HL7 Czech Hospital Discharge Report Implementation Guide
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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

: Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková) - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "5e848ec9-b5bf-4c90-9d7e-6b0894208bfe"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"^^xsd:anyURI ;
fhir:l <https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition 5e848ec9-b5bf-4c90-9d7e-6b0894208bfe</b></p><a name=\"5e848ec9-b5bf-4c90-9d7e-6b0894208bfe\"> </a><a name=\"hc5e848ec9-b5bf-4c90-9d7e-6b0894208bfe\"> </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-hdr.html\">Composition (HDR CZ)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34105-7}\">Hospital Discharge summary</span></p><p><b>encounter</b>: <a href=\"Encounter-7d7a6f19-5dfb-45ee-8bcf-0f63d9fe49f2.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); priority = urgent; period = 2025-05-17 06:20:00+0200 --&gt; 2025-05-20 11:30:00+0200</a></p><p><b>date</b>: 2025-05-20 11:30:00+0200</p><p><b>author</b>: <a href=\"Practitioner-1ec5e355-648f-42b9-a316-3f056fbd04b5.html\">Practitioner Eva Svobodova </a></p><p><b>title</b>: Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)</p></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"^^xsd:anyURI ;
fhir:l <https://hl7.cz/fhir/core/StructureDefinition/presentedForm>     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:34105-7 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "34105-7" ] ;
fhir:display [ fhir:v "Hospital Discharge summary" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/6c4f4d2c-5f24-4a91-a75e-1b0e2a1f7731 ;
fhir:reference [ fhir:v "Patient/6c4f4d2c-5f24-4a91-a75e-1b0e2a1f7731" ]
  ] ; # 
  fhir:encounter [
fhir:l fhir:Encounter/7d7a6f19-5dfb-45ee-8bcf-0f63d9fe49f2 ;
fhir:reference [ fhir:v "Encounter/7d7a6f19-5dfb-45ee-8bcf-0f63d9fe49f2" ]
  ] ; # 
  fhir:date [ fhir:v "2025-05-20T11:30:00+02:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:l fhir:Practitioner/1ec5e355-648f-42b9-a316-3f056fbd04b5 ;
fhir:reference [ fhir:v "Practitioner/1ec5e355-648f-42b9-a316-3f056fbd04b5" ]
  ] ) ; # 
  fhir:title [ fhir:v "Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Průběh hospitalizace" ] ;
fhir:code [
      ( fhir:coding [
a loinc:8648-8 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "8648-8" ] ;
fhir:display [ fhir:v "Hospital course note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hospitalizace pro spontánní porod v termínu, bez závažných komplikací.</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:section [
fhir:title [ fhir:v "Porod" ] ;
fhir:code [
        ( fhir:coding [
a loinc:57074-7 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>           ] ;
fhir:code [ fhir:v "57074-7" ] ;
fhir:display [ fhir:v "Delivery note" ]         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>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.</p></div>"^^rdf:XMLLiteral ]       ] ;
      ( fhir:entry [
fhir:l fhir:Procedure/GynNaturalBirthJana-DeliveryMethod ;
fhir:reference [ fhir:v "Procedure/GynNaturalBirthJana-DeliveryMethod" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-FetalPresentation ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-FetalPresentation" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-BirthWeight ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-BirthWeight" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-BirthLength ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-BirthLength" ]       ] [
fhir:l fhir:Condition/GynNaturalBirthJana-BirthInjury ;
fhir:reference [ fhir:v "Condition/GynNaturalBirthJana-BirthInjury" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-BirthOutcome ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-BirthOutcome" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-Apgar1 ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-Apgar1" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-Apgar5 ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-Apgar5" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-Apgar10 ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-Apgar10" ]       ] [
fhir:l fhir:Patient/b7e6c8a1-4a8d-4d9f-8f69-df4f210cb2d7 ;
fhir:reference [ fhir:v "Patient/b7e6c8a1-4a8d-4d9f-8f69-df4f210cb2d7" ]       ] )     ] )
  ] [
fhir:title [ fhir:v "Anamnéza" ] ;
fhir:code [
      ( fhir:coding [
a loinc:35090-0 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "35090-0" ] ;
fhir:display [ fhir:v "Patient history note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gynekologická anamnéza: prvorodička, gravidita/parita 1/1, gestační stáří při porodu 39+6.</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:section [
fhir:title [ fhir:v "Těhotenská anamnéza" ] ;
fhir:code [
        ( fhir:coding [
a loinc:10162-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>           ] ;
fhir:code [ fhir:v "10162-6" ] ;
fhir:display [ fhir:v "History of pregnancies" ]         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gestační stáří 39+6, prvorodička, gravidita 1, parita 1, singleton gravidita.</p></div>"^^rdf:XMLLiteral ]       ] ;
      ( fhir:entry [
fhir:l fhir:Observation/GynNaturalBirthJana-GestationalAgeAtDelivery ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-GestationalAgeAtDelivery" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-Gravidity ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-Gravidity" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-Parity ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-Parity" ]       ] [
fhir:l fhir:Observation/GynNaturalBirthJana-MultiplePregnancy ;
fhir:reference [ fhir:v "Observation/GynNaturalBirthJana-MultiplePregnancy" ]       ] )     ] )
  ] [
fhir:title [ fhir:v "Health insurance and payment information" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48768-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "48768-6" ] ;
fhir:display [ fhir:v "Payment sources Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Payer: 111 (VZP), insurance number: 9355181234.</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:Coverage/8f9c2f14-1f69-4f2b-b4a8-8b7ca4db9f31 ;
fhir:reference [ fhir:v "Coverage/8f9c2f14-1f69-4f2b-b4a8-8b7ca4db9f31" ]     ] )
  ] [
fhir:title [ fhir:v "Alergie, intolerance a varování" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Alergie na penicilin, reakce: kožní vyrážka a otok rtů.</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:AllergyIntolerance/Allergy-Penicillin-Novakova-Jana ;
fhir:reference [ fhir:v "AllergyIntolerance/Allergy-Penicillin-Novakova-Jana" ]     ] )
  ] [
fhir:title [ fhir:v "Pharmacotherapy" ] ;
fhir:code [
      ( fhir:coding [
a loinc:87232-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "87232-5" ] ;
fhir:display [ fhir:v "Medication administration brief" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Porodní analgezie: epidurální podání ropivakainu s malou dávkou fentanylu během porodu.</p></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l fhir:Medication/med-ropivacaine-epidural ;
fhir:reference [ fhir:v "Medication/med-ropivacaine-epidural" ]     ] [
fhir:l fhir:Medication/med-fentanyl-epidural ;
fhir:reference [ fhir:v "Medication/med-fentanyl-epidural" ]     ] [
fhir:l fhir:MedicationStatement/medstmt-ropivacaine-epidural-jana ;
fhir:reference [ fhir:v "MedicationStatement/medstmt-ropivacaine-epidural-jana" ]     ] [
fhir:l fhir:MedicationStatement/medstmt-fentanyl-epidural-jana ;
fhir:reference [ fhir:v "MedicationStatement/medstmt-fentanyl-epidural-jana" ]     ] )
  ] ) . #