HL7 Czech PS Implementation Guide
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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

: Pacientský souhrn - L3 composition - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "d7a30c93-ab33-48c1-844b-d8c2174d6147"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://hl7.cz/fhir/ps/StructureDefinition/cz-composition-ps"^^xsd:anyURI ;
fhir:l <https://hl7.cz/fhir/ps/StructureDefinition/cz-composition-ps>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"^^xsd:anyURI ;
fhir:l <https://hl7.cz/fhir/core/StructureDefinition/presentedForm>     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:60591-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "60591-5" ] ;
fhir:display [ fhir:v "Patient summary Document" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l <urn:uuid:f21b91f9-5e7a-47b9-a884-cbc720257590> ;
fhir:reference [ fhir:v "urn:uuid:f21b91f9-5e7a-47b9-a884-cbc720257590" ]
  ] ; # 
  fhir:date [ fhir:v "2026-01-29T09:50:08+01:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:l <urn:uuid:77fa78d2-154c-4d38-824e-3c38b39c6a42> ;
fhir:reference [ fhir:v "urn:uuid:77fa78d2-154c-4d38-824e-3c38b39c6a42" ]
  ] ) ; # 
  fhir:title [ fhir:v "Pacientský souhrn - L3 composition"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Aktuální problémy" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11450-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "11450-4" ] ;
fhir:display [ fhir:v "Problem list - Reported" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">1. Fibrilace síní<br/>2. Hypertenze<br/>3. Astma bronchiale</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:problem1> ;
fhir:reference [ fhir:v "urn:uuid:problem1" ]     ] [
fhir:l <urn:uuid:problem2> ;
fhir:reference [ fhir:v "urn:uuid:problem2" ]     ] [
fhir:l <urn:uuid:problem3> ;
fhir:reference [ fhir:v "urn:uuid:problem3" ]     ] )
  ] [
fhir:title [ fhir:v "Alergie a intolerance" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:ad596f22-799b-4cdb-b8f2-6198a6d0a53c> ;
fhir:reference [ fhir:v "urn:uuid:ad596f22-799b-4cdb-b8f2-6198a6d0a53c" ]     ] [
fhir:l <urn:uuid:a1de206e-b7dc-4d63-9efc-6b3d4913822f> ;
fhir:reference [ fhir:v "urn:uuid:a1de206e-b7dc-4d63-9efc-6b3d4913822f" ]     ] [
fhir:l <urn:uuid:0711ad77-bbd4-4242-9e82-4d612a8cfda8> ;
fhir:reference [ fhir:v "urn:uuid:0711ad77-bbd4-4242-9e82-4d612a8cfda8" ]     ] )
  ] [
fhir:title [ fhir:v "Souhrn medikace" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10160-0 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "10160-0" ] ;
fhir:display [ fhir:v "History of Medication use Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:medication1> ;
fhir:reference [ fhir:v "urn:uuid:medication1" ]     ] [
fhir:l <urn:uuid:medication2> ;
fhir:reference [ fhir:v "urn:uuid:medication2" ]     ] [
fhir:l <urn:uuid:medication3> ;
fhir:reference [ fhir:v "urn:uuid:medication3" ]     ] )
  ] [
fhir:title [ fhir:v "Historie očkování" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11369-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "11369-6" ] ;
fhir:display [ fhir:v "History of Immunization note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient je očkován proti chřipce, pneumokokům a COVID-19.</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:immunization1> ;
fhir:reference [ fhir:v "urn:uuid:immunization1" ]     ] [
fhir:l <urn:uuid:immunization2> ;
fhir:reference [ fhir:v "urn:uuid:immunization2" ]     ] [
fhir:l <urn:uuid:immunization3> ;
fhir:reference [ fhir:v "urn:uuid:immunization3" ]     ] )
  ] [
fhir:title [ fhir:v "Výsledky vyšetření" ] ;
fhir:code [
      ( fhir:coding [
a loinc:30954-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "30954-2" ] ;
fhir:display [ fhir:v "Relevant diagnostic tests/laboratory data note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:observation1> ;
fhir:reference [ fhir:v "urn:uuid:observation1" ]     ] [
fhir:l <urn:uuid:observation2> ;
fhir:reference [ fhir:v "urn:uuid:observation2" ]     ] )
  ] [
fhir:title [ fhir:v "Historie výkonů" ] ;
fhir:code [
      ( fhir:coding [
a loinc:47519-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "47519-4" ] ;
fhir:display [ fhir:v "History of Procedures Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient prodělal v minulosti několik kardiologických výkonů, včetně implantace kardiostimulátoru a katetrizačního vyšetření koronárních tepen.</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:procedureHx1> ;
fhir:reference [ fhir:v "urn:uuid:procedureHx1" ]     ] )
  ] [
fhir:title [ fhir:v "Historie zdravotnických prostředků" ] ;
fhir:code [
      ( fhir:coding [
a loinc:46264-8 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "46264-8" ] ;
fhir:display [ fhir:v "History of medical device use" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient má v anamnéze implantaci kardiostimulátoru pro fibrilaci síní.</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:medicaldevice1> ;
fhir:reference [ fhir:v "urn:uuid:medicaldevice1" ]     ] )
  ] [
fhir:title [ fhir:v "Dříve vyslovaná přání" ] ;
fhir:code [
      ( fhir:coding [
a loinc:42348-3 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "42348-3" ] ;
