HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - ci-build
HL7 Czech Hospital Discharge Report Implementation Guide
0.0.2 - 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 0.0.2 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
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_6891fd68-dc3c-4c91-a8d3-cb5ec990c035"> </a><p class="res-header-id"><b>Generated Narrative: Composition 6891fd68-dc3c-4c91-a8d3-cb5ec990c035</b></p><a name="6891fd68-dc3c-4c91-a8d3-cb5ec990c035"> </a><a name="hc6891fd68-dc3c-4c91-a8d3-cb5ec990c035"> </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>Composition: Presented Form</b>: application/pdf: </p><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>category</b>: <span title="Codes:{http://loinc.org 18842-5}">Discharge summary</span></p><p><b>encounter</b>: <a href="Bundle-1c794aff-876a-41bf-9401-fa8fee3b1e57.html#urn-uuid-f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100</a></p><p><b>date</b>: 2025-03-10 14:30:00+0100</p><p><b>author</b>: <a href="Bundle-1c794aff-876a-41bf-9401-fa8fee3b1e57.html#urn-uuid-69d34ceb-b556-4f75-9e4c-9184fe8a10c5">PractitionerRole Lékař</a></p><p><b>title</b>: Propouštěcí zpráva z nemocnice</p><p><b>confidentiality</b>: normal</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>Legal</td><td><a href="Bundle-1c794aff-876a-41bf-9401-fa8fee3b1e57.html#urn-uuid-69d34ceb-b556-4f75-9e4c-9184fe8a10c5">PractitionerRole Lékař</a></td></tr></table><p><b>custodian</b>: <a href="Bundle-1c794aff-876a-41bf-9401-fa8fee3b1e57.html#urn-uuid-9f7c3d74-2c71-4b92-9a59-2b6f37ecb3d1">Organization Nemocnice Chrudim</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml">Pacient byl přijat dne 1. 3. 2025 na chirurgické oddělení s bolestivou pravostrannou tříselnou kýlou, která byla nevratná, bez známek strangulace. Během hospitalizace byla provedena předoperační příprava včetně laboratorních vyšetření a interního předoperačního vyšetření. Dne 2. 3. 2025 byla v celkové anestezii provedena operace – plastika pravostranné tříselné kýly. Operační výkon proběhl bez komplikací. Pacient byl pooperačně stabilní, bez známek infekce rány. V rámci hospitalizace byla u pacienta sledována substituční léčba hypotyreózy (Euthyrox 75 µg denně), bez nutnosti úpravy dávkování. Hodnota TSH při přijetí v normě. Pacient byl v dobrém stavu propuštěn do domácího ošetření dne 10. 3. 2025. Doporučena klidová režimová opatření, kontrola v chirurgické ambulanci za 7 dní.</div>
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<div xmlns="http://www.w3.org/1999/xhtml">Přílohy</div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_48a9d440-4194-42c1-87ad-b5a39020a4d0"> </a><p class="res-header-id"><b>Generated Narrative: Patient 48a9d440-4194-42c1-87ad-b5a39020a4d0</b></p><a name="48a9d440-4194-42c1-87ad-b5a39020a4d0"> </a><a name="hc48a9d440-4194-42c1-87ad-b5a39020a4d0"> </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="https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-patient-core.html">Patient (CZ core)</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Ing. Petr Novák, Ph.D. Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li><a href="tel:+420777111222">+420777111222</a></li><li><a href="mailto:novak@example.com">novak@example.com</a></li><li>Pavlovova 1424/11, 568 02 Svitavy - Předměstí(home)</li></ul></td></tr></table></div>
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<text value="Pavlovova 1424/11, 568 02 Svitavy - Předměstí"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_e234a53a-4e0d-4fb8-9403-e0e324a50f64"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner e234a53a-4e0d-4fb8-9403-e0e324a50f64</b></p><a name="e234a53a-4e0d-4fb8-9403-e0e324a50f64"> </a><a name="hce234a53a-4e0d-4fb8-9403-e0e324a50f64"> </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="https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-practitioner-core.html">Practitioner (CZ core)</a></p></div><p><b>identifier</b>: <code>https://ncez.mzcr.cz/fhir/sid/krzp</code>/123456789</p><p><b>name</b>: MUDr. Ivan Anděl</p><p><b>telecom</b>: <a href="tel:+420603777227">+420603777227</a></p></div>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_2b7e9637-5018-4542-9faf-d5abdee7b849"> </a>MUDr. Ivan Anděl, interní lékař, Nemocnice Chrudim, Václavská 570, 537 01 Chrudim, tel: +420 603 777 227</div>
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<display value="Nemocnice Chrudim"/>
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<code value="L00"/>
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<code value="419192003"/>
