PatientSummary-Mracena-L3
type: Bundle
node role: treeRoot
id:
  v: PatientSummary-Mracena-L3
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-bundle-ps
    l: cz-bundle-ps
language:
  v: en
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
type:
  v: document
timestamp:
  v: 2026-01-29T09:50:08+01:00
entry:
  full url:
    v: urn:uuid:problem1
    l: problem1
  resource: problem1
entry:
  full url:
    v: urn:uuid:problem2
    l: problem2
  resource: problem2
entry:
  full url:
    v: urn:uuid:problem3
    l: problem3
  resource: problem3
entry:
  full url:
    v: urn:uuid:pastillnes0
    l: pastillnes0
  resource: pastillnes0
entry:
  full url:
    v: urn:uuid:pastillnes1
    l: pastillnes1
  resource: pastillnes1
entry:
  full url:
    v: urn:uuid:pastillnes2
    l: pastillnes2
  resource: pastillnes2
entry:
  full url:
    v: urn:uuid:medicaldevice1
    l: medicaldevice1
  resource: medicaldevice1
entry:
  full url:
    v: urn:uuid:immunization1
    l: immunization1
  resource: immunization1
entry:
  full url:
    v: urn:uuid:immunization2
    l: immunization2
  resource: immunization2
entry:
  full url:
    v: urn:uuid:immunization3
    l: immunization3
  resource: immunization3
entry:
  full url:
    v: urn:uuid:medication1
    l: medication1
  resource: medication1
entry:
  full url:
    v: urn:uuid:medication2
    l: medication2
  resource: medication2
entry:
  full url:
    v: urn:uuid:medication3
    l: medication3
  resource: medication3
entry:
  full url:
    v: urn:uuid:procedureHx1
    l: procedureHx1
  resource: procedureHx1
entry:
  full url:
    v: urn:uuid:observation1
    l: observation1
  resource: observation1
entry:
  full url:
    v: urn:uuid:observation2
    l: observation2
  resource: observation2

urn:…
type: Composition
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-composition-ps
    l: cz-composition-ps
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Composition d7a30c93-ab33-48c1-844b-d8c2174d6147 Profile: Composition (CZ PS) status: Final type: Patient summary Document date: 2026-01-29 09:50:08+0100 author: Practitioner Janský Jan title: Pacientský souhrn - L3 composition
extension:
  url:
    v: https://hl7.cz/fhir/core/StructureDefinition/presentedForm
    l: presentedForm
status:
  v: final
type:
  coding: https://loinc.org/rdf/60591-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 60591-5
    display:
      v: Patient summary Document
date:
  v: 2026-01-29T09:50:08+01:00
title:
  v: Pacientský souhrn - L3 composition
section:
  title:
    v: Aktuální problémy
  code:
    coding: https://loinc.org/rdf/11450-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11450-4
      display:
        v: Problem list - Reported
  text:
    status:
      v: additional
    div:
      v: 1. Fibrilace síní 2. Hypertenze 3. Astma bronchiale
  entry:
    l: problem1
    reference:
      v: urn:uuid:problem1
  entry:
    l: problem2
    reference:
      v: urn:uuid:problem2
  entry:
    l: problem3
    reference:
      v: urn:uuid:problem3
section:
  title:
    v: Alergie a intolerance
  code:
    coding: https://loinc.org/rdf/48765-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 48765-2
      display:
        v: Allergies and adverse reactions Document
  text:
    status:
      v: additional
    div:
      v: Penicilin – anafylaktická reakce (2018) Latex – kontaktní dermatitida Ořechy – kopřivka, otok rtů (dětský věk)
section:
  title:
    v: Souhrn medikace
  code:
    coding: https://loinc.org/rdf/10160-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 10160-0
      display:
        v: History of Medication use Narrative
  text:
    status:
      v: additional
    div:
      v: Pacient užívá následující medikaci: Warfarin 5 mg denně, Metoprolol 50 mg denně, Salbutamol inhalátor podle potřeby.
  entry:
    l: medication1
    reference:
      v: urn:uuid:medication1
  entry:
    l: medication2
    reference:
      v: urn:uuid:medication2
  entry:
    l: medication3
    reference:
      v: urn:uuid:medication3
section:
  title:
    v: Historie očkování
  code:
    coding: https://loinc.org/rdf/11369-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 11369-6
      display:
        v: History of Immunization note
  text:
    status:
      v: additional
    div:
      v: Pacient je očkován proti chřipce, pneumokokům a COVID-19.
  entry:
    l: immunization1
    reference:
      v: urn:uuid:immunization1
  entry:
    l: immunization2
    reference:
      v: urn:uuid:immunization2
  entry:
    l: immunization3
    reference:
      v: urn:uuid:immunization3
section:
  title:
    v: Výsledky vyšetření
  code:
    coding: https://loinc.org/rdf/30954-2
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 30954-2
      display:
        v: Relevant diagnostic tests/laboratory data note
  text:
    status:
      v: additional
    div:
      v: Laboratorní výsledky ukazují zvýšené hodnoty NT-proBNP, což je konzistentní s dekompenzací srdečního selhání. Dále jsou přítomny známky hypoxémie v arteriální krevní plynů.
  entry:
    l: observation1
    reference:
      v: urn:uuid:observation1
  entry:
    l: observation2
    reference:
      v: urn:uuid:observation2
section:
  title:
    v: Historie výkonů
  code:
    coding: https://loinc.org/rdf/47519-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 47519-4
      display:
        v: History of Procedures Document
  text:
    status:
      v: additional
    div:
      v: Pacient prodělal v minulosti několik kardiologických výkonů, včetně implantace kardiostimulátoru a katetrizačního vyšetření koronárních tepen.
  entry:
    l: procedureHx1
    reference:
      v: urn:uuid:procedureHx1
section:
  title:
    v: Historie zdravotnických prostředků
  code:
    coding: https://loinc.org/rdf/46264-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 46264-8
      display:
        v: History of medical device use
  text:
    status:
      v: additional
    div:
      v: Pacient má v anamnéze implantaci kardiostimulátoru pro fibrilaci síní.
  entry:
    l: medicaldevice1
    reference:
      v: urn:uuid:medicaldevice1

