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

Artifacts

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Obligations

Obligations used to describe the HDR functional requirements for the specified data elements. Informative for this version of the guide.

Address Obligations (HDR CZ)

Obligations for Address in Czech Republic - HDR

Allergy Intolerance Obligations (HDR CZ)

This profile defines the obligations for the CZ_AllergyIntoleranceHdr profile used in the HDR CZ project.

Attachments: Obligations

This profile defines obligations for an attachment in FHIR for the purpose of this guide.

Composition: Obligations

This profile defines obligations for a composition in FHIR for the purpose of this guide.

Consent Obligations (HDR CZ)

This profile defines the obligations for the CZ_ConsentHdr profile used in the HDR CZ project.

Dosage: Obligations (HDR CZ) - hospital stay

Profile for Dosage with obligations (HDR CZ) - hospital stay.

Dosage: Obligations (HDR CZ) - medication summary

Profile for Dosage with obligations (HDR CZ) - medication summary.

Encounter: Obligations

This profile defines obligations for an Encounter in FHIR for the purpose of this guide.

Flag Obligations (HDR CZ)

This profile defines the obligations for the CZ_FlagHdr profile used in the HDR CZ project.

Immunization Obligations: HDR CZ

Profile for Immunization Obligations in the Czech Republic Health Data Repository (HDR CZ).

Immunization Recommendation Obligations (HDR CZ)

This profile defines the obligations for the ImmunizationRecommendation resource used in the HDR CZ project.

Medication Administration Obligations (HDR CZ)

Profile for Medication Administration Obligations in the Czech Republic Health Data Repository (HDR CZ).

Medication Obligations: (HDR CZ) - hospital stay

Profile for Medication Obligations in the Czech Republic Health Data Repository (HDR CZ). - hospital stay.

Medication Obligations: (HDR CZ) - medication summary

Profile for Medication Obligations in the Czech Republic Health Data Repository (HDR CZ). - medication summary.

MedicationDispense: Obligations (HDR CZ) - hospital stay

Profile for MedicationDispense with obligations (HDR CZ). - hospital stay.

MedicationDispense: Obligations (HDR CZ) - medication summary

Profile for MedicationDispense with obligations (HDR CZ). - medication summary.

MedicationRequest: Obligations (HDR CZ) - hospital stay

Profile for MedicationRequest with obligations (HDR CZ) - hospital stay.

MedicationRequest: Obligations (HDR CZ) - medication summary

Profile for MedicationRequest with obligations (HDR CZ) - medication summary.

MedicationStatement: Obligations (HDR CZ)

Profile for MedicationStatement with obligations (HDR CZ).

Observations: Anthropometric Data obligations

This profile defines obligations for an Anthropometric Data in FHIR for the purpose of this guide.

Observations: Infectious Contact obligations

This profile defines obligations for an Infectious Contact in FHIR for the purpose of this guide.

Organization: Obligations

This profile defines obligations for.

Patient: Obligations

This profile defines obligations for an human Patient in FHIR for the purpose of this guide.

Procedure: Obligations

This profile defines obligations for a procedure in FHIR for the purpose of this guide.

Czech logical model

Logical model in czech language. Informative for this version of the guide.

A - Propouštěcí zpráva

Nemocniční propouštěcí zpráva

A.1 – Hlavička dokumentu

Nemocniční propouštěcí zpráva - Struktura hlavičky propouštěcí zprávy podle tabulky části.

A.2.1 - Dříve vyslovená přání

Nemocniční propouštěcí zpráva - Dříve vyslovená přání

A.2.10 Porod

Nemocniční propouštěcí zpráva - Sekce slouží k zaznamenání klíčových údajů o průběhu porodu a jeho výsledku.

A.2.2 - Urgentní informace

Nemocniční propouštěcí zpráva - Urgentní informace

A.2.3 - Kontakt se zdravotními službami

Nemocniční propouštěcí zpráva - Záznam o hospitalizačním kontaktu v rámci propouštěcí zprávy.

A.2.4 - Stav při přijetí

Nemocniční propouštěcí zpráva - Stav při přijetí - A.2.4 CZ poznámka: Nepovinná sekce uvádět pouze v případě významu pro zajištění kontinuity péče.

A.2.5 - Anamnéza

Nemocniční propouštěcí zpráva - Anamnéza

A.2.6 Průběh hospitalizace

Nemocniční propouštěcí zpráva - Popis průběhu hospitalizace zahrnující diagnostické souhrny, výkony, léčbu, vyšetření i klinické shrnutí.

A.2.7 - Detail propoštěcí zprávy

Nemocniční propouštěcí zpráva - Detaily

A.2.7.1 Objektivní nález

Nemocniční propouštěcí zpráva - Objektivní nález pacienta při propuštění.

