HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/hdr/ and changes regularly. See the Directory of published versions
Document Details
Profile: Bundle (HDR CZ)
Final Document at 2025-05-20 11:30:00+0200 by Practitioner Eva Svobodova for Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567) in encounter Encounter: status = finished; class = inpatient encounter (ActCode#IMP); priority = urgent; period = 2025-05-17 06:20:00+0200 --> 2025-05-20 11:30:00+0200
Document Subject
Profile: Patient (CZ core)
Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
| Other Id: | https://ncez.mzcr.cz/fhir/sid/rcis/9355181234 (use: official, ) | ||
| Contact Detail |
| ||
| Language: | Czech (preferred) | ||
| Registering provider: |
| ||
| Registering provider: |
| ||
Document Content
Hospitalizace pro spontánní porod v termínu, bez závažných komplikací.
Porod dne 18.05.2025 v 10:46, spontánní vaginální, bez indukce, analgezie EDA (ropivakain + fentanyl), novorozenec mužského pohlaví, 3210 g, 49 cm, Apgar 10-10-10. Mateřské poranění: epiziotomie mediolaterální.
Gynekologická anamnéza: prvorodička, gravidita/parita 1/1, gestační stáří při porodu 39+6.
Gestační stáří 39+6, prvorodička, gravidita 1, parita 1, singleton gravidita.
Payer: 111 (VZP), insurance number: 9355181234.
Alergie na penicilin, reakce: kožní vyrážka a otok rtů.
Porodní analgezie: epidurální podání ropivakainu s malou dávkou fentanylu během porodu.
Entry 2 - fullUrl = urn:uuid:6c4f4d2c-5f24-4a91-a75e-1b0e2a1f7731
Resource Patient:
Profile: Patient (CZ core)
Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
Other Id: https://ncez.mzcr.cz/fhir/sid/rcis/9355181234 (use: official, )Contact Detail
- +420777222333
- Kvetna 12, 60200 Brno(home)
Language: Czech (preferred) Registering provider:
- value: PractitionerRole Lekar
- category: General medical service
Registering provider:
- value: PractitionerRole Lekar
- category: Obstetrics and gynecology service
Entry 3 - fullUrl = urn:uuid:b7e6c8a1-4a8d-4d9f-8f69-df4f210cb2d7
Resource Patient:
Profile: Patient (CZ core)
Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, ))
Multiple Birth: false Contact Detail Kvetna 12, 60200 Brno(home) Language: Czech (preferred) mother:
- Jana Novakova
- +420777222333
Links:
Entry 4 - fullUrl = urn:uuid:7d7a6f19-5dfb-45ee-8bcf-0f63d9fe49f2
Resource Encounter:
Profile: Encounter (HDR CZ)
status: Completed
class: inpatient encounter
priority: urgent
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
serviceProvider: Organization Porodni oddeleni - Mestska nemocnice Brno
Participants
Type Admitter location
location: Location Porodni oddeleni
period: 2025-05-17 06:20:00+0200 --> 2025-05-18 09:00:00+0200
location
location: Location Pokoj 3
period: 2025-05-18 09:00:00+0200 --> 2025-05-20 10:00:00+0200
location
location: Location Luzko 01
period: 2025-05-18 09:10:00+0200 --> 2025-05-19 18:00:00+0200
Entry 5 - fullUrl = urn:uuid:8f9c2f14-1f69-4f2b-b4a8-8b7ca4db9f31
Resource Coverage:
Profile: Coverage (CZ)
identifier:
https://ncez.mzcr.cz/fhir/sid/cislo-pojistence/9355181234 (use: official, )status: Active
beneficiary: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
Entry 6 - fullUrl = urn:uuid:allergy-penicillin-novakova-jana
Resource AllergyIntolerance:
Alergie na penicilin - kožní vyrážka, otok rtů.
Entry 7 - fullUrl = urn:uuid:9ac1fd24-6d6a-4d55-b6c0-5f8a6f2f5f31
Resource Procedure:
Profile: Procedure: Method of Delivery (CZ)
status: Completed
code: Vaginal delivery
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
Performers
Actor Practitioner Eva Svobodova
Entry 8 - fullUrl = urn:uuid:8a6aa5a5-0f66-4c09-b4d0-e2ca7ab6450c
Resource Condition:
Epiziotomie mediolaterální během porodu.
