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

Artifacts

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Czech logical model (Informative)

Logical model in czech language. Informative for this version of the guide.

A - Sdílený zdravotní záznam

Logický model Sdíleného zdravotního záznamu podle české specifikace.

A.1 - Hlavička dokumentu

Hlavička sdíleného zdravotního záznamu podle české specifikace.

A.1.1 - Identifikace a A.1.2 - Kontaktní informace Pacienta/subjektu

Sdílený zdravotní záznam - Identifikace pacienta a kontaktní informace pacienta

A.1.7 - Elektronické podpisy

Sdílený zdravotní záznam - Elektronické podpisy nebo pečetě dle zákona 327/2011 §54a

A.2 - Emergentní zdravotní záznam

Sdílený zdravotní záznam - Logický model pro Emergentní zdravotní záznam.

A.3 - Preventivní a screeningový zdravotní záznam

Sdílený zdravotní záznam - Logický model pro Preventivní a screeningový zdravotní záznam

A.3.1 - Všeobecný praktický lékař

Sdílený zdravotní záznam - Preventivní a screeningové vyšetření všeobecným praktickým lékařem.

A.3.2 - Gynekologie

Sdílený zdravotní záznam - Preventivní a screeningové vyšetření Gynekologem.

A.3.3 - Gastroenterologie

Sdílený zdravotní záznam - Screeningové vyšedtření gastroenterologem.

A.3.4 - Radiologie

Sdílený zdravotní záznam - Screeningové vyšetření radiologem.

A.3.5 - Biochemická laboratoř

Sdílený zdravotní záznam - Screeningy provedené Biochemickou laboratoří.

A.3.6 - Pulmonology

Sdílený zdravotní záznam - Screeningové vyšetření pneumologem.

A.3.7 - Urolog

Sdílený zdravotní záznam - Screeningové vyšetření urologem.

A.3.8 - Angiology

Sdílený zdravotní záznam - Screeningové vyšetření angiologem.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

A - Shared Health Record

Logical model of the Shared Health Record according to Czech specifications.

A.1 - Document header

Header of the shared health record according to Czech specifications.

A.1.1 - Identification and A.1.2 - related contact information of the Patient/subject

Shared Health Record - subject data element

A.1.7 - Digital signature

Shared Health Record - Electronic signature or seal of a document according to Act 327/2011 §54a

A.2 - Emergency health record

Shared Health Record - Logical model of Emergency Health Record.

A.3 - Preventive and screening health record

Shared Health Record - Logical model of Preventive and screening health record

A.3.1 - General Practitioner

Shared Health Record - Preventive and screening examinations by a general practitioner.

A.3.2 - Gynecology

Shared Health Record - Preventive and screening examinations by a gynecologist.

A.3.3 - Gastroenterology

Shared Health Record - Screening examination by gastroenterologist.

A.3.4 - Radiology

Shared Health Record - Screening examination by radiologist.

A.3.5 - Biochemistry Lab

Shared Health Record - Screenings performed by the Biochemical Laboratory.

A.3.6 - Pulmonology

Shared Health Record - Screening examination by pulmonologist

A.3.7 - Urology

Shared Health Record - Screening examination by urologist.

A.3.8 - Angiology

Shared Health Record - Screening examination by angiologist

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Adverse event (SZZ CZ)

Czech profile for adverse event.

Allergy intolerance (SZZ CZ)

Czech profile for allergy intolerance.

Bundle (SZZ CZ)

Clinical document used to represent a Shared Health Record for the scope of this guide.

Composition (SZZ CZ)

This profile defines how to represent Composition resource in HL7 FHIR for the scope of this guide.

Immunization against HPV Resource Profile (SZZ CZ)

This profile defines how to represent Immunization against HPV resource in HL7 FHIR for the scope of this guide.

