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

Implementation notes

On the following page, you will find notes on implementing the the Emergency Medical Service (EMS) Record of Intervention (ZOV ZZS). They concern the creation of a bundle, its composition, and filling these profiles with the relevant data.

Contents overview

classDiagram
  direction LR
  class CZ_BundleEms{
    <<Bundle>>
  }
  CZ_BundleEms *-- "1..1" CZ_CompositionEms
  CZ_BundleEms *-- "1..1" CZ_TaskEms
  CZ_BundleEms *-- "1..*" CZ_EncounterEms
  CZ_BundleEms *-- "1..*" CZ_PatientCore
  CZ_BundleEms *-- "0..*" CZ_Coverage
  CZ_BundleEms *-- "0..*" CZ_Practioner
  CZ_BundleEms *-- "0..*" CZ_DeviceObserver
  CZ_BundleEms *-- "0..*" CZ_OrganizationCore
  CZ_BundleEms *-- "0..*" CZ_CareTeamEms
  CZ_BundleEms *-- "0..*" CZ_CarePlanEms
  CZ_BundleEms *-- "0..*" CZ_CommunicationEms
  CZ_BundleEms *-- "0..*" CZ_ConditionEms
  CZ_BundleEms *-- "0..*" CZ_AllergyIntoleranceEms
  CZ_BundleEms *-- "0..*" CZ_FamilyMemberHistoryEms
  CZ_BundleEms *-- "0..*" CZ_FlagEms
  CZ_BundleEms *-- "0..*" CZ_ImmunizationEms
  CZ_BundleEms *-- "0..*" CZ_ImmunizationRecommendationEms
  CZ_BundleEms *-- "0..*" CZ_LocationEms
  CZ_BundleEms *-- "0..*" CZ_VehicleLocationEms
  CZ_BundleEms *-- "0..*" CZ_MedicationAdministrationEms
  CZ_BundleEms *-- "0..*" CZ_ProcedureEms
  CZ_BundleEms *-- "0..*" CZ_ObservationBMIEms
  CZ_BundleEms *-- "0..*" CZ_ObservationHeightEms
  CZ_BundleEms *-- "0..*" CZ_ObservationInfectiousContactEMS
  CZ_BundleEms *-- "0..*" CZ_ObservationOtherOFEms
  CZ_BundleEms *-- "0..*" CZ_ObservationOxygenEms
  CZ_BundleEms *-- "0..*" CZ_ObservationSDOHEMS
  CZ_BundleEms *-- "0..*" CZ_ObservationTravelEms
  CZ_BundleEms *-- "0..*" CZ_ObservationVitalSignsEms
  CZ_BundleEms *-- "0..*" CZ_ObservationWeightEms
  
  CZ_TaskEms --> CompositionEms: composition

  CZ_CompositionEms --> CZ_TaskEms: extension[basedOn]  
  CZ_CompositionEms --> CZ_EncounterEms: encounter
  CZ_CompositionEms --> CZ_Practioner: author[author]
  CZ_CompositionEms --> CZ_DeviceObserver: author[authoring-device]
  CZ_CompositionEms --> CZ_Practioner: informationRecipient[legalAuthenticator]
  CZ_CompositionEms --> CZ_OrganizationCore: custodian
  CZ_CompositionEms --> CZ_PatientCore: subject
  CZ_CompositionEms --> CZ_ObservationBMIEms: section[findings]
  CZ_CompositionEms --> CZ_ObservationHeightEms: section[findings]
  CZ_CompositionEms --> CZ_ObservationInfectiousContactEMS: section[findings]
  CZ_CompositionEms --> CZ_ObservationOtherOFEms: section[findings]
  CZ_CompositionEms --> CZ_ObservationOxygenEms: section[findings]
  CZ_CompositionEms --> CZ_ObservationSDOHEMS: section[findings]
  CZ_CompositionEms --> CZ_ObservationTravelEms: section[findings]
  CZ_CompositionEms --> CZ_ObservationVitalSignsEms: section[findings]
  CZ_CompositionEms --> CZ_ObservationWeightEms: section[findings]
  CZ_CompositionEms --> CZ_TaskEms: section[dispatch]
  CZ_CompositionEms --> CZ_LocationEms: section[dispatch]
  CZ_CompositionEms --> CZ_CommunicationEms: section[dispatch]
  CZ_CompositionEms --> CZ_VehicleLocationEms: section[dispatch]
  CZ_CompositionEms --> CZ_CareTeamEms: section[dispatch]
  CZ_CompositionEms --> CZ_Practioner: section[dispatch]
  CZ_CompositionEms --> CZ_PractionerRole: section[dispatch]
  CZ_CompositionEms --> CZ_RelatedPerson: section[dispatch]
  CZ_CompositionEms --> CZ_TaskEms: section[timeline]
  CZ_CompositionEms --> CZ_CommunicationEms: section[timeline]
  CZ_CompositionEms --> CZ_EncounterEms: section[timeline]
  CZ_CompositionEms --> CZ_ConditionEms: section[patientHx]
  CZ_CompositionEms --> CZ_MedicalDevice: section[medicalDevices]
  CZ_CompositionEms --> CZ_ProcedureEms: section[significantProcedures]
  CZ_CompositionEms --> CZ_ObservationTravelEms: section[TravelHx]
  CZ_CompositionEms --> CZ_ImmunizationEMS: section[immunizations]
  CZ_CompositionEms --> CZ_ImmunizationRecommendationEMS: section[immunizations]
  CZ_CompositionEms --> DocumentReference: section[immunizations]
  CZ_CompositionEms --> CZ_ObservationInfectiousContactEMS: section[infectiousContacts]
  CZ_CompositionEms --> CZ_FamilyMemberHistoryEms: section[familyHistory]
  CZ_CompositionEms --> CZ_ObservationSDOHEMS: section[socialHistory]
  CZ_CompositionEms --> Observation: section[alcoholUse]
  CZ_CompositionEms --> Observation: section[tobaccoUse]
  CZ_CompositionEms --> Observation: section[drugUse]
  CZ_CompositionEms --> CZ_AllergyIntoleranceEms: section[allergies]
  CZ_CompositionEms --> CZ_FlagEms: section[allergies]
  CZ_CompositionEms --> CZ_ProcedureEms: section[procedure]
  CZ_CompositionEms --> CZ_ConditionEms: section[diagnosticSummary]
  CZ_CompositionEms --> CZ_ProcedureEms: section[courseOfTreatment]
  CZ_CompositionEms --> CZ_CarePlanEms: section[recommendations]
  CZ_CompositionEms --> CZ_ConditionEms: section[handover]
  CZ_CompositionEms --> CZ_Practioner: section[handover]
  CZ_CompositionEms --> CZ_PractionerRole: section[handover]
  CZ_CompositionEms --> CZ_Organization: section[handover]
  CZ_CompositionEms --> CZ_Coverage: section[payers]
  CZ_CompositionEms --> CZ_Attachment: section[attachments]

The record is a FHIR bundle that includes CZ_CompositionEms and all resources in the tree of resources that referred to (see $document operation).