fhir:display [ fhir:v "Advance healthcare directives" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient si nepřeje být resuscitován.</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:64054bb3-093f-4b94-aa58-17940bc4d3ad> ;
fhir:reference [ fhir:v "urn:uuid:64054bb3-093f-4b94-aa58-17940bc4d3ad" ]     ] )
  ] [
fhir:title [ fhir:v "Varování" ] ;
fhir:code [
      ( fhir:coding [
a loinc:104605-1 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "104605-1" ] ;
fhir:display [ fhir:v "Alert" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient na dlouhodobé antikoagulační léčbě.</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:90482ba4-9384-428a-a384-5b09f1293a0e> ;
fhir:reference [ fhir:v "urn:uuid:90482ba4-9384-428a-a384-5b09f1293a0e" ]     ] )
  ] [
fhir:title [ fhir:v "Funkční stav" ] ;
fhir:code [
      ( fhir:coding [
a loinc:47420-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "47420-5" ] ;
fhir:display [ fhir:v "Functional status assessment note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ]
  ] [
fhir:title [ fhir:v "Gynekologická a porodnická anamnéza" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10162-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "10162-6" ] ;
fhir:display [ fhir:v "History of pregnancies Section" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacientka má v anamnéze dvě těhotenství, obě ukončená porodem zdravých dětí.</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:34437d1d-2fc0-46d9-a0ac-24684ebdccfa> ;
fhir:reference [ fhir:v "urn:uuid:34437d1d-2fc0-46d9-a0ac-24684ebdccfa" ]     ] )
  ] [
fhir:title [ fhir:v "Příběh pacienta" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10164-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "10164-2" ] ;
fhir:display [ fhir:v "Patient Story Section" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ]
  ] [
fhir:title [ fhir:v "Plán péče" ] ;
fhir:code [
      ( fhir:coding [
a loinc:18776-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "18776-5" ] ;
fhir:display [ fhir:v "Plan of care" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f536> ;
fhir:reference [ fhir:v "urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f536" ]     ] )
  ] [
fhir:title [ fhir:v "Sociální anamnéza" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29762-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "29762-2" ] ;
fhir:display [ fhir:v "Social history" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:23e3b557-ba77-4538-bac5-cc747c0077b1> ;
fhir:reference [ fhir:v "urn:uuid:23e3b557-ba77-4538-bac5-cc747c0077b1" ]     ] [
fhir:l <urn:uuid:2030d019-7d45-4a8c-8190-3b28cfe8f29f> ;
fhir:reference [ fhir:v "urn:uuid:2030d019-7d45-4a8c-8190-3b28cfe8f29f" ]     ] )
  ] [
fhir:title [ fhir:v "Vital signs" ] ;
fhir:code [
      ( fhir:coding [
a loinc:8716-3 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "8716-3" ] ;
fhir:display [ fhir:v "Vital signs" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:7cf304de-5ae3-4621-8531-9c8f0b2d4e3a> ;
fhir:reference [ fhir:v "urn:uuid:7cf304de-5ae3-4621-8531-9c8f0b2d4e3a" ]     ] [
fhir:l <urn:uuid:8d2aea77-f576-4d0f-9508-537359aa44d6> ;
fhir:reference [ fhir:v "urn:uuid:8d2aea77-f576-4d0f-9508-537359aa44d6" ]     ] [
fhir:l <urn:uuid:4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a> ;
fhir:reference [ fhir:v "urn:uuid:4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a" ]     ] [
fhir:l <urn:uuid:5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d> ;
fhir:reference [ fhir:v "urn:uuid:5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d" ]     ] [
fhir:l <urn:uuid:6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b> ;
fhir:reference [ fhir:v "urn:uuid:6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b" ]     ] [
fhir:l <urn:uuid:5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c> ;
fhir:reference [ fhir:v "urn:uuid:5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c" ]     ] )
  ] [
fhir:title [ fhir:v "Cestovatelská anamnéza" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10182-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "10182-4" ] ;
fhir:display [ fhir:v "sectionTravelHx" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient navštívil Madagaskar během posledních 30 dnů.</div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:506936ca-99d2-47dc-a365-e10ec008c89a> ;
fhir:reference [ fhir:v "urn:uuid:506936ca-99d2-47dc-a365-e10ec008c89a" ]     ] )
  ] [
fhir:title [ fhir:v "Historie zdravotních problémů" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11348-0 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "11348-0" ] ;
fhir:display [ fhir:v "History of Past illness note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "additional" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Hypertenze</li><li>Fibrilace síní</li><li>Astma bronchiale</li></ul></div>"^^rdf:XMLLiteral ]     ] ;
    ( fhir:entry [
fhir:l <urn:uuid:pastillnes0> ;
fhir:reference [ fhir:v "urn:uuid:pastillnes0" ]     ] [
fhir:l <urn:uuid:pastillnes1> ;
fhir:reference [ fhir:v "urn:uuid:pastillnes1" ]     ] [
fhir:l <urn:uuid:pastillnes2> ;
fhir:reference [ fhir:v "urn:uuid:pastillnes2" ]     ] )
  ] ) . #