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

## 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 - Zpráva o výjezdu (cz) | Zpráva o výjezdu CZ
A.1 – Hlavička dokumentu (cz) | Zpráva o výjezdu - Struktura hlavičky zprávy o výjezdu podle tabulky části. CZ
A.2.1 - Údaje o výjezdu (cz) | Záznam o výjezdu - Údaje o výjezdu - A.2.1 CZ
A.2.10 - Ukončení (cz) | Zpráva o výjezdu ZZS – Ukončení – A.2.10 CZ
A.2.11 - Přílohy | Záznam o výjezdu - Jedna příloha nebo kolekce příloh
A.2.2 - Časová osa výjezdu (cz) | Záznam o výjezdu - Časová osa výjezdu - A.2.2 CZ
A.2.3 - Anamnéza (cz) | Zpráva o výjezdu - Anamnéza CZ
A.2.4 - Urgentní informace (cz) | Zpráva o výjezdu - Urgentní informace CZ
A.2.5 - Nynější onemocnění | Zpráva o výjezdu ZZS - Nynější onemocnění.
A.2.6 - Objektivní nález | Zpráva o výjezdu ZZS - Objektivní nález.
A.2.7 - Terapie | Zpráva o výjezdu ZZS - Terapie.
A.2.8 - Diagnostický souhrn (cz) | Zpráva o výjezdu ZZS – Diagnostický souhrn – A.2.8 CZ
A.2.9 - Průběh ošetření a doporučení (cz) | Zpráva o výjezdu ZZS – Průběh ošetření a doporučení – A.2.9 CZ
A.3 - Vizuální podoba dokumentu | Záznam o výjezdu - Záznamu o výjezdu ZZS (ZOV ZZS) čitelná lidským okem, je požadován PDF formát.
A.4 - Přílohy | Záznam o výjezdu - Přílohy

### 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 (en) | EMS Report EN
A.1 - EMS report header data element (en) | EMS report - EMS report header data element - A.1 EN
A.2.1 - Dispatch Data (en) | EMS report – Dispatch Data – A.2.1 EN
A.2.10 - End of Care (en) | Emergency Medical Service Report – End of Care – A.2.10 EN
A.2.11 - Attachments EMS | Emergency medical service Record - Single attachment or collection of attachments
A.2.2 - Dispatch Timeline (en) | EMS record – Dispatch Timeline – A.2.2 EN
A.2.3 - Patient history (en) | EMS Report - Patient history - A.2.3 EN
A.2.4 - Alerts (en) | EMS Report - Alerts - A.2.4 EN
A.2.5 - Presenting Illness | Emergency medical service report - Presenting Illness
A.2.6 - Objective findings | Emergency medical service report - Objective Findings
A.2.7 - Therapy | Emergency medical service report - Therapy
A.2.8 - Diagnostic Summary (en) | Emergency Medical Service Report – Diagnostic Summary – A.2.8 EN
A.2.9 - Course of Treatment and Recommendations (en) | Emergency Medical Service Report – Course of Treatment and Recommendations – A.2.9 EN
A.3 - Presented form | Presented form - 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 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.
CZ Immunization EMS | FHIR Immunization profile for use within Emergency Medical Services (EMS) in the Czech Republic.
CZ Observation SDOH: (EMS) | 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).
CareTeam: (EMS CZ) | Profile of the emergency medical service team within Czech EMS.
Communication: (EMS CZ) | CZ Emergency Medical Service Communication Resource
Composition (EMS CZ) | This profile defines how to represent Composition resource in HL7 FHIR for the scope of this guide.
Condition (EMS 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 (CZ) | This profile defines how to represent Encounter resource in HL7 FHIR for the scope of this guide.
Flag: (EMS CZ) | This profile constrains the Flag resource for the purpose of the EMS project.
Immunization Recommendation: (EMS CZ) | This profile defines how to represent Immunization Recommandations for the purpose of this guide.
Infectious Contact: (EMS CZ) | Infectious Contact profile represents potential patient exposure to an agent (exposure source).
Location - Vehicle: (EMS CZ) | Location resource used to identify an emergency response vehicle or other means of transport of the Emergency Medical Service (EMS).
Location: (EMS CZ) | Location profile for Emergency Medical Service
Medication Administration: EMS Report (CZ) | Czech national profile for a medication administration.
Observation: Anthropometric Data - BMI (EMS CZ) | This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric data - BMI.
Observation: Anthropometric Data - Height (EMS CZ) | This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric data - height.
Observation: Anthropometric Data - Weight (EMS CZ) | This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric data - weight.
Observation: Other Objective Findings (EMS CZ) | This profile sets minimum expectations for the Observation resource to record, search, and fetch Objective Findings.
Observation: Oxygen Therapy Observation (EMS CZ) | This profile sets minimum expectations for the Observation resource to record, search, and fetch VitalSigns - Oxygen Therapy.
Observation: Vital Signs (EMS 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 CZ) | CZ Emergency Medical Service Task Resource

### Structures: Extension Definitions

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

Urgency level (1–4)

### 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

### 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 Emergency Medical Service Report Alerts Model to this guide mapping
CZ Attachment Model to this guide Map | CZ Emergency Medical Service Report Attachment Model to this guide mapping
CZ ClinicalCourseAndRecommendations Model to this guide Map | CZ Emergency Medical Service Report ClinicalCourseAndRecommendations Model to this guide mapping
CZ DispatchData Model to this guide Map | CZ Emergency Medical Service Report DispatchData Model to this guide mapping
CZ DispatchTimeline Model to this guide Map | CZ Emergency Medical Service Report DispatchTimeline Model to this guide mapping
CZ Objective Findings Model to this guide Map | CZ Emergency Medical Service Report ObjectiveFindings Model to this guide mapping
CZ Patient History to this guide Map | CZ EMS Patient History Model to this guide Map
CZ Presenting Illness to this guide Map | CZ EMS Report Presenting Illness Model to this guide mapping
CZ Therapy Model to this guide Map | CZ EMS Report Therapy Model to this guide mapping
EMS diagnostic summary Model to this guide Map | CZ EMS Diagnostic summary Model to this guide Map

### Example: Example Instances

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

BMI of patient | Example instance for BMI observation using the CZ_ObservationBMIEms profile.
Body height of patient | Example of body height of Patient Mracena
Body weight of patient | Example of body weight of Patient Mracena
Bundle: EMS report | Example of EMS report (Bundle)
EMS Pacientky Mračeny Mrakomorové | Example of EMS report (Composition)
Patient Mracena | Patient Mracena with contact information and practitioner
Practitioner Blažejovský: EMS report | Example of practitioner for EMS report.
cz-encounter-example | Encounter
cz-logo2-example | Example of logo as document reference for FN Motol.
cz-organizationwithlogo-example | An example of the organization with logo extension
cz-procedure-example | Procedure
practitionerEms | Example of practitioner