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
<Bundle xmlns="http://hl7.org/fhir">
<id value="DischargeBundle-Novak-Petr"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-bundle-hdr"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:c859d718-03c2-43ed-a16c-dbe57a6e34b5"/>
</identifier>
<type value="document"/>
<timestamp value="2025-03-10T15:00:00+01:00"/>
<entry>
<fullUrl value="urn:uuid:cdae7735-f7ee-4bc7-9cf3-3dc806a4eaaf"/>
<resource>
<Composition>
<id value="DischargeComposition-Novak-Petr"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="34105-7"/>
<display value="Hospital Discharge summary"/>
</coding>
</type>
<category>
<coding>
<system value="http://hl7.org/fhir/ValueSet/document-classcodes"/>
<code value="18842-5"/>
<display value="Discharge summary"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<encounter>🔗
<reference value="Encounter/HospitalEncounter-Novak-Petr"/>
</encounter>
<date value="2025-03-10T14:30:00+01:00"/>
<author>
<reference value="CZ_OrganizationCore/Organization-1"/>
</author>
<title value="Propouštěcí zpráva"/>
<section>
<title value="Průběh hospitalizace - klinické shrnutí"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8648-8"/>
<display value="Průběh hospitalizace"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
</section>
<section>
<title value="Alergie, intolerance a varování"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Alergie, intolerance"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Alergie na jahody, od 01.01.2020, reakce: Svědění, otok jazyka</div>
</text>
<entry>🔗
<reference value="AllergyIntolerance/Allergy-Strawberry-Novak"/>
</entry>
</section>
<section>
<title value="Dříve vyjádřená přání"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="42348-3"/>
<display value="Advance directives"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Neresuscitovat</div>
</text>
<entry>🔗
<reference value="Consent/CZ-AdvanceDirectives-HDR-DNR"/>
</entry>
</section>
<section>
<title value="Diagnostický souhrn"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Diagnostický souhrn"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="Condition/Condition-K409"/>
</entry>
<entry>🔗
<reference value="Condition/Condition-E890-Novak"/>
</entry>
</section>
<section>
<title value="Významné procedury"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10185-7"/>
<display value="Hospital discharge procedures"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Plastika pravostranné tříselné kýly dne 2. 3. 2025.</div>
</text>
<entry>🔗
<reference value="Procedure/Procedure-inguinal-hernia"/>
</entry>
</section>
<section>
<title value="Medikace"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="Discharge medications Narrative"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference
value="MedicationStatement/MedicationStatement-Euthyrox-Novak"/>
</entry>
<entry>🔗
<reference
value="MedicationStatement/MedicationStatement-Paracetamol-Novak"/>
</entry>
<entry>🔗
<reference
value="MedicationStatement/MedicationStatement-Ibalgin400-Novak"/>
</entry>
</section>
<section>
<title value="Výsledky vyšetření"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="30954-2"/>
<display value="Výsledky vyšetření"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="Observation/Observation-UZV-Novak"/>
</entry>
<entry>🔗
<reference value="Observation/Observation-CRP-Novak"/>
</entry>
</section>
<section>
<title value="Plán péče"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
<display value="Plán péče"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>🔗
<reference value="CarePlan/CarePlan-Novak-Petr"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3f85726c-ad2f-441b-89ce-100000000000"/>
<resource>
<Patient>
<id value="Novak-Petr"/>
<meta>
<profile
value="https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"/>
</meta>
<text>
<status value="generated"/>
<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 (use: official, )</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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/patient-citizenship">
<extension url="code">
<valueCodeableConcept>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="CZ"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="https://hl7.cz/fhir/core/StructureDefinition/registering-provider-cz">
<extension url="value">
<valueReference>
<reference value="Organization/RegisteringProviderExample"/>
</valueReference>
</extension>
