DischargeBundle-Story-GynDelivery
type: Bundle
node role: treeRoot
id:
  v: DischargeBundle-Story-GynDelivery
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-bundle-hdr
    l: cz-bundle-hdr
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:uuid:bundle-story-gyn-delivery
type:
  v: document
timestamp:
  v: 2026-03-04T18:31:00+01:00
entry:
  full url:
    v: urn:uuid:composition-story-gyn-delivery
    l: composition-story-gyn-delivery
  resource: composition-story-gyn-delivery
entry:
  full url:
    v: urn:uuid:patient-story-mother
    l: patient-story-mother
  resource: patient-story-mother
entry:
  full url:
    v: urn:uuid:patient-story-newborn
    l: patient-story-newborn
  resource: patient-story-newborn
entry:
  full url:
    v: urn:uuid:encounter-story-delivery
    l: encounter-story-delivery
  resource: encounter-story-delivery
entry:
  full url:
    v: urn:uuid:coverage-story-mother
    l: coverage-story-mother
  resource: coverage-story-mother
entry:
  full url:
    v: urn:uuid:allergy-story-environmental
    l: allergy-story-environmental
  resource: allergy-story-environmental
entry:
  full url:
    v: urn:uuid:allergy-story-zinnat
    l: allergy-story-zinnat
  resource: allergy-story-zinnat
entry:
  full url:
    v: urn:uuid:procedure-story-delivery-method
    l: procedure-story-delivery-method
  resource: procedure-story-delivery-method
entry:
  full url:
    v: urn:uuid:procedure-story-induction
    l: procedure-story-induction
  resource: procedure-story-induction
entry:
  full url:
    v: urn:uuid:condition-story-primary
    l: condition-story-primary
  resource: condition-story-primary
entry:
  full url:
    v: urn:uuid:condition-story-o13
    l: condition-story-o13
  resource: condition-story-o13
entry:
  full url:
    v: urn:uuid:condition-story-o244
    l: condition-story-o244
  resource: condition-story-o244
entry:
  full url:
    v: urn:uuid:condition-story-o691
    l: condition-story-o691
  resource: condition-story-o691
entry:
  full url:
    v: urn:uuid:condition-story-o700
    l: condition-story-o700
  resource: condition-story-o700
entry:
  full url:
    v: urn:uuid:condition-story-z370
    l: condition-story-z370
  resource: condition-story-z370
entry:
  full url:
    v: urn:uuid:observation-story-gravidity
    l: observation-story-gravidity
  resource: observation-story-gravidity
entry:
  full url:
    v: urn:uuid:observation-story-parity
    l: observation-story-parity
  resource: observation-story-parity
entry:
  full url:
    v: urn:uuid:observation-story-multiple-pregnancy
    l: observation-story-multiple-pregnancy
  resource: observation-story-multiple-pregnancy
entry:
  full url:
    v: urn:uuid:observation-story-gest-age
    l: observation-story-gest-age
  resource: observation-story-gest-age
entry:
  full url:
    v: urn:uuid:observation-story-birth-weight
    l: observation-story-birth-weight
  resource: observation-story-birth-weight
entry:
  full url:
    v: urn:uuid:observation-story-birth-length
    l: observation-story-birth-length
  resource: observation-story-birth-length
entry:
  full url:
    v: urn:uuid:observation-story-apgar-1
    l: observation-story-apgar-1
  resource: observation-story-apgar-1
entry:
  full url:
    v: urn:uuid:observation-story-apgar-5
    l: observation-story-apgar-5
  resource: observation-story-apgar-5
entry:
  full url:
    v: urn:uuid:observation-story-apgar-10
    l: observation-story-apgar-10
  resource: observation-story-apgar-10
entry:
  full url:
    v: urn:uuid:observation-story-uz
    l: observation-story-uz
  resource: observation-story-uz
entry:
  full url:
    v: urn:uuid:observation-story-blood-group
    l: observation-story-blood-group
  resource: observation-story-blood-group
entry:
  full url:
    v: urn:uuid:medication-story-dopegyt
    l: medication-story-dopegyt
  resource: medication-story-dopegyt
entry:
  full url:
    v: urn:uuid:medication-story-fraxiparine
    l: medication-story-fraxiparine
  resource: medication-story-fraxiparine
entry:
  full url:
    v: urn:uuid:medication-story-lidocaine-egis
    l: medication-story-lidocaine-egis
  resource: medication-story-lidocaine-egis
entry:
  full url:
    v: urn:uuid:medication-story-ofost
    l: medication-story-ofost
  resource: medication-story-ofost
entry:
  full url:
    v: urn:uuid:medication-story-prostin-e2
    l: medication-story-prostin-e2
  resource: medication-story-prostin-e2
entry:
  full url:
    v: urn:uuid:medicationrequest-story-dopegyt-discharge
    l: medicationrequest-story-dopegyt-discharge
  resource: medicationrequest-story-dopegyt-discharge
entry:
  full url:
    v: urn:uuid:medicationrequest-story-fraxiparine-discharge
    l: medicationrequest-story-fraxiparine-discharge
  resource: medicationrequest-story-fraxiparine-discharge
entry:
  full url:
    v: urn:uuid:practitioner-cerna-raketa
    l: practitioner-cerna-raketa
  resource: practitioner-cerna-raketa
entry:
  full url:
    v: urn:uuid:practitioner-bila-palka
    l: practitioner-bila-palka
  resource: practitioner-bila-palka
entry:
  full url:
    v: urn:uuid:practitioner-novakovajana-gp
    l: practitioner-novakovajana-gp
  resource: practitioner-novakovajana-gp
entry:
  full url:
    v: urn:uuid:practitioner-novakovajana-gyn
    l: practitioner-novakovajana-gyn
  resource: practitioner-novakovajana-gyn

