DischargeBundle-Novak-Petr-L1
type: Bundle
node role: treeRoot
id:
  v: DischargeBundle-Novak-Petr-L1
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
type:
  v: document
timestamp:
  v: 2025-03-10T15:00:00+01:00

urn:…
type: Composition
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr
    l: cz-composition-hdr
language:
  v: cs
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Composition 6891fd68-dc3c-4c91-a8d3-cb5ec990c03b Language: cs Profile: Composition (HDR CZ) Cross-version Extension for R5.Composition.version for use in FHIR R4: 1.0.0 Composition: Presented Form: application/pdf: [binary] status: Final type: Hospital Discharge summary category: Discharge summary encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); priority = emergency; period = 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100 date: 2025-03-10 14:30:00+0100 author: Practitioner MUDr. Ivan Anděl PractitionerRole Lékař Organization Nemocnice Chrudim title: Propouštěcí zpráva confidentiality: normal Attesters - Mode Time Party * Legal 2025-03-10 14:30:00+0100 Practitioner MUDr. Ivan Anděl custodian: Organization Nemocnice Chrudim
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Composition.version
    l: extension-Composition.version
  value: String
    v: 1.0.0
extension:
  url:
    v: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
    l: presentedForm
  value: Attachment
    content type:
      v: application/pdf
    language:
      v: cs
    title:
      v: Propouštěcí zpráva
    creation:
      v: 2025-05-20T12:02:00+01:00
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
category:
  coding: https://loinc.org/rdf/18842-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18842-5
    display:
      v: Discharge summary
date:
  v: 2025-03-10T14:30:00+01:00
title:
  v: Propouštěcí zpráva
confidentiality:
  v: N
attester:
  mode:
    v: legal
  time:
    v: 2025-03-10T14:30:00+01:00
section:
  title:
    v: Klinické shrnutí
  code:
    coding: https://loinc.org/rdf/8648-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8648-8
      display:
        v: Hospital course note
  text:
    status:
      v: additional
    div:
      v: Pacient byl přijat dne 1. 3. 2025 na chirurgické oddělení s bolestivou pravostrannou tříselnou kýlou, která byla nevratná, bez známek strangulace. Během hospitalizace byla provedena předoperační příprava včetně laboratorních vyšetření a interního předoperačního vyšetření. Dne 2. 3. 2025 byla v celkové anestezii provedena operace – plastika pravostranné tříselné kýly. Operační výkon proběhl bez komplikací. Pacient byl pooperačně stabilní, bez známek infekce rány. V rámci hospitalizace byla u pacienta sledována substituční léčba hypotyreózy (Euthyrox 75 µg denně), bez nutnosti úpravy dávkování. Hodnota TSH při přijetí v normě. Pacient byl v dobrém stavu propuštěn do domácího ošetření dne 10. 3. 2025. Doporučena klidová režimová opatření, kontrola v chirurgické ambulanci za 7 dní.