Entry 9 - fullUrl = urn:uuid:4c00d8d9-2b0e-4f8f-82b5-9692eec6d3c1
Resource Observation:
status: Final
code: Fetal presentation at birth
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 10:46:00+0200
value: Vertex presentation
Entry 10 - fullUrl = urn:uuid:3c2dd8f5-58b4-4cc2-a4d7-72ca2f1fbc18
Resource Observation:
Profile: Observation: Birth Weight (CZ)
status: Final
code: Birth weight measured
value: 3210 g (Details: UCUM codeg = 'g')
Entry 11 - fullUrl = urn:uuid:cf6608f4-7e10-4c50-9a2a-78511d95b5be
Resource Observation:
Profile: Observation: Birth Length (CZ)
status: Final
code: Birth height measured
value: 49 cm (Details: UCUM codecm = 'cm')
Entry 12 - fullUrl = urn:uuid:9d0b2e3f-6e66-4dcb-a457-6d6108b1fb89
Resource Observation:
status: Final
code: [#] Pregnancies
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 10:46:00+0200
value: 1
Entry 13 - fullUrl = urn:uuid:11ab1738-4c81-4d40-8b7e-f0cda2c83ec3
Resource Observation:
Profile: Observation: Maternal - Parity (CZ)
status: Final
code: [#] Parity
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 10:46:00+0200
value: 1
Entry 14 - fullUrl = urn:uuid:5b9a67e0-d8ed-4dd8-b690-3f61a804c6a4
Resource Observation:
status: Final
code: Was this a multiple pregnancy [PhenX]
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 10:46:00+0200
value: false
Components
Code Value[x] Number of fetuses 1
Entry 15 - fullUrl = urn:uuid:810c3a4f-c29d-4ce4-8ba0-a7cbbf37ef89
Resource Observation:
status: Final
code: Gestational age--at birth
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 10:46:00+0200
value: 39+6
Entry 16 - fullUrl = urn:uuid:8d0af4d9-f653-49db-a940-83af87f1da8f
Resource Observation:
status: Final
code: Apgar score 1 minute
effective: 2025-05-18 10:47:00+0200
value: 10
Entry 17 - fullUrl = urn:uuid:24e6d365-6456-4916-81f6-4258e9cd3f5a
Resource Observation:
status: Final
code: Apgar score 5 minute
effective: 2025-05-18 10:51:00+0200
value: 10
Entry 18 - fullUrl = urn:uuid:4ae1602e-6dff-4879-ad22-1ea0ef8cc58d
Resource Observation:
status: Final
code: Apgar score 10 minute
effective: 2025-05-18 10:56:00+0200
value: 10
Entry 19 - fullUrl = urn:uuid:49f3de6d-5b80-47fe-84c0-560037fd14a7
Resource Observation:
status: Final
code: Birth outcome
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 10:46:00+0200
value: Liveborn infant
Entry 20 - fullUrl = urn:uuid:cc11aeb9-c765-4de4-8c69-31cb3235d40c
Resource Medication:
Profile: Medication (CZ)
identifier:
https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/0299001code: Ropivakain epiduralni roztok
status: Active
Entry 21 - fullUrl = urn:uuid:95f86512-9ec4-4279-980b-f2fe885322e5
Resource Medication:
Profile: Medication (CZ)
identifier:
https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/0299002code: Fentanyl pro epiduralni analgezii
status: Active
Entry 22 - fullUrl = urn:uuid:c8e815f2-e5fd-475e-93f6-c6f0f4f26609
Resource MedicationStatement:
Profile: Medication Statement (CZ)
status: completed
identifier:
https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/0299001status: Recorded
category: Inpatient
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 09:35:00+0200 --> 2025-05-18 11:10:00+0200
Dosages
Text Route Epidurální podání ropivakainu během porodu Epidural route
Entry 23 - fullUrl = urn:uuid:6f0a9df3-07b9-4f74-b4f2-a484494f0cf5
Resource MedicationStatement:
Profile: Medication Statement (CZ)
status: completed
identifier:
https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/0299002status: Recorded
category: Inpatient
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
effective: 2025-05-18 09:40:00+0200 --> 2025-05-18 10:50:00+0200
Dosages
Text Route Epidurální podání malé dávky fentanylu jako součást EDA Epidural route
Entry 24 - fullUrl = urn:uuid:ba94ff27-e9eb-4b1f-b154-c62fc4836be8
Resource MedicationAdministration:
status: Completed
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
Dosages
Route Dose Epidural route 10 mg (Details: UCUM codemg = 'mg')
Entry 25 - fullUrl = urn:uuid:7af3468d-a53e-4f29-94fd-b0f5d92f49b8
Resource MedicationAdministration:
status: Completed
subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
