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: Urology examination (CZ) - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="bc143cd8-4638-4823-87d5-6bc16ce68e85"/>
  <meta>
    <profile
             value="https://hl7.cz/fhir/szz/StructureDefinition/cz-observation-urology"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation bc143cd8-4638-4823-87d5-6bc16ce68e85</b></p><a name="bc143cd8-4638-4823-87d5-6bc16ce68e85"> </a><a name="hcbc143cd8-4638-4823-87d5-6bc16ce68e85"> </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-urology.html">Observation: Urology (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 exam}">Exam</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 249604002}">Prostate finding</span></p><p><b>subject</b>: <a href="Bundle-cz-example-bundle-screeningrecord.html#urn-uuid-fe858e7c-ba5f-4641-9878-7c6c4790634f">Králík Pokusný  Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))</a></p><p><b>effective</b>: 2025-11-13 11:30:00+0100</p><p><b>performer</b>: <a href="Bundle-cz-example-bundle-screeningrecord.html#urn-uuid-38e5929e-afe4-40bc-ba9d-c0a80549791e">PractitionerRole: specialty = Radiology</a></p><p><b>value</b>: <span title="Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-result-cs abnormal}">abnormální</span></p><p><b>interpretation</b>: <span title="Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-interpretation-cs mriwith}">MRI s kontrastní látkou /biopsie</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 443969004}">Quantitative measurement of mass concentration of prostate specific antigen in serum or plasma</span></p><p><b>value</b>: 4 ug/l<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeug/l = 'ug/l')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 15325-4}">Prostate specific Ag/Prostate volume calculated</span></p><p><b>value</b>: 0.2 ng/ml/cm3<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeng/ml/cm3 = 'ng/ml/cm3')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 63476009}">Prostate specific antigen measurement</span></p><p><b>value</b>: 0.75 ng/ml/a<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeng/ml/a = 'ng/ml/a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1297142007}">Prostate volume</span></p><p><b>value</b>: 20 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeml = 'ml')</span></p></blockquote></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="exam"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="249604002"/>
    </coding>
  </code>
  <subject>
    <reference value="urn:uuid:fe858e7c-ba5f-4641-9878-7c6c4790634f"/>
  </subject>
  <effectiveDateTime value="2025-11-13T11:30:00+01:00"/>
  <performer>
    <reference value="urn:uuid:38e5929e-afe4-40bc-ba9d-c0a80549791e"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system
              value="https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-result-cs"/>
      <code value="abnormal"/>
      <display value="abnormální"/>
    </coding>
  </valueCodeableConcept>
  <interpretation>
    <coding>
      <system
              value="https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-interpretation-cs"/>
      <code value="mriwith"/>
      <display value="MRI s kontrastní látkou /biopsie"/>
    </coding>
  </interpretation>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="443969004"/>
        <display
                 value="Quantitative measurement of mass concentration of prostate specific antigen in serum or plasma"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="4"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ug/l"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="15325-4"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="0.2"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ng/ml/cm3"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="63476009"/>
        <display value="Prostate specific antigen measurement"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="0.75"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ng/ml/a"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="1297142007"/>
        <display value="Prostate volume"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="20"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ml"/>
    </valueQuantity>
  </component>
</Observation>