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
Document Details
Language: en
Profile: Bundle (CZ PS)
Final Document at 2026-01-29 09:50:08+0100 by Practitioner Janský Jan for Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Document Subject
Generated Narrative: Patient f21b91f9-5e7a-47b9-a884-cbc720257590
Profile: Patient (CZ core)
Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Document Content
Generated Narrative: Composition d7a30c93-ab33-48c1-844b-d8c2174d6147
Profile: Composition (CZ PS)
Composition: Presented Form: application/pdf: JVBERi0xLjMKJZOMi54gUmVwb3J0TGFi...
status: Final
type: Patient summary Document
date: 2026-01-29 09:50:08+0100
author: Practitioner Janský Jan
title: Pacientský souhrn - L3 composition
Pacientka je plně soběstačná, mobilní bez použití kompenzačních pomůcek. Orientována osobou, místem i časem, bez kognitivního deficitu.
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).
Social History
Vital signs (2024-03-28)
All measurements recorded by Practitioner-2.
Entry 2 - fullUrl = urn:uuid:f21b91f9-5e7a-47b9-a884-cbc720257590
Resource Patient:
Generated Narrative: Patient f21b91f9-5e7a-47b9-a884-cbc720257590
Profile: Patient (CZ core)
Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 3 - fullUrl = urn:uuid:77fa78d2-154c-4d38-824e-3c38b39c6a42
Resource Practitioner:
Generated Narrative: Practitioner 77fa78d2-154c-4d38-824e-3c38b39c6a42
Profile: Practitioner (CZ core)
name: Janský Jan
Entry 4 - fullUrl = urn:uuid:64054bb3-093f-4b94-aa58-17940bc4d3ad
Resource Consent:
Generated Narrative: Consent 64054bb3-093f-4b94-aa58-17940bc4d3ad
Profile: Consent (CZ PS)
Participants
Role Details Patient Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) This consent is made under the regulation Act No. 372/2011 Coll. in Section 36 .
The subject has given their consent.
Entry 5 - fullUrl = urn:uuid:ad596f22-799b-4cdb-b8f2-6198a6d0a53c
Resource AllergyIntolerance:
Generated Narrative: AllergyIntolerance ad596f22-799b-4cdb-b8f2-6198a6d0a53c
Profile: Allergy Intolerance (CZ core)
identifier:
http://example.org/hospital/allergy-intolerances/allergy-penicilin-001clinicalStatus: Active
verificationStatus: Confirmed
type: Allergy
code: Allergy to penicillin
patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 6 - fullUrl = urn:uuid:a1de206e-b7dc-4d63-9efc-6b3d4913822f
Resource AllergyIntolerance:
Pacient má intoleranci na latex.
Entry 7 - fullUrl = urn:uuid:0711ad77-bbd4-4242-9e82-4d612a8cfda8
Resource AllergyIntolerance:
Pacient má alergii na ořechy.
Entry 8 - fullUrl = urn:uuid:90482ba4-9384-428a-a384-5b09f1293a0e
Resource Flag:
Pacient na dlouhodobé antikoagulační léčbě.