<extension url="category">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="700232004"/>
<display value="Všeobecné lékařské služby"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<use value="official"/>
<system value="https://ncez.mzcr.cz/fhir/sid/rcis"/>
<value value="8506150015"/>
</identifier>
<identifier>
<system value="https://ncez.mzcr.cz/fhir/sid/rid"/>
<value value="1597778923"/>
</identifier>
<name>
<use value="usual"/>
<family value="Novák"/>
<given value="Petr"/>
<prefix value="Ing."/>
<suffix value="Ph.D."/>
</name>
<telecom>
<system value="phone"/>
<value value="+420 777 111 222"/>
<use value="home"/>
</telecom>
<telecom>
<system value="phone"/>
<value value="+420 333 111 777"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="novak@example.com"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="1985-06-15"/>
<address>
<use value="home"/>
<type value="physical"/>
<text value="Pavlovova 1424/11, 568 02 Svitavy - Předměstí "/>
<line value="Pavlovova 1424/11">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Pavlovova"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="1424/11"/>
</extension>
</line>
<city value="Svitavy - Předměstí"/>
<postalCode value="56802"/>
<country value="CZ"/>
</address>
<contact>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="MTH"/>
<display value="Matka"/>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="N"/>
<display value="Kontaktní osoba"/>
</coding>
</relationship>
<name>
<use value="usual"/>
<family value="Nováková"/>
<given value="Alena"/>
</name>
<telecom>
<system value="phone"/>
<value value="+420 601 111 111"/>
<use value="home"/>
</telecom>
<address>
<use value="home"/>
<type value="physical"/>
<text value="Krátká 18, 708 00, Ostrava, Česká Republika"/>
<line value="Krátká 18">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Krátká"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="18"/>
</extension>
</line>
<city value="Ostrava"/>
<postalCode value="70800"/>
<country value="CZ"/>
</address>
</contact>
<contact>
<relationship>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FRND"/>
<display value="přítel/přítelkyně"/>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="N"/>
<display value="Kontaktní osoba"/>
</coding>
</relationship>
<name>
<use value="usual"/>
<family value="Dlouhá"/>
<given value="Alena"/>
</name>
<telecom>
<system value="phone"/>
<value value="+420 601 333 333"/>
<use value="home"/>
</telecom>
<address>
<use value="home"/>
<type value="physical"/>
<text value="Horná ulica 18, 123 45, Trenčín, Slovensko"/>
<line value="Horná ulica 18">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName">
<valueString value="Horná ulica"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber">
<valueString value="18"/>
</extension>
</line>
<city value="Trenčín"/>
<postalCode value="12345"/>
<country value="SK"/>
</address>
</contact>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="cs"/>
</coding>
</language>
<preferred value="true"/>
</communication>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
</coding>
</language>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:10f5c49e-086d-4016-8dd1-b555306bf620"/>
<resource>
<Encounter>
<id value="HospitalEncounter-Novak-Petr"/>
<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_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>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="standardní"/>
</class>
<priority>
<coding>
<system
value="http://hl7.eu/fhir/hdr/ValueSet/admission-urgency-eu-hdr"/>
<code value="EM"/>
<display value="Akutní"/>
</coding>
</priority>
<subject>
<reference value="CZ_PatientCore/Patient-Novak-Petr"/>
</subject>
<participant>
<type>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/encounter-participant-type"/>
<code value="ADM"/>
<display value="Admitter"/>
</coding>
</type>
<individual>
<reference value="CZ_PractitionerCore/Practitioner-Admitter"/>
</individual>
</participant>
<participant>
<type>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/encounter-participant-type"/>
<code value="REF"/>
<display value="Referrer"/>
</coding>
</type>
<individual>
<reference
value="CZ_PractitionerRoleCore/Practitioner-Referrer-detail"/>
</individual>
</participant>
<period>
<start value="2025-03-01T10:15:00+01:00"/>
<end value="2025-03-10T09:30:00+01:00"/>
</period>
<reasonReference>
<reference value="CZ_ConditionHdr/Condition-K409"/>
</reasonReference>
<hospitalization>
<admitSource>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/encounter-admit-source"/>
<code value="outp"/>
