HL7 Czech EMS Implementation Guide
0.0.2 - ci-build

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

## : Bundle: EMS report - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "cz-example-bundle",
      "meta" : {
        "profile" : [
          🔗 "https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-bundle-ems"
        ]
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:5fe6446e-be70-4afb-a904-ee9d3d28a8c3"
      },
      "type" : "document",
      "timestamp" : "2022-10-07T08:15:00+01:00",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:da3f987f-2a08-431a-92e3-129d7689e465",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "da3f987f-2a08-431a-92e3-129d7689e465",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-composition-ems"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_da3f987f-2a08-431a-92e3-129d7689e465\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition da3f987f-2a08-431a-92e3-129d7689e465</b></p><a name=\"da3f987f-2a08-431a-92e3-129d7689e465\"> </a><a name=\"hcda3f987f-2a08-431a-92e3-129d7689e465\"> </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-ems.html\">Composition (EMS CZ)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 67796-3}\">EMS patient care report - version 3 Document NEMSIS</span></p><p><b>encounter</b>: <a href=\"Bundle-cz-example-bundle.html#urn-uuid-cd343afa-039d-4576-b5e4-e89598aeb628\">Encounter: identifier = http://example.org/hospital#ku-123456789; status = in-progress; class = ambulatory (ActCode#AMB); type = </a></p><p><b>date</b>: 2025-05-20 12:02:00+0100</p><p><b>author</b>: <a href=\"Bundle-cz-example-bundle.html#urn-uuid-2e877c76-633d-479b-a6d4-c6d95942de3f\">Practitioner Blažejovský Jan </a></p><p><b>title</b>: EMS Pacientky Mračeny Mrakomorové</p><p><b>confidentiality</b>: normal</p></div>"
            },
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "67796-3",
                  "display" : "EMS patient care report - version 3 Document NEMSIS"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:3b46c18c-7e07-4232-af3e-f710dec8e766"
            },
            "encounter" : {
              "reference" : "urn:uuid:cd343afa-039d-4576-b5e4-e89598aeb628"
            },
            "date" : "2025-05-20T12:02:00+01:00",
            "author" : [
              {
                "reference" : "urn:uuid:2e877c76-633d-479b-a6d4-c6d95942de3f"
              }
            ],
            "title" : "EMS Pacientky Mračeny Mrakomorové",
            "confidentiality" : "N",
            "section" : [
              {
                "title" : "Procedure",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "29554-3",
                      "display" : "Procedure Narrative"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Mediální kyslík NEPODÁN.</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:3af2e7a6-c16e-4b80-a173-ca2c8aa081b6"
                  }
                ]
              },
              {
                "title" : "Presenting Illness",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "67658-5",
                      "display" : "EMS exposures or injuries of EMS personnel Provider Narrative NEMSIS"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Bolesti na hrudi</div>"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:cd343afa-039d-4576-b5e4-e89598aeb628",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "cd343afa-039d-4576-b5e4-e89598aeb628",
            "meta" : {
              "profile" : [
                🔗 "https://fhir.hl7cr.eu/core/StructureDefinition/cz-encounter"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_cd343afa-039d-4576-b5e4-e89598aeb628\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter cd343afa-039d-4576-b5e4-e89598aeb628</b></p><a name=\"cd343afa-039d-4576-b5e4-e89598aeb628\"> </a><a name=\"hccd343afa-039d-4576-b5e4-e89598aeb628\"> </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/cz-core/StructureDefinition-cz-encounter.html\">Encounter (CZ)</a></p></div><p><b>identifier</b>: <code>http://example.org/hospital</code>/ku-123456789</p><p><b>status</b>: In Progress</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode AMB</a>: ambulatory</p><p><b>type</b>: <span title=\"Codes:\">EMS pacientky Mrakomorové</span></p><p><b>serviceProvider</b>: <a href=\"Bundle-cz-example-bundle.html#urn-uuid-821077d6-ce17-4602-b3ad-d4bef845a950\">Organization Fakultní nemocnice Motol</a></p></div>"
            },
            "identifier" : [
              {
                "system" : "http://example.org/hospital",
                "value" : "ku-123456789"
              }
            ],
            "status" : "in-progress",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "AMB"
            },
            "type" : [
              {
                "text" : "EMS pacientky Mrakomorové"
              }
            ],
            "serviceProvider" : {
              "reference" : "urn:uuid:821077d6-ce17-4602-b3ad-d4bef845a950"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:040eb849-a513-4d74-b3f3-d2f246a26877",
          "resource" : {
            "resourceType" : "DocumentReference",
            "id" : "040eb849-a513-4d74-b3f3-d2f246a26877",
            "meta" : {
              "profile" : [