Observation: Abdomina aortic aneurysms (SZZ CZ)

This profile defines how to represent Abodmina Aortic Aneurysms Observation resource in HL7 FHIR for the scope of this guide.

Observation: Blood Pressure (SZZ CZ)

This profile defines how to represent Blood Pressure Observation resource in HL7 FHIR for the scope of this guide.

Observation: Blood Type (SZZ CZ)

This profile defines how to represent Blood Type Observation resource in HL7 FHIR for the scope of this guide.

Observation: Cervical Cancer Colposcopy Screening (SZZ CZ)

This profile defines how to represent Cervical Cancer Colposcopy Screening Observation resource in HL7 FHIR for the scope of this guide.

Observation: Cervical Cancer Cytology Screening (SZZ CZ)

This profile defines how to represent Cervical Cancer Cytology Screening Observation resource in HL7 FHIR for the scope of this guide.

Observation: Cervical Cancer HPV Screening (SZZ CZ)

This profile defines how to represent Cervical Cancer HPV Screening Observation resource in HL7 FHIR for the scope of this guide.

Observation: Colonoscopy (SZZ CZ)

This profile defines how to represent Colonoscopy Observation resource in HL7 FHIR for the scope of this guide.

Observation: Colorectal Cancer Screening (SZZ CZ)

This profile defines how to represent Colorectal Cancer Screening Observation resource in HL7 FHIR for the scope of this guide.

Observation: Height (SZZ CZ)

Profile of body height for the scope of the Czech national interoperability project.

Observation: Lung cancer (SZZ CZ)

This profile defines how to represent Lung cancer Observation resource in HL7 FHIR for the scope of this guide.

Observation: MRI Prostate Cancer (SZZ CZ)

This profile defines how to represent MRI prostate cancer Observation resource in HL7 FHIR for the scope of this guide.

Observation: Mammography (SZZ CZ)

This profile defines how to represent Mammography Observation resource in HL7 FHIR for the scope of this guide.

Observation: Mammography Biopsy(SZZ CZ)

This profile defines how to represent Mammography Biopsy Observation resource in HL7 FHIR for the scope of this guide.

Observation: Prostate Cancer Screening (SZZ CZ)

This profile defines how to represent Prostate Cancer Screening Observation resource in HL7 FHIR for the scope of this guide.

Observation: Pulmonology (SZZ CZ)

This profile defines how to represent Pulmonology Observation resource in HL7 FHIR for the scope of this guide.

Observation: Urology (SZZ CZ)

This profile defines how to represent Urology Observation resource in HL7 FHIR for the scope of this guide.

Observation: Urology Biopsy(SZZ CZ)

This profile defines how to represent Urology Biopsy Observation resource in HL7 FHIR for the scope of this guide.

Observation: Waist circumference (SZZ CZ)

Profile of waist circumference for the scope of the Czech national interoperability project.

Observation: Weight (SZZ CZ)

Profile of body weight for the scope of the Czech national interoperability project.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Abdomina Aortic Aneurysms Result Value set

Abdomina Aortic Aneurysms result value set

Allergy reaction category

The Value Set is used for Record of allergy or other significant adverse reaction to a substance or medicinal product in the Shared Health Record to indicate the Allergy reaction category.

Allergy reaction type (CZ)

The Value Set is used for Record of allergy or other significant adverse reaction to a substance or medicinal product in the Shared Health Record to indicate the Allergy reaction type.

Biopsy Breast Result Valueset

Biopsy Breast Result value set

Biopsy Prostate Result Valueset

Biopsy Prostate Result value set

Biopsy Type Prostate Valueset

Biopsy type prostate value set

Birads Density Result Value set

Birads density result value set

CZ Colonoscopy Abnormal Findings Value Set

This value set includes selected codes from the CZ Colonoscopy Abnormal Findings Code System.

CZ Colonoscopy Interpretation Value Set

This value set includes selected codes from the CZ Colonoscopy Interpretation Code System.