A.2.7.2 - Funkční stav při propuštění

Nemocniční propouštěcí zpráva - Hodnocení funkčního stavu pacienta při propuštění.

A.2.8.1 Plán péče

Nemocniční propouštěcí zpráva - Plán péče po propuštění.

A.2.8.2 Souhrn medikace

Nemocniční propouštěcí zpráva - Souhrnná informace o medikaci doporučené na období po propuštění, včetně medikace změněné, nově zahájené nebo ukončené.

A.3 - Vizuální podoba dokumentu

Nemocniční propouštěcí zpráva - čitelná lidským okem, je požadován PDF formát. Obsahuje informace o průběhu hospitalizace v rozsahu vydané zprávy.

A.4 - Přílohy (cz)

Nemocniční propouštěcí zpráva - Přílohy

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

A - Hospital Discharge Report (eHN)

Hospital Discharge Report

A.1 - Hospital Discharge Report header data element

Hospital Discharge Report - Hospital Discharge Report header data element - A.1 eHN

A.2.1 - Advance Directives (eHN)

Hospital Discharge Report - Advance Directives - A.2.1 eHN

A.2.10 - Delivery

Hospital Discharge Report – Delivery section. Records key information about the course of labour and delivery and its outcome.

A.2.2 - Alerts (eHN)

Hospital Discharge Report - Alerts - A.2.2 eHN

A.2.3 - Encounter (eHN)

Hospital Discharge Report - Encounter - A.2.3 eHN

A.2.4 - Admission evaluation (eHN)

Hospital Discharge Report - Admission evaluation - A.2.4 eHN

A.2.5 - Patient history (eHN)

Hospital Discharge Report - Patient history - A.2.5 eHN

A.2.6 - Hospital stay (eHN)

Hospital Discharge Report - Hospital stay - A.2.6 eHN

A.2.7 - Discharge details (eHN)

Hospital Discharge Report - Discharge details - A.2.7 eHN

A.2.7.1 - Objective findings

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

A.2.7.2 - Functional status

Hospital Discharge Report - Functional status - A.2.7.2 eHN

A.2.8.1 - Care plan

Hospital Discharge Report - Care plan after discharge - A.2.8.1 eHN

A.2.8.2 - Medication summary

Hospital Discharge Report - Medication Summary after discharge - A.2.8.2 eHN

A.3 - Presented form

Presented form - Entire report as issued. Various formats could be provided, pdf format is recommended.

A.4 - Additional attachments

Discharge Report - additional attachments - A.4

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Allergy Intolerance (HDR CZ)

This profile constrains the AllergyIntolerance resource for the purpose of this project.

Attachment: HDR (CZ)

Czech profile for attachment.

Bundle (HDR CZ)

Clinical document used to represent a Hospital Discharge Report for the scope of this guide.

Care Plan (HDR CZ)

This profile constrains the CarePlan resource for the purpose of this guide.

Composition (HDR CZ)

This profile defines how to represent Composition resource in HL7 FHIR for the scope of this guide.

Condition (HDR CZ)

This profile represents the constraint applied to the Condition in the scope of this guide. It supports the Diagnostic summary part of the eHN data model adding two additional categories: First category distinguishes conditions present at admission and acquired during hospital stay, while second category is used to indicate impact of the condition to the treatment during hospital stay (treated, untreated).

Consent (Advance Directives) (HDR CZ)

This profile constrains the Consent resource for the purpose of representing Advance Directives in this project.

Coverage: Obligations

This profile defines obligations for a coverage in FHIR for the purpose of this guide.

DeviceUseStatement (HDR)

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

Encounter (HDR CZ)

This profile defines how to represent Inpatient Encounter in HL7 FHIR for the scope of this guide.

FamilyMemberHistory (HDR CZ)

This profile represents the constraints applied to the FamilyMemberHistory resource by this guide.

Flag (HDR CZ)

This profile constrains the Flag resource to represent alerts or warnings in FHIR for the purpose of this project.

Immunization (HDR CZ)

This profile constrains the Immunization resource for the purpose of this guide.

ImmunizationRecommendation (CZ HDR)

This profile defines how to represent Immunization Recommandations for the purpose of this guide.

Medical Device: Obligations

This profile defines obligations for a medical device result in FHIR for the purpose of this guide.

MedicationDispense (HDR)

This profile constrains the MedicationDispense resource for the purpose of this guide, adapted from the MPD work.

MedicationRequest (HDR CZ)

This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.

Observation: APGAR Score (CZ)

Profile for recording a single APGAR score observation for a newborn at a defined postnatal time point.

Observation: APGAR Score at 1 Minute (CZ)

APGAR score of the newborn assessed at 1 minute after birth.

Observation: APGAR Score at 10 Minutes (CZ)

APGAR score of the newborn assessed at 10 minutes after birth.