<display value="Internal medicine"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_ace081ba-e0a8-4b89-a4a7-c5b7cd3c8169"> </a><p class="res-header-id"><b>Generated Narrative: Organization ace081ba-e0a8-4b89-a4a7-c5b7cd3c8169</b></p><a name="ace081ba-e0a8-4b89-a4a7-c5b7cd3c8169"> </a><a name="hcace081ba-e0a8-4b89-a4a7-c5b7cd3c8169"> </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="https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-organization-core.html">Organization (CZ core)</a></p></div><p><b>identifier</b>: <code>https://ncez.mzcr.cz/fhir/sid/krpzs</code>/27520536</p><p><b>name</b>: Nemocnice Chrudim</p><p><b>telecom</b>: <a href="tel:+420603853227">+420603853227</a></p><p><b>address</b>: Václavská 570, 537 01, Chrudim(work)</p></div>
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<name value="Nemocnice Chrudim"/>
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<value value="+420603853227"/>
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<type value="both"/>
<text value="Václavská 570, 537 01, Chrudim"/>
<line value="Václavská 570">
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<valueString value="570"/>
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<city value="Chrudim"/>
<postalCode value="53701"/>
<country value="Česká republika">
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<system value="urn:iso:std:iso:3166"/>
<code value="CZ"/>
<display value="Czechia"/>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_cdae7735-f7ee-4bc7-9cf3-3dc806a4eaab"> </a><p class="res-header-id"><b>Generated Narrative: Provenance cdae7735-f7ee-4bc7-9cf3-3dc806a4eaab</b></p><a name="cdae7735-f7ee-4bc7-9cf3-3dc806a4eaab"> </a><a name="hccdae7735-f7ee-4bc7-9cf3-3dc806a4eaab"> </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="https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-provenance.html">Provenance (CZ)</a></p></div><p>Provenance for Reference(DischargeBundle-Novak-Petr-L1) (Identifier: <code>https://ncez.mzcr.cz/fhir/sid/ico</code>/27520536)</p><p>Summary</p><table class="grid"><tr><td>Recorded</td><td>2023-04-05 17:23:07+0000</td></tr></table><p><b>Agents</b></p><table class="grid"><tr><td><b>Role</b></td><td><b>who</b></td></tr><tr><td/><td><a href="Practitioner-Practitioner-2.html">MUDr. Hana Doktorová</a></td></tr></table></div>
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<value value="27520536"/>
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<display value="Reference(DischargeBundle-Novak-Petr-L1)"/>
</target>
<recorded value="2023-04-05T17:23:07Z"/>
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value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
<code value="AUT"/>
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<who>🔗
<reference value="Practitioner/Practitioner-2"/>
<display value="MUDr. Hana Doktorová"/>
</who>
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<type>
<system value="urn:iso-astm:E1762-95:2013"/>
<code value="1.2.840.10065.1.12.1.1"/>
<display value="Author's Signature"/>
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<when value="2023-04-05T17:23:07Z"/>
<who>🔗
<reference value="Practitioner/Practitioner-2"/>
<identifier>
<system value="http://example.org/exampleSystem"/>
<value value="MUDr. Hana Doktorová"/>
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<display value="MUDr. Hana Doktorová"/>
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<targetFormat value="application/fhir+xml"/>
<sigFormat value="application/signature+xml"/>
<data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/>
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<entry>
<fullUrl value="urn:uuid:f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb"/>
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<Encounter>
<id value="f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-encounter-hdr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb"> </a><p class="res-header-id"><b>Generated Narrative: Encounter f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb</b></p><a name="f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb"> </a><a name="hcf08151d0-a7ad-4a7b-b7b9-97eb1d394ffb"> </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-encounter-hdr.html">Encounter (HDR CZ)</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP">ActCode IMP</a>: inpatient encounter</p><p><b>subject</b>: <a href="Bundle-1c794aff-876a-41bf-9401-fa8fee3b1e57.html#urn-uuid-48a9d440-4194-42c1-87ad-b5a39020a4d0">Ing. Petr Novák, Ph.D. Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>period</b>: 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100</p><p><b>serviceProvider</b>: <a href="Bundle-1c794aff-876a-41bf-9401-fa8fee3b1e57.html#urn-uuid-9f7c3d74-2c71-4b92-9a59-2b6f37ecb3d1">Organization Nemocnice Chrudim</a></p></div>
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<status value="finished"/>
<class>
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<code value="IMP"/>
<display value="inpatient encounter"/>
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<reference value="urn:uuid:48a9d440-4194-42c1-87ad-b5a39020a4d0"/>
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