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

Composition of EMS

Mission details

Detaily výjezdu

Dispatch

Údaje o výjezdu

Timeline

Časová osa výjezdu

Patient history

Anamnéza

Medical devices history

Historie zdravotních pomůcek a implantátů

Procedure

Ošetření pacienta Novotného

Travel history

Cestovní anamnéza

Family history

Rodinná anamnéza

Alcohol use

Spotřeba alkoholu

Tobacco use

Spotřeba tabáku

Allergies

Urgetní anamnéza

Payers

Zdravotní pojištění

Findings

Nálezy při vyšetření

Attachments

Přílohy

Additional Resources Included in Document

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

Resource Encounter:

identifier: 852699001 (use: official, )

status: In Progress

class: ambulatory

priority: Urgent

type: Arytmie

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:fb7cd123-6683-49e3-89cc-040ad008b922

Resource Encounter:

status: Completed

class: emergency

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

Locations

-LocationPeriod
*Location2022-10-07 08:20:00+0100 --> 2022-10-07 08:45:00+0100

Entry 4 - 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 5 - fullUrl = urn:uuid:5a111db8-4b2b-48c7-abef-eed70f0ca308

Resource DocumentReference:

status: Current

content

Attachments

-ContentTypeDataTitle
*application/pdf(base64 data - 501,024 base64 chars)EKG Pacienta Novotného

Entry 6 - 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 7 - 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 8 - 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 9 - 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 10 - 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 11 - 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 12 - 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 13 - 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 14 - 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 15 - 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 16 - fullUrl = urn:uuid:84d98379-46fa-464d-ad1a-9c3ef1f0f9c8

Resource PractitionerRole:

practitioner: Practitioner Dvořáková Petra

organization: Organization Zdravotnická záchranná služba Jihočeského kraje

code: Calltaker

Entry 17 - 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 18 - 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 19 - fullUrl = urn:uuid:54d8ee67-8706-46a8-899e-12a54761d9d9

Resource Location:

identifier: https://ncez.mzcr.cz/fhir/sid/licensePlate/8AB 1234

mode: Instance

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:3acd2720-0bcf-41ca-bb17-7c64ac5b7682

Resource ServiceRequest:

status: Completed

intent: Order

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

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

Entry 22 - fullUrl = urn:uuid:83c6052f-3e0d-4146-a789-c0ad61cb4cae

Resource Communication:

status: Completed

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

recipient: PractitionerRole

Entry 23 - 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 24 - 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 25 - 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 26 - 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 27 - 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 28 - 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 29 - 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 30 - 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 31 - 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

performer: PractitionerRole Zdravotnický záchranář

value: Itálie

Entry 32 - 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

performer: PractitionerRole Zdravotnický záchranář

value: 2 beer/day

note:

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

Entry 33 - 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

performer: PractitionerRole Zdravotnický záchranář

value: 20 cigarettes/day

note:

Pacient kouří přibližně 20 cigaret denně.

Entry 34 - fullUrl = urn:uuid:a2f5b4d0-1234-4cde-9abc-0123456789ab

Resource Observation:

status: Final

code: Čas příjezdu do místa předání

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

encounter: Encounter: identifier = 852699001 (use: official, ); status = in-progress; class = ambulatory (ActCode#AMB); type = Heart disease; priority = Urgent; period = 2025-05-20 10:35:00+0100 --> 2025-05-20 11:20:00+0100; reasonCode =

effective: 2022-10-07 09:05:00+0100

performer: PractitionerRole Zdravotnický záchranář

value: 2022-10-07 09:05:00+0100

Entry 35 - fullUrl = urn:uuid:782255e0-cd1d-4f31-ace3-08b278936b94

Resource Medication:

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

code: FYZIOLOGICKÝ ROZTOK VIAFLO

Entry 36 - fullUrl = urn:uuid:68c98e94-e997-417c-9108-f05f65fc5327

Resource Medication:

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

code: BETALOC

ingredient

Entry 37 - 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 38 - 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 39 - fullUrl = urn:uuid:b15bd921-5bbe-46eb-8b69-4762dfadbd2a

Resource Device:

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

type: Electrocardiographic monitor and recorder

Entry 40 - 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 41 - 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