Observation: APGAR Score at 5 Minutes (CZ)

APGAR score of the newborn assessed at 5 minutes after birth.

Observation: Anthropometric Data (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ) - Abdominal Circumference

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ) - BMI

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ) - Chest Circumference

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ) - Head Circumference

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Anthropometric Data (HDR CZ) - Height

This profile sets minimum expectations for the Observation resource to record, search, and fetch anthropometric measurements such as height, weight, BMI, and optional measurements like head, chest, and abdominal circumference.

Observation: Birth Length (CZ)

The birth length (body height) of a newborn using a LOINC code and units in centimeters.

Observation: Birth Weight (CZ)

Profile for recording the birth weight of a newborn using a LOINC code and units in grams.

Observation: Fetal Presentation During Delivery (CZ)

Presentation/position of the fetus during delivery.

Observation: Infectious Contact (HDR CZ)

Infectious Contact profile represents potential patient exposure to an agent (exposure source).

Observation: Maternal - Gravidity (CZ)

Celkový počet těhotenství - gravidita

Observation: Maternal - Multiple pregnancy and fetus count (CZ)

Multiple pregnancy and fetus count.

Observation: Maternal - Parity (CZ)

Počet porodů matky (před nynějším porodem)

Observation: SDOH (HDR CZ)

Profile for Social Determinants of Health (SDOH) observations that involve assessment (e.g., by a provider, payer, etc.) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation).

Observation: travel history (HDR CZ)

This profile sets minimum expectations for the Observation resource to record, search, and fetch travel history.

Practitioner Role: Obligations

This profile defines obligations for a practitioner role in FHIR for the purpose of this guide.

Practitioner: Obligations

This profile defines obligations for a practitioner in FHIR for the purpose of this guide.

Procedure (HDR CZ)

This profile represents the constraints applied to the Procedure resource by this guide.

Procedure: Maternal - Induction of labor (CZ)

Metoda a průběh preindukce nebo indukce porodu.

Procedure: Method of Delivery (CZ)

The delivery method (e.g., Spontaneous, Cesarean, Forceps). The subject is the mother, and the reasonReference points to the newborn.

Related Person: HDR (CZ)

Czech profile for related person.

Related Person: Obligations

This profile defines obligations for a related person in FHIR for the purpose of this guide.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

CZ Consent Category

ValueSet for Consent Categories in the Czech HDR project.

CZ Provision Code

ValueSet for provision codes in the Czech HDR project, using ICD-10 and Orphacode.

Exposure of transmissible agents

HDR exposure agent value set. This value set includes codes from SNOMED Clinical Terms®: all descendants of 40733004 "Infectious disease (disorder)" and ICD-10 all descendants of chapter I: "Certain infectious and parasitic diseases"

Related Person Relationship Types (HDR)

HDR related person relationship types value set.

eHDSI Condition Present On Admission

The Value Set is used to assert if a condition is Present on Admission

eHDSI Treatment Class

The Value set is used to encode category of treatment of the condition during encounter

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Temporary HDR Code System

This is a temporary code system defined to collect concepts expected required by this project, but for which international coded concepts have not been identified yet.

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

CZ Advance Directives Model to this guide Map

eHN HDR Advance Directives Model to this guide mapping

CZ Alerts Model to this guide Map

eHN HDR Alerts Model to this guide mapping

CZ Attachment Model to this guide Map

CZ HDR Attachment Model to this guide mapping

CZ HDR Model to this guide Map

CZ Hospital Discharge Report Model to this guide mapping

CZ Header Model to this guide Map

CZ HDR Header Model to this guide mapping

CZ Patient History to this guide Map

CZ HDR Patient History Model to this guide Map

eHN Birth Summary Model to CZ HDR Map

Mapping of the eHN Birth Summary logical model to Czech HDR FHIR profiles. The mapping defines placement of delivery and pregnancy data into HDR Composition sections and related clinical resources.

eHN Encounter Model to this guide Map

eHN HDR Encounter Model to this guide mapping

eHN Functional Status Model to this guide Map

eHN HDR Functional Status Model to this guide Map

eHN Hospital Stay Model to this guide Map

eHN HDR Hospital Stay Model to this guide Map

eHN Medication Summary Model to this guide Map

eHN HDR Medication Summary Model to this guide Map

eHN Objective Findings Model to this guide Map

eHN HDR Objective Findings Model to this guide Map

eHN Plan of Care Model to this guide Map

eHN HDR Plan of Care Model to this guide Map

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AdvanceDirectives CORE

Czech hdr - example od advance directive

AdvanceDirectives DNR

Czech hdr - example od advance directive

Allergy Information Unknown

No information is available regarding the patient’s allergy status.

Allergy-Penicillin-Novakova-Jana

Alergie pacientky na penicilin s kožní vyrážkou a otokem rtů. / Patient allergy to penicillin with skin rash and lip swelling.

