Generated Narrative: StructureDefinition LogKOrderEn Name Flags Card. Type Description & Constraints LogKOrderEn 0..* Base K-order (Referral Form) – Logical Model (EN) #xD; kOrder 1..1 Base K-order Referral #xD; orderIdentifier 1..1 Identifier K-order Identifier #xD; authoredOn 1..1 dateTime Date and Time of Creation #xD; status 1..1 code Order Status #xD; category 1..1 CodeableConcept Order Category #xD; priority 0..1 code Request Priority #xD; patient 1..1 Base Patient Identification #xD; givenName 1..1 string Given Name #xD; familyName 1..1 string Family Name #xD; birthDate 1..1 date Date of Birth #xD; patientIdentifier 1..1 Identifier Patient Identifier #xD; citizenship 0..1 CodeableConcept Citizenship #xD; gender 0..1 code Administrative Gender #xD; language 0..1 code Communication Language #xD; contactInfo 0..* Base Patient Contact Information #xD; address 0..1 Address Patient Address #xD; email 0..1 string Email #xD; phone 0..1 string Phone #xD; legalGuardian 0..* Base Legal Guardian or Contact #xD; contactType 0..1 CodeableConcept Contact Type #xD; relationship 0..1 CodeableConcept Relationship to Patient #xD; contactIdentifier 0..1 Identifier Contact Person Identifier #xD; givenName 0..1 string Contact Person Given Name #xD; familyName 0..1 string Contact Person Family Name #xD; address 0..1 Address Contact Address #xD; telecom 0..* ContactPoint Contact Telecom #xD; insurance 1..1 Base Health Insurance #xD; payerCode 1..1 CodeableConcept Insurance Company Code #xD; payerName 0..1 string Insurance Company Name #xD; insuredNumber 1..1 string Insurance Number #xD; paymentType 0..1 CodeableConcept Payment Type #xD; requester 1..1 Base Requester (Referring Practitioner/Facility) #xD; icp 1..1 Identifier ICP of Requester #xD; ico 0..1 Identifier ICO of Requester Organization #xD; organizationName 1..1 string Requester Organization Name #xD; specialty 1..1 CodeableConcept Requester Specialty #xD; practitionerId 1..1 Identifier Requester Practitioner ID #xD; practitionerName 1..1 string Requester Practitioner Name #xD; performer 0..1 Base Performer (Recipient) #xD; icpPerformer 0..1 Identifier Performer ICP #xD; icoPerformer 0..1 Identifier Performer ICO #xD; performerName 0..1 string Performer Name #xD; performerSpecialty 0..1 CodeableConcept Performer Specialty #xD; diagnoses 1..* Base Diagnoses #xD; primaryDiagnosis 1..1 CodeableConcept Primary Diagnosis #xD; secondaryDiagnoses 0..* CodeableConcept Secondary Diagnoses #xD; reimbursementCode 0..1 CodeableConcept Reimbursement code #xD; justification 1..1 string Clinical Justification #xD; requestedServices 1..* Base Requested Services or Procedures #xD; textDescription 1..1 string Requested Service Description #xD; procedureCode 0..* CodeableConcept Procedure Code #xD; recommendation 0..1 string Recommendation Text #xD; notes 0..1 Base Notes #xD; significantAnamnesis 0..1 string Significant medical history #xD; examinationResults 0..1 string Results of performed examinations #xD; differentialAssessment 0..1 string Differential diagnostic assessment #xD; currentTreatment 0..1 string Current treatment #xD; attachment 0..* Attachment Attachments #xD; signature 0..1 Base Electronic Signature #xD; author 1..1 string Author of Signature #xD; timestamp 0..1 dateTime Timestamp #xD; Documentation for this format
K-order (Referral Form) – Logical Model (EN)
Logical model for the national implementation guide of K-order (referral form) in the Czech Republic. The model represents structured data for requesting medical services or consultation requests, aligned with CZ Core FHIR profiles and national code systems.
Record of a medical referral or request for healthcare service, used for communication between hospital, or outpatient systems within the Czech eHealth ecosystem.
System-generated unique identifier (UUID) for the referral form.
Date and time when the referral was created and authorized (ISO 8601 format).
Current status of the referral in its lifecycle (draft, active, completed, cancelled).
Type of referral according to the national code list (e.g., Poukaz K).
Level of urgency (routine, urgent, statim).
Information about the patient for whom the referral is issued.
RID, RCIS, or another national/international identifier.
Patient’s citizenship (ISO 3166-1 alpha-2).
Patient's administrative gender (HL7 administrativeGender).
Address, email and telephone contacts of the patient.
Persons authorized to act on behalf of or contact the patient.
Type of contact (guardian, emergency contact, other).
Relationship between the contact person and patient (e.g., father, mother, guardian).
Unique identifier of the contact person.
Information about the patient's insurance and payment.
Code of the health insurance company (VZP list, OID 1.2.203.7898.1.1).
Patient’s insurance number (usually national ID without slash).
Type of payment or reimbursement (VZP Reimbursement list).
Requester (Referring Practitioner/Facility)
Information about the healthcare provider issuing the referral.
Identifier of the requesting facility (OID 1.2.203.7898.1.3).
Identifier of the healthcare provider (ICO).
Official name of the requesting facility.
Specialty code according to national list (OID 1.2.203.7898.1.4).
Practitioner identifier according to payer registry.
Full name of the requesting practitioner.
Target facility or laboratory receiving the referral.
ICO of the recipient healthcare organization.
Specialty of the target facility or department.
Clinical diagnoses justifying the referral request.
Additional diagnoses coded in ICD-10-CZ.
Reimbursement code according to the VZP code list.
Clinical reasoning for the request (anamnesis, objective findings).
List of requested medical procedures or examinations.
Verbal description of the requested examination or service.
Procedure code according to VZP performance list.
Additional recommendation or comment (e.g., hospitalization).
Structured clinical notes supplementing the request. Used to convey relevant clinical context that is not expressed by a diagnosis or a procedure code.
Relevant anamnesis data important for the assessment of the request.
Summary of available results of examinations already performed.
Clinical consideration of possible diagnoses.
Current treatment and medication including dosage.
Supplementary documentation attached to the referral.
Electronic signature or seal of the referral document.
Person or system that signed the referral electronically.
Date and time of the electronic signature.