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

: Propouštěcí zpráva - XML Representation

Raw xml | Download


<Composition xmlns="http://hl7.org/fhir">
  <id value="DischargeComposition"/>
  <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"><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 --&gt; 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>
  </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://terminology.hl7.org/CodeSystem/document-classcodes"/>
      <code value="18842-5"/>
      <display value="Discharge summary"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/Mracena2"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/CZ-Encounter-HDR-Example"/>
  </encounter>
  <date value="2025-03-10T14:30:00+01:00"/>
  <author>🔗 
    <reference value="Practitioner/Practitioner-2"/>
  </author>
  <title value="Propouštěcí zpráva"/>
  <section>
    <title value="Diagnostický souhrn"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11450-4"/>
        <display value="Problem list"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Diagnoses at discharge</div>
    </text>
    <entry>🔗 
      <reference value="Condition/AngiodysplasiaCondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/IronDeficiencyAnemiaCondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/TIACondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/AtrialFibrillationCondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/HypothyroidismCondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/VaricoseVeinsCondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/OsteoporosisCondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/HypercholesterolemiaCondition"/>
    </entry>
    <entry>🔗 
      <reference value="Condition/PresbycusisCondition"/>
    </entry>
  </section>
  <section>
    <title value="Alergie, intolerance a varování"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="48765-2"/>
        <display value="Allergies and adverse reactions"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Alerie at discharge</div>
    </text>
    <entry>🔗 
      <reference value="AllergyIntolerance/PenicillinAllergy"/>
    </entry>
    <entry>🔗 
      <reference value="AllergyIntolerance/StrawberryAllergy"/>
    </entry>
    <entry>🔗 
      <reference value="AllergyIntolerance/MilkAllergy"/>
    </entry>
  </section>
  <section>
    <title value="Souhrn medikace"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="10160-0"/>
        <display value="History of medication use"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Medication at discharge</div>
    </text>
    <entry>🔗 
      <reference value="MedicationStatement/LevothyroxineMedication"/>
    </entry>
    <entry>🔗 
      <reference value="MedicationStatement/RivaroxabanMedication"/>
    </entry>
    <entry>🔗 
      <reference value="MedicationStatement/BisoprololMedication"/>
    </entry>
    <entry>🔗 
      <reference value="MedicationStatement/AtorvastatinMedication"/>
    </entry>
    <entry>🔗 
      <reference value="MedicationStatement/CalciumD3Medication"/>
    </entry>
    <entry>🔗 
      <reference value="MedicationStatement/IronSupplementMedication"/>
    </entry>
  </section>
  <section>
    <title value="Provedené zákroky"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="47519-4"/>
        <display value="Procedure Note"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Hospital course details go here.</div>
    </text>
    <entry>🔗 
      <reference value="Procedure/ColonoscopyProcedure"/>
    </entry>
  </section>
  <section>
    <title value="Výsledky vyšetření"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="30954-2"/>
        <display value="Laboratory results"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Laboratory results at discharge</div>
    </text>
    <entry>🔗 
      <reference value="Observation/bloodcount-panel"/>
    </entry>
  </section>
  <section>
    <title value="Plán péče"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="18776-5"/>
        <display value="Care plan"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Care plan at discharge</div>
    </text>
    <entry>🔗 
      <reference value="CarePlan/CZ-CarePlan-HDR-Example"/>
    </entry>
  </section>
  <section>
    <title value="Dříve vyjádřená přání"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="75320-2"/>
        <display value="Advance directives"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Known advance directives</div>
    </text>
    <entry>🔗 
      <reference value="Consent/CZ-AdvanceDirectives-HDR-DNR"/>
    </entry>
  </section>
  <section>
    <title value="Očkování"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="11369-6"/>
        <display value="History of Immunization Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Immunizations at discharge</div>
    </text>
    <entry>🔗 
      <reference value="Immunization/Immunization"/>
    </entry>
  </section>
  <section>
    <title value="Anamnéza"/>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="29762-2"/>
        <display value="Social history Narrative"/>
      </coding>
    </code>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Social history at discharge</div>
    </text>
    <entry>🔗 
      <reference value="Observation/ExampleSdohSmoking"/>
    </entry>
    <entry>🔗 
      <reference value="Observation/ExampleSdohAlcohol"/>
    </entry>
  </section>
  <section>
    <title value="Přílohy"/>
    <text>
      <status value="generated"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Přílohy</div>
    </text>
    <entry>🔗 
      <reference value="DocumentReference/DischargeDocumenPDF"/>
    </entry>
    <entry>🔗 
      <reference value="DocumentReference/DischargeDocumentHTML"/>
    </entry>
  </section>
</Composition>