HL7 Czech Hospital Discharge Report Implementation Guide
0.0.1 - ci-build
Czech Republic (CZE)
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 0.0.1 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
{
"resourceType" : "Bundle",
"id" : "DischargeBundle-Novak-Petr",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-bundle-hdr"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:c859d718-03c2-43ed-a16c-dbe57a6e34b5"
},
"type" : "document",
"timestamp" : "2025-03-10T15:00:00+01:00",
"entry" : [
{
"fullUrl" : "urn:uuid:cdae7735-f7ee-4bc7-9cf3-3dc806a4eaaf",
"resource" : {
"resourceType" : "Composition",
"id" : "DischargeComposition-Novak-Petr",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_DischargeComposition-Novak-Petr\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition DischargeComposition-Novak-Petr</b></p><a name=\"DischargeComposition-Novak-Petr\"> </a><a name=\"hcDischargeComposition-Novak-Petr\"> </a><a name=\"DischargeComposition-Novak-Petr-en-US\"> </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>category</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/document-classcodes 18842-5}\">Discharge summary</span></p><p><b>encounter</b>: <a href=\"Encounter-HospitalEncounter-Novak-Petr.html\">Encounter: status = finished; class = standardní (ActCode#IMP); priority = Akutní; 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>: <code>CZ_OrganizationCore/Organization-1</code></p><p><b>title</b>: Propouštěcí zpráva</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "34105-7",
"display" : "Hospital Discharge summary"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/document-classcodes",
"code" : "18842-5",
"display" : "Discharge summary"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"encounter" : {
🔗 "reference" : "Encounter/HospitalEncounter-Novak-Petr"
},
"date" : "2025-03-10T14:30:00+01:00",
"author" : [
{
"reference" : "CZ_OrganizationCore/Organization-1"
}
],
"title" : "Propouštěcí zpráva",
"section" : [
{
"title" : "Průběh hospitalizace - klinické shrnutí",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8648-8",
"display" : "Průběh hospitalizace"
}
]
},
"text" : {
"status" : "generated",
"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" : "Alergie, intolerance a varování",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Alergie, intolerance"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Alergie na jahody, od 01.01.2020, reakce: Svědění, otok jazyka</div>"
},
"entry" : [
{
🔗 "reference" : "AllergyIntolerance/Allergy-Strawberry-Novak"
}
]
},
{
"title" : "Dříve vyjádřená přání",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3",
"display" : "Advance directives"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Neresuscitovat</div>"
},
"entry" : [
{
🔗 "reference" : "Consent/CZ-AdvanceDirectives-HDR-DNR"
}
]
},
{
"title" : "Diagnostický souhrn",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Diagnostický souhrn"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>K40.9 – Inguinální kýla, nespecifikovaná</p><p>E89.0 – Hypotyreóza po léčbě (v anamnéze)</p></div>"
},
"entry" : [
{
🔗 "reference" : "Condition/Condition-K409"
},
{
🔗 "reference" : "Condition/Condition-E890-Novak"
}
]
},
{
"title" : "Významné procedury",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10185-7",
"display" : "Hospital discharge procedures"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plastika pravostranné tříselné kýly dne 2. 3. 2025.</div>"
},
"entry" : [
{
🔗 "reference" : "Procedure/Procedure-inguinal-hernia"
}
]
},
{
"title" : "Medikace",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "Discharge medications Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Medikace při propuštění</p><ul><li>Euthyrox 75 µg denně – substituce hypotyreózy</li><li>Paracetamol 500 mg – při bolesti</li><li>Ibalgin 400 mg – při bolesti</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "MedicationStatement/MedicationStatement-Euthyrox-Novak"
},
{
🔗 "reference" : "MedicationStatement/MedicationStatement-Paracetamol-Novak"
},
{
🔗 "reference" : "MedicationStatement/MedicationStatement-Ibalgin400-Novak"
}
]
},
{