AllergyIntolerance - No Known Allergies

Patient has no known allergies.

AllergyIntolerance - Penicillin

Patient experiences skin rash and lip swelling in response to penicillin.

AllergyIntolerance - Strawberry

Patient experiences itching and tongue swelling in response to strawberries.

AllergyIntolerance - Strawberry

Patient experiences itching and tongue swelling in response to strawberries.

AllergyIntolerance - cow's milk protein

Patient experiences rash and itching after ingestion of cow's milk protein due to intolerance.

Ambulance interního lékařství, MUDr. Jiří Zdvořilý

Example of ambulatory physician

CRP - Novák Petr

Czech HDR - example of CRP observation for Novák Petr

CZ-CarePlan-HDR Example

Czech HDR - example of a care plan

CZ-Condition-HDR Angiodysplasia

Example of a condition Angiodysplasia of colon

CZ-Condition-HDR Atrial Fibrillation

Example of a condition Persistent atrial fibrillation

CZ-Condition-HDR Example

Czech HDR - example of a condition (Heart Failure)

CZ-Condition-HDR Example 2

Czech HDR - example of a condition (Cardiac arrhythmia - Brugada Syndrome)

CZ-Condition-HDR Example 3

Czech HDR - example of a condition (Postoperative Hypothyroidism)

CZ-Condition-HDR Example 3

Czech HDR - example of a condition (Postoperative Hypothyroidism)

CZ-Condition-HDR Example K409

Example of a condition K409 with details on admission

CZ-Condition-HDR Hypercholesterolemia

Example of a condition Pure hypercholesterolaemia

CZ-Condition-HDR Hypothyroidism

Example of a condition Hypothyroidism

CZ-Condition-HDR Iron Deficiency Anemia

Example of a condition Iron deficiency anaemia secondary to blood loss (chronic)

CZ-Condition-HDR Osteoporosis

Example of a condition Postmenopausal osteoporosis

CZ-Condition-HDR Presbycusis

Example of a condition Presbycusis

CZ-Condition-HDR TIA

Example of a condition Transient cerebral ischaemic attack, unspecified

CZ-Condition-HDR Varicose Veins

Example of a condition Varicose veins of lower extremities without ulcer or inflammation

CZ-Encounter-HDR L1 Example of encounter for Novak Petr

Czech HDR – a minimalist example of a encounter for Petr Novák for the document L1 HDR

CZ-Encounter-HDR Example

Czech HDR - example of an inpatient encounter

CZ-Encounter-HDR Example of encounter for Novakova Jana

Czech HDR - example of encounter for Jana Novakova after spontaneous vaginal delivery

CZ-Encounter-HDR Example of encounter with emergency priority

Czech HDR - example of encounter with emergency priority

CZ-Encounter-HDR Example of finished hospital encounter

Czech HDR - example of finished hospital encounter

CZ-MedicationStatement-HDR Example of Atorvastatin

Czech HDR - example of Atorvastatin

CZ-MedicationStatement-HDR Example of Bisoprolol

Czech HDR - example of Bisoprolol

CZ-MedicationStatement-HDR Example of Calcium D3

Czech HDR - example of Calcium D3

CZ-MedicationStatement-HDR Example of Euthyrox

Czech HDR - example of Euthyrox

CZ-MedicationStatement-HDR Example of Ibalgin

Czech HDR - example of Ibalgin 400

CZ-MedicationStatement-HDR Example of Iron Supplement

Czech HDR - example of Iron Supplement

CZ-MedicationStatement-HDR Example of Levothyroxine

Czech HDR - example of Levothyroxine sodium

CZ-MedicationStatement-HDR Example of Paracetamol

Czech HDR - example of Paracetamol

CZ-MedicationStatement-HDR Example of Rivaroxaban

Czech HDR - example of Rivaroxaban

CZ-Procedure-HDR Example - Acute appendicitis

Czech HDR - example of a Procedure - Acute appendicitis.

CZ-Procedure-HDR Example - Appendectomy

Czech HDR - example of a Procedure - Appendectomy

CZ-Procedure-HDR Example - Colonoscopy

Czech HDR - example of a Procedure - Colonoscopy

CZ-Procedure-HDR Example - Inguinal hernia

Czech HDR - example of a Procedure - Repair of inguinal hernia

CZ-Procedure-HDR Example - No known procedures

Czech HDR - example of a Procedure - No known procedures.

CZ-Procedure-HDR Example - Pacemaker

Czech HDR - example of a Procedure - Pacemaker

CZ-Procedure-HDR Example - Pacemaker

Czech HDR - example of a Procedure - Pacemaker

CZObservationSdohHdrExample

Example instance for SDOH observation (assessment-based) using CZ_ObservationSdohHdr profile.

Cardiac Arrest Flag

A flag indicating that the patient has a history of cardiac arrest.