urn:…
type: Patient
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core
    l: cz-patient-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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)
identifier:
  system:
    v: https://ncez.mzcr.cz/fhir/sid/rid
    l: rid
  value:
    v: 2066425387
name:
  use:
    v: usual
  family:
    v: Mrakomorová
  given:
    v: Mračena
gender:
  v: female
birth date:
  v: 1971-11-26

urn:…
type: Practitioner
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core
    l: cz-practitioner-core
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Practitioner 77fa78d2-154c-4d38-824e-3c38b39c6a42 Profile: Practitioner (CZ core) name: Janský Jan
name:
  use:
    v: usual
  family:
    v: Jan
  given:
    v: Janský
  prefix:
    v: Prof. MUDr.

urn:…
type: Consent
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-consent-hdr
    l: cz-consent-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Consent 64054bb3-093f-4b94-aa58-17940bc4d3ad Profile: Consent (Advance Directives) (HDR CZ) Participants Role Details Patient Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387) The subject has given their consent.
status:
  v: active
scope:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentscope
      l: consentscope
    code:
      v: adr
    display:
      v: Advanced Care Directive
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/consentcategorycodes
      l: consentcategorycodes
    code:
      v: dnr
    display:
      v: Do Not Resuscitate
date time:
  v: 2025-12-01T10:00:00+01:00

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-allergyIntolerance-ps
    l: cz-allergyIntolerance-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: AllergyIntolerance ad596f22-799b-4cdb-b8f2-6198a6d0a53c 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)
identifier:
  system:
    v: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: allergy-penicilin-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
    display:
      v: Confirmed
type:
  v: allergy
code:
  coding: http://snomed.info/id/91936005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 91936005

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-allergyIntolerance-ps
    l: cz-allergyIntolerance-ps
language:
  v: en
text:
  status:
    v: additional
  div:
    v: Pacient má intoleranci na latex.
identifier:
  system:
    v: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: intolerance-latex-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
    display:
      v: Confirmed
type:
  v: intolerance
code:
  coding: http://snomed.info/id/111088007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 111088007
    display:
      v: latex

urn:…
type: AllergyIntolerance
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-allergyIntolerance-ps
    l: cz-allergyIntolerance-ps
language:
  v: en
text:
  status:
    v: additional
  div:
    v: Pacient má alergii na ořechy.
identifier:
  system:
    v: http://example.org/hospital/allergy-intolerances
    l: allergy-intolerances
  value:
    v: allergy-nuts-001
clinical status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
      l: allergyintolerance-clinical
    code:
      v: active
    display:
      v: Active
verification status:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
      l: allergyintolerance-verification
    code:
      v: confirmed
    display:
      v: Confirmed
type:
  v: allergy
code:
  coding: http://snomed.info/id/91934008
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 91934008

