Generated Narrative: Composition 5e848ec9-b5bf-4c90-9d7e-6b0894208bfe Profile: Composition (HDR CZ) Composition: Presented Form: application/pdf: [binary] Composition: Information recipient: Practitioner Pavel Kral Composition: Information recipient: Practitioner Petra Vesela status: Final type: Hospital Discharge summary 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 date: 2025-05-20 11:30:00+0200 author: Practitioner Eva Svobodova title: Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)
Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)
Hospitalizace pro spontánní porod v termínu, bez závažných komplikací.
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.
Gynekologická anamnéza: prvorodička, gravidita/parita 1/1, gestační stáří při porodu 39+6.
Gestační stáří 39+6, prvorodička, gravidita 1, parita 1, singleton gravidita.
Health insurance and payment information
Payer: 111 (VZP), insurance number: 9355181234.
Porodní analgezie: epidurální podání ropivakainu s malou dávkou fentanylu během porodu.
Generated Narrative: Patient 6c4f4d2c-5f24-4a91-a75e-1b0e2a1f7731 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 Lékař category: General medical service Registering provider: value: PractitionerRole Lékař category: Gynaecology service
Generated Narrative: Patient b7e6c8a1-4a8d-4d9f-8f69-df4f210cb2d7 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)
Generated Narrative: Encounter 7d7a6f19-5dfb-45ee-8bcf-0f63d9fe49f2 Profile: Encounter (HDR CZ) status: Finished class: ActCode: IMP (inpatient encounter) priority: urgent subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567) Participants - Type Individual * Admitter Practitioner Eva Svobodova period: 2025-05-17 06:20:00+0200 --> 2025-05-20 11:30:00+0200 Hospitalizations - AdmitSource DischargeDisposition * From outpatient department Home 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 serviceProvider: Organization Porodni oddeleni - Mestska nemocnice Brno
Generated Narrative: Coverage 8f9c2f14-1f69-4f2b-b4a8-8b7ca4db9f31 Profile: Coverage (CZ core) status: Active subscriberId: 9355181234 beneficiary: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567) payor: Organization Vseobecna zdravotni pojistovna Ceske republiky
Generated Narrative: Procedure 9ac1fd24-6d6a-4d55-b6c0-5f8a6f2f5f31 Profile: Procedure: Method of Delivery (CZ) status: Completed code: Vaginal delivery of fetus subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567) performed: 2025-05-18 10:46:00+0200 Performers - Actor * Practitioner Eva Svobodova
Epiziotomie mediolaterální během porodu.
First degree perineal laceration during delivery
Generated Narrative: Observation 4c00d8d9-2b0e-4f8f-82b5-9692eec6d3c1 Profile: Observation: Fetal Presentation During Delivery (CZ) status: Final code: Postpartum hospitalization treatment Narrative subject: Jana Novakova Female, DoB: 1993-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9001234567) effective: 2025-05-18 10:46:00+0200 performer: Practitioner Eva Svobodova value: Vertex presentation
Postpartum hospitalization treatment Narrative
Generated Narrative: Observation 3c2dd8f5-58b4-4cc2-a4d7-72ca2f1fbc18 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, )) effective: 2025-05-18 10:46:00+0200 performer: Practitioner Eva Svobodova value: 3210 g (Details: UCUM codeg = 'g')
Generated Narrative: Observation cf6608f4-7e10-4c50-9a2a-78511d95b5be Profile: Observation: Birth Length (CZ) status: Final code: Body height Measured --at birth subject: Jan Novak (official) Male, DoB: 2025-05-18 ( https://ncez.mzcr.cz/fhir/sid/rid#9009876543 (use: official, )) effective: 2025-05-18 10:46:00+0200 performer: Practitioner Eva Svobodova value: 49 cm (Details: UCUM codecm = 'cm')
Generated Narrative: Observation 9d0b2e3f-6e66-4dcb-a457-6d6108b1fb89 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 performer: Practitioner Eva Svobodova value: 1
Generated Narrative: Observation 11ab1738-4c81-4d40-8b7e-f0cda2c83ec3 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 performer: Practitioner Eva Svobodova value: 1
Generated Narrative: Observation 5b9a67e0-d8ed-4dd8-b690-3f61a804c6a4 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 performer: Practitioner Eva Svobodova value: false Components - Code Value[x] * Number of fetuses 1
Generated Narrative: Observation 810c3a4f-c29d-4ce4-8ba0-a7cbbf37ef89 Profile: Observation: Maternal - Gestational age at delivery (CZ) 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 performer: Practitioner Eva Svobodova value: 39+6
Generated Narrative: Observation 8d0af4d9-f653-49db-a940-83af87f1da8f Profile: Observation: APGAR Score at 1 Minute (CZ) status: Final code: 1 minute Apgar Score 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 performer: Practitioner Eva Svobodova value: 10
Generated Narrative: Observation 24e6d365-6456-4916-81f6-4258e9cd3f5a Profile: Observation: APGAR Score at 5 Minutes (CZ) status: Final code: 5 minute Apgar Score 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 performer: Practitioner Eva Svobodova value: 10