composition-story-gyn-delivery
type: Composition
id:
  v: composition-story-gyn-delivery
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr
    l: cz-composition-hdr
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Composition composition-story-gyn-delivery Profile: Composition (HDR CZ) Composition: Information recipient: Practitioner Pavel Kral Composition: Information recipient: Practitioner Petra Vesela status: Final type: Hospital Discharge summary encounter: Encounter: status = finished; class = lůžkový kontakt (ActCode#IMP); period = 2026-03-03 05:22:00+0100 --> 2026-03-04 18:41:00+0100 date: 2026-03-04 18:31:00+0100 author: Practitioner Palka Bila title: Gynekologická propouštěcí zpráva - indukovaný vaginální porod
extension:
  url:
    v: http://hl7.eu/fhir/StructureDefinition/information-recipient
    l: information-recipient
  value: Reference
    l: practitioner-novakovajana-gp
    reference:
      v: Practitioner/practitioner-novakovajana-gp
extension:
  url:
    v: http://hl7.eu/fhir/StructureDefinition/information-recipient
    l: information-recipient
  value: Reference
    l: practitioner-novakovajana-gyn
    reference:
      v: Practitioner/practitioner-novakovajana-gyn
extension:
  url:
    v: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
    l: presentedForm
status:
  v: final
type:
  coding: https://loinc.org/rdf/34105-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 34105-7
    display:
      v: Hospital Discharge summary
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
encounter:
  l: encounter-story-delivery
  reference:
    v: Encounter/encounter-story-delivery
date:
  v: 2026-03-04T18:31:00+01:00
author:
  l: practitioner-bila-palka
  reference:
    v: Practitioner/practitioner-bila-palka
title:
  v: Gynekologická propouštěcí zpráva - indukovaný vaginální porod
section:
  title:
    v: Příjmové vyšetření
  code:
    coding: https://loinc.org/rdf/67851-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 67851-6
      display:
        v: Příjmové vyšetření
  text:
    status:
      v: additional
    div:
      v: Přijata pro zesilující děložní kontrakce. Subjektivně: cítí se dobře, pohyby plodu cítí, cefaleu neguje, epigastrickou bolest neguje, vizus v normě, otoky prstů horních i dolních končetin, bez krvácení. Objektivně: PPH, hlava naléhá, branka 5 cm, hmatný VB, kontrakce á 5 min. KTG: fyziologický záznam, akcelerace přítomny, bez decelerací, oscilace undulatorní. UZ břicha (Samsung R7, 02.03.): PPH, postavení II přední, ASP+, PP+, placenta na zadní stěně mimo DS, přídatný lalok i na přední stěně, bez známek patologie plodové vody, normohydramnion. EFW 01.03.2026: 3480 g, proporční růst. Závěr: gravidita 40+2 dle UZ, IV/II, GBS pozitivní, GDM na dietě, gestační hypertenze na Dopegytu 1-0-1. Doporučení při příjmu: s ohledem na GBS pozitivitu doporučena antibiotická profylaxe, dále příprava k porodu, spontánní vedení porodu, KTG á 3 hod, OP á 30 min, TK á 3 hod.
  section:
    title:
      v: Somatické vyšetření­
    code:
      coding: http://snomed.info/id/425044008
    text:
      status:
        v: additional
      div:
        v: Součástí příjmového vyšetření bylo i UZ vyšetření na přístroji Samsung R7. Doplněno laboratorní vyšetření krevní skupiny: 0 RhD pozitivní.
    entry:
      l: observation-story-uz
      reference:
        v: Observation/observation-story-uz
    entry:
      l: observation-story-blood-group
      reference:
        v: Observation/observation-story-blood-group
section:
  title:
    v: Průběh hospitalizace
  code:
    coding: https://loinc.org/rdf/8648-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8648-8
      display:
        v: Průběh hospitalizace
  text:
    status:
      v: additional
    div:
      v: Hospitalizace od 03.03.2026 05:22 do 04.03.2026 18:41. Přijata pro pravidelné kontrakce á 5 minut. Pro stagnaci porodnického nálezu byla provedena indukce porodu Prostin E2. Poporodní průběh bez komplikací.
  section:
    title:
      v: Porod
    code:
      coding: https://loinc.org/rdf/57074-7
    text:
      status:
        v: additional
      div:
        v: Porodnický průběh: přijata pro pravidelné kontrakce á 5 minut v gestačním stáří 40+2. Pro stagnaci porodnického nálezu byla zahájena indukce porodu Prostin E2. Porod dne 03.03.2026 v 17:13, spontánně záhlavím. Během porodu pupečník 1x kolem krku s kompresí. Porodní poranění: ruptura perinea I. stupně, ošetřeno suturou. Odhadovaná krevní ztráta 250 ml. Novorozenec: chlapec, živě narozený, porodní hmotnost 3200 g, délka 50 cm, APGAR 10-10-10. Souvislosti: GBS pozitivita, gestační hypertenze (Dopegyt), gestační diabetes na dietě.
    entry:
      l: procedure-story-delivery-method
      reference:
        v: Procedure/procedure-story-delivery-method
    entry:
      l: procedure-story-induction
      reference:
        v: Procedure/procedure-story-induction
    entry:
      l: condition-story-o700
      reference:
        v: Condition/condition-story-o700
    entry:
      l: observation-story-birth-weight
      reference:
        v: Observation/observation-story-birth-weight
    entry:
      l: observation-story-birth-length
      reference:
        v: Observation/observation-story-birth-length
    entry:
      l: observation-story-apgar-1
      reference:
        v: Observation/observation-story-apgar-1
    entry:
      l: observation-story-apgar-5
      reference:
        v: Observation/observation-story-apgar-5
    entry:
      l: observation-story-apgar-10
      reference:
        v: Observation/observation-story-apgar-10
    entry:
      l: observation-story-gest-age
      reference:
        v: Observation/observation-story-gest-age
    entry:
      l: patient-story-newborn
      reference:
        v: Patient/patient-story-newborn
    entry:
      l: condition-story-o691
      reference:
        v: Condition/condition-story-o691
    entry:
      l: condition-story-z370
      reference:
        v: Condition/condition-story-z370
section:
  title:
    v: Anamnéza
  code:
    coding: https://loinc.org/rdf/35090-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 35090-0
      display:
        v: Anamnestická poznámka
  text:
    status:
      v: additional
    div:
      v: Bez trvalé léčby mimo graviditu, nyní GDM dieta (také ve II. graviditě), TEN 0, úrazy 0, operace 0, transfuze 0, epidemiologická anamnéza bez očkování proti RSV. FA: aktuálně dlouhodobě Dopegyt. FF: močení i stolice v pořádku.
  section:
    title:
      v: Rodinná anamnéza
    code:
      coding: https://loinc.org/rdf/10157-6
    text:
      status:
        v: additional
      div:
        v: Matka karcinom prsu v 57 letech, hypertenze a onemocnění štítné žlázy; bratři hypertenze; sestra hypotyreóza; prarodiče diabetes mellitus; dědeček leukemie.
  section:
    title:
      v: Těhotenská anamnéza
    code:
      coding: https://loinc.org/rdf/10162-6
    text:
      status:
        v: additional