CarePlan-Novak-Petr

Czech HDR - example of a care plan

Coverage-Novakova-Jana

Coverage for mother after spontaneous vaginal delivery.

Device-Pacemaker

Heart pacemaker Medtronic W1DR01

Discharge Summary Document - Base64

DocumentReference for discharge summary, base64 encoded HTML

Discharge Summary Document - PDF

DocumentReference with Base64 PDF content directly inserted

DischargeBundle-Novak-Petr

Example Bundle for Hospital Discharge Report for patient Novák Petr

DischargeBundle-Novak-Petr-L1

Example Bundle for Hospital Discharge Report for patient Novák Petr

DischargeBundle-Novak-Petr-L1-core

Example of a minimalist L1 package for the discharge report of patient Novák Petr from the hospital

DischargeBundle-Novak-Petr-L1-plus

Example Bundle for Hospital Discharge Report for patient Novák Petr

DischargeBundle-Novak-Petr-Subsections

Example Bundle for Hospital Discharge Report for patient Novák Petr

DischargeBundle-Novakova-Jana-NaturalBirth

Example Bundle for gynecology discharge report - patient Novakova Jana after spontaneous vaginal delivery

Dispense – Euthyrox

Euthyrox v tabletách

Dispense – Euthyrox

Výdej léčivého přípravku Euthyrox pacientovi Novákovi

Dispense – Ibalgin 400

Výdej léčivého přípravku Ibalgin 400 mg pacientovi Novákovi

Dispense – Paracetamol

Výdej léčivého přípravku Paracetamol pacientovi Novákovi

Dosažený stupeň vzdělání

Pacient má vysokoškolské vzdělání v oboru informatiky.

Erytrocyty

Příklad pro HDR - Počet erytrocytů v krvi

Example Czech Location

Example instance of a location conforming to the CZ_LocationCore profile.

ExampleAbdominalCircumference

Example instance for abdominal circumference observation using the CZ_ObservationAbdominalCircumferenceHdr profile.

ExampleBMI

Example instance for BMI observation using the CZ_ObservationBMIHdr profile.

ExampleBloodPressure

Example instance for blood pressure observation (systolic and diastolic).

ExampleChestCircumference

Example instance for chest circumference observation using the CZ_ObservationChestCircumferenceHdr profile.

ExampleHeadCircumference

Example instance for head circumference observation using the CZ_ObservationHeadCircumferenceHdr profile.

ExampleHeight

Example instance for height observation using the CZ_ObservationHeightHdr profile.

ExampleSdohAlcohol

Example of Social History Observation - Alcohol Use

ExampleSdohAlcoholSporadic

Example of Social History Observation - Alcohol Use

ExampleSdohSmoking

Example of Social History Observation - Smoking

ExampleSdohSmokingEnded

Example of Social History Observation - Smoking history

ExampleWeight

Example instance for weight observation using the CZ_ObservationWeightHdr profile.

Goal for Hernia Treatment

Czech HDR - example of a goal for hernia treatment

GynNaturalBirth-Apgar1

Příklad APGAR skóre novorozence v 1. minutě. / Example APGAR score at 1 minute for the newborn.

GynNaturalBirth-Apgar10

Příklad APGAR skóre novorozence v 10. minutě. / Example APGAR score at 10 minutes for the newborn.

GynNaturalBirth-Apgar5

Příklad APGAR skóre novorozence v 5. minutě. / Example APGAR score at 5 minutes for the newborn.

GynNaturalBirth-BirthLength

Příklad observace porodní délky novorozence. / Example newborn birth length observation.

GynNaturalBirth-BirthWeight

Příklad observace porodní hmotnosti novorozence. / Example newborn birth weight observation.

GynNaturalBirth-DeliveryMethod

Příklad způsobu vedení spontánního vaginálního porodu. / Example delivery method for spontaneous vaginal birth.

GynNaturalBirth-FetalPresentation

Příklad observace naléhání plodu při porodu. / Example fetal presentation observation for the newborn.

GynNaturalBirth-GestationalAgeAtDelivery

Příklad observace gestačního stáří při porodu. / Example gestational age at delivery observation.

GynNaturalBirth-Gravidity

Příklad observace gravidity matky. / Example maternal gravidity observation.

GynNaturalBirth-MultiplePregnancy

Příklad observace potvrzující jednoplodové těhotenství. / Example observation indicating singleton pregnancy.

GynNaturalBirth-Parity

Příklad observace parity matky. / Example maternal parity observation.

GynNaturalBirthJana-Apgar1

Příklad APGAR skóre novorozence Jany Novákové v 1. minutě. / Example APGAR score at 1 minute for Jana Novakova newborn.

GynNaturalBirthJana-Apgar10

Příklad APGAR skóre novorozence Jany Novákové v 10. minutě. / Example APGAR score at 10 minutes for Jana Novakova newborn.