urn:…
type: Flag
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-flag-ps
    l: cz-flag-ps
language:
  v: en
text:
  status:
    v: additional
  div:
    v: Pacient na dlouhodobé antikoagulační léčbě.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/flag-priority
    l: flag-priority
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/flag-priority-code
        l: flag-priority-code
      code:
        v: PH
      display:
        v: High priority
identifier:
  system:
    v: http://example.org/hospital/flags
    l: flags
  value:
    v: flag-anticoagulation-001
status:
  v: active
code:
  coding: http://snomed.info/id/49436004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 49436004
period:
  start:
    v: 2020-01-01

problem1
type: Condition
id:
  v: problem1
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-condition-ps
    l: cz-condition-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition problem1 Profile: Condition (CZ PS) code: Atrial fibrillation subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/49436004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 49436004

problem2
type: Condition
id:
  v: problem2
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-condition-ps
    l: cz-condition-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition problem2 Profile: Condition (CZ PS) code: Hypertensive disease subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003

problem3
type: Condition
id:
  v: problem3
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-condition-ps
    l: cz-condition-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition problem3 Profile: Condition (CZ PS) code: Airway hyperreactivity subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/195967001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 195967001

pastillnes0
type: Condition
id:
  v: pastillnes0
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-condition-ps
    l: cz-condition-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition pastillnes0 Profile: Condition (CZ PS) code: Hypertensive disease subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 38341003

pastillnes1
type: Condition
id:
  v: pastillnes1
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-condition-ps
    l: cz-condition-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition pastillnes1 Profile: Condition (CZ PS) code: Atrial fibrillation subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/49436004
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 49436004

pastillnes2
type: Condition
id:
  v: pastillnes2
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-condition-ps
    l: cz-condition-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Condition pastillnes2 Profile: Condition (CZ PS) code: Airway hyperreactivity subject: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
code:
  coding: http://snomed.info/id/195967001
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 195967001

medicaldevice1
type: Device
id:
  v: medicaldevice1
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device
    l: cz-medical-device
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Device medicaldevice1 Profile: Medical Device (CZ core) identifier: http://example.org/medical-devices/device-001 manufacturer: Medtronic modelNumber: W1DR01 type: Cardiac pacemaker patient: Mračena Mrakomorová Female, DoB: 1971-11-26 ( https://ncez.mzcr.cz/fhir/sid/rid#2066425387)
identifier:
  system:
    v: http://example.org/medical-devices
    l: medical-devices
  value:
    v: device-001
manufacturer:
  v: Medtronic
model number:
  v: W1DR01
type:
  coding: http://snomed.info/id/14106009
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 14106009
    display:
      v: Cardiac pacemaker

immunization1
type: Immunization
id:
  v: immunization1
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-immunization-ps
    l: cz-immunization-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization immunization1 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
status:
  v: completed
vaccine code:
  coding: http://snomed.info/id/1181000221105
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1181000221105
occurrence: DateTime
  v: 2025-10-01T10:00:00+01:00

immunization2
type: Immunization
id:
  v: immunization2
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-immunization-ps
    l: cz-immunization-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization immunization2 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
status:
  v: completed
vaccine code:
  coding: http://snomed.info/id/981000221107
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 981000221107
occurrence: DateTime
  v: 2024-05-01T10:00:00+01:00

immunization3
type: Immunization
id:
  v: immunization3
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-immunization-ps
    l: cz-immunization-ps
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Immunization immunization3 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
status:
  v: completed
vaccine code:
  coding: http://snomed.info/id/1156257007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 1156257007
occurrence: DateTime
  v: 2021-03-01T10:00:00+01:00

medication1
type: Medication
id:
  v: medication1
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication1 Profile: Medication (CZ core) identifier: http://example.org/medications/medication-001 code: WARFARIN ORION 3MG TBL NOB 100
identifier:
  system:
    v: http://example.org/medications
    l: medications
  value:
    v: medication-001
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecive-pripravky
      l: dlp-lecive-pripravky
    code:
      v: 0094113
    display:
      v: WARFARIN ORION 3MG TBL NOB 100