urn:…
type: Patient
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 3f85726c-ad2f-441b-89ce-100000000000 Profile: Patient (CZ core) Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923) Other Id: https://ncez.mzcr.cz/fhir/sid/rcis/8506150015 (use: official, ) Contact Detail +420777111222 +420333111777 novak@example.com Pavlovova 1424/11, 568 02 Svitavy - Předměstí(home) Languages: Czech (preferred) English Matka: Alena Nováková Krátká 18, 708 00, Ostrava, Česká Republika(home) +420601111111 přítel/přítelkyně: Alena Dlouhá Horná ulica 18, 123 45, Trenčín, Slovensko(home) +420601333333
identifier:
  use:
    v: official
  system:
    v: https://ncez.mzcr.cz/fhir/sid/rcis
    l: rcis
  value:
    v: 8506150015
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/rid
    l: rid
  value:
    v: 1597778923
name:
  use:
    v: usual
  family:
    v: Novák
  given:
    v: Petr
  prefix:
    v: Ing.
  suffix:
    v: Ph.D.
telecom:
  system:
    v: phone
  value:
    v: +420777111222
  use:
    v: home
telecom:
  system:
    v: phone
  value:
    v: +420333111777
  use:
    v: mobile
telecom:
  system:
    v: email
  use:
    v: home
gender:
  v: male
birth date:
  v: 1985-06-15
address:
  use:
    v: home
  type:
    v: physical
  text:
    v: Pavlovova 1424/11, 568 02 Svitavy - Předměstí
  line:
    v: Pavlovova 1424/11
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
        l: iso21090-ADXP-streetName
      value: String
        v: Pavlovova
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
        l: iso21090-ADXP-houseNumber
      value: String
        v: 1424/11
  city:
    v: Svitavy - Předměstí
  postal code:
    v: 56802
  country:
    v: CZ
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: MTH
      display:
        v: Matka
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0131
        l: v2-0131
      code:
        v: N
      display:
        v: příbuzný
  name:
    use:
      v: usual
    family:
      v: Nováková
    given:
      v: Alena
  telecom:
    system:
      v: phone
    value:
      v: +420601111111
    use:
      v: home
  address:
    use:
      v: home
    type:
      v: physical
    text:
      v: Krátká 18, 708 00, Ostrava, Česká Republika
    line:
      v: Krátká 18
      extension:
        value: String
      extension:
        value: String
    city:
      v: Ostrava
    postal code:
      v: 70800
    country:
      v: CZ
contact:
  relationship:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: FRND
      display:
        v: přítel/přítelkyně
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0131
        l: v2-0131
      code:
        v: N
      display:
        v: příbuzný
  name:
    use:
      v: usual
    family:
      v: Dlouhá
    given:
      v: Alena
  telecom:
    system:
      v: phone
    value:
      v: +420601333333
    use:
      v: home
  address:
    use:
      v: home
    type:
      v: physical
    text:
      v: Horná ulica 18, 123 45, Trenčín, Slovensko
    line:
      v: Horná ulica 18
      extension:
        value: String
      extension:
        value: String
    city:
      v: Trenčín
    postal code:
      v: 12345
    country:
      v: SK
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
        l: 47
      code:
        v: cs
  preferred:
    v: true
communication:
  language:
    coding:
      system:
        v: urn:ietf:bcp:47
        l: 47

urn:…
type: Practitioner
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
text:
  status:
    v: generated
  div:
    v: MUDr. Ivan Anděl, interní lékař, Nemocnice Chrudim, Václavská 570, 537 01 Chrudim, tel: +420 603 777 227
name:
  use:
    v: usual
  text:
    v: MUDr. Ivan Anděl
telecom:
  system:
    v: phone
  value:
    v: +420603777227
  use:
    v: work

urn:…
type: PractitionerRole
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
text:
  status:
    v: generated
  div:
    v: MUDr. Ivan Anděl, interní lékař, Nemocnice Chrudim, Václavská 570, 537 01 Chrudim, tel: +420 603 777 227
practitioner:
  display:
    v: MUDr. Ivan Anděl
organization:
  display:
    v: Nemocnice Chrudim
code:
  coding:
    system:
      v: https://ncez.mzcr.cz/fhir/CodeSystem/nrzp-povolani
      l: nrzp-povolani
    code:
      v: L00
    display:
      v: Lékař
specialty:
  coding: http://snomed.info/id/419192003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 419192003
    display:
      v: Internal medicine

urn:…
type: Organization
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 ace081ba-e0a8-4b89-a4a7-c5b7cd3c8169 Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krpzs/27520536 name: Nemocnice Chrudim telecom: +420603853227 address: Václavská 570, 537 01, Chrudim(work)
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/krpzs
    l: krpzs
  value:
    v: 27520536
name:
  v: Nemocnice Chrudim
telecom:
  system:
    v: phone
  value:
    v: +420603853227
  use:
    v: work
address:
  use:
    v: work
  type:
    v: both
  text:
    v: Václavská 570, 537 01, Chrudim
  line:
    v: Václavská 570
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName
        l: iso21090-ADXP-streetName
      value: String
        v: Václavská
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber
        l: iso21090-ADXP-houseNumber
      value: String
        v: 570
  city:
    v: Chrudim
  postal code:
    v: 53701
  country:
    v: Česká republika
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/iso21090-SC-coding
        l: iso21090-SC-coding
      value: Coding

