HL7 Czech Hospital Discharge Report Implementation Guide
0.1.0 - ci-build

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 0.1.0 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

## Example Bundle: DischargeBundle-Novakova-Jana-NaturalBirth

Document Details

Profile: Bundle (HDR CZ)

Final Document at 2025-05-20 11:30:00+0200 by Practitioner Eva Svobodova for Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567) in encounter Encounter: status = finished; class = inpatient encounter (ActCode#IMP); priority = urgent; period = 2025-05-17 06:20:00+0200 --> 2025-05-20 11:30:00+0200

Document Subject

Profile: Patient (CZ core)

Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

Other Id: | `https://ncez.mzcr.cz/fhir/sid/rcis`/9355181234 (use: official, )
Contact Detail | +420777222333 Kvetna 12, 60200 Brno(home)
Language: | Czech (preferred)
Registering provider: | value: PractitionerRole Lekar category: General medical service
Registering provider: | value: PractitionerRole Lekar category: Obstetrics and gynecology service

Document Content

## Průběh hospitalizace

Hospitalizace pro spontánní porod v termínu, bez závažných komplikací.

### Porod

Porod dne 18.05.2025 v 10:46, spontánní vaginální, bez indukce, analgezie EDA (ropivakain + fentanyl), novorozenec mužského pohlaví, 3210 g, 49 cm, Apgar 10-10-10. Mateřské poranění: epiziotomie mediolaterální.

## Anamnéza

Gynekologická anamnéza: prvorodička, gravidita/parita 1/1, gestační stáří při porodu 39+6.

### Těhotenská anamnéza

Gestační stáří 39+6, prvorodička, gravidita 1, parita 1, singleton gravidita.

## Health insurance and payment information

Payer: 111 (VZP), insurance number: 9355181234.

## Alergie, intolerance a varování

Alergie na penicilin, reakce: kožní vyrážka a otok rtů.

## Pharmacotherapy

Porodní analgezie: epidurální podání ropivakainu s malou dávkou fentanylu během porodu.

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:6c4f4d2c-5f24-4a91-a75e-1b0e2a1f7731

Resource Patient:

> Profile: Patient (CZ core)

> Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> Other Id: | `https://ncez.mzcr.cz/fhir/sid/rcis`/9355181234 (use: official, )
> Contact Detail | +420777222333 Kvetna 12, 60200 Brno(home)
> Language: | Czech (preferred)
> Registering provider: | value: PractitionerRole Lekar category: General medical service
> Registering provider: | value: PractitionerRole Lekar category: Obstetrics and gynecology service

Entry 3 - fullUrl = urn:uuid:b7e6c8a1-4a8d-4d9f-8f69-df4f210cb2d7

Resource Patient:

> Profile: Patient (CZ core)

> Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, ))

> Multiple Birth: | false
> Contact Detail | Kvetna 12, 60200 Brno(home)
> Language: | Czech (preferred)
> mother: | Jana Novakova +420777222333
> Links: | Also see: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

Entry 4 - fullUrl = urn:uuid:7d7a6f19-5dfb-45ee-8bcf-0f63d9fe49f2

Resource Encounter:

> Profile: Encounter (HDR CZ)

> status: Completed

> class: inpatient encounter

> priority: urgent

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> serviceProvider: Organization Porodni oddeleni - Mestska nemocnice Brno

> ### Participants

> - | Type
> * | Admitter

> > location

> > location: Location Porodni oddeleni

> > period: 2025-05-17 06:20:00+0200 --> 2025-05-18 09:00:00+0200

> > location

> > location: Location Pokoj 3

> > period: 2025-05-18 09:00:00+0200 --> 2025-05-20 10:00:00+0200

> > location

> > location: Location Luzko 01

> > period: 2025-05-18 09:10:00+0200 --> 2025-05-19 18:00:00+0200

Entry 5 - fullUrl = urn:uuid:8f9c2f14-1f69-4f2b-b4a8-8b7ca4db9f31

Resource Coverage:

> Profile: Coverage (CZ)

> identifier: `https://ncez.mzcr.cz/fhir/sid/cislo-pojistence`/9355181234 (use: official, )

> status: Active

> beneficiary: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

Entry 6 - fullUrl = urn:uuid:allergy-penicillin-novakova-jana

Resource AllergyIntolerance:

> Alergie na penicilin - kožní vyrážka, otok rtů.