patient-story-mother
type: Patient
id:
  v: patient-story-mother
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient patient-story-mother Profile: Patient (CZ core) Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) Other Id: https://ncez.mzcr.cz/fhir/sid/rcis/8653034455 Contact Detail Prostejov, CZ
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/rid
    l: rid
  value:
    v: 9003001122
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/rcis
    l: rcis
  value:
    v: 8653034455
name:
  use:
    v: usual
  family:
    v: Dvorakova
  given:
    v: Petra
gender:
  v: female
birth date:
  v: 1986-05-03
address:
  text:
    v: Prostejov, CZ

patient-story-newborn
type: Patient
id:
  v: patient-story-newborn
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient patient-story-newborn Profile: Patient (CZ core) Jan Dvorak (official) Male, DoB: 2026-03-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003007788) Multiple Birth: false Links: Also see: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/rid
    l: rid
  value:
    v: 9003007788
name:
  use:
    v: official
  family:
    v: Dvorak
  given:
    v: Jan
gender:
  v: male
birth date:
  v: 2026-03-03
multiple birth: Boolean
  v: false
link:
  other:
    l: patient-story-mother
    reference:
      v: Patient/patient-story-mother
  type:
    v: seealso

encounter-story-delivery
type: Encounter
id:
  v: encounter-story-delivery
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-encounter-hdr
    l: cz-encounter-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter encounter-story-delivery Profile: Encounter (HDR CZ) status: finished class: ActCode: IMP (lůžkový kontakt) subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) participant type: admitter individual: Practitioner Raketa Cerna participant type: discharger individual: Practitioner Palka Bila period: 2026-03-03 05:22:00+0100 --> 2026-03-04 18:41:00+0100 Hospitalizations - DischargeDisposition * Domů serviceProvider: Organization Porodni oddeleni Nemocnice Prostejov
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: IMP
  display:
    v: lůžkový kontakt
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
participant:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: ADM
  individual:
    l: practitioner-cerna-raketa
    reference:
      v: Practitioner/practitioner-cerna-raketa
participant:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: DIS
  individual:
    l: practitioner-bila-palka
    reference:
      v: Practitioner/practitioner-bila-palka
period:
  start:
    v: 2026-03-03T05:22:00+01:00
  end:
    v: 2026-03-04T18:41:00+01:00
hospitalization:
  discharge disposition:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/discharge-disposition
        l: discharge-disposition
      code:
        v: home
      display:
        v: Domů
service provider:
  l: organization-prostejov-maternity
  reference:
    v: Organization/organization-prostejov-maternity

coverage-story-mother
type: Coverage
id:
  v: coverage-story-mother
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-coverage
    l: cz-coverage
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Coverage coverage-story-mother Profile: Coverage (CZ) identifier: https://ncez.mzcr.cz/fhir/sid/cislo-pojistence/8653034455 status: Active beneficiary: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) payor: Organization Vseobecna zdravotni pojistovna Ceske republiky
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/cislo-pojistence
    l: cislo-pojistence
  value:
    v: 8653034455
status:
  v: active
beneficiary:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
payor:
  l: organization-payer-111-story
  reference:
    v: Organization/organization-payer-111-story

allergy-story-environmental
type: AllergyIntolerance
id:
  v: allergy-story-environmental
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyIntolerance-hdr
    l: cz-allergyIntolerance-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance allergy-story-environmental Profile: Allergy Intolerance (HDR CZ) identifier: urn:oid:1.2.203.24341.1.1.999/Allergy-Story-Environmental-001 clinicalStatus: Active verificationStatus: Unconfirmed code: Travy, prach, pyl patient: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
identifier:
  system:
    v: urn:oid:1.2.203.24341.1.1.999
    l: 1.2.203.24341.1.1.999
  value:
    v: Allergy-Story-Environmental-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: unconfirmed
code:
  text:
    v: Travy, prach, pyl
patient:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother

allergy-story-zinnat
type: AllergyIntolerance
id:
  v: allergy-story-zinnat
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyIntolerance-hdr
    l: cz-allergyIntolerance-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance allergy-story-zinnat Profile: Allergy Intolerance (HDR CZ) identifier: urn:oid:1.2.203.24341.1.1.999/Allergy-Story-Zinnat-001 clinicalStatus: Active verificationStatus: Unconfirmed code: Zinnat patient: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) Reactions - Manifestation Description * Závrať Vertigo
identifier:
  system:
    v: urn:oid:1.2.203.24341.1.1.999
    l: 1.2.203.24341.1.1.999
  value:
    v: Allergy-Story-Zinnat-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: unconfirmed
code:
  text:
    v: Zinnat
patient:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
reaction:
  manifestation:
    coding: http://snomed.info/id/404640003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 404640003
      display:
        v: Závrať
  description:
    v: Vertigo

procedure-story-delivery-method
type: Procedure
id:
  v: procedure-story-delivery-method
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-method-of-delivery
    l: cz-procedure-method-of-delivery
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Procedure procedure-story-delivery-method Profile: Procedure: Method of Delivery (CZ) status: Completed code: Vaginální porod subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) performed: 2026-03-03 17:13:00+0100 Performers - Actor * Practitioner Raketa Cerna
status:
  v: completed
code:
  coding: http://snomed.info/id/22640007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 22640007
    display:
      v: Vaginální porod
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
performed: DateTime
  v: 2026-03-03T17:13:00+01:00
performer:
  actor:
    l: practitioner-cerna-raketa
    reference:
      v: Practitioner/practitioner-cerna-raketa