GynNaturalBirthJana-Apgar5

Příklad APGAR skóre novorozence Jany Novákové v 5. minutě. / Example APGAR score at 5 minutes for Jana Novakova newborn.

GynNaturalBirthJana-BirthInjury

Příklad záznamu porodního poranění matky v případě Jany Novákové. / Example maternal birth injury condition for Jana Novakova case.

GynNaturalBirthJana-BirthLength

Příklad observace porodní délky novorozence v případě Jany Novákové. / Example newborn birth length observation for Jana Novakova case.

GynNaturalBirthJana-BirthOutcome

Příklad observace výsledku porodu v případě Jany Novákové. / Example birth outcome observation for Jana Novakova case.

GynNaturalBirthJana-BirthWeight

Příklad observace porodní hmotnosti novorozence v případě Jany Novákové. / Example newborn birth weight observation for Jana Novakova case.

GynNaturalBirthJana-DeliveryMethod

Příklad způsobu vedení spontánního vaginálního porodu u Jany Novákové. / Example delivery method for Jana Novakova spontaneous vaginal birth.

GynNaturalBirthJana-FetalPresentation

Příklad observace naléhání plodu u novorozence Jany Novákové. / Example fetal presentation observation for Jana Novakova newborn.

GynNaturalBirthJana-GestationalAgeAtDelivery

Příklad observace gestačního stáří při porodu v případě Jany Novákové. / Example gestational age at delivery observation for Jana Novakova case.

GynNaturalBirthJana-Gravidity

Příklad observace gravidity matky v případě Jany Novákové. / Example maternal gravidity observation for Jana Novakova case.

GynNaturalBirthJana-MultiplePregnancy

Příklad observace potvrzující jednoplodové těhotenství v případě Jany Novákové. / Example observation indicating singleton pregnancy for Jana Novakova case.

GynNaturalBirthJana-Parity

Příklad observace parity matky v případě Jany Novákové. / Example maternal parity observation for Jana Novakova case.

Gynekologická propouštěcí zpráva - spontánní vaginální porod

Příklad gynekologické propouštěcí zprávy po spontánním vaginálním porodu. / Example gynecology hospital discharge composition with spontaneous vaginal delivery.

Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)

Příklad gynekologické propouštěcí zprávy pro Janu Novákovou po spontánním vaginálním porodu. / Example gynecology hospital discharge composition for Jana Novakova with spontaneous vaginal delivery.

HDR - GYNPOR - APGAR v 1. minutě / APGAR at 1 minute

Newborn APGAR score at 1 minute.

HDR - GYNPOR - APGAR v 10. minutě / APGAR at 10 minutes

Newborn APGAR score at 10 minutes.

HDR - GYNPOR - APGAR v 5. minutě / APGAR at 5 minutes

Newborn APGAR score at 5 minutes.

HDR - GYNPOR - Alergie na Zinnat / Zinnat allergy

Unverified allergy to Zinnat with vertigo.

HDR - GYNPOR - Alergie na trávy, prach a pyl / Environmental allergies

Unverified environmental allergies: grass, dust, pollen.

HDR - GYNPOR - Dokumentový bundle gynekologické propouštěcí zprávy / Gynecology discharge report document bundle

Document bundle for story-based gynecology discharge report without negative waiver.

HDR - GYNPOR - Dopegyt 250 mg / Dopegyt 250 mg

Dopegyt 250 mg tablets.

HDR - GYNPOR - Dopegyt při propuštění / Dopegyt at discharge

Discharge medication request for Dopegyt.

HDR - GYNPOR - Fraxiparine 0,6 ml / Fraxiparine 0.6 ml

Fraxiparine 0.6 ml.

HDR - GYNPOR - Fraxiparine při propuštění / Fraxiparine at discharge

Discharge medication request for Fraxiparine (LMWH prophylaxis).

HDR - GYNPOR - Gestační diabetes mellitus / Gestational diabetes mellitus

Gestational diabetes mellitus.

HDR - GYNPOR - Gestační hypertenze / Gestational hypertension

Gestational hypertension from week 38.

HDR - GYNPOR - Gestační stáří při porodu / Gestational age at delivery

Gestational age at delivery 40+2.

HDR - GYNPOR - Gravidita IV / Gravidity IV

Gravidity IV.

HDR - GYNPOR - Gynekologická propouštěcí zpráva po porodu / Gynecology discharge report after delivery

Story-based gynecology discharge report after induced vaginal delivery.

HDR - GYNPOR - Hospitalizace k porodu / Delivery hospitalization

Inpatient encounter for delivery hospitalization.

HDR - GYNPOR - Indukce porodu / Labor induction

Labor induction by Prostin E2 due to labor stagnation.

