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
language:
  v: en
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

urn:…
type: Composition
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr
    l: cz-composition-hdr
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Composition 4c26810a-e3ca-4723-9708-0c8ceac5a737 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); 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: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
    l: presentedForm
  value: Attachment
    content type:
      v: application/pdf
    language:
      v: cs
    title:
      v: Delivery Story - Nováková
    creation:
      v: 2025-05-20T12:02:00+01:00
extension:
  url:
    v: http://hl7.eu/fhir/StructureDefinition/information-recipient
    l: information-recipient
  value: Reference
extension:
  url:
    v: http://hl7.eu/fhir/StructureDefinition/information-recipient
    l: information-recipient
  value: Reference
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
date:
  v: 2026-03-04T18:31:00+01:00
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: Admission evaluation note
  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.
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: Hospital course note
  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.
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: Patient history
  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
      div:
        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.
  section:
    title:
      v: Sociální a pracovní anamnéza
    code:
      coding: https://loinc.org/rdf/29762-2
    text:
      status:
        v: additional
      div:
        v: Bydlí s manželem, na mateřské dovolené, povoláním lékařnice.
  section:
    title:
      v: Epidemiologická anamnéza
    text:
      status:
        v: additional
      div:
        v: Bez významných rizikových kontaktů, proti RSV neočkována.
  section:
    title:
      v: Užívání návykových látek
    text:
      status:
        v: additional
      div:
        v: Nekouří, alkohol nepije, drogy neužívá.
section:
  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: Allergies and adverse reactions Document
  text:
    status:
      v: additional
    div:
      v: Alergie neověřeny - trávy, prach, pyl, Zinnat (vertigo).
section:
  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: Medication administration.brief
  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.

urn:…
type: Patient
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient c517f75a-1e29-423b-8c59-1b275e65019a 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

urn:…
type: Patient
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Patient fd7709a1-247b-4d43-92e7-6b7b21d4a6ba 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:
  type:
    v: seealso

urn:…
type: Encounter
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-encounter-hdr
    l: cz-encounter-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Encounter a182bf8a-ce46-4e61-9106-0fd5139c3e78 Profile: Encounter (HDR CZ) status: Finished class: ActCode: IMP (inpatient encounter) 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 * home 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: inpatient encounter
participant:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: ADM
participant:
  type:
    coding:
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
        l: v3-ParticipationType
      code:
        v: DIS
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: home

urn:…
type: Coverage
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-coverage
    l: cz-coverage
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Coverage 35b9ce78-80c3-443f-b21f-a346a87e15ef Profile: Coverage (CZ core) status: Active subscriberId: 8653034455 beneficiary: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) payor: Organization Vseobecna zdravotni pojistovna Ceske republiky
status:
  v: active
subscriber id:
  v: 8653034455

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyIntolerance-hdr
    l: cz-allergyIntolerance-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance 26be4e8d-b6bc-4b61-a4ff-87641d9aa789 Profile: Allergy Intolerance (HDR CZ) identifier: http://example.org/hospital/allergy-intolerances/allergy-2 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: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: allergy-2
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

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-allergyIntolerance-hdr
    l: cz-allergyIntolerance-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance ff3372f1-0189-457f-8368-aa28e36df796 Profile: Allergy Intolerance (HDR CZ) identifier: http://example.org/hospital/allergy-intolerances/allergy-2 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 * Dizziness (finding) Vertigo
identifier:
  system:
    v: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: allergy-2
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
reaction:
  manifestation:
    coding: http://snomed.info/id/404640003
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 404640003
  description:
    v: Vertigo

urn:…
type: Procedure
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-method-of-delivery
    l: cz-procedure-method-of-delivery
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Procedure f1184d84-9da0-4584-82f2-4efbf3ee74b3 Profile: Procedure: Method of Delivery (CZ) status: Completed code: Vaginal delivery of fetus 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/700000006
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 700000006
    display:
      v: Vaginal delivery of fetus
performed: DateTime
  v: 2026-03-03T17:13:00+01:00

urn:…
type: Procedure
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-procedure-induction-of-labor
    l: cz-procedure-induction-of-labor
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Procedure bac0a2d8-114c-4b1b-a65f-dff718f942b4 Profile: Procedure: Maternal - Induction of labor (CZ) status: Completed code: Low cervical cesarean section (procedure) 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
performed: Period
  start:
    v: 2026-03-03T12:30:00+01:00
  end:
    v: 2026-03-03T16:30:00+01:00

urn:…
type: Condition
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition 1d2b2e56-93b0-4c03-bf01-4612d54b14bc 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: https://uzis.cz/terminology/CodeSystem/mkn-10
      l: mkn-10
    code:
      v: O800
    display:
      v: IZ, III.p., CH 3200g, rpt.perinei I, KS 0 pozit., ZK 250ml