procedure-story-induction
type: Procedure
id:
  v: procedure-story-induction
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-induction-of-labor
    l: cz-procedure-induction-of-labor
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Procedure procedure-story-induction Profile: Procedure: Maternal - Induction of labor (CZ) status: Completed code: Indukce porodu subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) performed: 2026-03-03 12:30:00+0100 --> 2026-03-03 16:30:00+0100
status:
  v: completed
code:
  coding: http://snomed.info/id/398307005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 398307005
    display:
      v: Indukce porodu
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
performed: Period
  start:
    v: 2026-03-03T12:30:00+01:00
  end:
    v: 2026-03-03T16:30:00+01:00

condition-story-primary
type: Condition
id:
  v: condition-story-primary
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition condition-story-primary Profile: Condition (HDR CZ) clinicalStatus: Active verificationStatus: Confirmed code: IZ, III.p., CH 3200g, rpt.perinei I, KS 0 pozit., ZK 250ml subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: O800
    display:
      v: IZ, III.p., CH 3200g, rpt.perinei I, KS 0 pozit., ZK 250ml
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother

condition-story-o13
type: Condition
id:
  v: condition-story-o13
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition condition-story-o13 Profile: Condition (HDR CZ) clinicalStatus: Active verificationStatus: Confirmed code: Gestační (vyvolaná těhotenstvím) hypertenze subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: O13
    display:
      v: Gestační (vyvolaná těhotenstvím) hypertenze
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother

condition-story-o244
type: Condition
id:
  v: condition-story-o244
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition condition-story-o244 Profile: Condition (HDR CZ) clinicalStatus: Active verificationStatus: Confirmed code: Diabetes mellitus vzniklý v těhotenství subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: O244
    display:
      v: Diabetes mellitus vzniklý v těhotenství
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother

condition-story-o691
type: Condition
id:
  v: condition-story-o691
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition condition-story-o691 Profile: Condition (HDR CZ) clinicalStatus: Active verificationStatus: Confirmed code: Porod komplikovaný pupečníkem kolem krku s kompresí subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: O691
    display:
      v: Porod komplikovaný pupečníkem kolem krku s kompresí
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother

condition-story-o700
type: Condition
id:
  v: condition-story-o700
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition condition-story-o700 Profile: Condition (HDR CZ) clinicalStatus: Active verificationStatus: Confirmed code: Trhlina hráze prvního stupně při porodu subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) onset: 2026-03-03 17:13:00+0100
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: O700
    display:
      v: Trhlina hráze prvního stupně při porodu
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
onset: DateTime
  v: 2026-03-03T17:13:00+01:00

condition-story-z370
type: Condition
id:
  v: condition-story-z370
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition condition-story-z370 Profile: Condition (HDR CZ) clinicalStatus: Active verificationStatus: Confirmed code: Jediné dítě, živě narozené subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-clinical
      l: condition-clinical
    code:
      v: active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/condition-ver-status
      l: condition-ver-status
    code:
      v: confirmed
code:
  coding:
    system:
      v: http://hl7.org/fhir/sid/icd-10
      l: icd-10
    code:
      v: Z370
    display:
      v: Jediné dítě, živě narozené
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother

observation-story-gravidity
type: Observation
id:
  v: observation-story-gravidity
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-gravidity
    l: cz-observation-gravidity
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-gravidity Profile: Observation: Maternal - Gravidity (CZ) status: Final code: [#] Pregnancies subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 10:00:00+0100 value: 4
status:
  v: final
code:
  coding: https://loinc.org/rdf/11996-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11996-6
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
effective: DateTime
  v: 2026-03-03T10:00:00+01:00
value: Integer
  v: 4

observation-story-parity
type: Observation
id:
  v: observation-story-parity
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-parity
    l: cz-observation-parity
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-parity Profile: Observation: Maternal - Parity (CZ) status: Final code: [#] Parity subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 10:00:00+0100 value: 2
status:
  v: final
code:
  coding: https://loinc.org/rdf/11977-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11977-6
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
effective: DateTime
  v: 2026-03-03T10:00:00+01:00
value: Integer
  v: 2

observation-story-multiple-pregnancy
type: Observation
id:
  v: observation-story-multiple-pregnancy
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-multiple-pregnancy
    l: cz-observation-multiple-pregnancy
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-multiple-pregnancy Profile: Observation: Maternal - Multiple pregnancy and fetus count (CZ) status: Final code: Was this a multiple pregnancy [PhenX] subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 10:00:00+0100 value: false Components - Code Value[x] * Number of fetuses 1
status:
  v: final
code:
  coding: https://loinc.org/rdf/64724-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 64724-8
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
effective: DateTime
  v: 2026-03-03T10:00:00+01:00
value: Boolean
  v: false
component:
  code:
    coding: https://loinc.org/rdf/55281-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 55281-0
  value: Integer
    v: 1

observation-story-gest-age
type: Observation
id:
  v: observation-story-gest-age
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-gest-age status: Final code: Gestační stáří při porodu subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 17:13:00+0100 value: 40+2
status:
  v: final
code:
  coding: https://loinc.org/rdf/76516-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 76516-4
    display:
      v: Gestační stáří při porodu
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
effective: DateTime
  v: 2026-03-03T17:13:00+01:00
value: String
  v: 40+2

observation-story-birth-weight
type: Observation
id:
  v: observation-story-birth-weight
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-birth-weight
    l: cz-observation-birth-weight
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-birth-weight Profile: Observation: Birth Weight (CZ) status: Final code: Birth weight measured subject: Jan Dvorak (official) Male, DoB: 2026-03-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003007788) value: 3200 g (Details: UCUM codeg = 'g')
status:
  v: final
code:
  coding: https://loinc.org/rdf/8339-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8339-4
    display:
      v: Birth weight measured
subject:
  l: patient-story-newborn
  reference:
    v: Patient/patient-story-newborn
value: Quantity
  value:
    v: 3200
  unit:
    v: g
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: g