"title" : "Výsledky vyšetření",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Výsledky vyšetření"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Významné výsledky vyšetření v průběhu hospitalizace</p><ul><li>UZ vyšetření pravého třísla: v oblasti tříselného kanálu patrný hypoechogenní vak komunikující s peritoneální dutinou, obsahující střevní kličku. Obsah je mobilní, bez známek ischemie. Závěr: vpravo tříselná kýla bez známek komplikace.</li><li>CRP: 6 mg/L (norma: 0–10 mg/L)</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "Observation/Observation-UZV-Novak"
},
{
🔗 "reference" : "Observation/Observation-CRP-Novak"
}
]
},
{
"title" : "Plán péče",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plán péče"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Plán péče – tříselná kýla</p><ul><li>Pooperační sledování, převazy, kontrola rány.</li><li>Edukace pacienta o režimu po operaci.</li><li>Ambulantní kontrola za 14 dní.</li></ul></div>"
},
"entry" : [
{
🔗 "reference" : "CarePlan/CarePlan-Novak-Petr"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:3f85726c-ad2f-441b-89ce-100000000000",
"resource" : {
"resourceType" : "Patient",
"id" : "Novak-Petr",
"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_Novak-Petr\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Novak-Petr</b></p><a name=\"Novak-Petr\"> </a><a name=\"hcNovak-Petr\"> </a><a name=\"Novak-Petr-en-US\"> </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;\">Petr Novák 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=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>https://ncez.mzcr.cz/fhir/sid/rcis</code>/8506150015\u00a0(use:\u00a0official,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+420777111222\">+420 777 111 222</a></li><li><a href=\"tel:+420333111777\">+420 333 111 777</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><tr><td style=\"background-color: #f3f5da\" title=\"Languages spoken\">Languages:</td><td colspan=\"3\"><ul><li><span title=\"Codes:{urn:ietf:bcp:47 cs}\">Czech</span> (preferred)</li><li><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: Matka\">Matka:</td><td colspan=\"3\"><ul><li>Alena Nováková </li><li>Krátká 18, 708 00, Ostrava, Česká Republika(home)</li><li><a href=\"tel:+420601111111\">+420 601 111 111</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: přítel/přítelkyně\">přítel/přítelkyně:</td><td colspan=\"3\"><ul><li>Alena Dlouhá </li><li>Horná ulica 18, 123 45, Trenčín, Slovensko(home)</li><li><a href=\"tel:+420601333333\">+420 601 333 333</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension allows the registration of the registering healthcare provider and its category/specialty (general practitioner for children and youth, general practitioner for adults, dentist, gynecologist).\">Registering provider:</td><td colspan=\"3\"><ul><li>value: <a href=\"Bundle-DischargeBundle.html#Organization_RegisteringProviderExample\">Bundle: identifier = UUID:c859d718-03c2-43ed-a16c-dbe57a6e34b5; type = document; timestamp = 2025-03-10 15:00:00+0100</a></li><li>category: <span title=\"Codes:{http://snomed.info/sct 700232004}\">Všeobecné lékařské služby</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The patient's legal status as citizen of a country.\">Patient Citizenship:</td><td colspan=\"3\"><ul><li>code: <span title=\"Codes:{urn:iso:std:iso:3166 CZ}\">Czechia</span></li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "CZ"
}
]
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/patient-citizenship"
},
{
"extension" : [
{
"url" : "value",
"valueReference" : {
"reference" : "Organization/RegisteringProviderExample"
}
},
{
"url" : "category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "700232004",
"display" : "Všeobecné lékařské služby"
}
]
}
}
],
"url" : "https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz"
}
],
"identifier" : [
{
"use" : "official",
"system" : "https://ncez.mzcr.cz/fhir/sid/rcis",
"value" : "8506150015"
},
{
"system" : "https://ncez.mzcr.cz/fhir/sid/rid",
"value" : "1597778923"
}
],
"name" : [
{
"use" : "usual",
"family" : "Novák",
"given" : [
"Petr"
],
"prefix" : [
"Ing."
],
"suffix" : [
"Ph.D."
