e4ac-4ef9-a560-4d7db1911090

Resource Practitioner:

identifier: https://ncez.mzcr.cz/fhir/sid/krzp/123456787

name: Dvořáková Petra

gender: Female

Entry 8 - fullUrl = urn:uuid:3b46c18c-7e07-4232-af3e-f710dec8e766

Resource Patient:

Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Marital Status:Married
Other Ids:
  • https://ncez.mzcr.cz/fhir/sid/rid/2066425387
  • https://ncez.mzcr.cz/fhir/sid/rcis/7711260678 (use: official, )
Contact Detail
  • +420601601601
  • Testovací 2517/87, 37005, České Budějovice(home)
Languages:
  • Czech (preferred)
  • English
  • German
wife:
Links:
  • General Practitioner: MUDr. Josef Švejk (Identifier: https://ncez.mzcr.cz/fhir/sid/krzp/123456789)

Entry 9 - fullUrl = urn:uuid:3af2e7a6-c16e-4b80-a173-ca2c8aa081b6

Resource Procedure:

status: Completed

code: EKG 12 svod

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Entry 10 - fullUrl = urn:uuid:6ec0b5df-ad0b-487b-9918-367ca876ac38

Resource Procedure:

partOf: MedicationAdministration: identifier = https://www.nempriklad.cz/#med-adm-2; status = completed; medication[x] = ->Medication BETALOC; effective[x] = 2025-09-03 10:50:00+0100

status: Completed

code: kanylace periferní žíly

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Entry 11 - fullUrl = urn:uuid:ba0e590d-252e-4a52-89ed-b10fa02b6c66

Resource Coverage:

Profile: Coverage (CZ)

status: Active

subscriberId: 7711260678

beneficiary: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Entry 12 - fullUrl = urn:uuid:f64bef19-c377-404a-bac2-23d2bbac8f3e

Resource PractitionerRole:

practitioner: Practitioner Novák Roman

organization: Organization Zdravotnická záchranná služba Jihočeského kraje

code: Zdravotnický záchranář

Entry 13 - fullUrl = urn:uuid:bfa154a9-69c0-4b7f-909e-6150492b7377

Resource PractitionerRole:

practitioner: Practitioner Rychlý Pavel

organization: Organization Zdravotnická záchranná služba Jihočeského kraje

code: Řidič vozidla zdravotnické záchranné služby

Entry 14 - fullUrl = urn:uuid:84d98379-46fa-464d-ad1a-9c3ef1f0f9c8

Resource PractitionerRole:

practitioner: Practitioner Dvořáková Petra

organization: Organization Zdravotnická záchranná služba Jihočeského kraje

code: Calltaker

Entry 15 - fullUrl = urn:uuid:35e78cc9-6fe2-42a8-8553-83a3f86ce308

Resource Organization:

identifier: https://ncez.mzcr.cz/fhir/sid/kp/111

name: Všeobecná zdravotní pojišťovna ČR

Entry 16 - fullUrl = urn:uuid:e206d37b-cfd4-4f10-ad09-ba78038847ca

Resource Organization:

identifier: https://ncez.mzcr.cz/fhir/sid/ico/12345678

name: Zdravotnická záchranná služba Jihočeského kraje

Entry 17 - fullUrl = urn:uuid:54d8ee67-8706-46a8-899e-12a54761d9d9

Resource Location:

name: ZCB 121

mode: Instance

Entry 18 - fullUrl = urn:uuid:3acd2720-0bcf-41ca-bb17-7c64ac5b7682

Resource Task:

CZ Urgency Level Extension for Task: 3

identifier: 852699001 (use: official, )

status: Completed

intent: Order

authoredOn: 2025-09-03 10:33:00+0100

Entry 19 - fullUrl = urn:uuid:83c6052f-3e0d-4146-a789-c0ad61cb4cae

Resource Communication:

status: Completed

received: 2025-05-20 10:31:00+0100

recipient: PractitionerRole

Entry 20 - fullUrl = urn:uuid:3f4f637d-f274-40c5-87da-9a9c1ade3ade

Resource Location:

address: 5. května 1024, 373 84 Kamenný Újezd, Česká republika

Entry 21 - fullUrl = urn:uuid:27145145-c229-465f-a11e-6767c34c1489

Resource AllergyIntolerance:

identifier: Uniform Resource Identifier (URI)/urn:uuid:d8f41e59-56fe-4440-9467-3a0f8601b91e

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: PENICILINY SE ŠIROKÝM SPEKTREM

patient: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

reaction

AllergyIntolerance Certainty: Confirmed

AllergyIntolerance ExposureDescription: Oral route

substance: Antibiotic

manifestation: No display for AllergyIntolerance.reaction.manifestation (concept: Allergic urticaria)

severity: Severe

Entry 22 - fullUrl = urn:uuid:5792aae8-20ba-4baa-90b3-311988fa5434

Resource Observation:

status: Final

category: Vital Signs

code: Body mass index

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2020-06-01

performer: PractitionerRole Zdravotnický záchranář

value: 29.3 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

Entry 23 - fullUrl = urn:uuid:272d3f43-e7fb-4759-9ade-b9cf530d07ab

Resource Observation:

status: Final

category: Vital Signs

code: Body weight with shoes (observable entity)