observation-story-birth-length
type: Observation
id:
  v: observation-story-birth-length
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-birth-length
    l: cz-observation-birth-length
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-birth-length Profile: Observation: Birth Length (CZ) status: Final code: Birth height measured subject: Jan Dvorak (official) Male, DoB: 2026-03-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003007788) value: 50 cm (Details: UCUM codecm = 'cm')
status:
  v: final
code:
  coding: https://loinc.org/rdf/89269-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 89269-5
    display:
      v: Birth height measured
subject:
  l: patient-story-newborn
  reference:
    v: Patient/patient-story-newborn
value: Quantity
  value:
    v: 50
  unit:
    v: cm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: cm

observation-story-apgar-1
type: Observation
id:
  v: observation-story-apgar-1
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-apgar-score-1min
    l: cz-observation-apgar-score-1min
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-apgar-1 Profile: Observation: APGAR Score at 1 Minute (CZ) status: Final code: Apgar score 1 minute subject: Jan Dvorak (official) Male, DoB: 2026-03-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003007788) effective: 2026-03-03 17:14:00+0100 value: 10
status:
  v: final
code:
  coding: https://loinc.org/rdf/9272-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 9272-6
    display:
      v: Apgar score 1 minute
subject:
  l: patient-story-newborn
  reference:
    v: Patient/patient-story-newborn
effective: DateTime
  v: 2026-03-03T17:14:00+01:00
value: Integer
  v: 10

observation-story-apgar-5
type: Observation
id:
  v: observation-story-apgar-5
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-apgar-score-5min
    l: cz-observation-apgar-score-5min
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-apgar-5 Profile: Observation: APGAR Score at 5 Minutes (CZ) status: Final code: Apgar score 5 minute subject: Jan Dvorak (official) Male, DoB: 2026-03-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003007788) effective: 2026-03-03 17:18:00+0100 value: 10
status:
  v: final
code:
  coding: https://loinc.org/rdf/9274-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 9274-2
    display:
      v: Apgar score 5 minute
subject:
  l: patient-story-newborn
  reference:
    v: Patient/patient-story-newborn
effective: DateTime
  v: 2026-03-03T17:18:00+01:00
value: Integer
  v: 10

observation-story-apgar-10
type: Observation
id:
  v: observation-story-apgar-10
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-apgar-score-10min
    l: cz-observation-apgar-score-10min
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-apgar-10 Profile: Observation: APGAR Score at 10 Minutes (CZ) status: Final code: Apgar score 10 minute subject: Jan Dvorak (official) Male, DoB: 2026-03-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003007788) effective: 2026-03-03 17:23:00+0100 value: 10
status:
  v: final
code:
  coding: https://loinc.org/rdf/9271-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 9271-8
    display:
      v: Apgar score 10 minute
subject:
  l: patient-story-newborn
  reference:
    v: Patient/patient-story-newborn
effective: DateTime
  v: 2026-03-03T17:23:00+01:00
value: Integer
  v: 10

observation-story-uz
type: Observation
id:
  v: observation-story-uz
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-uz status: Final category: Imaging code: Obstetric ultrasound scan subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-02 10:00:00+0100 value: UZ: PPH, postavení II přední, ASP+, PP+, placenta na zadní stěně mimo DS, přídatný lalok i na přední stěně, bez známek patologie plodové vody, normohydramnion, EFW 3480 g, proporční. device: Device: manufacturer = Samsung; modelNumber = R7; type = Ultrasound imaging system
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: imaging
code:
  coding: http://snomed.info/id/169238002
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 169238002
    display:
      v: Obstetric ultrasound scan
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
effective: DateTime
  v: 2026-03-02T10:00:00+01:00
value: String
  v: UZ: PPH, postavení II přední, ASP+, PP+, placenta na zadní stěně mimo DS, přídatný lalok i na přední stěně, bez známek patologie plodové vody, normohydramnion, EFW 3480 g, proporční.
device:
  l: device-story-samsung-r7
  reference:
    v: Device/device-story-samsung-r7

observation-story-blood-group
type: Observation
id:
  v: observation-story-blood-group
meta:
  profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory
    l: cz-observation-result-laboratory
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation-story-blood-group Profile: Observation Laboratory (CZ) status: Final category: Laboratory, Laboratory studies (set) code: AB0 a RhD krevní skupina subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 06:10:00+0100 performer: Practitioner Raketa Cerna value: 0 RhD pozitivní (0+)
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
category:
  coding: https://loinc.org/rdf/26436-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 26436-6
    display:
      v: Laboratory studies (set)
code:
  coding:
    system:
      v: https://nclp.ncez.mzcr.cz/CodeSystem/NCLPPOL
      l: NCLPPOL
    code:
      v: 15961
    display:
      v: AB0 a RhD krevní skupina
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
effective: DateTime
  v: 2026-03-03T06:10:00+01:00
performer:
  l: practitioner-cerna-raketa
  reference:
    v: Practitioner/practitioner-cerna-raketa
value: CodeableConcept
  text:
    v: 0 RhD pozitivní (0+)

medication-story-dopegyt
type: Medication
id:
  v: medication-story-dopegyt
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication-story-dopegyt Profile: Medication (CZ) identifier: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/DLP-DOPEGYT-001 code: Dopegyt 250 mg tablety status: Active
identifier:
  system:
    v: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs
    l: cz-dlplecivepripravky-cs
  value:
    v: DLP-DOPEGYT-001
code:
  coding:
    system:
      v: http://www.whocc.no/atc
      l: atc
    code:
      v: C02AB01
    display:
      v: Methyldopa
  text:
    v: Dopegyt 250 mg tablety
status:
  v: active