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+420 777 111 222",
"use" : "home"
},
{
"system" : "phone",
"value" : "+420 333 111 777",
"use" : "mobile"
},
{
"system" : "email",
"value" : "novak@example.com",
"use" : "home"
}
],
"gender" : "male",
"birthDate" : "1985-06-15",
"address" : [
{
"use" : "home",
"type" : "physical",
"text" : "Pavlovova 1424/11, 568 02 Svitavy - Předměstí ",
"line" : [
"Pavlovova 1424/11"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Pavlovova"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "1424/11"
}
]
}
],
"city" : "Svitavy - Předměstí",
"postalCode" : "56802",
"country" : "CZ"
}
],
"contact" : [
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "MTH",
"display" : "Matka"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "N",
"display" : "Kontaktní osoba"
}
]
}
],
"name" : {
"use" : "usual",
"family" : "Nováková",
"given" : [
"Alena"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "+420 601 111 111",
"use" : "home"
}
],
"address" : {
"use" : "home",
"type" : "physical",
"text" : "Krátká 18, 708 00, Ostrava, Česká Republika",
"line" : [
"Krátká 18"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Krátká"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "18"
}
]
}
],
"city" : "Ostrava",
"postalCode" : "70800",
"country" : "CZ"
}
},
{
"relationship" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "FRND",
"display" : "přítel/přítelkyně"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
"code" : "N",
"display" : "Kontaktní osoba"
}
]
}
],
"name" : {
"use" : "usual",
"family" : "Dlouhá",
"given" : [
"Alena"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "+420 601 333 333",
"use" : "home"
}
],
"address" : {
"use" : "home",
"type" : "physical",
"text" : "Horná ulica 18, 123 45, Trenčín, Slovensko",
"line" : [
"Horná ulica 18"
],
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
"valueString" : "Horná ulica"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
"valueString" : "18"
}
]
}
],
"city" : "Trenčín",
"postalCode" : "12345",
"country" : "SK"
}
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "cs"
}
]
},
"preferred" : true
},
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en"
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:10f5c49e-086d-4016-8dd1-b555306bf620",
"resource" : {
"resourceType" : "Encounter",
"id" : "HospitalEncounter-Novak-Petr",
"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_HospitalEncounter-Novak-Petr\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter HospitalEncounter-Novak-Petr</b></p><a name=\"HospitalEncounter-Novak-Petr\"> </a><a name=\"hcHospitalEncounter-Novak-Petr\"> </a><a name=\"HospitalEncounter-Novak-Petr-en-US\"> </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/6.4.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode IMP</a>: standardní</p><p><b>priority</b>: <span title=\"Codes:{http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr EM}\">Akutní</span></p><p><b>subject</b>: <code>CZ_PatientCore/Patient-Novak-Petr</code></p><blockquote><p><b>participant</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/encounter-participant-type ADM}\">Admitter</span></p><p><b>individual</b>: <code>CZ_PractitionerCore/Practitioner-Admitter</code></p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/encounter-participant-type REF}\">Referrer</span></p><p><b>individual</b>: <code>CZ_PractitionerRoleCore/Practitioner-Referrer-detail</code></p></blockquote><p><b>period</b>: 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100</p><p><b>reasonReference</b>: <code>CZ_ConditionHdr/Condition-K409</code></p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/ValueSet/encounter-admit-source outp}\">Ambulantní péče</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">Home</span></td></tr></table><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-cz-Location-Chrudim-Chir1.html\">Location Nemocnice Chrudim - Oddělení CHIR1</a></p><p><b>period</b>: 2025-03-01 08:00:00+0100 --> 2025-03-02 08:00:00+0100</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-cz-Location-Chrudim-ChirJIP.html\">Location Nemocnice Chrudim - Oddělení CHIR-JIP</a></p><p><b>period</b>: 2025-03-02 08:00:00+0100 --> 2025-03-04 08:00:00+0100</p></blockquote><blockquote><p><b>location</b></p><p><b>location</b>: <a href=\"Location-cz-Location-Chrudim-Chir1.html\">Location Nemocnice Chrudim - Oddělení CHIR1</a></p><p><b>period</b>: 2025-03-04 08:00:00+0100 --> 2025-03-10 08:00:00+0100</p></blockquote><p><b>serviceProvider</b>: <code>CZ_OrganizationCore/RegisteringProviderExample</code></p></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "standardní"
},
"priority" : {
"coding" : [
{
"system" : "http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr",
"code" : "EM",
"display" : "Akutní"
}
]
},
"subject" : {
"reference" : "CZ_PatientCore/Patient-Novak-Petr"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/encounter-participant-type",
"code" : "ADM",