<display value="Ambulantní péče"/>
</coding>
</admitSource>
<dischargeDisposition>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/discharge-disposition"/>
<code value="home"/>
<display value="Home"/>
</coding>
</dischargeDisposition>
</hospitalization>
<location>
<location>🔗
<reference value="Location/cz-Location-Chrudim-Chir1"/>
</location>
<period>
<start value="2025-03-01T08:00:00+01:00"/>
<end value="2025-03-02T08:00:00+01:00"/>
</period>
</location>
<location>
<location>🔗
<reference value="Location/cz-Location-Chrudim-ChirJIP"/>
</location>
<period>
<start value="2025-03-02T08:00:00+01:00"/>
<end value="2025-03-04T08:00:00+01:00"/>
</period>
</location>
<location>
<location>🔗
<reference value="Location/cz-Location-Chrudim-Chir1"/>
</location>
<period>
<start value="2025-03-04T08:00:00+01:00"/>
<end value="2025-03-10T08:00:00+01:00"/>
</period>
</location>
<serviceProvider>
<reference value="CZ_OrganizationCore/RegisteringProviderExample"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2b7e9637-5018-4542-9faf-d5abdee7b849"/>
<resource>
<PractitionerRole>
<id value="Practitioner-Author-detail"/>
<meta>
<profile
value="https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<practitioner>
<reference value="CZ_PractitionerCore/Practitioner-Author"/>
<display value="MUDr. Ivan Anděl"/>
</practitioner>
<organization>
<reference value="CZ_OrganizationCore/Organization-1"/>
<display value="Nemocnice Chrudim"/>
</organization>
<code>
<coding>
<system
value="https://ncez.mzcr.cz/fhir/CodeSystem/nrzp-povolani"/>
<code value="L00"/>
<display value="Lékař"/>
</coding>
</code>
<specialty>
<coding>
<system value="http://snomed.info/sct"/>
<code value="419192003"/>
<display value="Interní lékařství"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:35717696-8a99-4f99-a938-ec0ec88a65a2"/>
<resource>
<Condition>
<id value="Condition-K409"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Pacient byl přijat s diagnózou tříselné kýly bez obstrukce a gangrény. Doporučena elektivní operace.</div>
</text>
<clinicalStatus>
<coding>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="278307001"/>
<display value="On admission"/>
</coding>
</category>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="69845001"/>
<display value="Léčeno"/>
</coding>
</category>
<severity>
<coding>
<system value="http://snomed.info/sct"/>
<code value="24484000"/>
<display value="Závažná"/>
</coding>
</severity>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="K409"/>
<display
value="Tříselná kýla, neurčená, bez obstrukce a gangrény"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<onsetDateTime value="2023-10-01T10:00:00Z"/>
<stage>
<summary>
<coding>
<system value="http://snomed.info/sct"/>
<code value="255604002"/>
<display value="Mírný"/>
</coding>
</summary>
</stage>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a0ad4739-512c-4bff-8436-a6f613b2ed01"/>
<resource>
<Condition>
<id value="Condition-E890-Novak"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<clinicalStatus>
<coding>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="64572001"/>
<display value="Disease"/>
</coding>
</category>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="278307001"/>
<display value="On admission"/>
</coding>
</category>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="25265005"/>
<display value="Not received therapy or drug for"/>
</coding>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E890"/>
<display value="Hypotyreóza po operačních a jiných výkonech"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<onsetDateTime value="1997-10-06T00:00:00+02:00"/>
<note>
<text
value="Hypotyreóza po operaci karcinomu štítné žlázy. Zadáno všeobecným lékařem."/>
</note>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6cf80cb1-9766-470f-ac36-b1d3d8950f1b"/>
<resource>
<AllergyIntolerance>
<id value="Allergy-Strawberry-Novak"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyIntolerance-hdr"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="urn:oid:1.2.203.24341.1.1.999"/>
<value value="Allergy-Strawberry-Novak-001"/>
</identifier>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<criticality value="low"/>
<code>
<coding>
<system
value="http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-uv-ips"/>
<code value="91938006"/>
<display value="Allergy to strawberry"/>
</coding>
</code>
<patient>🔗
<reference value="Patient/Novak-Petr"/>
</patient>
<onsetDateTime value="2020-01-01"/>
<reaction>
<manifestation>
<coding>
<system