medication-story-fraxiparine
type: Medication
id:
  v: medication-story-fraxiparine
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication-story-fraxiparine Profile: Medication (CZ) identifier: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/DLP-FRAXIPARINE-001 code: Fraxiparine 0.6 ml status: Active
identifier:
  system:
    v: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs
    l: cz-dlplecivepripravky-cs
  value:
    v: DLP-FRAXIPARINE-001
code:
  coding:
    system:
      v: http://www.whocc.no/atc
      l: atc
    code:
      v: B01AB06
    display:
      v: Nadroparin
  text:
    v: Fraxiparine 0.6 ml
status:
  v: active

medication-story-lidocaine-egis
type: Medication
id:
  v: medication-story-lidocaine-egis
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication-story-lidocaine-egis Profile: Medication (CZ) identifier: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/DLP-LIDOCAINEEGIS-001 code: Lidocaine EGIS status: Active
identifier:
  system:
    v: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs
    l: cz-dlplecivepripravky-cs
  value:
    v: DLP-LIDOCAINEEGIS-001
code:
  text:
    v: Lidocaine EGIS
status:
  v: active

medication-story-ofost
type: Medication
id:
  v: medication-story-ofost
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication-story-ofost Profile: Medication (CZ) identifier: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/DLP-OFOST-001 code: OFOST status: Active
identifier:
  system:
    v: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs
    l: cz-dlplecivepripravky-cs
  value:
    v: DLP-OFOST-001
code:
  text:
    v: OFOST
status:
  v: active

medication-story-prostin-e2
type: Medication
id:
  v: medication-story-prostin-e2
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication-story-prostin-e2 Profile: Medication (CZ) identifier: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs/DLP-PROSTINE2-001 code: Prostin E2 status: Active
identifier:
  system:
    v: https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs
    l: cz-dlplecivepripravky-cs
  value:
    v: DLP-PROSTINE2-001
code:
  coding:
    system:
      v: http://www.whocc.no/atc
      l: atc
    code:
      v: G02AD02
    display:
      v: Dinoprostone
  text:
    v: Prostin E2
status:
  v: active

medicationrequest-story-dopegyt-discharge
type: MedicationRequest
id:
  v: medicationrequest-story-dopegyt-discharge
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationRequest-hdr
    l: cz-medicationRequest-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest medicationrequest-story-dopegyt-discharge Profile: MedicationRequest (HDR CZ) status: Active intent: Order medication: Medication Methyldopa subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) encounter: Encounter: status = finished; class = lůžkový kontakt (ActCode#IMP); period = 2026-03-03 05:22:00+0100 --> 2026-03-04 18:41:00+0100 authoredOn: 2026-03-04 18:31:00+0100 requester: Practitioner Palka Bila DosageInstructions - Text * 1-0-1 po 12 hodinách (07:00, 19:00). DispenseRequests - Quantity * 60 tablet Substitutions - Allowed[x] * Substituce nepovolena
status:
  v: active
intent:
  v: order
medication: Reference
  l: medication-story-dopegyt
  reference:
    v: Medication/medication-story-dopegyt
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
encounter:
  l: encounter-story-delivery
  reference:
    v: Encounter/encounter-story-delivery
authored on:
  v: 2026-03-04T18:31:00+01:00
requester:
  l: practitioner-bila-palka
  reference:
    v: Practitioner/practitioner-bila-palka
dosage instruction:
  text:
    v: 1-0-1 po 12 hodinách (07:00, 19:00).
dispense request:
  quantity:
    value:
      v: 60
    unit:
      v: tablet
substitution:
  allowed: CodeableConcept
    text:
      v: Substituce nepovolena

medicationrequest-story-fraxiparine-discharge
type: MedicationRequest
id:
  v: medicationrequest-story-fraxiparine-discharge
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationRequest-hdr
    l: cz-medicationRequest-hdr
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest medicationrequest-story-fraxiparine-discharge Profile: MedicationRequest (HDR CZ) status: Active intent: Order medication: Medication Nadroparin subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) encounter: Encounter: status = finished; class = lůžkový kontakt (ActCode#IMP); period = 2026-03-03 05:22:00+0100 --> 2026-03-04 18:41:00+0100 authoredOn: 2026-03-04 18:31:00+0100 requester: Practitioner Palka Bila DosageInstructions - Text * 0,6 ml s.c. 1x denně v 18:00 do 10.03.2026 včetně. DispenseRequests - Quantity * 7 dávka Substitutions - Allowed[x] * Substituce nepovolena
status:
  v: active
intent:
  v: order
medication: Reference
  l: medication-story-fraxiparine
  reference:
    v: Medication/medication-story-fraxiparine
subject:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother
encounter:
  l: encounter-story-delivery
  reference:
    v: Encounter/encounter-story-delivery
authored on:
  v: 2026-03-04T18:31:00+01:00
requester:
  l: practitioner-bila-palka
  reference:
    v: Practitioner/practitioner-bila-palka
dosage instruction:
  text:
    v: 0,6 ml s.c. 1x denně v 18:00 do 10.03.2026 včetně.
dispense request:
  quantity:
    value:
      v: 7
    unit:
      v: dávka
substitution:
  allowed: CodeableConcept
    text:
      v: Substituce nepovolena

practitioner-cerna-raketa
type: Practitioner
id:
  v: practitioner-cerna-raketa
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner practitioner-cerna-raketa Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/971234701 name: Raketa Cerna
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/krzp
    l: krzp
  value:
    v: 971234701
name:
  use:
    v: usual
  family:
    v: Cerna
  given:
    v: Raketa
  prefix:
    v: MUDr.

practitioner-bila-palka
type: Practitioner
id:
  v: practitioner-bila-palka
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner practitioner-bila-palka Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/971234702 name: Palka Bila
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/krzp
    l: krzp
  value:
    v: 971234702
name:
  use:
    v: usual
  family:
    v: Bila
  given:
    v: Palka
  prefix:
    v: MUDr.