"display" : "Admitter"
}
]
}
],
"individual" : {
"reference" : "CZ_PractitionerCore/Practitioner-Admitter"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/encounter-participant-type",
"code" : "REF",
"display" : "Referrer"
}
]
}
],
"individual" : {
"reference" : "CZ_PractitionerRoleCore/Practitioner-Referrer-detail"
}
}
],
"period" : {
"start" : "2025-03-01T10:15:00+01:00",
"end" : "2025-03-10T09:30:00+01:00"
},
"reasonReference" : [
{
"reference" : "CZ_ConditionHdr/Condition-K409"
}
],
"hospitalization" : {
"admitSource" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/encounter-admit-source",
"code" : "outp",
"display" : "Ambulantní péče"
}
]
},
"dischargeDisposition" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/discharge-disposition",
"code" : "home",
"display" : "Home"
}
]
}
},
"location" : [
{
"location" : {
🔗 "reference" : "Location/cz-Location-Chrudim-Chir1"
},
"period" : {
"start" : "2025-03-01T08:00:00+01:00",
"end" : "2025-03-02T08:00:00+01:00"
}
},
{
"location" : {
🔗 "reference" : "Location/cz-Location-Chrudim-ChirJIP"
},
"period" : {
"start" : "2025-03-02T08:00:00+01:00",
"end" : "2025-03-04T08:00:00+01:00"
}
},
{
"location" : {
🔗 "reference" : "Location/cz-Location-Chrudim-Chir1"
},
"period" : {
"start" : "2025-03-04T08:00:00+01:00",
"end" : "2025-03-10T08:00:00+01:00"
}
}
],
"serviceProvider" : {
"reference" : "CZ_OrganizationCore/RegisteringProviderExample"
}
}
},
{
"fullUrl" : "urn:uuid:2b7e9637-5018-4542-9faf-d5abdee7b849",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "Practitioner-Author-detail",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">MUDr. Ivan Anděl, interní lékař, Nemocnice Chrudim, Václavská 570, 537 01 Chrudim, tel: +420 603 777 227</div>"
},
"practitioner" : {
"reference" : "CZ_PractitionerCore/Practitioner-Author",
"display" : "MUDr. Ivan Anděl"
},
"organization" : {
"reference" : "CZ_OrganizationCore/Organization-1",
"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" : "Interní lékařství"
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:35717696-8a99-4f99-a938-ec0ec88a65a2",
"resource" : {
"resourceType" : "Condition",
"id" : "Condition-K409",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient byl přijat s diagnózou tříselné kýly bez obstrukce a gangrény. Doporučena elektivní operace.</div>"
},
"clinicalStatus" : {
"coding" : [
{
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"code" : "confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "278307001",
"display" : "On admission"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "69845001",
"display" : "Léčeno"
}
]
}
],
"severity" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "24484000",
"display" : "Závažná"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "K409",
"display" : "Tříselná kýla, neurčená, bez obstrukce a gangrény"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"onsetDateTime" : "2023-10-01T10:00:00Z",
"stage" : [
{
"summary" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "255604002",
"display" : "Mírný"
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:a0ad4739-512c-4bff-8436-a6f613b2ed01",
"resource" : {
"resourceType" : "Condition",
"id" : "Condition-E890-Novak",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_Condition-E890-Novak\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition Condition-E890-Novak</b></p><a name=\"Condition-E890-Novak\"> </a><a name=\"hcCondition-E890-Novak\"> </a><a name=\"Condition-E890-Novak-en-US\"> </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-condition-hdr.html\">Condition (HDR CZ)</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:\">active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:\">confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 64572001}\">Disease</span>, <span title=\"Codes:{http://snomed.info/sct 278307001}\">On admission</span>, <span title=\"Codes:{http://snomed.info/sct 25265005}\">Not received therapy or drug for</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E890}\">Hypotyreóza po operačních a jiných výkonech</span></p><p><b>subject</b>: <a href=\"Patient-Novak-Petr.html\">Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>onset</b>: 1997-10-06 00:00:00+0200</p><p><b>note</b>: Hypotyreóza po operaci karcinomu štítné žlázy. Zadáno všeobecným lékařem.</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"code" : "confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "64572001",
"display" : "Disease"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "278307001",
"display" : "On admission"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "25265005",
"display" : "Not received therapy or drug for"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "E890",
"display" : "Hypotyreóza po operačních a jiných výkonech"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"onsetDateTime" : "1997-10-06T00:00:00+02:00",
"note" : [
{
"text" : "Hypotyreóza po operaci karcinomu štítné žlázy. Zadáno všeobecným lékařem."
