HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build Czechia flag

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 - XML Representation

Raw xml | Download


<Composition xmlns="http://hl7.org/fhir">
  <id value="6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001"/>
  <meta>
    <profile
             value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension
             url="https://hl7.cz/fhir/core/StructureDefinition/presentedForm"/>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="34105-7"/>
      <display value="Hospital Discharge summary"/>
    </coding>
  </type>
  <subject>🔗 
    <reference value="Patient/Mracena2"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/CZ-Encounter-HDR-Example"/>
  </encounter>
  <date value="2025-05-18T12:30:00+02:00"/>
  <author>🔗 
    <reference value="Practitioner/a81e74c9-fe94-4eb1-9233-4c8f0b2d4e3a"/>
  </author>
  <title
         value="Gynekologická propouštěcí zpráva - spontánní vaginální porod"/>
  <section>
    <title value="Průběh hospitalizace"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8648-8"/>
        <display value="Hospital course note"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Hospitalizace pro spontánně proběhlý porod v termínu, bez závažných komplikací.</p></div>
    </text>
    <section>
      <title value="Porod"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="57074-7"/>
          <display value="Delivery note"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <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>
      </text>
      <entry>🔗 
        <reference value="Procedure/GynNaturalBirth-DeliveryMethod"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-FetalPresentation"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-BirthWeight"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-BirthLength"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-Apgar1"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-Apgar5"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-Apgar10"/>
      </entry>
      <entry>🔗 
        <reference value="Patient/3f85726c-ad2f-441b-89ce-100000000000"/>
      </entry>
    </section>
  </section>
  <section>
    <title value="Anamnéza"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="35090-0"/>
        <display value="Patient history note"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml"><p>Gynekologická anamnéza: gravidita/parita 2/2, gestační stáří při porodu 39+6.</p></div>
    </text>
    <section>
      <title value="Gynekologická anamnéza"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="10162-6"/>
          <display value="History of pregnancies"/>
        </coding>
      </code>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p>Gestační stáří 39+6, gravidita 2, parita 2, singleton gravidita.</p></div>
      </text>
      <entry>🔗 
        <reference
                   value="Observation/GynNaturalBirth-GestationalAgeAtDelivery"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-Gravidity"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-Parity"/>
      </entry>
      <entry>🔗 
        <reference value="Observation/GynNaturalBirth-MultiplePregnancy"/>
      </entry>
    </section>
  </section>
</Composition>