practitioner-novakovajana-gp
type: Practitioner
id:
  v: practitioner-novakovajana-gp
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner practitioner-novakovajana-gp Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/971234560 name: Pavel Kral telecom: +420725111222
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/krzp
    l: krzp
  value:
    v: 971234560
name:
  use:
    v: usual
  family:
    v: Kral
  given:
    v: Pavel
  prefix:
    v: MUDr.
telecom:
  system:
    v: phone
  value:
    v: +420725111222
  use:
    v: work

practitioner-novakovajana-gyn
type: Practitioner
id:
  v: practitioner-novakovajana-gyn
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner practitioner-novakovajana-gyn Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/971234561 name: Petra Vesela telecom: +420725333444
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/krzp
    l: krzp
  value:
    v: 971234561
name:
  use:
    v: usual
  family:
    v: Vesela
  given:
    v: Petra
  prefix:
    v: MUDr.
telecom:
  system:
    v: phone
  value:
    v: +420725333444
  use:
    v: work

practitionerrole-novakovajana-gp
type: PractitionerRole
id:
  v: practitionerrole-novakovajana-gp
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole practitionerrole-novakovajana-gp Profile: Practitioner Role (CZ core) practitioner: Practitioner Pavel Kral organization: Organization MUDr. Jana Krásná code: Lekar specialty: Family practice (qualifier value)
practitioner:
  l: practitioner-novakovajana-gp
  reference:
    v: Practitioner/practitioner-novakovajana-gp
organization:
  l: RegisteringProviderExample
  reference:
    v: Organization/RegisteringProviderExample
code:
  coding:
    system:
      v: https://ncez.mzcr.cz/fhir/CodeSystem/nrzp-povolani
      l: nrzp-povolani
    code:
      v: L00
    display:
      v: Lekar
specialty:
  coding: http://snomed.info/id/419772000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 419772000
    display:
      v: Family practice (qualifier value)

practitionerrole-novakovajana-gyn
type: PractitionerRole
id:
  v: practitionerrole-novakovajana-gyn
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: PractitionerRole practitionerrole-novakovajana-gyn Profile: Practitioner Role (CZ core) practitioner: Practitioner Petra Vesela organization: Organization MUDr. Jana Kouzelná code: Lekar specialty: Gynecology service
practitioner:
  l: practitioner-novakovajana-gyn
  reference:
    v: Practitioner/practitioner-novakovajana-gyn
organization:
  l: RegisteringProviderExample-gynecology
  reference:
    v: Organization/RegisteringProviderExample-gynecology
code:
  coding:
    system:
      v: https://ncez.mzcr.cz/fhir/CodeSystem/nrzp-povolani
      l: nrzp-povolani
    code:
      v: L00
    display:
      v: Lekar
specialty:
  coding: http://snomed.info/id/394586005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 394586005
    display:
      v: Gynecology service

organization-prostejov-hospital
type: Organization
id:
  v: organization-prostejov-hospital
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization organization-prostejov-hospital Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/ico/12345670 name: Nemocnice Prostejov a.s.
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/ico
    l: ico
  value:
    v: 12345670
name:
  v: Nemocnice Prostejov a.s.

organization-prostejov-maternity
type: Organization
id:
  v: organization-prostejov-maternity
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization organization-prostejov-maternity Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/ico/12345671 name: Porodni oddeleni Nemocnice Prostejov partOf: Organization Nemocnice Prostejov a.s.
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/ico
    l: ico
  value:
    v: 12345671
name:
  v: Porodni oddeleni Nemocnice Prostejov
part of:
  l: organization-prostejov-hospital
  reference:
    v: Organization/organization-prostejov-hospital

organization-payer-111-story
type: Organization
id:
  v: organization-payer-111-story
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization organization-payer-111-story Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/zdravotni-pojistovna/111 name: Vseobecna zdravotni pojistovna Ceske republiky
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/zdravotni-pojistovna
    l: zdravotni-pojistovna
  value:
    v: 111
name:
  v: Vseobecna zdravotni pojistovna Ceske republiky

registering-provider-example
type: Organization
id:
  v: RegisteringProviderExample
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
text:
  status:
    v: generated
  div:
    v: Samost. ordinace všeob. prakt. lékaře, MUDr. Stanislava Kubšová
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/ico
    l: ico
  value:
    v: 456789655
type:
  coding:
    system:
      v: https://ncez.mzcr.cz/fhir/CodeSystem/cz-drzar
      l: cz-drzar
    code:
      v: 320
    display:
      v: Samost. ordinace všeob. prakt. lékaře
name:
  v: MUDr. Jana Krásná

registering-provider-example-gynecology
type: Organization
id:
  v: RegisteringProviderExample-gynecology
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization RegisteringProviderExample-gynecology Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/ico/456789857, https://ncez.mzcr.cz/fhir/sid/icz/12345000, https://ncez.mzcr.cz/fhir/sid/icp/12345678 type: Samostatná ordinace PL - gynekologa name: MUDr. Jana Kouzelná telecom: +420603853227 address: Krátká 11, 70500 Ostrava Ostrava 70500 CZ
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/ico
    l: ico
  value:
    v: 456789857
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/icz
    l: icz
  value:
    v: 12345000
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/icp
    l: icp
  value:
    v: 12345678
type:
  coding:
    system:
      v: https://ncez.mzcr.cz/fhir/CodeSystem/cz-drzar
      l: cz-drzar
    code:
      v: 323
    display:
      v: Samostatná ordinace PL - gynekologa
name:
  v: MUDr. Jana Kouzelná
telecom:
  system:
    v: phone
  value:
    v: +420603853227
  use:
    v: work
address:
  line:
    v: Krátká 11, 70500 Ostrava
  city:
    v: Ostrava
  postal code:
    v: 70500
  country:
    v: CZ

device-story-samsung-r7
type: Device
id:
  v: device-story-samsung-r7
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device
    l: cz-medical-device
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Device device-story-samsung-r7 Profile: Medical Device (CZ) manufacturer: Samsung modelNumber: R7 type: Ultrasound imaging system patient: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122)
manufacturer:
  v: Samsung
model number:
  v: R7
type:
  coding: http://snomed.info/id/706171005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 706171005
    display:
      v: Ultrasound imaging system
patient:
  l: patient-story-mother
  reference:
    v: Patient/patient-story-mother

full url:
  v: urn:uuid:practitionerrole-novakovajana-gp
  l: practitionerrole-novakovajana-gp
resource: practitionerrole-novakovajana-gp

