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

Artifacts

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Czech logical model (Informative)

Logical model in czech language. Informative for this version of the guide.

A - Záznam o výjezdu ZZS

Záznam o výjezdu ZZS

A.1 – Hlavička dokumentu

Záznam o výjezdu ZZS - Struktura hlavičky zprávy o výjezdu podle tabulky části

A.1.1 - Identifikace a A.1.2 - Kontaktní informace Pacienta/subjektu

Záznam o výjezdu ZZS - Identifikace pacienta a kontaktní informace pacienta

A.1.9 - Elektronické podpisy

Záznam o výjezdu ZZS - Elektronické podpisy nebo pečetě dle zákona 327/2011 §54a

A.2.1 - Údaje o výjezdu

Záznam o výjezdu ZZS - Údaje o výjezdu

A.2.10 - Ukončení

Záznam o výjezdu ZZS - Ukončení

A.2.2 - Časová osa výjezdu

Záznam o výjezdu ZZS - Časová osa výjezdu

A.2.3 - Anamnéza

Záznam o výjezdu ZZS - Anamnéza CZ

A.2.4 - Urgentní informace

Záznam o výjezdu ZZS - Urgentní informace

A.2.5 - Nynější onemocnění

Záznam o výjezdu ZZS - Nynější onemocnění.

A.2.6 - Objektivní nález

Záznam o výjezdu ZZS - Objektivní nález.

A.2.7 - Terapie

Záznam o výjezdu ZZS - Terapie.

A.2.8 - Diagnostický souhrn

Záznam o výjezdu ZZS - Diagnostický souhrn

A.2.9 - Průběh ošetření a doporučení

Záznam o výjezdu ZZS - Průběh ošetření a doporučení

A.3 - Vizuální podoba dokumentu

Záznam o výjezdu ZZS - Záznamu o výjezdu ZZS (ZOV ZZS) čitelná lidským okem, je požadován PDF formát.

A.4 - Přílohy

Záznam o výjezdu ZZS - Jakékoli další přílohy spojené s výjezdem.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

A - EMS Report

EMS Report

A.1 - EMS Report header data element

EMS Report - EMS report header data element

A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject

EMS Report - subject data element

A.1.9 - Digital signature

EMS Report - Electronic signature or seal of a document according to Act 327/2011 §54a

A.2.1 - Dispatch Data

EMS Report - Dispatch Data

A.2.10 - End of Care

EMS Report - End of Care

A.2.2 - Dispatch Timeline

EMS Report - Dispatch Timeline

A.2.3 - Patient history

EMS Report - Patient history

A.2.4 - Alerts (en)

EMS Report - Alerts

A.2.5 - Present Illness

EMS Report - Present Illness

A.2.6 - Objective findings

EMS Report - Objective Findings

A.2.7 - Therapy

EMS Report - Therapy

A.2.8 - Diagnostic Summary

EMS Report - Diagnostic Summary

A.2.9 - Course of Treatment and Recommendations

EMS Report - Course of Treatment and Recommendations

A.3 - Presented form

EMS Report - Entire report as issued. Various formats could be provided, pdf format is recommended.

A.4 - Additional attachments

EMS Report - additional attachments

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Allergy Intolerance: EMS Report (CZ)

This profile constrains the AllergyIntolerance resource for the purpose of the EMS project.

Bundle: EMS Report (CZ)

Clinical document used to represent a EMS Report for the scope of this guide.

Care Plan: EMS Report (CZ)

This profile constrains the CarePlan resource for the purpose of this guide.

CareTeam: EMS Report (CZ)

Profile of the emergency medical service team within Czech EMS.

Communication: EMS Report (CZ)

CZ Emergency Medical Service Communication Resource

Composition: EMS Report (CZ)

This profile defines how to represent Composition resource in HL7 FHIR for the scope of this guide.

Condition: EMS Report (CZ)

This profile represents the constraint applied to the Condition in the scope of this guide. It supports the Diagnostic summary part of the data model.

Encounter: EMS Report (CZ)

This profile defines how to represent Encounter resource in HL7 FHIR for the scope of this guide.

FamilyMemberHistory: EMS Report (CZ)

This profile represents the constraints applied to the FamilyMemberHistory resource by this guide.

Flag: EMS Report (CZ)

This profile constrains the Flag resource for the purpose of the EMS project.

Immunization Recommendation: EMS Report (CZ)

This profile defines how to represent Immunization Recommandations for the purpose of this guide.

Immunization: EMS Report (CZ)

FHIR Immunization profile for use within Emergency Medical Services (EMS) in the Czech Republic.

Location - Vehicle: EMS Report (CZ)

Location resource used to identify an emergency response vehicle or other means of transport of the Emergency Medical Service (EMS).

Location: EMS Report (CZ)

Location profile for Emergency Medical Service

Medication Administration: EMS Report (CZ)

Czech national profile for a medication administration.

Observation - Anthropometric Data - BMI: EMS Report (CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric data - BMI.

Observation - Anthropometric Data - Height: EMS Report (CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric data - height.

Observation - Anthropometric Data: EMS Report (CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric data - weight.

Observation - Infectious Contact: EMS Report (CZ)

Infectious Contact profile represents potential patient exposure to an agent (exposure source).

Observation - Other Objective Findings: EMS Report (CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch Objective Findings.

Observation - Oxygen Therapy: EMS Report (CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch VitalSigns - Oxygen Therapy.

