Generated Narrative: Composition 930ca243-d3aa-4b38-9737-3c2e48000f74 Language: cs Profile: Composition (SZZ CZ) identifier: http://example.org/myhospital/reportidentifiers/dfkjewoieoijwoskdjg status: Final type: History and physical note date: 2025-05-20 12:02:00+0100 author: PractitionerRole: specialty = Radiology title: Shared Health Record - Emergency Report for patient Ing. Králíka confidentiality: normal custodian: Organization Fakultní nemocnice Oblackov
Shared Health Record - Emergency Report for patient Ing. Králíka
Generated Narrative: Patient cb1344a1-ee6e-45b3-a6b4-c3eacae4ddec Profile: Patient (CZ core) Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) Other Id: https://ncez.mzcr.cz/fhir/sid/rid/2066425388 Contact Detail Na Náměstí 16, 190 00 Praha 9 - Prosek(home) Language: Czech (preferred)
Generated Narrative: PractitionerRole 2a06ef57-f377-4031-a098-612aa44f54b2 Profile: Practitioner Role (CZ core) practitioner: Practitioner Testovací Karel organization: Organization Fakultní nemocnice Oblackov specialty: Radiology
Generated Narrative: Practitioner 575c3fb2-e037-4415-95da-283679927aba Profile: Practitioner (CZ core) identifier: https://ncez.mzcr.cz/fhir/sid/krzp/123456789 name: Testovací Karel gender: Male
Generated Narrative: Organization 08f3f0c5-69ac-45c6-9bec-b8ab940ec721 Profile: Organization (CZ core) Organization Logo: DocumentReference: status = current identifier: https://ncez.mzcr.cz/fhir/sid/ico/456789655 type: Fakultní nemocnice name: Fakultní nemocnice Oblackov telecom: +420257216007, fax: +420257216007(Work) address: Fiktivní 951/125, 100 00 Město(work)
Generated Narrative: DocumentReference 2620c461-29d4-44a7-a8d0-599d88fdb60f Profile: DocumentReference containing logo (CZ) status: Current content Attachments - ContentType Data Title * image/jpeg (base64 data - 57,948 base64 chars) Organization logo
Generated Narrative: Observation 31e1de93-1c46-4f9e-849c-c46f8c7f1496 Profile: Observation: Weight (SZZ CZ) status: Final category: Vital Signs code: Body weight subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-05-15 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: 60 kg (Details: UCUM codekg = 'kg')
Generated Narrative: Observation 504f3628-9a5e-4a1a-83b0-418c4b8dc38b Profile: Observation: Height (SZZ CZ) status: Final category: Vital Signs code: Body height subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-05-15 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: 165 cm (Details: UCUM codecm = 'cm')
Generated Narrative: Observation 82451f85-ee50-4367-b809-0511ea469269 Profile: Observation: Waist circumference (SZZ CZ) status: Final category: Vital Signs code: Waist Circumference at umbilicus by Tape measure subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-05-15 10:35:00+0100 performer: PractitionerRole: specialty = Radiology value: 100 cm
Generated Narrative: Immunization dd06896e-959b-44ec-b791-19a68ffdc576 Profile: Immunization against HPV Resource Profile (SZZ CZ) status: Completed vaccineCode: CERVARIX patient: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) occurrence: 2000
Generated Narrative: Observation dd8033d4-d1c9-48e8-8edd-c0dda913678d Profile: Observation: Abdomina aortic aneurysms (SZZ CZ) status: Final category: Imaging code: Abdominal aortic aneurysm screening subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-05-15 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: bez nálezu aneurysmatu
Generated Narrative: Observation 180d74d4-fe14-408c-a3a8-07da4e3b8fcd Profile: Observation: Cervical Cancer Colposcopy Screening (SZZ CZ) status: Final category: Procedure code: Colposcopy study subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-06-15 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: provedena biopsie
Generated Narrative: Observation 40ee0269-0027-4e7b-b061-e039c06cf988 Profile: Observation: Cervical Cancer Cytology Screening (SZZ CZ) status: Final category: Laboratory code: Screening techniques [Identifier] in Cervical or vaginal smear or scraping by Cyto stain subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-07-15 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: Abnormální nález
Generated Narrative: Observation 1d79f716-c583-4e42-a68f-bc8c9bb2781d Profile: Observation: Cervical Cancer HPV Screening (SZZ CZ) status: Final category: Laboratory code: Human papilloma virus high-risk genotypes panel - Cervix by NAA with probe detection subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-04-15 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: Pozitivní nález
Generated Narrative: Observation 0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08 Profile: Observation: Mammography (SZZ CZ) status: Final category: Imaging code: Mammography subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-04-14 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: nejednoznačný nález - potřeba dalšího vyšetření component code: Klasifikace dle Tabára value: Tabár IV component code: Klasifikace dle BiRADS value: BIRADS D
nejednoznačný nález - potřeba dalšího vyšetření
Generated Narrative: Observation fa768d55-f16c-457b-8bdc-1d0b1c9e24fa Profile: Observation: Mammography Biopsy(SZZ CZ) status: Final category: Laboratory code: Biopsy of breast subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2025-04-14 11:30:00+0100 performer: PractitionerRole: specialty = Radiology value: nezdařený odběr Components - Code Value[x] * Breast procedure core-cut biopsie
Generated Narrative: Observation f564cd9a-422f-439b-ae17-b2c0a1311ead Profile: Observation: Lung cancer (SZZ CZ) status: Final category: Imaging code: Computed tomography subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2024-04-14 10:30:00+0100 performer: PractitionerRole: specialty = Radiology value: neurčitý interpretation: Kontrolní LDCT za 6-8 týdnů Components - Code Value[x] * CT of lungs vstupní
Generated Narrative: Observation 407b583e-4c05-47eb-b0df-6d8166c0d4f1 Profile: Observation: Pulmonology (SZZ CZ) status: Final category: Exam code: Lung finding subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, )) effective: 2024-04-14 10:30:00+0100 performer: PractitionerRole: specialty = Radiology interpretation: Doporučení screeningového LDCT plic - ano component code: Finding of tobacco smoking behavior value: exkuřák (přestal před více než měsícem) component code: Stopped smoking value: 2 component code: Tobacco smoking consumption value: 10 component code: Number of calculated smoking pack years value: 20 component code: Physical examination value: patologický poslechový nález component code: Functional assessment value: nespecifikovaná porucha component code: Plain chest X-ray value: patologický nález
Doporučení screeningového LDCT plic - ano