Entry 7 - fullUrl = urn:uuid:9ac1fd24-6d6a-4d55-b6c0-5f8a6f2f5f31

Resource Procedure:

> Profile: Procedure: Method of Delivery (CZ)

> status: Completed

> code: Vaginal delivery

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> ### Performers

> - | Actor
> * | Practitioner Eva Svobodova

Entry 8 - fullUrl = urn:uuid:8a6aa5a5-0f66-4c09-b4d0-e2ca7ab6450c

Resource Condition:

> Epiziotomie mediolaterální během porodu.

Entry 9 - fullUrl = urn:uuid:4c00d8d9-2b0e-4f8f-82b5-9692eec6d3c1

Resource Observation:

> Profile: Observation: Fetal Presentation During Delivery (CZ)

> status: Final

> code: Fetal presentation at birth

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 10:46:00+0200

> value: Vertex presentation

Entry 10 - fullUrl = urn:uuid:3c2dd8f5-58b4-4cc2-a4d7-72ca2f1fbc18

Resource Observation:

> Profile: Observation: Birth Weight (CZ)

> status: Final

> code: Birth weight measured

> subject: Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, ))

> value: 3210 g (Details: UCUM codeg = 'g')

Entry 11 - fullUrl = urn:uuid:cf6608f4-7e10-4c50-9a2a-78511d95b5be

Resource Observation:

> Profile: Observation: Birth Length (CZ)

> status: Final

> code: Birth height measured

> subject: Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, ))

> value: 49 cm (Details: UCUM codecm = 'cm')

Entry 12 - fullUrl = urn:uuid:9d0b2e3f-6e66-4dcb-a457-6d6108b1fb89

Resource Observation:

> Profile: Observation: Maternal - Gravidity (CZ)

> status: Final

> code: [#] Pregnancies

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 10:46:00+0200

> value: 1

Entry 13 - fullUrl = urn:uuid:11ab1738-4c81-4d40-8b7e-f0cda2c83ec3

Resource Observation:

> Profile: Observation: Maternal - Parity (CZ)

> status: Final

> code: [#] Parity

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 10:46:00+0200

> value: 1

Entry 14 - fullUrl = urn:uuid:5b9a67e0-d8ed-4dd8-b690-3f61a804c6a4

Resource Observation:

> Profile: Observation: Maternal - Multiple pregnancy and fetus count (CZ)

> status: Final

> code: Was this a multiple pregnancy [PhenX]

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 10:46:00+0200

> value: false

> ### Components

> - | Code | Value[x]
> * | Number of fetuses | 1

Entry 15 - fullUrl = urn:uuid:810c3a4f-c29d-4ce4-8ba0-a7cbbf37ef89

Resource Observation:

> status: Final

> code: Gestational age--at birth

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 10:46:00+0200

> value: 39+6

Entry 16 - fullUrl = urn:uuid:8d0af4d9-f653-49db-a940-83af87f1da8f

Resource Observation:

> Profile: Observation: APGAR Score at 1 Minute (CZ)

> status: Final

> code: Apgar score 1 minute

> subject: Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, ))

> effective: 2025-05-18 10:47:00+0200

> value: 10

Entry 17 - fullUrl = urn:uuid:24e6d365-6456-4916-81f6-4258e9cd3f5a

Resource Observation:

> Profile: Observation: APGAR Score at 5 Minutes (CZ)

> status: Final

> code: Apgar score 5 minute

> subject: Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, ))

> effective: 2025-05-18 10:51:00+0200

> value: 10

Entry 18 - fullUrl = urn:uuid:4ae1602e-6dff-4879-ad22-1ea0ef8cc58d

Resource Observation:

> Profile: Observation: APGAR Score at 10 Minutes (CZ)