Entry 9 - fullUrl = urn:uuid:ad531430-e51b-4a21-a3e4-1bae61b276e8
Resource Condition:
Generated Narrative: Condition ad531430-e51b-4a21-a3e4-1bae61b276e8
Profile: Condition (CZ core)
code: Atrial fibrillation
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 10 - fullUrl = urn:uuid:fee0d4a9-debd-4c63-ac12-7f59e5cb41cb
Resource Condition:
Generated Narrative: Condition fee0d4a9-debd-4c63-ac12-7f59e5cb41cb
Profile: Condition (CZ core)
code: Hypertensive disorder
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 11 - fullUrl = urn:uuid:935dd8cc-f0df-487c-bf57-6430a3e78730
Resource Condition:
Generated Narrative: Condition 935dd8cc-f0df-487c-bf57-6430a3e78730
Profile: Condition (CZ core)
code: Asthma
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 12 - fullUrl = urn:uuid:0e95d603-0fb7-475e-aab3-3bf30b281cfd
Resource Condition:
Generated Narrative: Condition 0e95d603-0fb7-475e-aab3-3bf30b281cfd
Profile: Condition (CZ core)
code: Hypertensive disorder
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 13 - fullUrl = urn:uuid:8e620d4e-74fd-486b-ba57-0f0895f24f26
Resource Condition:
Generated Narrative: Condition 8e620d4e-74fd-486b-ba57-0f0895f24f26
Profile: Condition (CZ core)
code: Atrial fibrillation
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 14 - fullUrl = urn:uuid:3881d35f-3f28-4d0f-b850-5d356f12f008
Resource Condition:
Generated Narrative: Condition 3881d35f-3f28-4d0f-b850-5d356f12f008
Profile: Condition (CZ core)
code: Asthma
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 15 - fullUrl = urn:uuid:6b957a32-3505-4f1c-b13f-263dd5cb0eec
Resource Device:
Generated Narrative: Device 6b957a32-3505-4f1c-b13f-263dd5cb0eec
Profile: Medical Device (CZ core)
identifier:
http://example.org/medical-devices/device-001manufacturer: Medtronic
modelNumber: W1DR01
type: Cardiac pacemaker
patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
Entry 16 - fullUrl = urn:uuid:26011fd3-3b12-49bb-90b5-a75fcea4811e
Resource DeviceUseStatement:
Generated Narrative: DeviceUseStatement 26011fd3-3b12-49bb-90b5-a75fcea4811e
Profile: Device Use Statement (CZ core)
status: Active
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
timing: 2023-04-10
reasonCode: Heart failure
reasonReference: Condition Atrial fibrillation
bodySite: Thoracic structure
Entry 17 - fullUrl = urn:uuid:c20d47b8-6950-4b55-a3f2-fe54799766d1
Resource Immunization:
Generated Narrative: Immunization c20d47b8-6950-4b55-a3f2-fe54799766d1
Profile: Immunization (CZ core)
status: Completed
vaccineCode: Influenza virus antigen only vaccine product
patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
occurrence: 2025-10-01 10:00:00+0100
Entry 18 - fullUrl = urn:uuid:a58b4ffb-69ef-4370-a18a-5c3ab200bf24
Resource Immunization:
Generated Narrative: Immunization a58b4ffb-69ef-4370-a18a-5c3ab200bf24
Profile: Immunization (CZ core)
status: Completed
vaccineCode: Streptococcus pneumoniae antigen only vaccine product
patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
occurrence: 2024-05-01 10:00:00+0100
Entry 19 - fullUrl = urn:uuid:820b5cb4-ea52-40ce-89c6-7c27c646b247
Resource Immunization:
Generated Narrative: Immunization 820b5cb4-ea52-40ce-89c6-7c27c646b247
Profile: Immunization (CZ core)
status: Completed
vaccineCode: Administration of SARS-CoV-2 vaccine
patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
occurrence: 2021-03-01 10:00:00+0100
Entry 20 - fullUrl = urn:uuid:7d608f8f-8686-4088-a9af-78114af37e18
Resource Medication:
Generated Narrative: Medication 7d608f8f-8686-4088-a9af-78114af37e18
Profile: Medication (CZ core)
identifier:
http://example.org/medications/medication-001code: WARFARIN ORION 3MG TBL NOB 100
Entry 21 - fullUrl = urn:uuid:2209371a-60c4-43a4-a7b9-fc5cf536ff3b
