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

## : DischargeBundle-Novak-Petr-L1-core - JSON Representation

Raw json | Download

    {
      "resourceType" : "Bundle",
      "id" : "1c794aff-876a-41bf-9401-fa8fee3b1e57",
      "meta" : {
        "profile" : [
          🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-bundle-hdr"
        ]
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986"
      },
      "type" : "document",
      "timestamp" : "2025-03-10T15:00:00+01:00",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:6891fd68-dc3c-4c91-a8d3-cb5ec990c035",
          "resource" : {
            "resourceType" : "Composition",
            "id" : "6891fd68-dc3c-4c91-a8d3-cb5ec990c035",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"
              ]
            },
            "text" : {
              "status" : "extensions",
              "div" : "<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 --&gt; 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>"
            },
            "extension" : [
              {
                "url" : "http://hl7.eu/fhir/StructureDefinition/presentedForm",
                "valueAttachment" : {
                  "contentType" : "application/pdf",
                  "language" : "cs",
                  "data" : "",
                  "title" : "Propuštěcí zpráva Jan Novák.pdf",
                  "creation" : "2025-09-30T14:10:00+02:00"
                }
              }
            ],
            "status" : "final",
            "type" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "34105-7",
                  "display" : "Hospital Discharge summary"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "18842-5",
                    "display" : "Discharge summary"
                  }
                ]
              }
            ],
            "subject" : {
              "reference" : "urn:uuid:48a9d440-4194-42c1-87ad-b5a39020a4d0"
            },
            "encounter" : {
              "reference" : "urn:uuid:f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb"
            },
            "date" : "2025-03-10T14:30:00+01:00",
            "author" : [
              {
                "reference" : "urn:uuid:69d34ceb-b556-4f75-9e4c-9184fe8a10c5"
              }
            ],
            "title" : "Propouštěcí zpráva z nemocnice",
            "confidentiality" : "N",
            "attester" : [
              {
                "mode" : "legal",
                "party" : {
                  "reference" : "urn:uuid:69d34ceb-b556-4f75-9e4c-9184fe8a10c5"
                }
              }
            ],
            "custodian" : {
              "reference" : "urn:uuid:9f7c3d74-2c71-4b92-9a59-2b6f37ecb3d1"
            },
            "section" : [
              {
                "title" : "Klinické shrnutí",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "8648-8"
                    }
                  ]
                },
                "text" : {
                  "status" : "additional",
                  "div" : "<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>"
                }
              },
              {
                "title" : "Přílohy",
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://loinc.org",
                      "code" : "77599-9",
                      "display" : "Additional documentation"
                    }
                  ]
                },
                "text" : {
                  "status" : "generated",
                  "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Přílohy</div>"
                },
                "entry" : [
                  {
                    "reference" : "urn:uuid:66678621-df93-47ca-a36c-2a39a92472e7"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:48a9d440-4194-42c1-87ad-b5a39020a4d0",
          "resource" : {
            "resourceType" : "Patient",
            "id" : "48a9d440-4194-42c1-87ad-b5a39020a4d0",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "https://ncez.mzcr.cz/fhir/sid/rid",
                "value" : "1597778923"
              }
            ],
            "name" : [
              {
                "text" : "Ing. Petr Novák, Ph.D.",
                "family" : "Novák",
                "given" : [
                  "Petr"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+420777111222"
              },
              {
                "system" : "email",
                "value" : "novak@example.com"
              }
            ],
            "gender" : "male",
            "birthDate" : "1985-06-15",
            "address" : [
              {
                "use" : "home",
                "text" : "Pavlovova 1424/11, 568 02 Svitavy - Předměstí",
                "line" : [
                  "Pavlovova 1424/11"
                ],
                "city" : "Svitavy - Předměstí",
                "postalCode" : "56802",
                "country" : "Česko",
                "_country" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding",
                      "valueCoding" : {
                        "system" : "urn:iso:std:iso:3166",
                        "code" : "CZ",
                        "display" : "Czechia"
                      }
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:e234a53a-4e0d-4fb8-9403-e0e324a50f64",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "e234a53a-4e0d-4fb8-9403-e0e324a50f64",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "https://ncez.mzcr.cz/fhir/sid/krzp",
                "value" : "123456789"
              }
            ],
            "name" : [
              {
                "text" : "MUDr. Ivan Anděl"