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2020-06-01

performer: PractitionerRole Zdravotnický záchranář

value: 95 kg (Details: UCUM codekg = 'kg')

Entry 24 - fullUrl = urn:uuid:5114880a-a222-40eb-b67e-2e0780027e7c

Resource Observation:

status: Final

category: Vital Signs

code: Estimated body height (observable entity)

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2020-06-01

performer: PractitionerRole Zdravotnický záchranář

value: 180 cm (Details: UCUM codecm = 'cm')

Entry 25 - fullUrl = urn:uuid:ce370af7-3c13-4b19-8870-a8a4fa6fd898

Resource Observation:

status: Final

category: Vital Signs

code: Heart rate

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2020-09-03 10:45:03+0100

performer: PractitionerRole Zdravotnický záchranář

value: 143 /min (Details: UCUM code/min = '/min')

Entry 26 - fullUrl = urn:uuid:53f76fa0-c675-44fa-a816-d9416683c201

Resource Observation:

status: Final

category: Vital Signs

code: Heart rate

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2020-09-03 10:55:03+0100

performer: PractitionerRole Zdravotnický záchranář

value: 125 /min (Details: UCUM code/min = '/min')

Entry 27 - fullUrl = urn:uuid:5be4cac5-103c-4b5d-bf66-453da09b35ac

Resource Observation:

status: Final

category: Vital Signs

code: Respiratory rate

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2020-09-03 10:45:03+0100

performer: PractitionerRole Zdravotnický záchranář

value: 16 /min (Details: UCUM code/min = '/min')

Entry 28 - fullUrl = urn:uuid:99ae9ec2-ab21-4afc-8fba-503f5fb34871

Resource Observation:

status: Final

category: Vital Signs

code: Respiratory rate

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2020-09-03 10:55:03+0100

performer: PractitionerRole Zdravotnický záchranář

value: 14 /min (Details: UCUM code/min = '/min')

Entry 29 - fullUrl = urn:uuid:782255e0-cd1d-4f31-ace3-08b278936b94

Resource Medication:

identifier: https://www.nempriklad.cz//a12345

code: FYZIOLOGICKÝ ROZTOK VIAFLO

Entry 30 - fullUrl = urn:uuid:9be3ee4c-0844-450b-9d43-fde72ab1642a

Resource MedicationAdministration:

identifier: https://www.nempriklad.cz//med-adm-2

status: completed

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Dosages

-RouteDose
*Intravenous route250 ml (Details: UCUM codeml = 'ml')

Entry 31 - fullUrl = urn:uuid:68c98e94-e997-417c-9108-f05f65fc5327

Resource Medication:

identifier: https://www.nempriklad.cz//a12345

code: BETALOC

ingredient

Entry 32 - fullUrl = urn:uuid:4aed93c8-8b0b-433f-9b7b-3cef96515352

Resource MedicationAdministration:

identifier: https://www.nempriklad.cz//med-adm-2

status: completed

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Dosages

-RouteDose
*Intravenous route2.5 mg (Details: UCUM codemg = 'mg')

Entry 33 - fullUrl = urn:uuid:b15bd921-5bbe-46eb-8b69-4762dfadbd2a

Resource Device:

identifier: http://example.org/devices/DEF-123456

type: Electrocardiographic monitor and recorder

Entry 34 - fullUrl = urn:uuid:af4ee062-8ae9-4b7b-a567-2235a762a206

Resource Observation:

status: Final

code: Country of travel [Location]

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2025-08-01

value: Itálie

Entry 35 - fullUrl = urn:uuid:9e6eb80b-e351-4faa-92cf-8519b58def33

Resource Observation:

status: Final

category: Social History

code: Konzumace alkoholu

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2025-09-03

value: 2 beer/day

note:

Pacient uvádí dlouhodobou konzumaci přibližně 2 piva denně, bez známek závislosti.

Entry 36 - fullUrl = urn:uuid:e6d14fe5-fc02-46aa-942b-6559c9e644d2

Resource Observation:

status: Final

category: Social History

code: Kouření tabáku denně

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

effective: 2025-09-03

value: 20 cigarettes/day

note:

Pacient kouří přibližně 20 cigaret denně.

Entry 37 - fullUrl = urn:uuid:bccc3ea9-d77f-4253-88c3-53b886f5b425

Resource Condition:

clinicalStatus: Active

code: Arteriální hypertenze

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Stages

-Summary
*kompenzováno medikací

Entry 38 - fullUrl = urn:uuid:7c3c7c3d-b5ca-451b-9446-4944598b01db

Resource Condition:

clinicalStatus: Active

code: Předán CPALP

subject: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

Entry 39 - fullUrl = urn:uuid:9a26eaee-9315-420d-a47c-8e8329511aaf

Resource FamilyMemberHistory:

status: Completed

patient: Petr Novotný Female, DoB: 1977-11-26 ( https://ncez.mzcr.cz/fhir/sid/cpoj#7711260678)

relationship: father

deceased: 54 years (Details: UCUM codea = 'a')

Conditions

-CodeContributedToDeath
*Akutní infarkt myokardutrue