Resource MedicationDispense:
Generated Narrative: MedicationDispense 2209371a-60c4-43a4-a7b9-fc5cf536ff3b
Profile: MedicationDispense (CZ Core)
R5: When the recording of the dispense started (new): 2024-03-01 10:00:00+0100
status: Completed
medication: Medication WARFARIN ORION 3MG TBL NOB 100
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
quantity: 30 ml
whenHandedOver: 2024-03-01 10:00:00+0100
Entry 22 - fullUrl = urn:uuid:022bc706-3ebd-4aab-91a2-02d20faa72b8
Resource Medication:
Generated Narrative: Medication 022bc706-3ebd-4aab-91a2-02d20faa72b8
Profile: Medication (CZ core)
identifier:
http://example.org/medications/medication-002code: METOPROLOL MEDREG 100MG TBL FLM 50
Entry 23 - fullUrl = urn:uuid:493d4549-960e-4e9a-b31c-a33002d26c1e
Resource MedicationDispense:
Generated Narrative: MedicationDispense 493d4549-960e-4e9a-b31c-a33002d26c1e
Profile: MedicationDispense (CZ Core)
R5: When the recording of the dispense started (new): 2024-03-01 10:00:00+0100
status: Completed
medication: Medication METOPROLOL MEDREG 100MG TBL FLM 50
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
quantity: 1 tableta
whenHandedOver: 2024-03-01 10:00:00+0100
Entry 24 - fullUrl = urn:uuid:e58c7e2c-7f5c-4ebd-a2d4-e51b184a2a1b
Resource Medication:
Generated Narrative: Medication e58c7e2c-7f5c-4ebd-a2d4-e51b184a2a1b
Profile: Medication (CZ core)
identifier:
http://example.org/medications/medication-003code: SALBUTAMOL POLPHARMA 2MG TBL NOB 30
Entry 25 - fullUrl = urn:uuid:d01883ca-1905-447e-983b-3f220fa3aa2f
Resource MedicationDispense:
Generated Narrative: MedicationDispense d01883ca-1905-447e-983b-3f220fa3aa2f
Profile: MedicationDispense (CZ Core)
R5: When the recording of the dispense started (new): 2024-03-01 10:00:00+0100
status: Completed
medication: Medication SALBUTAMOL POLPHARMA 2MG TBL NOB 30
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
quantity: 1 tableta
whenHandedOver: 2024-03-01 10:00:00+0100
Entry 26 - fullUrl = urn:uuid:0d29194f-dabd-48b2-8fd2-8154288c49b0
Resource Procedure:
Pacient prodělal v roce 2015 implantaci kardiostimulátoru pro léčbu fibrilace síní.
Entry 27 - fullUrl = urn:uuid:c8fc06f5-00d4-4f70-8133-ad07e74993d6
Resource Observation:
Generated Narrative: Observation c8fc06f5-00d4-4f70-8133-ad07e74993d6
status: Final
category: Laboratory
code: Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2025-11-01 12:00:00+0100
performer: Practitioner Janský Jan
value: 1500 pg/mL (Details: UCUM codepg/mL = 'pg/mL')
Entry 28 - fullUrl = urn:uuid:732a2fab-6d0c-4bb0-8a58-ea90252eb170
Resource Observation:
Generated Narrative: Observation 732a2fab-6d0c-4bb0-8a58-ea90252eb170
status: Final
category: Laboratory
code: Gas panel - Arterial blood
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2025-11-01 12:30:00+0100
performer: Practitioner Janský Jan
component
code: pH of Arterial blood
value: 7.3 1 (Details: UCUM code1 = '1')
component
code: Carbon dioxide [Partial pressure] in Arterial blood
value: 50 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Carbon dioxide [Partial pressure] in Arterial blood
value: 60 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Bicarbonate [Moles/volume] in Arterial blood
value: 22 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Entry 29 - fullUrl = urn:uuid:506936ca-99d2-47dc-a365-e10ec008c89a
Resource Observation:
Generated Narrative: Observation 506936ca-99d2-47dc-a365-e10ec008c89a
Profile: Observation: travel history (HDR CZ)
status: Final
code: Country of travel [Location]
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2024-03-20
performer: Practitioner Janský Jan
value: Madagaskar
note:
Pacient navštívil Madagaskar během posledních 30 dnů.