urn:…
type: Condition
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition a44a3603-e3a6-45d9-858d-9d5b5173c771 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: https://uzis.cz/terminology/CodeSystem/mkn-10
      l: mkn-10
    code:
      v: O691
    display:
      v: Porod komplikovaný pupečníkem kolem krku s kompresí

urn:…
type: Condition
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition 74f20ae7-9560-416b-bea1-78f782316395 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: https://uzis.cz/terminology/CodeSystem/mkn-10
      l: mkn-10
    code:
      v: O700
    display:
      v: Trhlina hráze prvního stupně při porodu
onset: DateTime
  v: 2026-03-03T17:13:00+01:00

urn:…
type: Condition
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-condition-hdr
    l: cz-condition-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition 4f82fd24-88b7-4328-bcbe-b4da5bb4999b 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: https://uzis.cz/terminology/CodeSystem/mkn-10
      l: mkn-10
    code:
      v: Z370
    display:
      v: Jediné dítě, živě narozené

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-gravidity
    l: cz-observation-gravidity
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 7c3bf638-f63f-49b7-b3a4-185fb5fd149d 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 performer: Practitioner Raketa Cerna 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
effective: DateTime
  v: 2026-03-03T10:00:00+01:00
value: Integer
  v: 4

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-parity
    l: cz-observation-parity
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation b33f71c0-6fb1-45ba-8e8f-e4fb38964d63 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 performer: Practitioner Raketa Cerna 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
effective: DateTime
  v: 2026-03-03T10:00:00+01:00
value: Integer
  v: 2

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-multiple-pregnancy
    l: cz-observation-multiple-pregnancy
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 71eab157-2477-495e-8def-2d9ae6386f88 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 performer: Practitioner Raketa Cerna 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
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

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-gestational-age
    l: cz-observation-gestational-age
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation c6e95717-3ceb-4211-b9ce-d61d794701d3 Profile: Observation: Maternal - Gestational age at delivery (CZ) status: Final code: Gestational age--at birth subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 17:13:00+0100 performer: Practitioner Raketa Cerna 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: Gestational age--at birth
effective: DateTime
  v: 2026-03-03T17:13:00+01:00
value: String
  v: 40+2

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-birth-weight
    l: cz-observation-birth-weight
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 73f44a2f-9cfd-4b56-b1df-b6898b7a8da3 Profile: Observation: Birth Weight (CZ) status: Final code: Birth weight Measured subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 17:14:00+0100 performer: Practitioner Raketa Cerna 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
effective: DateTime
  v: 2026-03-03T17:14:00+01:00
value: Quantity
  value:
    v: 3200
  unit:
    v: g
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: g

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-birth-length
    l: cz-observation-birth-length
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 55a402b2-f4af-4904-b01b-0f0953335d85 Profile: Observation: Birth Length (CZ) status: Final code: Body height Measured --at birth subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 17:14:00+0100 performer: Practitioner Palka Bila 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: Body height Measured --at birth
effective: DateTime
  v: 2026-03-03T17:14:00+01:00
value: Quantity
  value:
    v: 50
  unit:
    v: cm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: cm

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-apgar-score-1min
    l: cz-observation-apgar-score-1min
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation cc37d883-9740-437c-95d2-7e3e66c29658 Profile: Observation: APGAR Score at 1 Minute (CZ) status: Final code: 1 minute Apgar Score 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 performer: Practitioner Palka Bila 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: 1 minute Apgar Score
effective: DateTime
  v: 2026-03-03T17:14:00+01:00
value: Integer
  v: 10

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-apgar-score-5min
    l: cz-observation-apgar-score-5min
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 1df3f436-f303-4ffd-aeb7-a71ae5a8791d Profile: Observation: APGAR Score at 5 Minutes (CZ) status: Final code: 5 minute Apgar Score 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 performer: Practitioner Palka Bila 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: 5 minute Apgar Score
effective: DateTime
  v: 2026-03-03T17:18:00+01:00
value: Integer
  v: 10