value="http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips"/>
<code value="418363000"/>
<display value="Itching of skin"/>
</coding>
</manifestation>
<manifestation>
<coding>
<system
value="http://hl7.org/fhir/uv/ips/ValueSet/allergy-reaction-uv-ips"/>
<code value="81950002"/>
<display value="Edema of the tongue"/>
</coding>
</manifestation>
<description value="Svědění, otok jazyka."/>
<severity value="mild"/>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f535"/>
<resource>
<CarePlan>
<id value="CarePlan-Novak-Petr"/>
<text>
<status value="generated"/>
<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>
</text>
<status value="active"/>
<intent value="plan"/>
<title value="Plán péče – tříselná kýla"/>
<description
value="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 value="Patient/Novak-Petr"/>
</subject>
<period>
<start value="2025-03-10T08:00:00+01:00"/>
</period>
<addresses>🔗
<reference value="Condition/Condition-K409"/>
</addresses>
<goal>🔗
<reference value="Goal/Goal-Hernia-Treatment"/>
</goal>
<activity>
<detail>
<kind value="Appointment"/>
<status value="scheduled"/>
<description value="Ambulantní kontrola za 14 dní"/>
</detail>
</activity>
<activity>
<detail>
<kind value="CommunicationRequest"/>
<status value="scheduled"/>
<description value="Edukace pacienta o režimu po operaci"/>
</detail>
</activity>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:47472c99-09bf-4007-bfaa-16c9665ae090"/>
<resource>
<MedicationStatement>
<id value="MedicationStatement-Euthyrox-Novak"/>
<meta>
<profile
value="https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system
value="https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs"/>
<value value="0243131"/>
</identifier>
<status value="active"/>
<statusReason>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/reason-medication-status-codes"/>
<code value="continued"/>
<display value="Pokračuje"/>
</coding>
<text value="Pokračuje"/>
</statusReason>
<category>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/medication-statement-category"/>
<code value="Inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient"/>
</category>
<medicationReference>🔗
<reference value="Medication/med-euthyrox"/>
</medicationReference>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<effectivePeriod>
<start value="2025-03-01T10:15:00+01:00"/>
<end value="2025-03-10T09:30:00+01:00"/>
</effectivePeriod>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E039"/>
<display value="Hypotyreóza"/>
</coding>
<text value="Hypotyreóza"/>
</reasonCode>
<dosage>
<text value="1 tableta denně"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://hl7.org/fhir/ValueSet/route-codes"/>
<code value="PO"/>
<display value="Per os"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1"/>
<unit value="tableta"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f34114fc-138f-4bd8-8e1a-804d14ec9986"/>
<resource>
<MedicationStatement>
<id value="MedicationStatement-Paracetamol-Novak"/>
<meta>
<profile
value="https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system
value="https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs"/>
<value value="0243131"/>
</identifier>
<status value="active"/>
<statusReason>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/reason-medication-status-codes"/>
<code value="continued"/>
<display value="Pokračuje"/>
</coding>
<text value="Pokračuje"/>
</statusReason>
<category>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/medication-statement-category"/>
<code value="Inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient"/>
</category>
<medicationReference>🔗
<reference value="Medication/med-paracetamol"/>
</medicationReference>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<effectivePeriod>
<start value="2025-03-01T10:15:00+01:00"/>
<end value="2025-03-10T09:30:00+01:00"/>
</effectivePeriod>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E039"/>
<display value="Hypotyreóza"/>
</coding>
<text value="Hypotyreóza"/>
</reasonCode>
<dosage>
<text value="Dle potřeby, max 4 tablety denně"/>
<asNeededBoolean value="true"/>
<route>
<coding>
<system value="http://hl7.org/fhir/ValueSet/route-codes"/>
<code value="PO"/>
<display value="Per os"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="500"/>
<unit value="mg"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:620b1120-cece-44b1-89f5-20413054eb1d"/>
<resource>
<Goal>
<id value="Goal-Hernia-Treatment"/>
<text>
<status value="generated"/>
<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>