HDR - GYNPOR - Jediné živě narozené dítě / Single liveborn infant

Single liveborn infant.

HDR - GYNPOR - Jednoplodové těhotenství / Singleton pregnancy

Singleton pregnancy.

HDR - GYNPOR - Krevní skupina / Blood group

Maternal blood group test.

HDR - GYNPOR - Lidocaine EGIS / Lidocaine EGIS

Lidocaine EGIS used during hospitalization.

HDR - GYNPOR - Matka Petra Dvořáková / Mother Petra Dvorakova

Mother in story-based delivery discharge use case.

HDR - GYNPOR - Nemocnice Prostějov / Hospital

Fictional hospital for story-based maternity discharge.

HDR - GYNPOR - Novorozenec Jan Dvořák / Newborn Jan Dvorak

Newborn from story-based delivery discharge use case.

HDR - GYNPOR - OFOST / OFOST

OFOST used during hospitalization.

HDR - GYNPOR - Parita II / Parity II

Parity II.

HDR - GYNPOR - Pojištění matky / Maternal coverage

Coverage of the mother for payer 111.

HDR - GYNPOR - Porodnický ultrazvuk / Obstetric ultrasound

Obstetric ultrasound finding recorded during admission.

HDR - GYNPOR - Porodní délka / Birth length

Newborn birth length.

HDR - GYNPOR - Porodní hmotnost / Birth weight

Newborn birth weight.

HDR - GYNPOR - Porodní oddělení Nemocnice Prostějov / Maternity department

Maternity department of the hospital.

HDR - GYNPOR - Propouštějící lékař / Discharging practitioner

Discharging physician for the delivery case.

HDR - GYNPOR - Prostin E2 / Prostin E2

Prostin E2 for labor induction.

HDR - GYNPOR - Pupečník kolem krku / Cord around neck

Delivery complicated by cord around neck.

HDR - GYNPOR - Přijímající lékař / Admitting practitioner

Admitting physician for the delivery case.

HDR - GYNPOR - Trhlina hráze I. stupně / First degree perineal tear

First degree perineal tear during delivery, sutured.

HDR - GYNPOR - Ultrazvuk Samsung R7 / Samsung R7 ultrasound device

Ultrasound device used for obstetric examination.

HDR - GYNPOR - Vaginální porod / Vaginal delivery

Induced vaginal delivery in week 40+2.

HDR - GYNPOR - Zdravotní pojišťovna 111 / Payer 111

Health insurance payer 111.

HDR - GYNPOR - Základní diagnóza porodu / Primary delivery diagnosis

Primary diagnosis for vaginal delivery.

Hematokrit

Příklad pro HDR - Hematokrit v krvi

Hematologická laboratoř Brno

Referenční laboratoř pro klinickou hematologii

Hemoglobin

Příklad pro HDR - Hladina hemoglobinu v krvi

Immunization example of Covid

Immunization of Covid

Immunization recommendation example

Immunization recommendation of vaccination

Infekční kontakt

Pacient byl v kontaktu s osobou nakaženou COVID-19

Koníčky

Pacient aktivně sportuje (jezdí na kole a běhá) a má zájem o fotografování.

Leukocyty

Příklad pro HDR - Počet leukocytů v krvi

Medication – Covid vaccine

Lek Covid vakcína

Medication – Ibalgin 400

Lek Ibalgin 400 v tabletách

Medication – Paracetamol

Lek Paracetamol v tabletách

Medication-Fentanyl-Epidural

Fentanyl použitý jako adjuvans při epidurální porodnické analgezii. / Fentanyl used as adjuvant in epidural labor analgesia.

Medication-Ropivacaine-Epidural

Ropivakain použitý pro epidurální porodnickou analgezii. / Ropivacaine used for epidural labor analgesia.

MedicationAdministration-Fentanyl-Epidural-Jana

Intrapartální epidurální podání fentanylu. / Intrapartum epidural administration of fentanyl.

MedicationAdministration-Ropivacaine-Epidural-Jana

Intrapartální epidurální podání ropivakainu. / Intrapartum epidural administration of ropivacaine.

MedicationStatement-Fentanyl-Epidural-Jana

Epidurální podání fentanylu jako adjuvans během porodnické analgezie. / Epidural fentanyl adjuvant during labor analgesia.

MedicationStatement-Ropivacaine-Epidural-Jana

Epidurální podání ropivakainu během porodu. / Epidural administration of ropivacaine during labor.

Mestska nemocnice Brno - areal

Main hospital location for fictional Brno provider.

Mracena2

Patient, contact information including registering practitioner

Observation - Travel History

Travel history observation

Organization-1

An example of the organization of a provider

Organization-Brno-Hospital

Fictional healthcare provider organization in Brno.

Organization-Brno-Maternity

Maternity department of the fictional Brno hospital.

