HL7 Czech Hospital Discharge Report Implementation Guide
0.0.1 - ci-build
Czech Republic (CZE)
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" : "Composition",
"id" : "DischargeComposition",
"meta" : {
"profile" : [
🔗 "https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition DischargeComposition</b></p><a name=\"DischargeComposition\"> </a><a name=\"hcDischargeComposition\"> </a><a name=\"DischargeComposition-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://terminology.hl7.org/CodeSystem/document-classcodes 18842-5}\">Discharge summary</span></p><p><b>encounter</b>: <a href=\"Encounter-CZ-Encounter-HDR-Example.html\">Encounter: extension = Legal,This is a test of the encounter note field.; status = finished; class = inpatient encounter (ActCode#IMP); type = Discharge; priority = Emergency; period = 2025-01-01 08:00:00+0100 --> 2025-01-10 08:00:00+0100; reasonCode = Heart failure</a></p><p><b>date</b>: 2025-03-10 14:30:00+0100</p><p><b>author</b>: <a href=\"Practitioner-Practitioner-2.html\">Practitioner Stanislava Kubšová </a></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://terminology.hl7.org/CodeSystem/document-classcodes",
"code" : "18842-5",
"display" : "Discharge summary"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/Mracena2"
},
"encounter" : {
🔗 "reference" : "Encounter/CZ-Encounter-HDR-Example"
},
"date" : "2025-03-10T14:30:00+01:00",
"author" : [
{
🔗 "reference" : "Practitioner/Practitioner-2"
}
],
"title" : "Propouštěcí zpráva",
"section" : [
{
"title" : "Diagnostický souhrn",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Diagnoses at discharge</div>"
},
"entry" : [
{
🔗 "reference" : "Condition/AngiodysplasiaCondition"
},
{
🔗 "reference" : "Condition/IronDeficiencyAnemiaCondition"
},
{
🔗 "reference" : "Condition/TIACondition"
},
{
🔗 "reference" : "Condition/AtrialFibrillationCondition"
},
{
🔗 "reference" : "Condition/HypothyroidismCondition"
},
{
🔗 "reference" : "Condition/VaricoseVeinsCondition"
},
{
🔗 "reference" : "Condition/OsteoporosisCondition"
},
{
🔗 "reference" : "Condition/HypercholesterolemiaCondition"
},
{
🔗 "reference" : "Condition/PresbycusisCondition"
}
]
},
{
"title" : "Alergie, intolerance a varování",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Alerie at discharge</div>"
},
"entry" : [
{
🔗 "reference" : "AllergyIntolerance/PenicillinAllergy"
},
{
🔗 "reference" : "AllergyIntolerance/StrawberryAllergy"
},
{
🔗 "reference" : "AllergyIntolerance/MilkAllergy"
}
]
},
{
"title" : "Souhrn medikace",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of medication use"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Medication at discharge</div>"
},
"entry" : [
{
🔗 "reference" : "MedicationStatement/LevothyroxineMedication"
},
{
🔗 "reference" : "MedicationStatement/RivaroxabanMedication"
},
{
🔗 "reference" : "MedicationStatement/BisoprololMedication"
},
{
🔗 "reference" : "MedicationStatement/AtorvastatinMedication"
},
{
🔗 "reference" : "MedicationStatement/CalciumD3Medication"
},
{
🔗 "reference" : "MedicationStatement/IronSupplementMedication"
}
]
},
{
"title" : "Provedené zákroky",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4",
"display" : "Procedure Note"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital course details go here.</div>"
},
"entry" : [
{
🔗 "reference" : "Procedure/ColonoscopyProcedure"
}
]
},
{
"title" : "Výsledky vyšetření",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Laboratory results"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratory results at discharge</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/bloodcount-panel"
}
]
},
{
"title" : "Plán péče",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Care plan"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Care plan at discharge</div>"
},
"entry" : [
{
🔗 "reference" : "CarePlan/CZ-CarePlan-HDR-Example"
}
]
},
{
"title" : "Dříve vyjádřená přání",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "75320-2",
"display" : "Advance directives"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Known advance directives</div>"
},
"entry" : [
{
🔗 "reference" : "Consent/CZ-AdvanceDirectives-HDR-DNR"
}
]
},
{
"title" : "Očkování",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of Immunization Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Immunizations at discharge</div>"
},
"entry" : [
{
🔗 "reference" : "Immunization/Immunization"
}
]
},
{
"title" : "Anamnéza",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2",
"display" : "Social history Narrative"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Social history at discharge</div>"
},
"entry" : [
{
🔗 "reference" : "Observation/ExampleSdohSmoking"
},
{
🔗 "reference" : "Observation/ExampleSdohAlcohol"
}
]
},
{
"title" : "Přílohy",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Přílohy</div>"
},
"entry" : [
{
🔗 "reference" : "DocumentReference/DischargeDocumenPDF"
},
{
🔗 "reference" : "DocumentReference/DischargeDocumentHTML"
}
]
}
]
}