> status: Final

> code: Apgar score 10 minute

> subject: Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, ))

> effective: 2025-05-18 10:56:00+0200

> value: 10

Entry 19 - fullUrl = urn:uuid:49f3de6d-5b80-47fe-84c0-560037fd14a7

Resource Observation:

> status: Final

> code: Birth outcome

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 10:46:00+0200

> value: Liveborn infant

Entry 20 - fullUrl = urn:uuid:cc11aeb9-c765-4de4-8c69-31cb3235d40c

Resource Medication:

> Profile: Medication (CZ)

> identifier: `https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs`/0299001

> code: Ropivakain epiduralni roztok

> status: Active

Entry 21 - fullUrl = urn:uuid:95f86512-9ec4-4279-980b-f2fe885322e5

Resource Medication:

> Profile: Medication (CZ)

> identifier: `https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs`/0299002

> code: Fentanyl pro epiduralni analgezii

> status: Active

Entry 22 - fullUrl = urn:uuid:c8e815f2-e5fd-475e-93f6-c6f0f4f26609

Resource MedicationStatement:

> Profile: Medication Statement (CZ)

> status: completed

> identifier: `https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs`/0299001

> status: Recorded

> category: Inpatient

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 09:35:00+0200 --> 2025-05-18 11:10:00+0200

> ### Dosages

> - | Text | Route
> * | Epidurální podání ropivakainu během porodu | Epidural route

Entry 23 - fullUrl = urn:uuid:6f0a9df3-07b9-4f74-b4f2-a484494f0cf5

Resource MedicationStatement:

> Profile: Medication Statement (CZ)

> status: completed

> identifier: `https://hl7.cz/fhir/core/CodeSystem/cz-dlplecivepripravky-cs`/0299002

> status: Recorded

> category: Inpatient

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> effective: 2025-05-18 09:40:00+0200 --> 2025-05-18 10:50:00+0200

> ### Dosages

> - | Text | Route
> * | Epidurální podání malé dávky fentanylu jako součást EDA | Epidural route

Entry 24 - fullUrl = urn:uuid:ba94ff27-e9eb-4b1f-b154-c62fc4836be8

Resource MedicationAdministration:

> status: Completed

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> ### Dosages

> - | Route | Dose
> * | Epidural route | 10 mg (Details: UCUM codemg = 'mg')

Entry 25 - fullUrl = urn:uuid:7af3468d-a53e-4f29-94fd-b0f5d92f49b8

Resource MedicationAdministration:

> status: Completed

> subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> ### Dosages

> - | Route | Dose
> * | Epidural route | 0.05 mg (Details: UCUM codemg = 'mg')

Entry 26 - fullUrl = urn:uuid:1ec5e355-648f-42b9-a316-3f056fbd04b5

Resource Practitioner:

> Profile: Practitioner (CZ core)

> identifier: `https://ncez.mzcr.cz/fhir/sid/nrzp`/999111222

> name: Eva Svobodova

> telecom: +420777888999

Entry 27 - fullUrl = urn:uuid:0f2a4a4e-ea00-4b8d-87cf-0f8ae2d1786a

Resource Practitioner:

> Profile: Practitioner (CZ core)

> identifier: `https://ncez.mzcr.cz/fhir/sid/krzp`/971234560

> name: Pavel Kral

> telecom: +420725111222

Entry 28 - fullUrl = urn:uuid:7f2542b8-afe3-4a30-8f4f-c2f6fd2c2f85

Resource Practitioner:

> Profile: Practitioner (CZ core)

> identifier: `https://ncez.mzcr.cz/fhir/sid/krzp`/971234561

> name: Petra Vesela

> telecom: +420725333444

Entry 29 - fullUrl = urn:uuid:25d8c868-5715-48bb-9d19-bbe294f7a8f6

Resource PractitionerRole:

> Profile: Practitioner Role (CZ core)

> practitioner: Practitioner Pavel Kral

> organization: Organization MUDr. Jana Krásná

> code: Lekar

> specialty: Family practice (qualifier value)