Generated Narrative: Observation 4ae1602e-6dff-4879-ad22-1ea0ef8cc58d Profile: Observation: APGAR Score at 10 Minutes (CZ) status: Final code: 10 minute Apgar Score 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 performer: Practitioner Eva Svobodova value: 10
Generated Narrative: Observation 49f3de6d-5b80-47fe-84c0-560037fd14a7 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 performer: Practitioner Eva Svobodova value: Single live birth from singleton pregnancy
Single live birth from singleton pregnancy
Generated Narrative: Medication 65dff8dd-87a7-41cb-8a5a-d2b900098fb8 Profile: Medication (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/0299001 code: Ropivakain epiduralni roztok status: Active
Generated Narrative: Medication d9cdb566-b6f7-4c3a-96e1-9748c93a738b Profile: Medication (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/0299002 code: Fentanyl pro epiduralni analgezii status: Active
Generated Narrative: MedicationStatement 6f97d842-5ce8-4631-b52e-0b79723c7e31 Profile: Medication Statement (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/0299001 status: completed category: Inpatient medication: Medication Ropivacaine 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 Intravenous route
Epidurální podání ropivakainu během porodu
Generated Narrative: MedicationStatement 0a98bc34-677a-4867-b903-461ac06939d5 Profile: Medication Statement (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/0299002 status: completed category: Inpatient medication: Medication Fentanyl 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 Intravenous route
Epidurální podání malé dávky fentanylu jako součást EDA
Generated Narrative: Practitioner 1ec5e355-648f-42b9-a316-3f056fbd04b5 Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/999111222 name: Eva Svobodova telecom: +420777888999
Generated Narrative: Practitioner b1e65698-2b43-481d-b8f4-7ff6d8e81ada Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/971234560 name: Pavel Kral telecom: +420725111222
Generated Narrative: Practitioner 7f2542b8-afe3-4a30-8f4f-c2f6fd2c2f85 Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/971234561 name: Petra Vesela telecom: +420725333444
Generated Narrative: PractitionerRole b6399cd8-3a91-4c7e-9a03-49d873669ed5 Profile: Practitioner Role (CZ core) practitioner: Practitioner Pavel Kral organization: Organization MUDr. Jana Krásná code: Lékař specialty: Family practice
Generated Narrative: PractitionerRole 17a26fdf-d36d-464b-b85b-f6f613bb62b4 Profile: Practitioner Role (CZ core) practitioner: Practitioner Petra Vesela organization: Organization MUDr. Jana Kouzelná code: Lékař specialty: Gynecology
Generated Narrative: Organization 6dbf2b1f-67f6-46c9-b1b7-f412aaadf2ba 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
Generated Narrative: Organization 96cb3f63-2644-4fd8-8df2-eed1a9bc16f9 Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/kp/111 name: Vseobecna zdravotni pojistovna Ceske republiky
Vseobecna zdravotni pojistovna Ceske republiky
Generated Narrative: Organization d4545f84-0d58-4f6f-a50a-2f2ea2ea4dc4 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 telecom: +420543111222 address: Kvetna 15, 60200 Brno Brno 60200 CZ
Generated Narrative: Organization 2f823e1c-b1a5-42f8-9ba4-7df32768b2a7 Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/icp/62010123 name: Porodni oddeleni - Mestska nemocnice Brno telecom: +420543111333 address: Kvetna 15, 60200 Brno Brno 60200 CZ partOf: Organization Mestska nemocnice Brno
Porodni oddeleni - Mestska nemocnice Brno
Generated Narrative: Location 6c2932f4-fe42-4aea-87b3-182ca2e3670e Profile: Location (CZ core) status: Active name: Mestska nemocnice Brno description: Hlavni areal Mestske nemocnice Brno telecom: +420543111222 address: Kvetna 15, 60200 Brno, Ceska republika(work) physicalType: Building managingOrganization: Organization Mestska nemocnice Brno
Generated Narrative: Location 0f4953dc-59db-4ada-b9b9-3d80ffc5c657 Profile: Location (CZ core) status: Active name: Porodni oddeleni description: Porodni oddeleni - Mestska nemocnice Brno physicalType: Ward managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno partOf: Mestska nemocnice Brno
Generated Narrative: Location dffe5c17-dd39-40d7-9278-9cce85e2daa1 Profile: Location (CZ core) status: Active name: Pokoj 3 description: Pokoj 3 na porodni oddeleni physicalType: Room managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno partOf: Porodni oddeleni
Generated Narrative: Location c2a20e75-20b6-48cc-b908-1be68597de1b Profile: Location (CZ core) status: Active name: Luzko 01 description: Luzko 01, pokoj 3, porodni oddeleni physicalType: Bed managingOrganization: Organization Porodni oddeleni - Mestska nemocnice Brno partOf: Pokoj 3
Generated Narrative: RelatedPerson 8f283107-54fe-4be4-801b-a535cd1e9e37 Profile: Related Person (CZ core) 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