Entry 30 - fullUrl = urn:uuid:7cf304de-5ae3-4621-8531-9c8f0b2d4e3a
Resource Observation:
Generated Narrative: Observation 7cf304de-5ae3-4621-8531-9c8f0b2d4e3a
status: Final
category: Vital Signs
code: Body mass index (BMI) [Ratio]
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2024-03-28
performer: Practitioner Janský Jan
value: 22.5 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')
Entry 31 - fullUrl = urn:uuid:8d2aea77-f576-4d0f-9508-537359aa44d6
Resource Observation:
Generated Narrative: Observation 8d2aea77-f576-4d0f-9508-537359aa44d6
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2024-03-28
performer: Practitioner Janský Jan
component
code: Systolic blood pressure
value: 120 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure
value: 80 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
Entry 32 - fullUrl = urn:uuid:4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a
Resource Observation:
Generated Narrative: Observation 4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a
status: Final
category: Vital Signs
code: Waist Circumference at umbilicus by Tape measure
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2024-03-28
performer: Practitioner Janský Jan
value: 85 cm (Details: UCUM codecm = 'cm')
Entry 33 - fullUrl = urn:uuid:5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d
Resource Observation:
Generated Narrative: Observation 5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d
status: Final
category: Vital Signs
code: Head Occipital-frontal circumference
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2024-03-28
performer: Practitioner Janský Jan
value: 50 cm (Details: UCUM codecm = 'cm')
Entry 34 - fullUrl = urn:uuid:6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b
Resource Observation:
Generated Narrative: Observation 6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b
status: Final
category: Vital Signs
code: Body height
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2024-03-28
performer: Practitioner Janský Jan
value: 175 cm (Details: UCUM codecm = 'cm')
Entry 35 - fullUrl = urn:uuid:5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c
Resource Observation:
Generated Narrative: Observation 5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c
status: Final
category: Vital Signs
code: Body weight
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2024-03-28
performer: Practitioner Janský Jan
value: 70 kg (Details: UCUM codekg = 'kg')
Entry 36 - fullUrl = urn:uuid:23e3b557-ba77-4538-bac5-cc747c0077b1
Resource Observation:
Generated Narrative: Observation 23e3b557-ba77-4538-bac5-cc747c0077b1
Profile: Observation – Alcohol Use (CZ PS)
status: Final
code: Alcoholic drinks per day
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2025-03-01 00:00:00+0100
performer: Practitioner Janský Jan
value: Finding relating to alcohol drinking behavior
note:
Konzumace cca 1–2 piva týdně. Zadáno praktickým lékařem.
Entry 37 - fullUrl = urn:uuid:2030d019-7d45-4a8c-8190-3b28cfe8f29f
Resource Observation:
Generated Narrative: Observation 2030d019-7d45-4a8c-8190-3b28cfe8f29f
Profile: Observation – Tobacco Use (CZ PS)
status: Final
code: Tobacco smoking status
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2017-04-15 00:00:00+0200 --> 2020-04-15 00:00:00+0200
performer: Practitioner Janský Jan
value: 0.5 {pack}/d
note:
Entered by Všeobecný lékař
Entry 38 - fullUrl = urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f536
Resource CarePlan:
Generated Narrative: CarePlan 9c913d06-84fe-4d35-b35b-8b0c7965f536
status: Active
intent: Plan
title: Plán péče – Fibrilace síní, antikoagulační léčba
description: Plán péče zaměřený na dlouhodobé vedení pacientky s fibrilací síní, včetně antikoagulační léčby warfarinem, monitorování INR a prevence komplikací.
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
period: 2026-01-29 09:50:08+0100 --> (ongoing)
addresses: Condition Atrial fibrillation
activity
Details
Kind Status Description MedicationRequest In Progress Kontinuální antikoagulační léčba warfarinem s monitoringem INR activity
Details
Kind Status Description ServiceRequest Scheduled Pravidelné echokardiografické vyšetření, sledování funkce kardiostimulátoru activity
Details
Kind Status Description Appointment Scheduled Kontrolní návštěva u kardiologa za 3 měsíce activity
Details
Kind Status Description CommunicationRequest Scheduled Edukace pacienty o antikoagulační léčbě a prevenci tromboembolických příhod
Entry 39 - fullUrl = urn:uuid:34437d1d-2fc0-46d9-a0ac-24684ebdccfa
Resource Observation:
Generated Narrative: Observation 34437d1d-2fc0-46d9-a0ac-24684ebdccfa
status: Final
code: [#] Births.live
subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
effective: 2026-02-24
performer: Practitioner Janský Jan
value: 2 {births} (Details: UCUM code1 = '1')
note:
Pacientka rodila 2 děti, oba porody proběhly bez komplikací.