full url:
  v: urn:uuid:practitionerrole-novakovajana-gyn
  l: practitionerrole-novakovajana-gyn
resource: practitionerrole-novakovajana-gyn

full url:
  v: urn:uuid:organization-prostejov-hospital
  l: organization-prostejov-hospital
resource: organization-prostejov-hospital

full url:
  v: urn:uuid:organization-prostejov-maternity
  l: organization-prostejov-maternity
resource: organization-prostejov-maternity

full url:
  v: urn:uuid:organization-payer-111-story
  l: organization-payer-111-story
resource: organization-payer-111-story

full url:
  v: urn:uuid:registering-provider-example
  l: registering-provider-example
resource: registering-provider-example

full url:
  v: urn:uuid:registering-provider-example-gynecology
  l: registering-provider-example-gynecology
resource: registering-provider-example-gynecology

full url:
  v: urn:uuid:device-story-samsung-r7
  l: device-story-samsung-r7
resource: device-story-samsung-r7

v: 425044008

v: Physical exam section (record artifact)

v: 57074-7

v: Záznam o porodu

v: 10157-6

v: Rodinná anamnéza

v: 10162-6

v: Těhotenská anamnéza

v: Gravidita spontánní. Gravidita/parita IV/II, gestační stáří při porodu 40+2, singleton gravidita. Předchozí porody: 05/2016 spontánní porod záhlavím, chlapec 3800 g, epiziotomie a infekce poranění v šestinedělí; 02/2019 spontánní porod záhlavím 3740 g bez komplikací. Abortus: 01/2022 spontánní abortus completus. UUT: 0. Menarché v 11 letech, cyklus nepravidelný, gynekologické operace ne.

l: condition-story-primary
reference:
  v: Condition/condition-story-primary

l: observation-story-gest-age
reference:
  v: Observation/observation-story-gest-age

l: observation-story-gravidity
reference:
  v: Observation/observation-story-gravidity

l: observation-story-parity
reference:
  v: Observation/observation-story-parity

l: observation-story-multiple-pregnancy
reference:
  v: Observation/observation-story-multiple-pregnancy

title:
  v: Sociální a pracovní anamnéza
code:
  coding: https://loinc.org/rdf/29762-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29762-2
    display:
      v: Sociální anamnéza
text:
  status:
    v: additional
  div:
    v: Bydlí s manželem, na mateřské dovolené, povoláním lékařnice.

title:
  v: Epidemiologická anamnéza
code:
  coding:
    system:
      v: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
      l: temporarySystem-hdr-cz
    code:
      v: infection-contact
    display:
      v: Infekční kontakty
text:
  status:
    v: additional
  div:
    v: Bez významných rizikových kontaktů, proti RSV neočkována.

title:
  v: Užívání návykových látek
code:
  coding:
    system:
      v: https://hl7.cz/fhir/hdr/CodeSystem/temporarySystem-hdr-cz
      l: temporarySystem-hdr-cz
    code:
      v: substance-use
    display:
      v: Užívání návykových látek
text:
  status:
    v: additional
  div:
    v: Nekouří, alkohol nepije, drogy neužívá.

title:
  v: Alergie, intolerance a varování
code:
  coding: https://loinc.org/rdf/48765-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 48765-2
    display:
      v: Alergie a nežádoucí reakce
text:
  status:
    v: additional
  div:
    v: Alergie neověřeny - trávy, prach, pyl, Zinnat (vertigo).
entry:
  l: allergy-story-environmental
  reference:
    v: AllergyIntolerance/allergy-story-environmental
entry:
  l: allergy-story-zinnat
  reference:
    v: AllergyIntolerance/allergy-story-zinnat

title:
  v: Pharmacotherapy
code:
  coding: https://loinc.org/rdf/87232-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 87232-5
    display:
      v: Stručný přehled podaných léčiv
text:
  status:
    v: additional
  div:
    v: Během hospitalizace podány Dopegyt, Fraxiparine, Lidocaine, OFOST, Prostin E2. Při propuštění doporučen Dopegyt 1-0-1 a LMWH profylaxe do 10.03.2026 včetně.
entry:
  l: medication-story-dopegyt
  reference:
    v: Medication/medication-story-dopegyt
entry:
  l: medication-story-fraxiparine
  reference:
    v: Medication/medication-story-fraxiparine
entry:
  l: medication-story-lidocaine-egis
  reference:
    v: Medication/medication-story-lidocaine-egis
entry:
  l: medication-story-ofost
  reference:
    v: Medication/medication-story-ofost
entry:
  l: medication-story-prostin-e2
  reference:
    v: Medication/medication-story-prostin-e2

title:
  v: Hospital discharge medications
code:
  coding: https://loinc.org/rdf/75311-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 75311-1
    display:
      v: Hospital discharge medications
text:
  status:
    v: additional
  div:
    v: Doporučená medikace při propuštění: Dopegyt 1-0-1 a Fraxiparine 0,6 ml s.c. 1x denně do 10.03.2026 včetně.
entry:
  l: medicationrequest-story-dopegyt-discharge
  reference:
    v: MedicationRequest/medicationrequest-story-dopegyt-discharge
entry:
  l: medicationrequest-story-fraxiparine-discharge
  reference:
    v: MedicationRequest/medicationrequest-story-fraxiparine-discharge

title:
  v: Health insurance and payment information
code:
  coding: https://loinc.org/rdf/48768-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 48768-6
    display:
      v: Informace o plátci péče
text:
  status:
    v: additional
  div:
    v: Payer: 111 (VZP).
entry:
  l: coverage-story-mother
  reference:
    v: Coverage/coverage-story-mother

title:
  v: Plan of care
code:
  coding: https://loinc.org/rdf/18776-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18776-5
    display:
      v: Léčebný plán
text:
  status:
    v: additional
  div:
    v: Doporuceno: self-monitoring TK 5x denne, pri hodnotach nad 150/100 mmHg okamzita kontrola. Kontrola u praktickeho lekare do tydne, gynekologicka kontrola po sestinedeli.