HL7 Czech PS Implementation Guide
0.0.1 - ci-build
HL7 Czech PS Implementation Guide
0.0.1 - ci-build
HL7 Czech PS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/ps/ and changes regularly. See the Directory of published versions
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🔗 "https://hl7.cz/fhir/ps/StructureDefinition/cz-composition-ps"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition d7a30c93-ab33-48c1-844b-d8c2174d6147</b></p><a name=\"d7a30c93-ab33-48c1-844b-d8c2174d6147\"> </a><a name=\"hcd7a30c93-ab33-48c1-844b-d8c2174d6147\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cz-composition-ps.html\">Composition (CZ PS)</a></p></div><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 60591-5}\">Patient summary Document</span></p><p><b>date</b>: 2026-01-29 09:50:08+0100</p><p><b>author</b>: <a href=\"Bundle-PatientSummary-Mracena-L3.html#urn-uuid-77fa78d2-154c-4d38-824e-3c38b39c6a42\">Practitioner Janský Jan </a></p><p><b>title</b>: Pacientský souhrn - L3 composition</p></div>"
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{
"system" : "http://loinc.org",
"code" : "60591-5",
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},
"subject" : {
"reference" : "urn:uuid:f21b91f9-5e7a-47b9-a884-cbc720257590"
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"date" : "2026-01-29T09:50:08+01:00",
"author" : [
{
"reference" : "urn:uuid:77fa78d2-154c-4d38-824e-3c38b39c6a42"
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],
"title" : "Pacientský souhrn - L3 composition",
"section" : [
{
"title" : "Aktuální problémy",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list - Reported"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">1. Fibrilace síní<br/>2. Hypertenze<br/>3. Astma bronchiale</div>"
},
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{
"reference" : "urn:uuid:problem1"
},
{
"reference" : "urn:uuid:problem2"
},
{
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]
},
{
"title" : "Alergie a intolerance",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Penicilin – anafylaktická reakce (2018)</li><li>Latex – kontaktní dermatitida</li><li>Ořechy – kopřivka, otok rtů (dětský věk)</li></ul></div>"
},
"entry" : [
{
"reference" : "urn:uuid:ad596f22-799b-4cdb-b8f2-6198a6d0a53c"
},
{
"reference" : "urn:uuid:a1de206e-b7dc-4d63-9efc-6b3d4913822f"
},
{
"reference" : "urn:uuid:0711ad77-bbd4-4242-9e82-4d612a8cfda8"
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]
},
{
"title" : "Souhrn medikace",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient užívá následující medikaci: Warfarin 5 mg denně, Metoprolol 50 mg denně, Salbutamol inhalátor podle potřeby.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:medication1"
},
{
"reference" : "urn:uuid:medication2"
},
{
"reference" : "urn:uuid:medication3"
}
]
},
{
"title" : "Historie očkování",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11369-6",
"display" : "History of Immunization note"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient je očkován proti chřipce, pneumokokům a COVID-19.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:immunization1"
},
{
"reference" : "urn:uuid:immunization2"
},
{
"reference" : "urn:uuid:immunization3"
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]
},
{
"title" : "Výsledky vyšetření",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "30954-2",
"display" : "Relevant diagnostic tests/laboratory data note"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratorní výsledky ukazují zvýšené hodnoty NT-proBNP, což je konzistentní s dekompenzací srdečního selhání. Dále jsou přítomny známky hypoxémie v arteriální krevní plynů.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:observation1"
},
{
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]
},
{
"title" : "Historie výkonů",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47519-4",
"display" : "History of Procedures Document"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient prodělal v minulosti několik kardiologických výkonů, včetně implantace kardiostimulátoru a katetrizačního vyšetření koronárních tepen.</div>"
},
"entry" : [
{
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}
]
},
{
"title" : "Historie zdravotnických prostředků",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46264-8",
"display" : "History of medical device use"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient má v anamnéze implantaci kardiostimulátoru pro fibrilaci síní.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:medicaldevice1"
}
]
},
{
"title" : "Dříve vyslovaná přání",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "42348-3",
"display" : "Advance healthcare directives"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient si nepřeje být resuscitován.</div>"