}
]
}
},
{
"fullUrl" : "urn:uuid:6cf80cb1-9766-470f-ac36-b1d3d8950f1b",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "Allergy-Strawberry-Novak",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyIntolerance-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_Allergy-Strawberry-Novak\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance Allergy-Strawberry-Novak</b></p><a name=\"Allergy-Strawberry-Novak\"> </a><a name=\"hcAllergy-Strawberry-Novak\"> </a><a name=\"Allergy-Strawberry-Novak-en-US\"> </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-allergyIntolerance-hdr.html\">Allergy Intolerance (HDR CZ)</a></p></div><p><b>identifier</b>: <code>urn:oid:1.2.203.24341.1.1.999</code>/Allergy-Strawberry-Novak-001</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>criticality</b>: Low Risk</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips 91938006}\">Allergy to strawberry</span></p><p><b>patient</b>: <a href=\"Patient-Novak-Petr.html\">Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>onset</b>: 2020-01-01</p><blockquote><p><b>reaction</b></p><p><b>manifestation</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips 418363000}\">Itching of skin</span>, <span title=\"Codes:{http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips 81950002}\">Edema of the tongue</span></p><p><b>description</b>: Svědění, otok jazyka.</p><p><b>severity</b>: Mild</p></blockquote></div>"
},
"identifier" : [
{
"system" : "urn:oid:1.2.203.24341.1.1.999",
"value" : "Allergy-Strawberry-Novak-001"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed"
}
]
},
"type" : "allergy",
"criticality" : "low",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips",
"code" : "91938006",
"display" : "Allergy to strawberry"
}
]
},
"patient" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"onsetDateTime" : "2020-01-01",
"reaction" : [
{
"manifestation" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips",
"code" : "418363000",
"display" : "Itching of skin"
}
]
},
{
"coding" : [
{
"system" : "http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips",
"code" : "81950002",
"display" : "Edema of the tongue"
}
]
}
],
"description" : "Svědění, otok jazyka.",
"severity" : "mild"
}
]
}
},
{
"fullUrl" : "urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f535",
"resource" : {
"resourceType" : "CarePlan",
"id" : "CarePlan-Novak-Petr",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_CarePlan-Novak-Petr\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CarePlan CarePlan-Novak-Petr</b></p><a name=\"CarePlan-Novak-Petr\"> </a><a name=\"hcCarePlan-Novak-Petr\"> </a><a name=\"CarePlan-Novak-Petr-en-US\"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>title</b>: Plán péče – tříselná kýla</p><p><b>description</b>: Plán péče zaměřený na chirurgické řešení jednostranné tříselné kýly (K40.9) u stabilního pacienta. Péče zahrnuje pooperační sledování, edukaci o režimu a následnou ambulantní kontrolu.</p><p><b>subject</b>: <a href=\"Patient-Novak-Petr.html\">Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>period</b>: 2025-03-10 08:00:00+0100 --> (ongoing)</p><p><b>addresses</b>: <a href=\"Condition-Condition-K409.html\">Condition Tříselná kýla, neurčená, bez obstrukce a gangrény</a></p><p><b>goal</b>: <a href=\"Goal-Goal-Hernia-Treatment.html\">Goal: lifecycleStatus = active; description = ; start[x] = 2025-03-10</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>Appointment</td><td>Scheduled</td><td>Ambulantní kontrola za 14 dní</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Kind</b></td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>CommunicationRequest</td><td>Scheduled</td><td>Edukace pacienta o režimu po operaci</td></tr></table></blockquote></div>"