</text>
<lifecycleStatus value="active"/>
<description>
<text
value="Chirurgické řešení tříselné kýly s úplným zhojením a bez komplikací."/>
</description>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<startDate value="2025-03-10"/>
<target>
<detailString
value="Zhojená rána bez komplikací, bez recidivy kýly."/>
</target>
</Goal>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bf08b62b-0abd-4e88-9092-ce0228382e51"/>
<resource>
<MedicationStatement>
<id value="MedicationStatement-Ibalgin400-Novak"/>
<meta>
<profile
value="https://hl7.cz/fhir/core/StructureDefinition/cz-MedicationStatement"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system
value="https://hl7.cz/fhir/core/ValueSet/dlplecivepripravky-cz-vs"/>
<value value="0207893"/>
</identifier>
<status value="active"/>
<statusReason>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/reason-medication-status-codes"/>
<code value="continued"/>
<display value="Pokračuje"/>
</coding>
<text value="Pokračuje"/>
</statusReason>
<category>
<coding>
<system
value="http://hl7.org/fhir/ValueSet/medication-statement-category"/>
<code value="Inpatient"/>
<display value="Inpatient"/>
</coding>
<text value="Inpatient"/>
</category>
<medicationReference>🔗
<reference value="Medication/med-Ibalgin400"/>
</medicationReference>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<effectivePeriod>
<start value="2025-03-01T10:15:00+01:00"/>
<end value="2025-03-10T09:30:00+01:00"/>
</effectivePeriod>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="E039"/>
<display value="Hypotyreóza"/>
</coding>
<text value="Hypotyreóza"/>
</reasonCode>
<dosage>
<text value="Dle potřeby, při bolesti max 3 tablety denně"/>
<asNeededBoolean value="true"/>
<route>
<coding>
<system value="http://hl7.org/fhir/ValueSet/route-codes"/>
<code value="PO"/>
<display value="Per os"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="400"/>
<unit value="mg"/>
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ffb1a62f-9050-4e33-af4b-4cdb8203c9e5"/>
<resource>
<Procedure>
<id value="Procedure-inguinal-hernia"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-hdr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Plastika pravostranné tříselné kýly dne 2. 3. 2025.</div>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80146002"/>
<display value="Repair of inguinal hernia"/>
</coding>
<text value="Plastika tříselné kýly"/>
</code>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<performedDateTime value="2025-03-02"/>
<reasonReference>🔗
<reference value="Condition/IronDeficiencyAnemiaCondition"/>
</reasonReference>
<note>
<text value="Plastika pravostranné tříselné kýly dne 2. 3. 2025."/>
</note>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b3f0f517-9c64-4b8f-99d9-72183cfd9ef0"/>
<resource>
<Consent>
<id value="CZ-AdvanceDirectives-HDR-DNR"/>
<text>
<status value="generated"/>
<div><p>Podepsané prohlášení DNR</p><p>Platné od 1.3.2025</p></div>
</text>
<status value="active"/>
<scope>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/consentscope"/>
<code value="adr"/>
<display value="Advance Directive"/>
</coding>
</scope>
<category>
<coding>
<system value="http://hl7.org/fhir/consent-category"/>
<code value="dnr"/>
<display value="Do Not Resuscitate"/>
</coding>
</category>
<dateTime value="2025-01-01T08:00:00+01:00"/>
<provision>
<type value="permit"/>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10"/>
<code value="I50"/>
<display value="Heart failure"/>
</coding>
</code>
<code>
<coding>
<system value="https://www.orpha.net"/>
<code value="ORPHA330"/>
<display value="NYHA class IV"/>
</coding>
</code>
</provision>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f0b20060-c4a8-4a74-b12a-499ae3b59015"/>
<resource>
<Procedure>
<id value="Procedure-inguinal-hernia"/>
<meta>
<profile
value="https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-hdr"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Plastika pravostranné tříselné kýly dne 2. 3. 2025.</div>
</text>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80146002"/>
<display value="Repair of inguinal hernia"/>
</coding>
<text value="Plastika tříselné kýly"/>
</code>
<subject>🔗
<reference value="Patient/Novak-Petr"/>
</subject>
<performedDateTime value="2025-03-02"/>
<reasonReference>🔗
<reference value="Condition/IronDeficiencyAnemiaCondition"/>
</reasonReference>
<note>
<text value="Plastika pravostranné tříselné kýly dne 2. 3. 2025."/>
</note>
</Procedure>
</resource>
</entry>
</Bundle>