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-apgar-score-10min
    l: cz-observation-apgar-score-10min
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation d9e9d7df-a3fa-430a-9d19-38e8432c8803 Profile: Observation: APGAR Score at 10 Minutes (CZ) status: Final code: 10 minute Apgar Score 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 performer: Practitioner Palka Bila 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: 10 minute Apgar Score
effective: DateTime
  v: 2026-03-03T17:23:00+01:00
value: Integer
  v: 10

urn:…
type: Observation
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation f432828d-fa44-4928-afa6-a248b126860b status: Final category: Laboratory code: 05162 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
code:
  coding:
    system:
      v: https://ncez.mzcr.cz/nclp/CodeSystem/nclppol
      l: nclppol
    code:
      v: 05162
effective: DateTime
  v: 2026-03-03T06:10:00+01:00
value: CodeableConcept
  text:
    v: 0 RhD pozitivní (0+)

urn:…
type: Medication
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/medication-cz-core
    l: medication-cz-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication 6910dd1a-deee-463a-b776-6ee3ca8bf7ed Profile: Medication (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/DLP-DOPEGYT-001 code: Dopegyt 250 mg tablety status: Active
identifier:
  system:
    v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
    l: dlp-lecivepripravky
  value:
    v: DLP-DOPEGYT-001
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
      l: dlp-lecivepripravky
    code:
      v: 0001328
    display:
      v: Methyldopa
  text:
    v: Dopegyt 250 mg tablety
status:
  v: active

urn:…
type: Medication
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/medication-cz-core
    l: medication-cz-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication 9b5df9b6-b25b-4f28-a74d-419b1c74acb8 Profile: Medication (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/DLP-FRAXIPARINE-001 code: Fraxiparine 0.6 ml status: Active
identifier:
  system:
    v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
    l: dlp-lecivepripravky
  value:
    v: DLP-FRAXIPARINE-001
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
      l: dlp-lecivepripravky
    code:
      v: 0213479
    display:
      v: Nadroparin
  text:
    v: Fraxiparine 0.6 ml
status:
  v: active

urn:…
type: Medication
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/medication-cz-core
    l: medication-cz-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication d894281f-1104-42d0-9746-98e43262ecc3 Profile: Medication (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/DLP-LIDOCAINEEGIS-001 code: Lidocaine EGIS status: Active
identifier:
  system:
    v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
    l: dlp-lecivepripravky
  value:
    v: DLP-LIDOCAINEEGIS-001
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
      l: dlp-lecivepripravky
    code:
      v: 0030767
    display:
      v: Lidocaine
  text:
    v: Lidocaine EGIS
status:
  v: active

urn:…
type: Medication
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/medication-cz-core
    l: medication-cz-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication f7206785-f3f2-46e2-9c20-5c684686aabd Profile: Medication (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/DLP-OFOST-001 code: OFOST status: Active
identifier:
  system:
    v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
    l: dlp-lecivepripravky
  value:
    v: DLP-OFOST-001
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
      l: dlp-lecivepripravky
    code:
      v: 0221535
    display:
      v: OFOST
  text:
    v: OFOST
status:
  v: active

urn:…
type: Medication
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/medication-cz-core
    l: medication-cz-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication c45659d8-37e0-4d5d-8992-166900cd3a4a Profile: Medication (CZ core) identifier: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky/DLP-PROSTINE2-001 code: Prostin E2 status: Active
identifier:
  system:
    v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
    l: dlp-lecivepripravky
  value:
    v: DLP-PROSTINE2-001
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky
      l: dlp-lecivepripravky
    code:
      v: 0002289
    display:
      v: Dinoprostone
  text:
    v: Prostin E2
status:
  v: active

urn:…
type: MedicationAdministration
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-MedicationAdministration
    l: cz-MedicationAdministration
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationAdministration e5c8a1b2-9c3d-4e5a-8c9b-1f2d3e4f5a67 Profile: Medication Administration: HDR (CZ) identifier: https://www.nempriklad.cz//e5c8a1b2-9c3d-4e5a-8c9b-1f2d3e4f5a67 status: Completed medication: Medication OFOST subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-04 18:31:00+0100 Dosages - Route Dose * Intravenous route 260000 ul (Details: UCUM codeul = 'ul')
identifier:
  system:
    v: https://www.nempriklad.cz/
    l: www.nempriklad.cz
status:
  v: completed
medication: Reference
effective: DateTime
  v: 2026-03-04T18:31:00+01:00
dosage:
  route:
    coding: http://snomed.info/id/47625008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 47625008
      display:
        v: Intravenous route
  dose:
    value:
      v: 260000
    unit:
      v: ul
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: ul

urn:…
type: MedicationAdministration
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-MedicationAdministration
    l: cz-MedicationAdministration
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationAdministration d1a2b3c4-5678-90ab-cdef-1234567890ab Profile: Medication Administration: HDR (CZ) identifier: https://www.nempriklad.cz//d1a2b3c4-5678-90ab-cdef-1234567890ab status: Completed medication: Medication Lidocaine subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 14:00:00+0100 Dosages - Route Dose * Intravenous route 100 mg (Details: UCUM codemg = 'mg')
identifier:
  system:
    v: https://www.nempriklad.cz/
    l: www.nempriklad.cz
status:
  v: completed
medication: Reference
effective: DateTime
  v: 2026-03-03T14:00:00+01:00
dosage:
  route:
    coding: http://snomed.info/id/47625008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 47625008
      display:
        v: Intravenous route
  dose:
    value:
      v: 100
    unit:
      v: mg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mg

