HL7 Czech Shared Health Record 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/szz/ and changes regularly. See the Directory of published versions
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Official URL: https://hl7.cz/fhir/szz/ImplementationGuide/hl7.fhir.cz.szz
This implementation specification is based on the FHIR version R4, and defines a unified framework for representing the Shared Health Record in the Czech national context. The specification defines the content and structural components of the document and ensures their compliance with the legal requirements of the Czech Republic as well as with European initiatives in the field of electronic health record interoperability.
The main objective is to create a standardized form of the Shared Health Record as part of the patient’s medical documentation, which will be used for the electronic exchange of health information between healthcare providers, the patient, and the national infrastructure.
Scope
This guide is divided into several pages, which are listed in the menu bar at the top of each page.
Home: This page provides introductory information, a brief scope of use, references, dependencies, version difference analysis, and intellectual property statements.
Introduction:
Scope and Content: This section contains introductory general information about the Shared Health Record.
Background: This section provides general information on the origins of the definition of the Shared Health Record.
Functional:
Use Cases: This section contains information about use cases.
Workflow: This segment contains information about workflow.
Logical Models: This section contains information about logical models.
Implementation:
Mapping to profiles: This section contains information on mapping the logical model to the Shared Health Record profiles.
This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)
Package hl7.fhir.uv.extensions.r4#5.3.0
This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00)
Package hl7.fhir.uv.ips#1.1.0
International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)
Package hl7.fhir.uv.xver-r5.r4#0.1.0
Extensions for Using Data Elements from FHIR R5 in FHIR R4 (built Fri, Mar 20, 2026 15:40+1100+11:00)
Package hl7.fhir.eu.extensions.r4#1.3.0
This guide lists the extensions specified for the European REALM. (built Fri, Mar 27, 2026 19:47+0100+01:00)
Package ihe.pharm.mpd.r4#1.0.0-comment-2
ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)
Package hl7.fhir.eu.base#2.0.0
This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Apr 27, 2026 22:40+0300+03:00)
This guide describes how to represent in HL7 FHIR Prescription and Dispense in the European context (built Mon, May 11, 2026 17:24+0200+02:00)
Package hl7.fhir.eu.laboratory#2.0.0
This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, May 5, 2026 16:28+0200+02:00)
Package hl7.fhir.cz.core#current
HL7 Czech Base and Core Resources Implementation Guide (built Tue, Jul 28, 2026 10:58+0000+00:00)
Package hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2
The cross-version extensions available in FHIR R4 from FHIR R5 (built Sat, Sep 13, 2025 16:55-0400-04:00)
Package hl7.fhir.uv.tools.r4#1.1.2
This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)
Cross Version Analysis
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.szz.r4) and R4B (hl7.fhir.cz.szz.r4b) are available.
IP statements
This publication includes IP covered under the following statements.
The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
