HL7 Czech PS Implementation Guide
0.0.1 - ci-build CZ

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

Example Bundle: PatientSummary-Mracena-L3

Document Subject

Language: en

Profile: Patient (CZ core)

Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)

Document Content

Aktuální problémy

1. Fibrilace síní
2. Hypertenze
3. Astma bronchiale

Alergie a intolerance

  • Penicilin – anafylaktická reakce (2018)
  • Latex – kontaktní dermatitida
  • Ořechy – kopřivka, otok rtů (dětský věk)

Souhrn medikace

Pacient užívá následující medikaci: Warfarin 5 mg denně, Metoprolol 50 mg denně, Salbutamol inhalátor podle potřeby.

Historie očkování

Pacient je očkován proti chřipce, pneumokokům a COVID-19.

Výsledky vyšetření

Laboratorní výsledky ukazují zvýšené hodnoty NT-proBNP, což je konzistentní s dekompenzací srdečního selhání. Dále jsou přítomny známky hypoxémie v arteriální krevní plynů.

Historie výkonů

Pacient prodělal v minulosti několik kardiologických výkonů, včetně implantace kardiostimulátoru a katetrizačního vyšetření koronárních tepen.

Historie zdravotnických prostředků

Pacient má v anamnéze implantaci kardiostimulátoru pro fibrilaci síní.

Dříve vyslovaná přání

Pacient si nepřeje být resuscitován.

Varování

Pacient na dlouhodobé antikoagulační léčbě.

Funkční stav

Pacientka je plně soběstačná, mobilní bez použití kompenzačních pomůcek. Orientována osobou, místem i časem, bez kognitivního deficitu.

Gynekologická a porodnická anamnéza

Pacientka má v anamnéze dvě těhotenství, obě ukončená porodem zdravých dětí.

Příběh pacienta

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).

Plán péče

Plán péče zaměřený na dlouhodobé vedení pacientky s fibrilací síní, včetně antikoagulační léčby warfarinem, monitorování INR a prevence komplikací.

Sociální anamnéza

Social History

  • Alcohol consumption: Occasional use (approximately 1–2 beers per week). Recorded on 01.03.2025 by general practitioner.
  • Tobacco use: 0.5 pack/day. Patient reported smoking from 15.04.2017 to 15.04.2020. Entered by general practitioner.

Vital signs

Vital signs (2024-03-28)

  • Blood pressure: 120/80 mmHg
  • Body height: 175 cm
  • Body weight: 70 kg
  • Body mass index (BMI): 22.5 kg/m2
  • Waist circumference: 85 cm
  • Head circumference: 50 cm

All measurements recorded by Practitioner-2.

Cestovatelská anamnéza

Pacient navštívil Madagaskar během posledních 30 dnů.

Historie zdravotních problémů

  • Hypertenze
  • Fibrilace síní
  • Astma bronchiale

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:f21b91f9-5e7a-47b9-a884-cbc720257590

Resource Patient:

Language: en

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:

Language: en

Profile: Practitioner (CZ core)

name: Janský Jan

Entry 4 - fullUrl = urn:uuid:64054bb3-093f-4b94-aa58-17940bc4d3ad

Resource Consent:

Participants

RoleDetails
PatientMračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)

The subject has given their consent.

Entry 5 - fullUrl = urn:uuid:ad596f22-799b-4cdb-b8f2-6198a6d0a53c

Resource AllergyIntolerance:

Language: en

Profile: AllergyIntolerance (CZ PS)

identifier: http://example.org/hospital/allergy-intolerances/allergy-penicilin-001

clinicalStatus: 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:

Language: en

Profile: Condition (CZ PS)

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:

Language: en

Profile: Condition (CZ PS)

code: Hypertensive disease

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:

Language: en

Profile: Condition (CZ PS)

code: Airway hyperreactivity

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:

Language: en

Profile: Condition (CZ PS)

code: Hypertensive disease

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:

Language: en

Profile: Condition (CZ PS)

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:

Language: en

Profile: Condition (CZ PS)

code: Airway hyperreactivity

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:

Language: en

Profile: Medical Device (CZ core)

identifier: http://example.org/medical-devices/device-001

manufacturer: Medtronic

modelNumber: W1DR01

type: Cardiac pacemaker

Entry 16 - fullUrl = urn:uuid:c20d47b8-6950-4b55-a3f2-fe54799766d1

Resource Immunization:

Language: en

Profile: Immunization (CZ PS)

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 17 - fullUrl = urn:uuid:a58b4ffb-69ef-4370-a18a-5c3ab200bf24

Resource Immunization:

Language: en

Profile: Immunization (CZ PS)

status: Completed

vaccineCode: Pneumococcal vaccine

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 18 - fullUrl = urn:uuid:820b5cb4-ea52-40ce-89c6-7c27c646b247

Resource Immunization:

Language: en

Profile: Immunization (CZ PS)

status: Completed

vaccineCode: SARS-CoV-2 immunization

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 19 - fullUrl = urn:uuid:7d608f8f-8686-4088-a9af-78114af37e18

Resource Medication:

Language: en

Profile: Medication (CZ core)

identifier: http://example.org/medications/medication-001

code: WARFARIN ORION 3MG TBL NOB 100

Entry 20 - fullUrl = urn:uuid:2209371a-60c4-43a4-a7b9-fc5cf536ff3b

Resource MedicationDispense:

Language: en

Profile: MedicationDispense (HDR)

status: Completed

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 21 - fullUrl = urn:uuid:022bc706-3ebd-4aab-91a2-02d20faa72b8

Resource Medication:

Language: en

Profile: Medication (CZ core)

identifier: http://example.org/medications/medication-002

code: METOPROLOL MEDREG 100MG TBL FLM 50

Entry 22 - fullUrl = urn:uuid:493d4549-960e-4e9a-b31c-a33002d26c1e

Resource MedicationDispense:

Language: en

Profile: MedicationDispense (HDR)

status: Completed

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 23 - fullUrl = urn:uuid:e58c7e2c-7f5c-4ebd-a2d4-e51b184a2a1b

Resource Medication:

Language: en

Profile: Medication (CZ core)

identifier: http://example.org/medications/medication-003

code: SALBUTAMOL POLPHARMA 2MG TBL NOB 30

Entry 24 - fullUrl = urn:uuid:d01883ca-1905-447e-983b-3f220fa3aa2f

Resource MedicationDispense:

Language: en

Profile: MedicationDispense (HDR)

status: Completed

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 25 - fullUrl = urn:uuid:0d29194f-dabd-48b2-8fd2-8154288c49b0

Resource Procedure:

Pacient prodělal v roce 2015 implantaci kardiostimulátoru pro léčbu fibrilace síní.

Entry 26 - fullUrl = urn:uuid:c8fc06f5-00d4-4f70-8133-ad07e74993d6

Resource Observation:

Language: en

status: Final

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 27 - fullUrl = urn:uuid:732a2fab-6d0c-4bb0-8a58-ea90252eb170

Resource Observation:

Language: en

status: Final

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 28 - fullUrl = urn:uuid:506936ca-99d2-47dc-a365-e10ec008c89a

Resource Observation:

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 29 - fullUrl = urn:uuid:7cf304de-5ae3-4621-8531-9c8f0b2d4e3a

Resource Observation:

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 30 - fullUrl = urn:uuid:8d2aea77-f576-4d0f-9508-537359aa44d6

Resource Observation:

Language: en

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 31 - fullUrl = urn:uuid:4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a

Resource Observation:

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 32 - fullUrl = urn:uuid:5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d

Resource Observation:

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 33 - fullUrl = urn:uuid:6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b

Resource Observation:

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 34 - fullUrl = urn:uuid:5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c

Resource Observation:

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 35 - fullUrl = urn:uuid:23e3b557-ba77-4538-bac5-cc747c0077b1

Resource Observation:

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 36 - fullUrl = urn:uuid:2030d019-7d45-4a8c-8190-3b28cfe8f29f

Resource Observation:

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 37 - fullUrl = urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f536

Resource CarePlan:

Language: en

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: No display for CarePlan.addresses (reference: ->Condition Atrial fibrillation)

activity

activity

activity

activity

Entry 38 - fullUrl = urn:uuid:34437d1d-2fc0-46d9-a0ac-24684ebdccfa

Resource Observation:

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

value: 2 {births} (Details: UCUM code1 = '1')

note:

Pacientka rodila 2 děti, oba porody proběhly bez komplikací.