                🔗 "https://fhir.hl7cr.eu/core/StructureDefinition/cz-logo"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_040eb849-a513-4d74-b3f3-d2f246a26877\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 040eb849-a513-4d74-b3f3-d2f246a26877</b></p><a name=\"040eb849-a513-4d74-b3f3-d2f246a26877\"> </a><a name=\"hc040eb849-a513-4d74-b3f3-d2f246a26877\"> </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/cz-core/StructureDefinition-cz-logo.html\">DocumentReference containing logo (CZ)</a></p></div><p><b>status</b>: Current</p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ContentType</b></td><td><b>Data</b></td><td><b>Title</b></td></tr><tr><td style=\"display: none\">*</td><td>image/svg+xml</td><td>(base64 data - 2,804 base64 chars)</td><td>Organization logo</td></tr></table></blockquote></div>"
            },
            "status" : "current",
            "content" : [
              {
                "attachment" : {
                  "contentType" : "image/svg+xml",
                  "data" : " ",
                  "title" : "Organization logo"
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:821077d6-ce17-4602-b3ad-d4bef845a950",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "821077d6-ce17-4602-b3ad-d4bef845a950",
            "meta" : {
              "profile" : [
                🔗 "https://fhir.hl7cr.eu/core/StructureDefinition/cz-organization-core"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_821077d6-ce17-4602-b3ad-d4bef845a950\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 821077d6-ce17-4602-b3ad-d4bef845a950</b></p><a name=\"821077d6-ce17-4602-b3ad-d4bef845a950\"> </a><a name=\"hc821077d6-ce17-4602-b3ad-d4bef845a950\"> </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/cz-core/StructureDefinition-cz-organization-core.html\">Organization (CZ core)</a></p></div><p><b>Organization Logo</b>: <a href=\"Bundle-cz-example-bundle.html#urn-uuid-040eb849-a513-4d74-b3f3-d2f246a26877\">DocumentReference: status = current</a></p><p><b>identifier</b>: <code>https://ncez.mzcr.cz/fhir/sid/ico</code>/456789655</p><p><b>type</b>: <span title=\"Codes:{https://ncez.mzcr.cz/fhir/CodeSystem/cz-drzar 101}\">Fakultní nemocnice</span></p><p><b>name</b>: Fakultní nemocnice Motol</p><p><b>telecom</b>: <a href=\"tel:+420257216007\">+420257216007</a>, fax: +420257216007(Work)</p><p><b>address</b>: Plzeňská 951/125, 150 00 Praha 5(work)</p></div>"
            },
            "extension" : [
              {
                "url" : "https://fhir.hl7cr.eu/core/StructureDefinition/cz-organization-logo",
                "valueReference" : {
                  "reference" : "urn:uuid:040eb849-a513-4d74-b3f3-d2f246a26877"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "https://ncez.mzcr.cz/fhir/sid/ico",
                "value" : "456789655"
              }
            ],
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "https://ncez.mzcr.cz/fhir/CodeSystem/cz-drzar",
                    "code" : "101",
                    "display" : "Fakultní nemocnice"
                  }
                ]
              }
            ],
            "name" : "Fakultní nemocnice Motol",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+420257216007",
                "use" : "work"
              },
              {
                "system" : "fax",
                "value" : "+420257216007",
                "use" : "work"
              }
            ],
            "address" : [
              {
                "use" : "work",
                "type" : "both",
                "text" : "Plzeňská 951/125, 150 00 Praha 5",
                "line" : [
                  "Plzeňská 951/125"
                ],
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString" : "Plzeňská"
                      },
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString" : "951/125"
                      }
                    ]
                  }
                ],
                "city" : "Praha",
                "postalCode" : "15000",
                "country" : "Česko",
                "_country" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding",
                      "valueCoding" : {
                        "system" : "urn:iso:std:iso:3166",
                        "code" : "CZ",
                        "display" : "Czechia"
                      }
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:2e877c76-633d-479b-a6d4-c6d95942de3f",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "2e877c76-633d-479b-a6d4-c6d95942de3f",
            "meta" : {
              "profile" : [
                🔗 "https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitioner-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_2e877c76-633d-479b-a6d4-c6d95942de3f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 2e877c76-633d-479b-a6d4-c6d95942de3f</b></p><a name=\"2e877c76-633d-479b-a6d4-c6d95942de3f\"> </a><a name=\"hc2e877c76-633d-479b-a6d4-c6d95942de3f\"> </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/cz-core/StructureDefinition-cz-practitioner-core.html\">Practitioner (CZ core)</a></p></div><p><b>identifier</b>: <code>https://ncez.mzcr.cz/fhir/sid/krzp</code>/123456789</p><p><b>name</b>: Blažejovský Jan </p><p><b>gender</b>: Male</p></div>"
            },
            "identifier" : [
              {
                "system" : "https://ncez.mzcr.cz/fhir/sid/krzp",
                "value" : "123456789"
              }
            ],
            "name" : [
              {
                "use" : "usual",
                "family" : "Jan",
                "given" : [
                  "Blažejovský"
                ],
                "prefix" : [
                  "MUDr."
