HL7 Czech Shared Health Record Implementation Guide
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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

: Observation: Mammography - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08",
  "meta" : {
    "profile" : [
      🔗 "https://hl7.cz/fhir/szz/StructureDefinition/cz-observation-mammography"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation 0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08</b></p><a name=\"0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08\"> </a><a name=\"hc0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cz-observation-mammography.html\">Observation: Mammography (SZZ CZ)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 71651007}\">Mammography</span></p><p><b>subject</b>: <a href=\"Bundle-cz-example-bundle-screeningrecord-2.html#urn-uuid-cb1344a1-ee6e-45b3-a6b4-c3eacae4ddec\">Mračena Mrakomorová  Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2025-04-14 10:30:00+0100</p><p><b>performer</b>: <a href=\"Bundle-cz-example-bundle-screeningrecord-2.html#urn-uuid-2a06ef57-f377-4031-a098-612aa44f54b2\">PractitionerRole: specialty = Radiology</a></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-result-mammography-cs 1}\">nejednoznačný nález - potřeba dalšího vyšetření</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-density-type-cs tabar}\">Klasifikace dle Tabára</span></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-tabar-density-cs 4}\">Tabár IV</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-density-type-cs birads}\">Klasifikace dle BiRADS</span></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-birads-density-cs 40}\">BIRADS D</span></p></blockquote></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "imaging"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "71651007",
        "display" : "Mammography"
      }
    ]
  },
  "subject" : {
    "reference" : "urn:uuid:cb1344a1-ee6e-45b3-a6b4-c3eacae4ddec"
  },
  "effectiveDateTime" : "2025-04-14T10:30:00+01:00",
  "performer" : [
    {
      "reference" : "urn:uuid:2a06ef57-f377-4031-a098-612aa44f54b2"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-result-mammography-cs",
        "code" : "1",
        "display" : "nejednoznačný nález - potřeba dalšího vyšetření"
      }
    ]
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-density-type-cs",
            "code" : "tabar",
            "display" : "Klasifikace dle Tabára"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
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            "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-tabar-density-cs",
            "code" : "4",
            "display" : "Tabár IV"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
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            "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-density-type-cs",
            "code" : "birads",
            "display" : "Klasifikace dle BiRADS"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
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            "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-birads-density-cs",
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            "display" : "BIRADS D"
          }
        ]
      }
    }
  ]
}