HL7 Czech PS Implementation Guide
0.0.1 - ci-build
CZ
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
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Laboratorní výsledky ukazují zvýšené hodnoty NT-proBNP, což je konzistentní s dekompenzací srdečního selhání. Dále jsou přítomny známky hypoxémie v arteriální krevní plynů.</div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient prodělal v minulosti několik kardiologických výkonů, včetně implantace kardiostimulátoru a katetrizačního vyšetření koronárních tepen.</div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient má v anamnéze implantaci kardiostimulátoru pro fibrilaci síní.</div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient si nepřeje být resuscitován.</div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pacientka je plně soběstačná, mobilní bez použití kompenzačních pomůcek. Orientována osobou, místem i časem, bez kognitivního deficitu.</p></div>"
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"code" : {
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{
"system" : "http://loinc.org",
"code" : "10164-2"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Pacientka je aktivní a preferuje ambulantní vedení péče. Důraz klade na zachování soběstačnosti a mobility. Je informovaná o dlouhodobé antikoagulační léčbě a spolupracuje na monitoraci INR(srážlivost).</p></div>"
}
},
{
"title" : "Plán péče",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Plán péče zaměřený na dlouhodobé vedení pacientky s fibrilací síní, včetně antikoagulační léčby warfarinem, monitorování INR a prevence komplikací.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:9c913d06-84fe-4d35-b35b-8b0c7965f536"
}
]
},
{
"title" : "Sociální anamnéza",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "29762-2"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Social History</b></p><ul><li><b>Alcohol consumption:</b> Occasional use (approximately 1–2 beers per week). Recorded on 01.03.2025 by general practitioner.</li><li><b>Tobacco use:</b> 0.5 pack/day. Patient reported smoking from 15.04.2017 to 15.04.2020. Entered by general practitioner.</li></ul></div>"
},
"entry" : [
{
"reference" : "urn:uuid:23e3b557-ba77-4538-bac5-cc747c0077b1"
},
{
"reference" : "urn:uuid:2030d019-7d45-4a8c-8190-3b28cfe8f29f"
}
]
},
{
"title" : "Vital signs",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8716-3"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Vital signs</b> (2024-03-28)</p><ul><li><b>Blood pressure:</b> 120/80 mmHg</li><li><b>Body height:</b> 175 cm</li><li><b>Body weight:</b> 70 kg</li><li><b>Body mass index (BMI):</b> 22.5 kg/m2</li><li><b>Waist circumference:</b> 85 cm</li><li><b>Head circumference:</b> 50 cm</li></ul><p>All measurements recorded by Practitioner-2.</p></div>"
},
"entry" : [
{
"reference" : "urn:uuid:7cf304de-5ae3-4621-8531-9c8f0b2d4e3a"
},
{
"reference" : "urn:uuid:8d2aea77-f576-4d0f-9508-537359aa44d6"
},
{
"reference" : "urn:uuid:4ba395b7-be9e-4bed-bef7-1c8f0b2d4e3a"
},
{
"reference" : "urn:uuid:5c363e2d-c4e1-436d-bad7-0b3f8c6a9f1d"
},
{
"reference" : "urn:uuid:6bec5d97-a17e-4015-8fce-7b1c0c3a2f4b"
},
{
"reference" : "urn:uuid:5c2ddf62-9785-493f-80c6-8b0d1e3a4b2c"
}
]
},
{
"title" : "Cestovatelská anamnéza",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10182-4"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pacient navštívil Madagaskar během posledních 30 dnů.</div>"
},
"entry" : [
{
"reference" : "urn:uuid:506936ca-99d2-47dc-a365-e10ec008c89a"
}
]
},
{
"title" : "Historie zdravotních problémů",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11348-0",
"display" : "History of Past illness note"
}
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Hypertenze</li><li>Fibrilace síní</li><li>Astma bronchiale</li></ul></div>"
},
"entry" : [
{
"reference" : "urn:uuid:0e95d603-0fb7-475e-aab3-3bf30b281cfd"
},
{
"reference" : "urn:uuid:8e620d4e-74fd-486b-ba57-0f0895f24f26"
},
{
"reference" : "urn:uuid:3881d35f-3f28-4d0f-b850-5d356f12f008"
}
]
}
]
}