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+420603777227"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:69d34ceb-b556-4f75-9e4c-9184fe8a10c5",
          "resource" : {
            "resourceType" : "PractitionerRole",
            "id" : "2b7e9637-5018-4542-9faf-d5abdee7b849",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "practitioner" : {
              "reference" : "urn:uuid:a81e74c9-fe94-4eb1-9233-4c8f0b2d4e3a",
              "display" : "MUDr. Ivan Anděl"
            },
            "organization" : {
              "reference" : "urn:uuid:ace081ba-e0a8-4b89-a4a7-c5b7cd3c8169",
              "display" : "Nemocnice Chrudim"
            },
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "https://ncez.mzcr.cz/fhir/CodeSystem/nrzp-povolani",
                    "code" : "L00",
                    "display" : "Lékař"
                  }
                ]
              }
            ],
            "specialty" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "419192003",
                    "display" : "Internal medicine"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:9f7c3d74-2c71-4b92-9a59-2b6f37ecb3d1",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "ace081ba-e0a8-4b89-a4a7-c5b7cd3c8169",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "identifier" : [
              {
                "system" : "https://ncez.mzcr.cz/fhir/sid/krpzs",
                "value" : "27520536"
              }
            ],
            "name" : "Nemocnice Chrudim",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+420603853227",
                "use" : "work"
              }
            ],
            "address" : [
              {
                "use" : "work",
                "type" : "both",
                "text" : "Václavská 570, 537 01, Chrudim",
                "line" : [
                  "Václavská 570"
                ],
                "_line" : [
                  {
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                        "valueString" : "Václavská"
                      },
                      {
                        "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                        "valueString" : "570"
                      }
                    ]
                  }
                ],
                "city" : "Chrudim",
                "postalCode" : "53701",
                "country" : "Česká republika",
                "_country" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding",
                      "valueCoding" : {
                        "system" : "urn:iso:std:iso:3166",
                        "code" : "CZ",
                        "display" : "Czechia"
                      }
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:cdae7735-f7ee-4bc7-9cf3-3dc806a4eaab",
          "resource" : {
            "resourceType" : "Provenance",
            "id" : "cdae7735-f7ee-4bc7-9cf3-3dc806a4eaab",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-provenance"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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>"
            },
            "target" : [
              {
                "identifier" : {
                  "system" : "https://ncez.mzcr.cz/fhir/sid/ico",
                  "value" : "27520536"
                },
                "display" : "Reference(DischargeBundle-Novak-Petr-L1)"
              }
            ],
            "recorded" : "2023-04-05T17:23:07Z",
            "agent" : [
              {
                "role" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                        "code" : "AUT"
                      }
                    ]
                  }
                ],
                "who" : {
                  🔗 "reference" : "Practitioner/Practitioner-2",
                  "display" : "MUDr. Hana Doktorová"
                }
              }
            ],
            "signature" : [
              {
                "type" : [
                  {
                    "system" : "urn:iso-astm:E1762-95:2013",
                    "code" : "1.2.840.10065.1.12.1.1",
                    "display" : "Author's Signature"
                  }
                ],
                "when" : "2023-04-05T17:23:07Z",
                "who" : {
                  🔗 "reference" : "Practitioner/Practitioner-2",
                  "identifier" : {
                    "system" : "http://example.org/exampleSystem",
                    "value" : "MUDr. Hana Doktorová"
                  },
                  "display" : "MUDr. Hana Doktorová"
                },
                "targetFormat" : "application/fhir+xml",
                "sigFormat" : "application/signature+xml",
                "data" : "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "f08151d0-a7ad-4a7b-b7b9-97eb1d394ffb",
            "meta" : {
              "profile" : [
                🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-encounter-hdr"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<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 --&gt; 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>"
            },
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "IMP",
              "display" : "inpatient encounter"
            },
            "subject" : {
              "reference" : "urn:uuid:48a9d440-4194-42c1-87ad-b5a39020a4d0"
            },
            "period" : {
              "start" : "2025-03-01T10:15:00+01:00",
              "end" : "2025-03-10T09:30:00+01:00"
            },
            "serviceProvider" : {
              "reference" : "urn:uuid:9f7c3d74-2c71-4b92-9a59-2b6f37ecb3d1"
            }
          }
        }
      ]
    }