},
"entry" : [
{
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}
]
},
{
"title" : "Varování",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "104605-1",
"display" : "Alert"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient na dlouhodobé antikoagulační léčbě.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:90482ba4-9384-428a-a384-5b09f1293a0e"
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]
},
{
"title" : "Funkční stav",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "47420-5",
"display" : "Functional status assessment note"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pacientka je plně soběstačná, mobilní bez použití kompenzačních pomůcek. Orientována osobou, místem i časem, bez kognitivního deficitu.</p></div>"
}
},
{
"title" : "Gynekologická a porodnická anamnéza",
"code" : {
"coding" : [
{
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"code" : "10162-6",
"display" : "History of pregnancies Section"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacientka má v anamnéze dvě těhotenství, obě ukončená porodem zdravých dětí.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:34437d1d-2fc0-46d9-a0ac-24684ebdccfa"
}
]
},
{
"title" : "Příběh pacienta",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10164-2",
"display" : "Patient Story Section"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pacientka je aktivní a preferuje ambulantní vedení péče. Důraz klade na zachování soběstačnosti a mobility. Je informovaná o dlouhodobé antikoagulační léčbě a spolupracuje na monitoraci INR(srážlivost).</p></div>"
}
},
{
"title" : "Plán péče",
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"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5",
"display" : "Plan of care"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plán péče zaměřený na dlouhodobé vedení pacientky s fibrilací síní, včetně antikoagulační léčby warfarinem, monitorování INR a prevence komplikací.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f536"
}
]
},
{
"title" : "Sociální anamnéza",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2",
"display" : "Social history"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Social History</b></p><ul><li><b>Alcohol consumption:</b> Occasional use (approximately 1–2 beers per week). Recorded on 01.03.2025 by general practitioner.</li><li><b>Tobacco use:</b> 0.5 pack/day. Patient reported smoking from 15.04.2017 to 15.04.2020. Entered by general practitioner.</li></ul></div>"
},
"entry" : [
{
"reference" : "urn:uuid:23e3b557-ba77-4538-bac5-cc747c0077b1"
},
{
"reference" : "urn:uuid:2030d019-7d45-4a8c-8190-3b28cfe8f29f"
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},
{
"title" : "Vital signs",
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"code" : "8716-3",
"display" : "Vital signs"
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},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Vital signs</b> (2024-03-28)</p><ul><li><b>Blood pressure:</b> 120/80 mmHg</li><li><b>Body height:</b> 175 cm</li><li><b>Body weight:</b> 70 kg</li><li><b>Body mass index (BMI):</b> 22.5 kg/m2</li><li><b>Waist circumference:</b> 85 cm</li><li><b>Head circumference:</b> 50 cm</li></ul><p>All measurements recorded by Practitioner-2.</p></div>"
},
"entry" : [
{
"reference" : "urn:uuid:7cf304de-5ae3-4621-8531-9c8f0b2d4e3a"
},
{
"reference" : "urn:uuid:8d2aea77-f576-4d0f-9508-537359aa44d6"
},
{
"reference" : "urn:uuid:4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a"
},
{
"reference" : "urn:uuid:5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d"
},
{
"reference" : "urn:uuid:6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b"
},
{
"reference" : "urn:uuid:5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c"
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]
},
{
"title" : "Cestovatelská anamnéza",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10182-4",
"display" : "sectionTravelHx"
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]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient navštívil Madagaskar během posledních 30 dnů.</div>"
},
"entry" : [
{
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}
]
},
{
"title" : "Historie zdravotních problémů",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11348-0",
"display" : "History of Past illness note"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Hypertenze</li><li>Fibrilace síní</li><li>Astma bronchiale</li></ul></div>"
},
"entry" : [
{
"reference" : "urn:uuid:pastillnes0"
},
{
"reference" : "urn:uuid:pastillnes1"
},
{
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}
]
}
]
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