HL7 Czech Shared Health Record Implementation Guide
0.0.1 - ci-build Czechia flag

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

Example Bundle: Bundle: Male Preventive and screening Report (CZ)


Document Subject

Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))


Other Id:https://ncez.mzcr.cz/fhir/sid/rid/2066425387
Contact DetailPod Hroudou 8, 190 00 Praha 9 - Prosek(home)
Language:Czech (preferred)

Document Content

Preventive and screening health record

General practitioner record

Results of colorectal cancer screening tests

Results of biochemistry laboratory tests

Results of imaging observation

Result of urology observations


Additional Resources Included in Document


Entry 2 - fullUrl = urn:uuid:fe858e7c-ba5f-4641-9878-7c6c4790634f

Resource Patient:

Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))


Other Id:https://ncez.mzcr.cz/fhir/sid/rid/2066425387
Contact DetailPod Hroudou 8, 190 00 Praha 9 - Prosek(home)
Language:Czech (preferred)

Entry 3 - fullUrl = urn:uuid:38e5929e-afe4-40bc-ba9d-c0a80549791e

Resource PractitionerRole:

practitioner: Practitioner Testovací Jan

organization: Organization Fakultní nemocnice Oblackov

specialty: Radiology


Entry 4 - fullUrl = urn:uuid:e031c581-1616-4f9c-a0fe-3d7b5094bf1a

Resource Practitioner:

identifier: https://ncez.mzcr.cz/fhir/sid/krzp/123456789

name: Testovací Jan

gender: Male


Entry 5 - fullUrl = urn:uuid:2ef3f712-d586-4b3e-92eb-6a5bddc58a68

Resource Organization:

Organization Logo: DocumentReference: status = current

identifier: https://ncez.mzcr.cz/fhir/sid/ico/456789655

type: Fakultní nemocnice

name: Fakultní nemocnice Oblackov

contact

telecom: +420257216007, fax: +420257216007(Work)

address: Fiktivní 951/125, 100 00 Město(work)


Entry 6 - fullUrl = urn:uuid:7248f0f4-a508-4668-acd8-9782ab4e0f98

Resource DocumentReference:

status: Current

content

Attachments

-ContentTypeDataTitle
*image/jpeg(base64 data - 57,948 base64 chars)Organization logo

Entry 7 - fullUrl = urn:uuid:8a6733be-e107-44b6-99a8-77869faea42a

Resource Observation:

status: Final

category: Vital Signs

code: Body weight

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-05-15 10:30:00+0100

performer: PractitionerRole: specialty = Radiology

value: 75 kg (Details: UCUM codekg = 'kg')


Entry 8 - fullUrl = urn:uuid:5031be23-9628-49af-8cac-d23ea87cb8e0

Resource Observation:

status: Final

category: Vital Signs

code: Body height

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-05-15 10:30:00+0100

performer: PractitionerRole: specialty = Radiology

value: 180 cm (Details: UCUM codecm = 'cm')


Entry 9 - fullUrl = urn:uuid:d87b5700-f89c-444b-8360-29c9f7673bf1

Resource Observation:

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-05-15 10:35:00+0100

performer: PractitionerRole: specialty = Radiology

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 10 - fullUrl = urn:uuid:cd2b65ad-9926-4589-98c9-7e581e21602a

Resource Observation:

status: Final

category: Imaging

code: Colonoscopy

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-12-10 10:30:00+0100

performer: PractitionerRole: specialty = Radiology

interpretation: dispenzární koloskopie za 6 měsíců

component

code: Procedure type

value: TOKS+

component

code: Boston bowel preparation scale

value: 9

component

code: Colonoscopy normal

value: true


Entry 11 - fullUrl = urn:uuid:02f3d1a4-4a5c-42ae-9f68-ba2f7dfe88a8

Resource Observation:

status: Final

category: Laboratory

code: Occult blood panel - Stool by Immunoassay

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-12-10 11:30:00+0100

performer: PractitionerRole: specialty = Radiology

value: 18 ug/g (Details: UCUM codeug/g = 'ug/g')

interpretation: Signální výkon – Stanovení okultního krvácení ve stolici speciálním testem v rámci screeningu kolorektálního karcinomu – nález pozitivní


Entry 12 - fullUrl = urn:uuid:824055fa-6107-49c8-b217-f029aa7b8872

Resource Observation:

status: Final

category: Laboratory

code: Prostatický specifický Ag [Hmotnost/objem] v séru nebo plazmě

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-12-13 11:30:00+0100

performer: PractitionerRole: specialty = Radiology

value: 4 ug/l (Details: UCUM codeug/l = 'ug/l')

interpretation: PSA 3,0 UG/L A VÍCE INFORMACE V PROGRAMU ČASNÉHO ZÁCHYTU KARCINOMU PROSTATY


Entry 13 - fullUrl = urn:uuid:76879fde-d561-4435-b119-6bb579bea0f5

Resource Observation:

status: Final

category: Imaging

code: MRI without contrast

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-11-10 15:30:00+0100

performer: PractitionerRole: specialty = Radiology

value: PI-RADS 3

Components

-CodeValue[x]
*Region of prostateTransition zone of prostate

Entry 14 - fullUrl = urn:uuid:57838f4e-238c-43e4-9088-42971d8171a6

Resource Observation:

status: Final

category: Laboratory

code: Biopsy of prostate

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-11-13 10:30:00+0100

performer: PractitionerRole: specialty = Radiology

value: maligní - klinicky signifikatní

Components

-CodeValue[x]
*Procedure on prostatecílená

Entry 15 - fullUrl = urn:uuid:bc143cd8-4638-4823-87d5-6bc16ce68e85

Resource Observation:

status: Final

category: Exam

code: Prostate finding

subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

effective: 2025-11-13 11:30:00+0100

performer: PractitionerRole: specialty = Radiology

value: abnormální

interpretation: MRI s kontrastní látkou /biopsie

component

code: Quantitative measurement of mass concentration of prostate specific antigen in serum or plasma

value: 4 ug/l (Details: UCUM codeug/l = 'ug/l')

component

code: Prostate specific Ag/Prostate volume calculated

value: 0.2 ng/ml/cm3 (Details: UCUM codeng/ml/cm3 = 'ng/ml/cm3')

component

code: Prostate specific antigen measurement

value: 0.75 ng/ml/a (Details: UCUM codeng/ml/a = 'ng/ml/a')

component

code: Prostate volume

value: 20 ml (Details: UCUM codeml = 'ml')