medication2
type: Medication
id:
  v: medication2
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication2 Profile: Medication (CZ core) identifier: http://example.org/medications/medication-002 code: METOPROLOL MEDREG 100MG TBL FLM 50
identifier:
  system:
    v: http://example.org/medications
    l: medications
  value:
    v: medication-002
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecive-pripravky
      l: dlp-lecive-pripravky
    code:
      v: 0246762
    display:
      v: METOPROLOL MEDREG 100MG TBL FLM 50

medication3
type: Medication
id:
  v: medication3
meta:
  profile:
    v: https://hl7.cz/fhir/core/StructureDefinition/cz-Medication
    l: cz-Medication
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Medication medication3 Profile: Medication (CZ core) identifier: http://example.org/medications/medication-003 code: SALBUTAMOL POLPHARMA 2MG TBL NOB 30
identifier:
  system:
    v: http://example.org/medications
    l: medications
  value:
    v: medication-003
code:
  coding:
    system:
      v: https://sukl.cz/terminology/CodeSystem/dlp-lecive-pripravky
      l: dlp-lecive-pripravky
    code:
      v: 0269356
    display:
      v: SALBUTAMOL POLPHARMA 2MG TBL NOB 30

procedureHx1
type: Procedure
id:
  v: procedureHx1
meta:
  profile:
    v: https://hl7.cz/fhir/ps/StructureDefinition/cz-procedure-ps
    l: cz-procedure-ps
language:
  v: en
text:
  status:
    v: additional
  div:
    v: Pacient prodělal v roce 2015 implantaci kardiostimulátoru pro léčbu fibrilace síní.
status:
  v: completed
code:
  coding: http://snomed.info/id/307280005
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 307280005
performed: DateTime
  v: 2015-06-15T10:00:00+01:00

observation1
type: Observation
id:
  v: observation1
meta:
  profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory
    l: cz-observation-result-laboratory
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation1 Profile: Observation Laboratory (CZ) status: Final category: Laboratory code: NT-proBNP [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')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
    display:
      v: Laboratory
code:
  coding: https://loinc.org/rdf/33762-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 33762-6
    display:
      v: NT-proBNP [Mass/volume] in Serum or Plasma
effective: DateTime
  v: 2025-11-01T12:00:00+01:00
value: Quantity
  value:
    v: 1500
  unit:
    v: pg/mL
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: pg/mL

observation2
type: Observation
id:
  v: observation2
meta:
  profile:
    v: https://hl7.cz/fhir/lab/StructureDefinition/cz-observation-result-laboratory
    l: cz-observation-result-laboratory
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation observation2 Profile: Observation Laboratory (CZ) 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: pCO2 of Arterial blood value: 50 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]') component code: pO2 of Arterial blood value: 60 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]') component code: HCO3- of Arterial blood value: 22 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: laboratory
    display:
      v: Laboratory
code:
  coding: https://loinc.org/rdf/24336-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 24336-0
    display:
      v: Gas panel - Arterial blood
effective: DateTime
  v: 2025-11-01T12:30:00+01:00
component:
  code:
    coding: https://loinc.org/rdf/2744-1
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 2744-1
      display:
        v: pH of Arterial blood
  value: Quantity
    value:
      v: 7.3
    unit:
      v: 1
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: 1
component:
  code:
    coding: https://loinc.org/rdf/2019-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 2019-8
      display:
        v: pCO2 of Arterial blood
  value: Quantity
    value:
      v: 50
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/2019-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 2019-8
      display:
        v: pO2 of Arterial blood
  value: Quantity
    value:
      v: 60
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/1960-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 1960-4
      display:
        v: HCO3- of Arterial blood
  value: Quantity
    value:
      v: 22
    unit:
      v: mmol/L
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mmol/L

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-travel-hdr
    l: cz-observation-travel-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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.
status:
  v: final
code:
  coding: https://loinc.org/rdf/94651-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 94651-7
    display:
      v: Country of travel [Location]
effective: DateTime
  v: 2024-03-20
value: CodeableConcept
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: MG
    display:
      v: Madagascar
  text:
    v: Madagaskar
note:
  text:
    v: Pacient navštívil Madagaskar během posledních 30 dnů.