},
"status" : "active",
"intent" : "plan",
"title" : "Plán péče – tříselná kýla",
"description" : "Plán péče zaměřený na chirurgické řešení jednostranné tříselné kýly (K40.9) u stabilního pacienta. Péče zahrnuje pooperační sledování, edukaci o režimu a následnou ambulantní kontrolu.",
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"period" : {
"start" : "2025-03-10T08:00:00+01:00"
},
"addresses" : [
{
🔗 "reference" : "Condition/Condition-K409"
}
],
"goal" : [
{
🔗 "reference" : "Goal/Goal-Hernia-Treatment"
}
],
"activity" : [
{
"detail" : {
"kind" : "Appointment",
"status" : "scheduled",
"description" : "Ambulantní kontrola za 14 dní"
}
},
{
"detail" : {
"kind" : "CommunicationRequest",
"status" : "scheduled",
"description" : "Edukace pacienta o režimu po operaci"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:47472c99-09bf-4007-bfaa-16c9665ae090",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "MedicationStatement-Euthyrox-Novak",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_MedicationStatement-Euthyrox-Novak\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement MedicationStatement-Euthyrox-Novak</b></p><a name=\"MedicationStatement-Euthyrox-Novak\"> </a><a name=\"hcMedicationStatement-Euthyrox-Novak\"> </a><a name=\"MedicationStatement-Euthyrox-Novak-en-US\"> </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-MedicationStatement.html\">MedicationStatement (CZ)</a></p></div><p><b>identifier</b>: <code>https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs</code>/0243131</p><p><b>status</b>: Active</p><p><b>statusReason</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/reason-medication-status-codes continued}\">Pokračuje</span></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/medication-statement-category Inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-med-euthyrox.html\">Medication Euthyrox 75 mcg</a></p><p><b>subject</b>: <a href=\"Patient-Novak-Petr.html\">Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>effective</b>: 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E039}\">Hypotyreóza</span></p><blockquote><p><b>dosage</b></p><p><b>text</b>: 1 tableta denně</p><p><b>timing</b>: Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/route-codes PO}\">Per os</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>1 tableta</td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs",
"value" : "0243131"
}
],
"status" : "active",
"statusReason" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes",
"code" : "continued",
"display" : "Pokračuje"
}
],
"text" : "Pokračuje"
}
],
"category" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/medication-statement-category",
"code" : "Inpatient",
"display" : "Inpatient"
}
],
"text" : "Inpatient"
},
"medicationReference" : {
🔗 "reference" : "Medication/med-euthyrox"
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"effectivePeriod" : {
"start" : "2025-03-01T10:15:00+01:00",
"end" : "2025-03-10T09:30:00+01:00"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "E039",
"display" : "Hypotyreóza"
}
],
"text" : "Hypotyreóza"
}
],
"dosage" : [
{
"text" : "1 tableta denně",
"timing" : {
"repeat" : {
"frequency" : 1,
"period" : 1,
"periodUnit" : "d"
}
},
"route" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/route-codes",
"code" : "PO",
"display" : "Per os"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 1,