urn:…
type: MedicationAdministration
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-MedicationAdministration
    l: cz-MedicationAdministration
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationAdministration a1b2c3d4-5678-90ab-cdef-1234567890ab Profile: Medication Administration: HDR (CZ) identifier: https://www.nempriklad.cz//a1b2c3d4-5678-90ab-cdef-1234567890ab status: Completed medication: Medication Dinoprostone subject: Petra Dvorakova Female, DoB: 1986-05-03 ( https://ncez.mzcr.cz/fhir/sid/rid#9003001122) effective: 2026-03-03 12:30:00+0100 Dosages - Route Dose * Intravenous route 3 mg (Details: UCUM codemg = 'mg')
identifier:
  system:
    v: https://www.nempriklad.cz/
    l: www.nempriklad.cz
status:
  v: completed
medication: Reference
effective: DateTime
  v: 2026-03-03T12:30:00+01:00
dosage:
  route:
    coding: http://snomed.info/id/47625008
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 47625008
      display:
        v: Intravenous route
  dose:
    value:
      v: 3
    unit:
      v: mg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mg

urn:…
type: MedicationRequest
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationRequest-hdr
    l: cz-medicationRequest-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest 3d648416-8bea-4a9a-9b50-6859084e53c4 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 = inpatient encounter (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
authored on:
  v: 2026-03-04T18:31:00+01:00
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

urn:…
type: MedicationRequest
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationRequest-hdr
    l: cz-medicationRequest-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: MedicationRequest 80806e6f-99e7-4945-9d1b-465e98fbd45b 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 = inpatient encounter (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
authored on:
  v: 2026-03-04T18:31:00+01:00
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

urn:…
type: Practitioner
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner 5cbed9dd-df97-46ee-974d-8bf34ef30efd 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.

urn:…
type: Practitioner
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner c02be8d5-83a2-466b-aa82-089088b1abf7 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.

urn:…
type: Practitioner
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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
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

urn:…
type: Practitioner
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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
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

urn:…
type: PractitionerRole
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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
code:
  coding:
    system:
      v: https://ncez.mzcr.cz/terminology/CodeSystem/nrzp-povolani
      l: nrzp-povolani
    code:
      v: L00
    display:
      v: Lékař
specialty:
  coding: http://snomed.info/id/419772000
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 419772000
    display:
      v: Family practice

urn:…
type: PractitionerRole
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core
    l: cz-practitionerrole-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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
code:
  coding:
    system:
      v: https://ncez.mzcr.cz/terminology/CodeSystem/nrzp-povolani
      l: nrzp-povolani
    code:
      v: L00
    display:
      v: Lékař
specialty:
  coding: http://snomed.info/id/394586005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 394586005
    display:
      v: Gynecology

urn:…
type: Organization
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization 42a659d0-c08a-424f-9c0c-82096e0f59e0 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.

urn:…
type: Organization
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization 7aef05df-4e1f-434e-8a66-68ef945ead43 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

urn:…
type: Organization
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Organization 78392d70-a15f-47b9-b6bc-72b6018ae4b9 Profile: Organization (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/kp/111 name: Vseobecna zdravotni pojistovna Ceske republiky
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/kp
    l: kp
  value:
    v: 111
name:
  v: Vseobecna zdravotni pojistovna Ceske republiky

urn:…
type: Organization
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
language:
  v: en
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/drzar
      l: drzar
    code:
      v: 320
    display:
      v: Samost. ordinace všeob. prakt. lékaře
name:
  v: MUDr. Jana Krásná

urn:…
type: Organization
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core
    l: cz-organization-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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
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/drzar
      l: 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

urn:…
type: Device
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device
    l: cz-medical-device
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Device dcf20b83-aacd-45af-99d6-3d277089da35 Profile: Medical Device (CZ core) 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/706332007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 706332007
    display:
      v: Ultrasound imaging system

v: 425044008

v: Physical exam section

v: 57074-7

v: Labor and delivery process Narrative

v: 10157-6

v: History of family member diseases note

v: 10162-6

v: History of pregnancies Narrative

v: 29762-2

v: Social history note

v: infection-contact

v: Infectious contacts

v: substance-use

v: Use of Substances Section

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: Discharge medications note
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.

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: Payment sources Document
text:
  status:
    v: additional
  div:
    v: Payer: 111 (VZP).

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: Plan of care note
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.