Organization-L1

A minimalist example of the organization of a healthcare provider for the purposes of the L1 HDR document.

Organization-L1-HOSP

A minimalist example of a subordinate department within a hospital hierarchy for the purposes of the L1 HDR document.

Organization-L1-Odd

A minimalist example of a subordinate department within a hospital hierarchy for the purposes of the L1 HDR document.

Organization-Payer-111

Health insurance payer 111 (VZP CR).

Organization: Registering healthcare provider example

Example of registering healthcare provider

Organization: Registering healthcare provider example

Example of registering healthcare provider

Očkování Covid

Očkování proti COVID-19 u pacienta Novák Petr

Panel krevního obrazu

Panel obsahující základní hematologické hodnoty

Patient - Mracena

Patient, contact information and practitioner

Patient-Novak-Jan-Newborn

Example newborn patient after spontaneous vaginal delivery.

Patient-Novak-Petr

Example of patient Petr Novak with identification by czech national identifiers (RID, RCIS), registrating healthcare provider and contact information

Patient-Novak-Petr-L1

Example of patient Petr Novak with identification by czech national identifiers (RID, RCIS), registrating healthcare provider and contact information

Patient-Novakova-Jana

Example of patient Jana Novakova after spontaneous vaginal delivery.

Pfizer výrobce vakcíny

Organizace Pfizer s.r.o. vyrábějící vakcínu Comirnaty proti COVID-19

Porodni oddeleni - pokoj 3

Room 3 at maternity ward.

Porodni oddeleni - pokoj 3 luzko 01

Bed 01 in room 3 at maternity ward.

Porodni oddeleni Brno

Maternity ward in the fictional Brno hospital.

Použití kardiostimulátoru

Záznam o implantaci kardiostimulátoru z důvodu bradykardie

Pracovní zapojení

Pacient pracuje na plný úvazek jako programátor.

Practitioner Role for L1 documentr

Author of HDR document (phisician MUDr.Ivan Anděl)

Practitioner-2

Practitioner id(KRZP)=987654321

Practitioner-Admitter

Participant Admitter HDR

Practitioner-Author

Participant Referrer HDR

Practitioner-Author-L1

Author of hospital discharge report for document L1

Practitioner-Author-detail

practitioner's detail

Practitioner-L1

Practitioner id(KRZP)=987645454

Practitioner-Novakova-Jana-Author

Fictional physician in Brno maternity ward; author of discharge report and delivery lead.

Practitioner-NovakovaJana-GP

Fictional general practitioner - registering physician for Jana Novakova.

Practitioner-NovakovaJana-GYN

Fictional gynecologist - registering physician for Jana Novakova.

Practitioner-Referrer

Participant Referrer HDR

Practitioner-Referrer-detail

practitioner's detail

Practitioner-UZV

Participant UZV HDR

PractitionerRole-NovakovaJana-GP

General practitioner role for patient registration.

PractitionerRole-NovakovaJana-GYN

Gynecology role for patient registration.

PractitionerRole1

General practitioner's office

Propouštěcí zpráva

Example Composition for Hospital Discharge Report for patient Novák Petr

Propouštěcí zpráva

Example Composition for Hospital Discharge Report for patient Novák Petr

Propouštěcí zpráva

Example Composition for Hospital Discharge Report for patient Novák Petr

Propouštěcí zpráva z nemocnice

Sample composition of a discharge report for patient Novák Petr for the purposes of an L1 document. This is the minimum possible list of data for compiling an L1 document for a hospital discharge report.

RelatedPerson-Novak-Petr-Husband

Husband and father of the newborn (Petr Novak), linked to Jana Novakova.

Sample Czech Location 1

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 2

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 2

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 2

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 3

Example instance of a location conforming to the CZ_LocationCore profile.

Sample Czech Location 4

Example instance of a location conforming to the CZ_LocationCore profile.

Signature of image order

Czech national profile on Signature holds an electronic representation of a signature or timestamp and its supporting context in a FHIR accessible form.

Signature of image order

Czech national profile on Signature holds an electronic representation of a signature or timestamp and its supporting context in a FHIR accessible form.

Sociální síť

Pacient má aktivní sociální síť a pravidelně se setkává s přáteli.

Sova

Practitioner

Sovak

Practitioner

Společenské uplatnění

Pacient je aktivní v komunitních aktivitách a dobrovolnictví.

Stav při propuštění

Hodnocení celkového klinického stavu pacienta při propuštění

Střední podvýživa

Střední podvýživa – doporučení nutriční terapie u pacienta.

Trombocyty

Příklad pro HDR - Počet trombocytů v krvi

UZV - Novák Petr

Czech HDR - example of an ultrasound observation for Novák Petr

Vzdělání

Pacient má vysokoškolské vzdělání v oboru informatiky.

Vzorek krve – EDTA

Venous blood specimen