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

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Official URL: https://hl7.cz/fhir/cz-ems/ImplementationGuide/hl7.fhir.cz.ems				Version: 0.0.2
Draft as of 2025-10-14				Computable Name: HL7CzEMSImplementationGuide

Introduction

This implementation specification is based on the FHIR version R4, and defines a unified framework for representing the Emergency Medical Service (EMS) Record of Intervention (ZOV ZZS) in the Czech national context. The specification defines the content and structural components of the document and ensures their compliance with the legal requirements of the Czech Republic as well as with European initiatives in the field of electronic health record interoperability.

The main objective is to create a standardized form of the EMS Record of Intervention as part of the patient’s medical documentation, which will be used for the electronic exchange of health information between healthcare providers, the patient, and the national infrastructure. The specification covers both national scenarios and potential future cross-border exchange within the European Health Data Space (EHDS).

This document focuses exclusively on defining the content, structure, and data model of the EMS Record of Intervention. The technical aspects of document transmission and the procedural workflows of EMS crews are not within its scope and are addressed in related standards and methodological guidelines.

Scope

This guide is divided into several pages, which are listed in the menu bar at the top of each page.

• Home: This page provides introductory information, a brief scope of use, references, dependencies, version difference analysis, and intellectual property statements.
• Introduction:
  • Scope and Content: This section contains introductory general information about the EMS Record of Intervention.
  • Background: This section provides general information on the origins of the definition of the EMS Record of Intervention.
• Functional:
  • Use Cases: This section contains information about use cases.
  • Workflow: This section contains information about the workflow.
  • Logical Models: This section contains information about logical models.
  • Terminology Aspects: This section contains information about terminology.
• Implementation:
  • Logical Model Mapping: This section contains information on mapping the logical model to the EMS Record of Intervention profiles.
  • Examples: This section contains examples.
  • Obligations: This section outlines the obligations.
  • Implementation Notes: This section contains implementation guidance.
• About:
  • Authors: This section contains information about the authors.
  • Downloads: This section provides information about available downloads of the implementation specification.
  • Dependencies: This section provides information about dependencies.
  • Copyright: This section provides information about copyright.
• Artifacts: This page provides a list of FHIR artifacts defined as part of this implementation guide.

References

• Related specifications:
  • EHDS Logical Information Models
    • This specification has inspired many of the design patterns defined in this IG.
  • HL7 Czech Base and Core Implementation Guide
    • Where possible this specification has been aligned with choices made in CZ core.

Dependencies

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package hl7.fhir.eu.extensions.r4#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.base#0.1.0-ballot This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, May 5, 2025 21:42+0200+02:00)

Package hl7.fhir.cz.terminology#current HL7 Czech Terminology Implementation Guide (built Sat, Oct 11, 2025 07:08+0000+00:00)

Package hl7.fhir.cz.core#current HL7 Czech Base and Core Resources Implementation Guide (built Tue, Oct 14, 2025 11:50+0000+00:00)

Package hl7.fhir.eu.extensions#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.laboratory#0.1.1 This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Mar 25, 2025 12:00+0100+01:00)

Package ihe.pharm.mpd.r4#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.hdr#0.1.0-ballot This implementation guide specifies the Hospital Discharge Report in the European context, as defined in eHN Hospital Discharge Report guidelines. (built Tue, Jun 3, 2025 12:48+0200+02:00)

Package ihe.pharm.mpd#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.extensions#current This guide lists the extensions specified for the European REALM. (built Tue, Oct 7, 2025 13:19+0000+00:00)

Package hl7.fhir.eu.extensions.r4#current This guide lists the extensions specified for the European REALM. (built Tue, Oct 7, 2025 13:19+0000+00:00)

Package hl7.fhir.eu.base#current This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Oct 13, 2025 20:12+0000+00:00)

Package hl7.fhir.eu.laboratory#current This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Oct 14, 2025 11:55+0000+00:00)

Package hl7.fhir.cz.lab#current Czech Laboratory Implementation Guide (built Thu, Sep 25, 2025 07:25+0000+00:00)

Package hl7.fhir.cz.img-order#current HL7 Czech Imaging Order Implementation Guide (built Thu, Sep 25, 2025 07:21+0000+00:00)

Package hl7.fhir.cz.img#current Czech Imaging Report Implementation Guide (built Fri, Oct 3, 2025 09:15+0000+00:00)

Package hl7.fhir.cz.hdr#current This guide contains implementation specification for the HL7 Czech Hospital Discharge Report (built Tue, Sep 30, 2025 20:55+0000+00:00)

Package hl7.fhir.uv.tools.r4#0.8.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Aug 5, 2025 20:09+1000+10:00)

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.ems.r4) and R4B (hl7.fhir.cz.ems.r4b) are available.

IP statements

This publication includes IP covered under the following statements.