Observation - SDOH: EMS Report (CZ)

Profile for Social Determinants of Health (SDOH) observations that involve assessment (e.g., by a provider, payer, etc.) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation).

Observation - Travel History: EMS Report (CZ)

Profile for Observation resource representing Travel History information in the EMS context.

Observation - Vital Signs: EMS Report (CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch Vital signs.

Procedure: EMS Report (CZ)

This profile on Procedure represents the ems procedure for the scope of the Czech national interoperability project.

Task: EMS Report (CZ)

CZ Emergency Medical Service Task Resource

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

CZ Urgency Level Extension for Task

Urgency level for task - integer: 1-4.

Method of termination: EMS termination method for Encounter

Termination method for Encounter

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Condition Value Set

Condition value set includes selected codes from recommended EU code systems for health conditions (WHO-ICD-10, SNOMED CT and Orphacodes).

ObservationsEmsHeightType

This value set includes all Height types for observations of EMS report.

ObservationsEmsOFType

This value set includes other Objective findings observations of EMS report.

ObservationsEmsVSType

This value set includes other Vital Signs observations of EMS report.

ObservationsEmsWeightType

This value set includes all Weight types for observations of EMS report.

ObservationsUnitHeight

UCUM units for height

ObservationsUnitWeight

UCUM units for weight

Task Reason Code Value Set

Task Reason Code value set includes selected codes from recommended SNOMED CT and other special codes.

Urgency level Value Set

Urgency level value set includes selected codes from Urgency level Code System.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Task Reason Code Code System

Task Reason Code codesystem includes special codes.

Urgency level Code System

Urgency level codesystem defines the method of terminating patient care.

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

CZ Alerts Model to this guide Map

CZ EMS Report Alerts Model to this guide mapping

CZ Attachment Model to this guide Map

CZ EMS Report Attachment Model to this guide mapping

CZ ClinicalCourseAndRecommendations Model to this guide Map

CZ EMS Report ClinicalCourseAndRecommendations Model to this guide mapping

CZ Diagnostic summary Model to this guide Map

CZ EMS Report Diagnostic summary Model to this guide Map

CZ DispatchData Model to this guide Map

CZ EMS Report DispatchData Model to this guide mapping

CZ DispatchTimeline Model to this guide Map

CZ EMS Report DispatchTimeline Model to this guide mapping

CZ End of Care Model to this guide Map

CZ EMS Report EndOfCare Model to this guide mapping

CZ Findings Model to this guide Map

CZ EMS Report ObjectiveFindings Model to this guide mapping

CZ Header Model to this guide Map

CZ EMS Report Header Model to this guide mapping

CZ Patient History to this guide Map

CZ EMS Report Patient History Model to this guide Map

CZ Present Illness to this guide Map

CZ EMS Report Present Illness Model to this guide mapping

CZ Subject Model to this guide Map

CZ EMS Report Subject Model to this guide mapping

CZ Therapy Model to this guide Map

CZ EMS Report Therapy Model to this guide mapping

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Allergy Intolerance: Augmentin

Example of allergy intolerance

Attachment: EKG

Example of EKG attachment

Bundle: EMS report

Example of EMS report (Bundle)

Communication: Dispatch

Example of communication

Composition: Novotný EMS

Example of composition for EMS document

Condition: Arterial hypertension

Example of condition - Arterial hypertension

Coverage: Healthcare insurance company

Example of coverage

Encounter: EMS Novotný

Example of encounter for EMS document

Family Member History: Father

Example of family member history - Father

Location: Scene

Example of scene location

Logo: FN Motol

Example of logo as document reference for FN Motol.

Medical Device: Defibrillator and monitor

Example of medical device

Medication Administration: BETALOC

Medication Administration during EMS

Medication Administration: VIAFLO

Medication Administration during EMS

Medication: BETALOC

Example of medication

Medication: VIAFLO

Example of medication

Observation: Alcohol use

Example of observation - Alcohol use

Observation: BMI

Example instance for BMI observation using the CZ_ObservationBMIEms profile.

Observation: Body height

Example of body height

Observation: Body weight

Example of body weight

Observation: Heart Rate 1

Example instance for Heart Rate observation using.

Observation: Heart Rate 2

Example instance for Heart Rate observation

Observation: Italy travel history

Example of observation - Italy travel history

Observation: Respiratory rate 1

Example instance for Respiratory rate observation.

Observation: Respiratory rate 2

Example instance for Respiratory rate observation.

Observation: Smoking use

Example of observation - Smoking use

Organization: Author

An example of the organization author

Organization: FN Motol with logo

An example of the organization with logo extension

Organization: Healthcare insurance company

Example of insurance organisation

Patient: Novotny

Patient Novotny with contact information and practitioner

Patient: Otec

Patient Otec

Practitioner: Dvořáková

Example of practitioner for EMS report.

Practitioner: Novák

Example of practitioner for EMS report.

Practitioner: Rychlý

Example of practitioner for EMS report.

PractitionerRole: Dvořáková

Example of practitioner role for EMS report.

PractitionerRole: Novák

Example of practitioner role for EMS report.

PractitionerRole: Rychlý

Example of practitioner role for EMS report.

Procedure: EKG

Example of procedure - EKG

Procedure: Peripheral venous cannulation

Example of procedure - Peripheral venous cannulation

Task: Dispatch

Example of task

Vehicle: Dispatch

Example of vehicle