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-BMI-hdr
    l: cz-observation-BMI-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 7cf304de-5ae3-4621-8531-9c8f0b2d4e3a Profile: Observation: Anthropometric Data (HDR CZ) - BMI 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')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/39156-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 39156-5
    display:
      v: Body mass index (BMI) [Ratio]
effective: DateTime
  v: 2024-03-28
value: Quantity
  value:
    v: 22.5
  unit:
    v: kg/m2
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: kg/m2

urn:…
type: Observation
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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]')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
    display:
      v: Vital Signs
code:
  coding: https://loinc.org/rdf/85354-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 85354-9
    display:
      v: Blood pressure panel with all children optional
effective: DateTime
  v: 2024-03-28
component:
  code:
    coding: https://loinc.org/rdf/8480-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8480-6
      display:
        v: Systolic blood pressure
  value: Quantity
    value:
      v: 120
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]
component:
  code:
    coding: https://loinc.org/rdf/8462-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 8462-4
      display:
        v: Diastolic blood pressure
  value: Quantity
    value:
      v: 80
    unit:
      v: mmHg
    system:
      v: http://unitsofmeasure.org
      l: unitsofmeasure.org
    code:
      v: mm[Hg]

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-chestCircumference-hdr
    l: cz-observation-chestCircumference-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a Profile: Observation: Anthropometric Data (HDR CZ) - Chest Circumference 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')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/8280-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8280-0
    display:
      v: Waist Circumference at umbilicus by Tape measure
effective: DateTime
  v: 2024-03-28
value: Quantity
  value:
    v: 85
  unit:
    v: cm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: cm

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-headCircumference-hdr
    l: cz-observation-headCircumference-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d Profile: Observation: Anthropometric Data (HDR CZ) - Head Circumference 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')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/9843-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 9843-4
    display:
      v: Head Occipital-frontal circumference
effective: DateTime
  v: 2024-03-28
value: Quantity
  value:
    v: 50
  unit:
    v: cm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: cm

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-height-hdr
    l: cz-observation-height-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b Profile: Observation: Anthropometric Data (HDR CZ) - Height 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')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/8302-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8302-2
    display:
      v: Body height
effective: DateTime
  v: 2024-03-28
value: Quantity
  value:
    v: 175
  unit:
    v: cm
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: cm

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-weight-hdr
    l: cz-observation-weight-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c Profile: Observation: Anthropometric Data (HDR CZ) 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')
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: vital-signs
code:
  coding: https://loinc.org/rdf/29463-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29463-7
    display:
      v: Body weight
effective: DateTime
  v: 2024-03-28
value: Quantity
  value:
    v: 70
  unit:
    v: kg
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: kg

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-sdoh-hdr
    l: cz-observation-sdoh-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 23e3b557-ba77-4538-bac5-cc747c0077b1 Profile: Observation: SDOH (HDR CZ) status: Final category: Social History code: Alcohol consumption 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.
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: social-history
code:
  coding: http://snomed.info/id/160573003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 160573003
    display:
      v: Alcohol consumption
effective: DateTime
  v: 2025-03-01T00:00:00+01:00
value: CodeableConcept
  coding: http://snomed.info/id/228273003
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 228273003
    display:
      v: Finding relating to alcohol drinking behavior
note:
  text:
    v: Konzumace cca 1–2 piva týdně. Zadáno praktickým lékařem.

urn:…
type: Observation
meta:
  profile:
    v: https://hl7.cz/fhir/hdr/StructureDefinition/cz-observation-sdoh-hdr
    l: cz-observation-sdoh-hdr
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 2030d019-7d45-4a8c-8190-3b28cfe8f29f Profile: Observation: SDOH (HDR CZ) status: Final category: Social History code: Tobacco use and exposure 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
status:
  v: final
category:
  coding:
    system:
      v: http://terminology.hl7.org/CodeSystem/observation-category
      l: observation-category
    code:
      v: social-history
code:
  coding: http://snomed.info/id/229819007
    system:
      v: http://snomed.info/sct
      l: sct
    code:
      v: 229819007
    display:
      v: Tobacco use and exposure
effective: Period
  start:
    v: 2017-04-15T00:00:00+02:00
  end:
    v: 2020-04-15T00:00:00+02:00
value: CodeableConcept
  text:
    v: 0.5 {pack}/d
note:
  text:
    v: Entered by Všeobecný lékař