Entry 30 - fullUrl = urn:uuid:e5ef1313-3f47-4ae2-b5f2-6cedfb74a4f1

Resource PractitionerRole:

> Profile: Practitioner Role (CZ core)

> practitioner: Practitioner Petra Vesela

> organization: Organization MUDr. Jana Kouzelná

> code: Lekar

> specialty: Gynecology service

Entry 31 - fullUrl = urn:uuid:6dbf2b1f-67f6-46c9-b1b7-f412aaadf2ba

Resource Organization:

> 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

> ### Contacts

> - | Telecom | Address
> * | +420603853227 | Krátká 11, 70500 Ostrava Ostrava 70500 CZ

Entry 32 - fullUrl = urn:uuid:4f5f6b0d-f1a6-4ff0-9457-5ddd2117e9d9

Resource Organization:

> Samost. ordinace všeob. prakt. lékaře, MUDr. Stanislava Kubšová

Entry 33 - fullUrl = urn:uuid:96cb3f63-2644-4fd8-8df2-eed1a9bc16f9

Resource Organization:

> Profile: Organization (CZ core)

> identifier: `https://ncez.mzcr.cz/fhir/sid/zdravotni-pojistovna`/111

> name: Vseobecna zdravotni pojistovna Ceske republiky

Entry 34 - fullUrl = urn:uuid:d4545f84-0d58-4f6f-a50a-2f2ea2ea4dc4

Resource Organization:

> Profile: Organization (CZ core)

> identifier: `https://ncez.mzcr.cz/fhir/sid/ico`/27999911, `https://ncez.mzcr.cz/fhir/sid/icz`/62010000

> name: Mestska nemocnice Brno

> ### Contacts

> - | Telecom | Address
> * | +420543111222 | Kvetna 15, 60200 Brno Brno 60200 CZ

Entry 35 - fullUrl = urn:uuid:2f823e1c-b1a5-42f8-9ba4-7df32768b2a7

Resource Organization:

> Profile: Organization (CZ core)

> identifier: `https://ncez.mzcr.cz/fhir/sid/icp`/62010123

> name: Porodni oddeleni - Mestska nemocnice Brno

> ### Contacts

> - | Telecom | Address
> * | +420543111333 | Kvetna 15, 60200 Brno Brno 60200 CZ

> partOf: Organization Mestska nemocnice Brno

Entry 36 - fullUrl = urn:uuid:loc-brno-hospital

Resource Location:

> Profile: Location (CZ core)

> status: Active

> name: Mestska nemocnice Brno

> description:

> Hlavni areal Mestske nemocnice Brno

> address: Kvetna 15, 60200 Brno, Ceska republika(work)

> managingOrganization: Organization Mestska nemocnice Brno

Entry 37 - fullUrl = urn:uuid:loc-brno-maternity-ward

Resource Location:

> Profile: Location (CZ core)

> status: Active

> name: Porodni oddeleni

> description:

> Porodni oddeleni - Mestska nemocnice Brno

> managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno

> partOf: Mestska nemocnice Brno

Entry 38 - fullUrl = urn:uuid:loc-brno-maternity-room-3

Resource Location:

> Profile: Location (CZ core)

> status: Active

> name: Pokoj 3

> description:

> Pokoj 3 na porodni oddeleni

> managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno

> partOf: Porodni oddeleni

Entry 39 - fullUrl = urn:uuid:loc-brno-maternity-room-3-bed-01

Resource Location:

> Profile: Location (CZ core)

> status: Active

> name: Luzko 01

> description:

> Luzko 01, pokoj 3, porodni oddeleni

> managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno

> partOf: Pokoj 3

Entry 40 - fullUrl = urn:uuid:relatedperson-novak-petr-husband

Resource RelatedPerson:

> Profile: Related Person: HDR (CZ)

> identifier: `https://ncez.mzcr.cz/fhir/sid/rid`/1597778923

> patient: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567)

> relationship: Manzel, otec ditete

> name: Petr Novak

> telecom: +420777111222