                ]
              }
            ],
            "gender" : "male"
          }
        },
        {
          "fullUrl" : "urn:uuid:3b46c18c-7e07-4232-af3e-f710dec8e766",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "3b46c18c-7e07-4232-af3e-f710dec8e766",
            "meta" : {
              "profile" : [
                🔗 "https://fhir.hl7cr.eu/core/StructureDefinition/cz-patient-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_3b46c18c-7e07-4232-af3e-f710dec8e766\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 3b46c18c-7e07-4232-af3e-f710dec8e766</b></p><a name=\"3b46c18c-7e07-4232-af3e-f710dec8e766\"> </a><a name=\"hc3b46c18c-7e07-4232-af3e-f710dec8e766\"> </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/cz-core/StructureDefinition-cz-patient-core.html\">Patient (CZ core)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Mračena Mrakomorová  Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rcis#2716126452\u00a0(use:\u00a0official,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>https://ncez.mzcr.cz/fhir/sid/rid</code>/2066425387</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+420603853227\">+420 603 853 227</a></li><li>Malé náměstí 13a, 150 00, Praha 5(home)</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Languages spoken\">Languages:</td><td colspan=\"3\"><ul><li><span title=\"Codes:{urn:ietf:bcp:47 cs}\">Czech</span> (preferred)</li><li><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></li><li><span title=\"Codes:{urn:ietf:bcp:47 de}\">German</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: MUDr. Josef Švejk (Identifier: <code>https://ncez.mzcr.cz/fhir/sid/krzp</code>/123456789)</li></ul></td></tr></table></div>"
            },
            "identifier" : [
              {
                "system" : "https://ncez.mzcr.cz/fhir/sid/rid",
                "value" : "2066425387"
              },
              {
                "use" : "official",
                "system" : "https://ncez.mzcr.cz/fhir/sid/rcis",
                "value" : "2716126452"
              }
            ],
            "name" : [
              {
                "use" : "usual",
                "family" : "Mrakomorová",
                "given" : [
                  "Mračena"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+420 603 853 227",
                "use" : "home"
              }
            ],
            "gender" : "female",
            "birthDate" : "1971-11-26",
            "address" : [
              {
                "use" : "home",
                "type" : "physical",
                "text" : "Malé náměstí 13a, 150 00, Praha 5",
                "line" : [
                  "Malé náměstí 13a"
                ],
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString" : "Malé náměstí"
                      },
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString" : "13a"
                      }
                    ]
                  }
                ],
                "city" : "Praha",
                "postalCode" : "15000",
                "country" : "Česko",
                "_country" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding",
                      "valueCoding" : {
                        "system" : "urn:iso:std:iso:3166",
                        "code" : "CZ",
                        "display" : "Czechia"
                      }
                    }
                  ]
                }
              }
            ],
            "communication" : [
              {
                "language" : {
                  "coding" : [
                    {
                      "system" : "urn:ietf:bcp:47",
                      "code" : "cs"
                    }
                  ]
                },
                "preferred" : true
              },
              {
                "language" : {
                  "coding" : [
                    {
                      "system" : "urn:ietf:bcp:47",
                      "code" : "en"
                    }
                  ]
                }
              },
              {
                "language" : {
                  "coding" : [
                    {
                      "system" : "urn:ietf:bcp:47",
                      "code" : "de"
                    }
                  ]
                }
              }
            ],
            "generalPractitioner" : [
              {
                "identifier" : {
                  "system" : "https://ncez.mzcr.cz/fhir/sid/krzp",
                  "value" : "123456789"
                },
                "display" : "MUDr. Josef Švejk"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:3af2e7a6-c16e-4b80-a173-ca2c8aa081b6",
          "resource" : {
            "resourceType" : "Procedure",
            "id" : "3af2e7a6-c16e-4b80-a173-ca2c8aa081b6",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-procedure-ems"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_3af2e7a6-c16e-4b80-a173-ca2c8aa081b6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure 3af2e7a6-c16e-4b80-a173-ca2c8aa081b6</b></p><a name=\"3af2e7a6-c16e-4b80-a173-ca2c8aa081b6\"> </a><a name=\"hc3af2e7a6-c16e-4b80-a173-ca2c8aa081b6\"> </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-procedure-ems.html\">Procedure: EMS Report (CZ)</a></p></div><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:\">Mediální kyslík NEPODÁN.</span></p><p><b>subject</b>: <a href=\"Bundle-cz-example-bundle.html#urn-uuid-3b46c18c-7e07-4232-af3e-f710dec8e766\">Mračena Mrakomorová  Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rcis#2716126452\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>performed</b>: 2022-10-07 09:10:00+0100</p></div>"
            },
            "status" : "completed",
            "code" : {
              "text" : "Mediální kyslík NEPODÁN."
            },
            "subject" : {
              "reference" : "urn:uuid:3b46c18c-7e07-4232-af3e-f710dec8e766"
            },
            "performedDateTime" : "2022-10-07T09:10:00+01:00"
          }
        }
      ]
    }