"unit" : "tableta"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:f34114fc-138f-4bd8-8e1a-804d14ec9986",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "MedicationStatement-Paracetamol-Novak",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_MedicationStatement-Paracetamol-Novak\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement MedicationStatement-Paracetamol-Novak</b></p><a name=\"MedicationStatement-Paracetamol-Novak\"> </a><a name=\"hcMedicationStatement-Paracetamol-Novak\"> </a><a name=\"MedicationStatement-Paracetamol-Novak-en-US\"> </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-MedicationStatement.html\">MedicationStatement (CZ)</a></p></div><p><b>identifier</b>: <code>https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs</code>/0243131</p><p><b>status</b>: Active</p><p><b>statusReason</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/reason-medication-status-codes continued}\">Pokračuje</span></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/medication-statement-category Inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-med-paracetamol.html\">Medication PARACETAMOL ZENTIVA K.S.</a></p><p><b>subject</b>: <a href=\"Patient-Novak-Petr.html\">Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>effective</b>: 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E039}\">Hypotyreóza</span></p><blockquote><p><b>dosage</b></p><p><b>text</b>: Dle potřeby, max 4 tablety denně</p><p><b>asNeeded</b>: true</p><p><b>route</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/route-codes PO}\">Per os</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>500 mg</td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs",
"value" : "0243131"
}
],
"status" : "active",
"statusReason" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes",
"code" : "continued",
"display" : "Pokračuje"
}
],
"text" : "Pokračuje"
}
],
"category" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/medication-statement-category",
"code" : "Inpatient",
"display" : "Inpatient"
}
],
"text" : "Inpatient"
},
"medicationReference" : {
🔗 "reference" : "Medication/med-paracetamol"
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"effectivePeriod" : {
"start" : "2025-03-01T10:15:00+01:00",
"end" : "2025-03-10T09:30:00+01:00"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "E039",
"display" : "Hypotyreóza"
}
],
"text" : "Hypotyreóza"
}
],
"dosage" : [
{
"text" : "Dle potřeby, max 4 tablety denně",
"asNeededBoolean" : true,
"route" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/route-codes",
"code" : "PO",
"display" : "Per os"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 500,
"unit" : "mg"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:620b1120-cece-44b1-89f5-20413054eb1d",
"resource" : {
"resourceType" : "Goal",
"id" : "Goal-Hernia-Treatment",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Goal_Goal-Hernia-Treatment\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Goal Goal-Hernia-Treatment</b></p><a name=\"Goal-Hernia-Treatment\"> </a><a name=\"hcGoal-Hernia-Treatment\"> </a><a name=\"Goal-Hernia-Treatment-en-US\"> </a><p><b>lifecycleStatus</b>: Active</p><p><b>description</b>: <span title=\"Codes:\">Chirurgické řešení tříselné kýly s úplným zhojením a bez komplikací.</span></p><p><b>subject</b>: <a href=\"Patient-Novak-Petr.html\">Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>start</b>: 2025-03-10</p><h3>Targets</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>Zhojená rána bez komplikací, bez recidivy kýly.</td></tr></table></div>"
},
"lifecycleStatus" : "active",
"description" : {
"text" : "Chirurgické řešení tříselné kýly s úplným zhojením a bez komplikací."
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"startDate" : "2025-03-10",
"target" : [
{
"detailString" : "Zhojená rána bez komplikací, bez recidivy kýly."