• Copyright HL7. Licensed under creative commons public domain
  Show Usage
  • providerRole: CZImmunizationEMS
• ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: A.2.1 ClinicalCourseAndRecommendations2FHIRcz, A.2.1 DispatchDataEMS2FHIRcz... Show 73 more, A.2.2 DispatchTimeline2FHIRcz, A.2.6 ObjectiveFindingsEMS2FHIR2FHIRcz, Alerts2FHIRcz, AttachmentEMS2FHIRcz, Bundle/cz-example-bundle, CZEncounterEMS, CZImmunizationEMS, CZ_AllergyIntoleranceEms, CZ_BundleEms, CZ_CareTeamEms, CZ_CommunicationEms, CZ_CompositionEms, CZ_ConditionEms, CZ_FlagEms, CZ_ImmunizationRecommendationEMS, CZ_LocationEms, CZ_MedicationAdministration, CZ_ObservationBMIEms, CZ_ObservationHeightEms, CZ_ObservationHeightTypeEmsVs, CZ_ObservationInfectiousContactEMS, CZ_ObservationOFTypeEmsVs, CZ_ObservationOtherOFEms, CZ_ObservationOxygenEms, CZ_ObservationSDOHEMS, CZ_ObservationUnitsHeightEmsVs, CZ_ObservationUnitsWeightEmsVs, CZ_ObservationVSTypeEmsVs, CZ_ObservationVitalSignsEms, CZ_ObservationWeightEms, CZ_ObservationWeightTypeEmsVs, CZ_ProcedureEms, CZ_TaskEms, CZ_VehicleLocationEms, ConditionEmsVS, CzEmsUrgencyLevel, DiagnosticSummary2FHIRCzEms, Fakultní nemocnice Motol, HL7CzEMSImplementationGuide, LogCzAlertsCz, LogCzAttachmentsCz, LogCzAttachmentsEmsCz, LogCzDiagnosticSummaryCz, LogCzDispatchDataCz, LogCzDispatchTimelineCz, LogCzEmsReportCz, LogCzEndOfCareCz, LogCzHeaderEmsCz, LogCzObjectiveFindingsEmsCz, LogCzPatientHistoryCz, LogCzPresentedFormCz, LogCzPresentingIllnessEmsCz, LogCzRecommendationsCz, LogCzTherapyEmsCz, LogEnAlertsCz, LogEnAttachmentsCz, LogEnAttachmentsEMSCz, LogEnDiagnosticSummary, LogEnDispatchDataCz, LogEnDispatchTimelineCz, LogEnEmsReportCz, LogEnEndOfCare, LogEnHeaderEmsCz, LogEnObjectiveFindingsEmsCz, LogEnPatientHistoryCz, LogEnPresentedFormCz, LogEnPresentingIllnessEmsCz, LogEnRecommendations, LogEnTherapyEmsCz, Patient/3b46c18c-7e07-4232-af3e-f710dec8e766, PatientHistory2FHIRCzEms, PresentingIllness2FHIRcz and Therapy2FHIRcz
• The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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  • Unified Code for Units of Measure (UCUM): CZ_ObservationHeightEms, CZ_ObservationUnitsHeightEmsVs... Show 5 more, CZ_ObservationUnitsWeightEmsVs, CZ_ObservationWeightEms, Observation/ExampleBMIEms, Observation/ExampleBodyHeightEms and Observation/ExampleBodyWeightEms
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: Bundle/cz-example-bundle, CZ_CompositionEms, CZ_ImmunizationRecommendationEMS and Composition/da3f987f-2a08-431a-92e3-129d7689e465
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  • SNOMED Clinical Terms® (SNOMED CT®): CZ_ConditionEms, CZ_ObservationBMIEms... Show 14 more, CZ_ObservationHeightEms, CZ_ObservationHeightTypeEmsVs, CZ_ObservationOFTypeEmsVs, CZ_ObservationOtherOFEms, CZ_ObservationOxygenEms, CZ_ObservationVSTypeEmsVs, CZ_ObservationVitalSignsEms, CZ_ObservationWeightEms, CZ_ObservationWeightTypeEmsVs, CZ_ProcedureEms, ConditionEmsVS, Observation/ExampleBMIEms, Observation/ExampleBodyHeightEms and Observation/ExampleBodyWeightEms
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  • Condition Clinical Status Codes: CZ_ConditionEms
  • ConditionVerificationStatus: CZ_ConditionEms
  • Location type: CZ_VehicleLocationEms
  • Observation Category Codes: CZ_ObservationSDOHEMS, CZ_ObservationVitalSignsEms, Observation/ExampleBMIEms, Observation/ExampleBodyHeightEms and Observation/ExampleBodyWeightEms
  • ActCode: Bundle/cz-example-bundle and Encounter/cd343afa-039d-4576-b5e4-e89598aeb628
  • ParticipationType: CZ_ObservationInfectiousContactEMS