urn:…
type: CarePlan
language:
  v: en
text:
  status:
    v: generated
  div:
    v: 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
status:
  v: active
intent:
  v: plan
title:
  v: Plán péče – Fibrilace síní, antikoagulační léčba
description:
  v: Plán péče zaměřený na dlouhodobé vedení pacientky s fibrilací síní, včetně antikoagulační léčby warfarinem, monitorování INR a prevence komplikací.
period:
  start:
    v: 2026-01-29T09:50:08+01:00
addresses:
  l: problem1
  reference:
    v: urn:uuid:problem1
activity:
  detail:
    kind:
      v: MedicationRequest
    status:
      v: in-progress
    description:
      v: Kontinuální antikoagulační léčba warfarinem s monitoringem INR
activity:
  detail:
    kind:
      v: ServiceRequest
    status:
      v: scheduled
    description:
      v: Pravidelné echokardiografické vyšetření, sledování funkce kardiostimulátoru
activity:
  detail:
    kind:
      v: Appointment
    status:
      v: scheduled
    description:
      v: Kontrolní návštěva u kardiologa za 3 měsíce
activity:
  detail:
    kind:
      v: CommunicationRequest
    status:
      v: scheduled
    description:
      v: Edukace pacienty o antikoagulační léčbě a prevenci tromboembolických příhod

urn:…
type: Observation
meta:
  profile:
    v: http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-pregnancy-outcome-uv-ips
    l: Observation-pregnancy-outcome-uv-ips
language:
  v: en
text:
  status:
    v: generated
  div:
    v: Generated Narrative: Observation 34437d1d-2fc0-46d9-a0ac-24684ebdccfa Profile: Observation Pregnancy - Outcome (IPS) 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.
status:
  v: final
code:
  coding: https://loinc.org/rdf/11636-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11636-8
    display:
      v: [#] Births.live
effective: DateTime
  v: 2026-02-24
value: Quantity
  value:
    v: 2
  unit:
    v: {births}
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: 1
note:
  text:
    v: Pacientka rodila 2 děti, oba porody proběhly bez komplikací.

title:
  v: Dříve vyslovaná přání
code:
  coding: https://loinc.org/rdf/42348-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 42348-3
    display:
      v: Advance healthcare directives
text:
  status:
    v: additional
  div:
    v: Pacient si nepřeje být resuscitován.

title:
  v: Varování
code:
  coding: https://loinc.org/rdf/104605-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 104605-1
    display:
      v: Alert
text:
  status:
    v: additional
  div:
    v: Pacient na dlouhodobé antikoagulační léčbě.

title:
  v: Funkční stav
code:
  coding: https://loinc.org/rdf/47420-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 47420-5
    display:
      v: Functional status assessment note
text:
  status:
    v: additional
  div:
    v: Pacientka je plně soběstačná, mobilní bez použití kompenzačních pomůcek. Orientována osobou, místem i časem, bez kognitivního deficitu.

title:
  v: Gynekologická a porodnická anamnéza
code:
  coding: https://loinc.org/rdf/10162-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 10162-6
    display:
      v: History of pregnancies Section
text:
  status:
    v: additional
  div:
    v: Pacientka má v anamnéze dvě těhotenství, obě ukončená porodem zdravých dětí.

title:
  v: Příběh pacienta
code:
  coding: https://loinc.org/rdf/10164-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 10164-2
    display:
      v: Patient Story Section
text:
  status:
    v: additional
  div:
    v: 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).

title:
  v: Plán péče
code:
  coding: https://loinc.org/rdf/18776-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 18776-5
    display:
      v: Plan of care
text:
  status:
    v: additional
  div:
    v: Plán péče zaměřený na dlouhodobé vedení pacientky s fibrilací síní, včetně antikoagulační léčby warfarinem, monitorování INR a prevence komplikací.

title:
  v: Sociální anamnéza
code:
  coding: https://loinc.org/rdf/29762-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 29762-2
    display:
      v: Social history
text:
  status:
    v: additional
  div:
    v: 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.

title:
  v: Vital signs
code:
  coding: https://loinc.org/rdf/8716-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 8716-3
    display:
      v: Vital signs
text:
  status:
    v: additional
  div:
    v: 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.

title:
  v: Cestovatelská anamnéza
code:
  coding: https://loinc.org/rdf/10182-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 10182-4
    display:
      v: sectionTravelHx
text:
  status:
    v: additional
  div:
    v: Pacient navštívil Madagaskar během posledních 30 dnů.

title:
  v: Historie zdravotních problémů
code:
  coding: https://loinc.org/rdf/11348-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 11348-0
    display:
      v: History of Past illness note
text:
  status:
    v: additional
  div:
    v: Hypertenze Fibrilace síní Astma bronchiale
entry:
  l: pastillnes0
  reference:
    v: urn:uuid:pastillnes0
entry:
  l: pastillnes1
  reference:
    v: urn:uuid:pastillnes1
entry:
  l: pastillnes2
  reference:
    v: urn:uuid:pastillnes2