}
]
}
},
{
"fullUrl" : "urn:uuid:bf08b62b-0abd-4e88-9092-ce0228382e51",
"resource" : {
"resourceType" : "MedicationStatement",
"id" : "MedicationStatement-Ibalgin400-Novak",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationStatement_MedicationStatement-Ibalgin400-Novak\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationStatement MedicationStatement-Ibalgin400-Novak</b></p><a name=\"MedicationStatement-Ibalgin400-Novak\"> </a><a name=\"hcMedicationStatement-Ibalgin400-Novak\"> </a><a name=\"MedicationStatement-Ibalgin400-Novak-en-US\"> </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-MedicationStatement.html\">MedicationStatement (CZ)</a></p></div><p><b>identifier</b>: <code>https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs</code>/0207893</p><p><b>status</b>: Active</p><p><b>statusReason</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/reason-medication-status-codes continued}\">Pokračuje</span></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/medication-statement-category Inpatient}\">Inpatient</span></p><p><b>medication</b>: <a href=\"Medication-med-Ibalgin400.html\">Medication Ibalgin 400 mg</a></p><p><b>subject</b>: <a href=\"Patient-Novak-Petr.html\">Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923)</a></p><p><b>effective</b>: 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10 E039}\">Hypotyreóza</span></p><blockquote><p><b>dosage</b></p><p><b>text</b>: Dle potřeby, při bolesti max 3 tablety denně</p><p><b>asNeeded</b>: true</p><p><b>route</b>: <span title=\"Codes:{http://hl7.org/fhir/ValueSet/route-codes PO}\">Per os</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>400 mg</td></tr></table></blockquote></div>"
},
"identifier" : [
{
"system" : "https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs",
"value" : "0207893"
}
],
"status" : "active",
"statusReason" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes",
"code" : "continued",
"display" : "Pokračuje"
}
],
"text" : "Pokračuje"
}
],
"category" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/medication-statement-category",
"code" : "Inpatient",
"display" : "Inpatient"
}
],
"text" : "Inpatient"
},
"medicationReference" : {
🔗 "reference" : "Medication/med-Ibalgin400"
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"effectivePeriod" : {
"start" : "2025-03-01T10:15:00+01:00",
"end" : "2025-03-10T09:30:00+01:00"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "E039",
"display" : "Hypotyreóza"
}
],
"text" : "Hypotyreóza"
}
],
"dosage" : [
{
"text" : "Dle potřeby, při bolesti max 3 tablety denně",
"asNeededBoolean" : true,
"route" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/ValueSet/route-codes",
"code" : "PO",
"display" : "Per os"
}
]
},
"doseAndRate" : [
{
"doseQuantity" : {
"value" : 400,
"unit" : "mg"
}
}
]
}
]
}
},
{
"fullUrl" : "urn:uuid:ffb1a62f-9050-4e33-af4b-4cdb8203c9e5",
"resource" : {
"resourceType" : "Procedure",
"id" : "Procedure-inguinal-hernia",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plastika pravostranné tříselné kýly dne 2. 3. 2025.</div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80146002",
"display" : "Repair of inguinal hernia"
}
],
"text" : "Plastika tříselné kýly"
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"performedDateTime" : "2025-03-02",
"reasonReference" : [
{
🔗 "reference" : "Condition/IronDeficiencyAnemiaCondition"
}
],
"note" : [
{
"text" : "Plastika pravostranné tříselné kýly dne 2. 3. 2025."
}
]
}
},
{
"fullUrl" : "urn:uuid:b3f0f517-9c64-4b8f-99d9-72183cfd9ef0",
"resource" : {
"resourceType" : "Consent",
"id" : "CZ-AdvanceDirectives-HDR-DNR",
"text" : {
"status" : "generated",
"div" : "<div><p>Podepsané prohlášení DNR</p><p>Platné od 1.3.2025</p></div>"
},
"status" : "active",
"scope" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/consentscope",
"code" : "adr",
"display" : "Advance Directive"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/consent-category",
"code" : "dnr",
"display" : "Do Not Resuscitate"
}
]
}
],
"dateTime" : "2025-01-01T08:00:00+01:00",
"provision" : {
"type" : "permit",
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10",
"code" : "I50",
"display" : "Heart failure"
}
]
},
{
"coding" : [
{
"system" : "https://www.orpha.net",
"code" : "ORPHA330",
"display" : "NYHA class IV"
}
]
}
]
}
}
},
{
"fullUrl" : "urn:uuid:f0b20060-c4a8-4a74-b12a-499ae3b59015",
"resource" : {
"resourceType" : "Procedure",
"id" : "Procedure-inguinal-hernia",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plastika pravostranné tříselné kýly dne 2. 3. 2025.</div>"
},
"status" : "completed",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "80146002",
"display" : "Repair of inguinal hernia"
}
],
"text" : "Plastika tříselné kýly"
},
"subject" : {
🔗 "reference" : "Patient/Novak-Petr"
},
"performedDateTime" : "2025-03-02",
"reasonReference" : [
{
🔗 "reference" : "Condition/IronDeficiencyAnemiaCondition"
}
],
"note" : [
{
"text" : "Plastika pravostranné tříselné kýly dne 2. 3. 2025."
}
]
}
}
]
}