Dosages
Route Dose Epidural route 0.05 mg (Details: UCUM codemg = 'mg')
Entry 26 - fullUrl = urn:uuid:1ec5e355-648f-42b9-a316-3f056fbd04b5
Resource Practitioner:
Profile: Practitioner (CZ core)
identifier:
https://ncez.mzcr.cz/fhir/sid/nrzp/999111222name: Eva Svobodova
telecom: +420777888999
Entry 27 - fullUrl = urn:uuid:0f2a4a4e-ea00-4b8d-87cf-0f8ae2d1786a
Resource Practitioner:
Profile: Practitioner (CZ core)
identifier:
https://ncez.mzcr.cz/fhir/sid/krzp/971234560name: Pavel Kral
telecom: +420725111222
Entry 28 - fullUrl = urn:uuid:7f2542b8-afe3-4a30-8f4f-c2f6fd2c2f85
Resource Practitioner:
Profile: Practitioner (CZ core)
identifier:
https://ncez.mzcr.cz/fhir/sid/krzp/971234561name: Petra Vesela
telecom: +420725333444
Entry 29 - fullUrl = urn:uuid:25d8c868-5715-48bb-9d19-bbe294f7a8f6
Resource PractitionerRole:
Profile: Practitioner Role (CZ core)
practitioner: Practitioner Pavel Kral
organization: Organization MUDr. Jana Krásná
code: Lekar
specialty: Family practice (qualifier value)
Entry 30 - fullUrl = urn:uuid:e5ef1313-3f47-4ae2-b5f2-6cedfb74a4f1
Resource PractitionerRole:
Profile: Practitioner Role (CZ core)
practitioner: Practitioner Petra Vesela
organization: Organization MUDr. Jana Kouzelná
code: Lekar
specialty: Gynecology service
Entry 31 - fullUrl = urn:uuid:6dbf2b1f-67f6-46c9-b1b7-f412aaadf2ba
Resource Organization:
Profile: Organization (CZ core)
identifier:
https://ncez.mzcr.cz/fhir/sid/ico/456789857,https://ncez.mzcr.cz/fhir/sid/icz/12345000,https://ncez.mzcr.cz/fhir/sid/icp/12345678type: Samostatná ordinace PL - gynekologa
name: MUDr. Jana Kouzelná
Contacts
Telecom Address +420603853227 Krátká 11, 70500 Ostrava Ostrava 70500 CZ
Entry 32 - fullUrl = urn:uuid:4f5f6b0d-f1a6-4ff0-9457-5ddd2117e9d9
Resource Organization:
Samost. ordinace všeob. prakt. lékaře, MUDr. Stanislava Kubšová
Entry 33 - fullUrl = urn:uuid:96cb3f63-2644-4fd8-8df2-eed1a9bc16f9
Resource Organization:
Profile: Organization (CZ core)
identifier:
https://ncez.mzcr.cz/fhir/sid/zdravotni-pojistovna/111name: Vseobecna zdravotni pojistovna Ceske republiky
Entry 34 - fullUrl = urn:uuid:d4545f84-0d58-4f6f-a50a-2f2ea2ea4dc4
Resource Organization:
Profile: Organization (CZ core)
identifier:
https://ncez.mzcr.cz/fhir/sid/ico/27999911,https://ncez.mzcr.cz/fhir/sid/icz/62010000name: Mestska nemocnice Brno
Contacts
Telecom Address +420543111222 Kvetna 15, 60200 Brno Brno 60200 CZ
Entry 35 - fullUrl = urn:uuid:2f823e1c-b1a5-42f8-9ba4-7df32768b2a7
Resource Organization:
Profile: Organization (CZ core)
identifier:
https://ncez.mzcr.cz/fhir/sid/icp/62010123name: Porodni oddeleni - Mestska nemocnice Brno
Contacts
Telecom Address +420543111333 Kvetna 15, 60200 Brno Brno 60200 CZ
Entry 36 - fullUrl = urn:uuid:loc-brno-hospital
Resource Location:
Profile: Location (CZ core)
status: Active
name: Mestska nemocnice Brno
description:
Hlavni areal Mestske nemocnice Brno
address: Kvetna 15, 60200 Brno, Ceska republika(work)
managingOrganization: Organization Mestska nemocnice Brno
Entry 37 - fullUrl = urn:uuid:loc-brno-maternity-ward
Resource Location:
Profile: Location (CZ core)
status: Active
name: Porodni oddeleni
description:
Porodni oddeleni - Mestska nemocnice Brno
managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno
partOf: Mestska nemocnice Brno
Entry 38 - fullUrl = urn:uuid:loc-brno-maternity-room-3
Resource Location:
Profile: Location (CZ core)
status: Active
name: Pokoj 3
description:
Pokoj 3 na porodni oddeleni
managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno
partOf: Porodni oddeleni
Entry 39 - fullUrl = urn:uuid:loc-brno-maternity-room-3-bed-01
Resource Location:
Profile: Location (CZ core)
status: Active
name: Luzko 01
description:
Luzko 01, pokoj 3, porodni oddeleni
managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno
partOf: Pokoj 3
Entry 40 - fullUrl = urn:uuid:relatedperson-novak-petr-husband
Resource RelatedPerson:
Profile: Related Person: HDR (CZ)
identifier:
https://ncez.mzcr.cz/fhir/sid/rid/1597778923patient: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)
relationship: Manzel, otec ditete
name: Petr Novak
telecom: +420777111222