urn:…
type: Provenance
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-provenance
    l: cz-provenance
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Provenance cdae7735-f7ee-4bc7-9cf3-3dc806a4eaab Profile: Provenance (CZ) Provenance for Reference(DischargeBundle-Novak-Petr-L1) (Identifier: https://ncez.mzcr.cz/fhir/sid/ico/27520536) Summary Recorded 2023-04-05 17:23:07+0000 Agents Role who MUDr. Hana Doktorová
target:
  identifier:
    system:
      v: https://ncez.mzcr.cz/fhir/sid/ico
      l: ico
    value:
      v: 27520536
  display:
    v: Reference(DischargeBundle-Novak-Petr-L1)
recorded:
  v: 2023-04-05T17:23:07Z
agent:
  role:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: AUT
  who:
    l: Practitioner-2
    reference:
      v: Practitioner/Practitioner-2
    display:
      v: MUDr. Hana Doktorová
signature:
  type:
    system:
      v: urn:iso-astm:E1762-95:2013
      l: 2013
    code:
      v: 1.2.840.10065.1.12.1.1
    display:
      v: Author's Signature
  when:
    v: 2023-04-05T17:23:07Z
  who:
    l: Practitioner-2
    reference:
      v: Practitioner/Practitioner-2
    identifier:
      system:
        v: http://example.org/exampleSystem
        l: exampleSystem
      value:
        v: MUDr. Hana Doktorová
    display:
      v: MUDr. Hana Doktorová
  target format:
    v: application/fhir+xml
  sig format:
    v: application/signature+xml

urn:…
type: Encounter
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 10f5c49e-086d-4016-8dd1-b555306bf620 Profile: Encounter (HDR CZ) status: finished class: ActCode: IMP (inpatient encounter) priority: emergency subject: Petr Novák Male, DoB: 1985-06-15 ( https://ncez.mzcr.cz/fhir/sid/rid#1597778923) participant type: Admitter individual: Practitioner MUDr. Karel Volný participant type: Referrer individual: PractitionerRole Lékař period: 2025-03-01 10:15:00+0100 --> 2025-03-10 09:30:00+0100 reasonReference: Condition Unilateral or unspecified inguinal hernia, without obstruction or gangrene Hospitalizations - AdmitSource DischargeDisposition * From outpatient department Home location location: Location Nemocnice Chrudim - Oddělení CHIR1 period: 2025-03-01 08:00:00+0100 --> 2025-03-02 08:00:00+0100 location location: Location Nemocnice Chrudim - Oddělení CHIR-JIP period: 2025-03-02 08:00:00+0100 --> 2025-03-04 08:00:00+0100 location location: Location Nemocnice Chrudim - Oddělení CHIR1 period: 2025-03-04 08:00:00+0100 --> 2025-03-10 08:00:00+0100 serviceProvider: Organization MUDr. Jana Krásná
status:
  v: finished
class:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ActCode
    l: v3-ActCode
  code:
    v: IMP
  display:
    v: inpatient encounter
priority:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActPriority
      l: v3-ActPriority
    code:
      v: EM
    display:
      v: emergency
participant:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: ADM
      display:
        v: Admitter
  individual:
    l: Practitioner-Admitter
    reference:
      v: Practitioner/Practitioner-Admitter
participant:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: REF
      display:
        v: Referrer
  individual:
    l: Practitioner-Referrer-detail
    reference:
      v: PractitionerRole/Practitioner-Referrer-detail
period:
  start:
    v: 2025-03-01T10:15:00+01:00
  end:
    v: 2025-03-10T09:30:00+01:00
hospitalization:
  admit source:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/admit-source
        l: admit-source
      code:
        v: outp
      display:
        v: From outpatient department
  discharge disposition:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/discharge-disposition
        l: discharge-disposition
      code:
        v: home
      display:
        v: Home
location:
  location:
    l: cz-Location-Chrudim-Chir1
    reference:
      v: Location/cz-Location-Chrudim-Chir1
  period:
    start:
      v: 2025-03-01T08:00:00+01:00
    end:
      v: 2025-03-02T08:00:00+01:00
location:
  location:
    l: cz-Location-Chrudim-ChirJIP
    reference:
      v: Location/cz-Location-Chrudim-ChirJIP
  period:
    start:
      v: 2025-03-02T08:00:00+01:00
    end:
      v: 2025-03-04T08:00:00+01:00
location:
  location:
    l: cz-Location-Chrudim-Chir1
    reference:
      v: Location/cz-Location-Chrudim-Chir1
  period:
    start:
      v: 2025-03-04T08:00:00+01:00
    end:
      v: 2025-03-10T08:00:00+01:00
service provider:
  l: RegisteringProviderExample
  reference:
    v: Organization/RegisteringProviderExample

String
v: Krátká

String
v: 18

String
v: Horná ulica

String
v: 18

v: en

v: urn:iso:std:iso:3166
l: 3166

v: CZ

v: Czechia