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 - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition 6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001</b></p><a name=\"6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001\"> </a><a name=\"hc6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001\"> </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-CZ-Encounter-HDR-Example.html\">Encounter: extension = Legal; status = finished; class = inpatient encounter (ActCode#IMP); priority = Emergency; period = 2025-01-01 08:00:00+0100 --&gt; 2025-01-10 08:00:00+0100; reasonCode = Heart failure</a></p><p><b>date</b>: 2025-05-18 12:30:00+0200</p><p><b>author</b>: <a href=\"Practitioner-a81e74c9-fe94-4eb1-9233-4c8f0b2d4e3a.html\">Practitioner MUDr. Ivan Anděl</a></p><p><b>title</b>: Gynekologická propouštěcí zpráva - spontánní vaginální porod</p></div>"
  },
  "extension" : [
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  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "34105-7",
        "display" : "Hospital Discharge summary"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Mracena2"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/CZ-Encounter-HDR-Example"
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  "date" : "2025-05-18T12:30:00+02:00",
  "author" : [
    {
      🔗 "reference" : "Practitioner/a81e74c9-fe94-4eb1-9233-4c8f0b2d4e3a"
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  ],
  "title" : "Gynekologická propouštěcí zpráva - spontánní vaginální porod",
  "section" : [
    {
      "title" : "Průběh hospitalizace",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8648-8",
            "display" : "Hospital course note"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hospitalizace pro spontánně proběhlý porod v termínu, bez závažných komplikací.</p></div>"
      },
      "section" : [
        {
          "title" : "Porod",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "57074-7",
                "display" : "Delivery note"
              }
            ]
          },
          "text" : {
            "status" : "additional",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Porod dne 18.05.2025 v 10:46, spontánní vaginální, novorozenec mužského pohlaví, 3210 g, 49 cm, Apgar 10-10-10.</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Procedure/GynNaturalBirth-DeliveryMethod"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-FetalPresentation"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-BirthWeight"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-BirthLength"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-Apgar1"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-Apgar5"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-Apgar10"
            },
            {
              🔗 "reference" : "Patient/3f85726c-ad2f-441b-89ce-100000000000"
            }
          ]
        }
      ]
    },
    {
      "title" : "Anamnéza",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "35090-0",
            "display" : "Patient history note"
          }
        ]
      },
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gynekologická anamnéza: gravidita/parita 2/2, gestační stáří při porodu 39+6.</p></div>"
      },
      "section" : [
        {
          "title" : "Gynekologická anamnéza",
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "10162-6",
                "display" : "History of pregnancies"
              }
            ]
          },
          "text" : {
            "status" : "additional",
            "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gestační stáří 39+6, gravidita 2, parita 2, singleton gravidita.</p></div>"
          },
          "entry" : [
            {
              🔗 "reference" : "Observation/GynNaturalBirth-GestationalAgeAtDelivery"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-Gravidity"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-Parity"
            },
            {
              🔗 "reference" : "Observation/GynNaturalBirth-MultiplePregnancy"
            }
          ]
        }
      ]
    }
  ]
}