CZ Colonoscopy Type Valueset

This valueset includes selected codes from the CZ Colonoscopy Type Code System.

CZ HPV Vaccine Code Value Set

This value set includes codes for HPV vaccines used in the Czech Republic.

Cervical Cancer Screening Colposcopy Result Value Set

Cervical cancer screening colposcopy result value set includes selected codes from Cervical Cancer Screening Colscopy Result Code System.

Cervical Cancer Screening Cytology Result Value Set

Cervical cancer screening cytology result value set includes selected codes from Colorectal Cancer Screening Result Code System.

Cervical Cancer Screening HPV Result Value Set

Cervical cancer screening HPV result value set includes selected codes from Colorectal Cancer Screening Result Code System.

Clinical severity of symptoms (CZ)

The Value Set is used for Record of allergy or other significant adverse reaction to a substance or medicinal product in the Shared Health Record to indicate the Clinical severity of symptoms.

Colorectal Cancer Screening Result Alternate Value Set

Alternate Colorectal cancer screening result value set includes selected codes from Colorectal Cancer Screening Result Code System.

Colorectal Cancer Screening Result Value Set

Colorectal cancer screening result value set includes selected codes from Colorectal Cancer Screening Result Code System.

EHDSI blood type codes

The Value Set is used for Blood Type representation in the Shared Health Record according to EHDSI specifications.

Functional Examination Pulmonology Result Value Set

Functional Examination Pulmonology Result value set

Laboratory methods for blood type determination

The Value Set is used for Laboratory methods for blood type determination in the Shared Health Record.

Lung Cancer Result Value Set

Lung cancer result value set

Lung Cancer interpretation Value set

Lung Cancer interpretation value set

MRI Prostate Cancer Result Valueset

MRI Prostate Cancer Result value set

Mammography Result Value Set

Mammography result value set

Method of MRI for prostate cancer determination

The Value Set is used for screening methods for prostate cancer determination in the Shared Health Record.

Methods for blood pressure determination

The Value Set is used for methods for blood pressure determination in the Shared Health Record.

ObservationsUnitHeight

UCUM units for height

ObservationsUnitWeight

UCUM units for weight

Physical Examination Pulmonology Result Value Set

Physical Examination Pulmonology Result value set

Prostate Cancer Screening Result Value Set

Prostate cancer screening result value set includes selected codes from Prostate Cancer Screening Result Code System.

Pulmonology Result Value set

Pulmonology Result value set

Pulmonology interpretation Value set

Pulmonology interpretation value set

Region of prostate for MRI for prostate cancer determination

The Value Set is used for region of prostate for cancer determination in the Shared Health Record.

Tabar Density Result Value set

Tabar density result value set

Tobacco History Valueset

Tobacco History value set

Type of Breast Biopsy Valueset

Type of Breast Biopsy value set

Type of adverse event Value Set

Type of adverse event value set includes selected codes from Type of adverse event Code System.

Type of lung cancer observation Valueset

Type of lung cancer observation value set

Urology Result Value Set

Urology result value set

Urology interpretation Value set

Urology interpretation value set

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Abdomina Aortic Aneurysms Result Code System

Abdomina Aortic Aneurysms result code system

Allergy reaction type (CZ supplement)

The Code System is used for Record of allergy or other significant adverse reaction to a substance or medicinal product in the Shared Health Record to indicate the Allergy reaction type.

Biopsy Breast Result Code System

Biopsy Breast result code system

Biopsy Prostate Result Code System

Biopsy Prostate result code system

Birads Density Result Code System

Birads density result code system

CZ Colonoscopy Abnormal Findings Code System

This code system defines the codes for abnormal findings observed during a colonoscopy procedure in the context of the Shared Health Record (SZZ CZ).

CZ Colonoscopy Interpretation Code System

This code system defines the codes for interpreting colonoscopy findings in the context of the Shared Health Record (SZZ CZ).

CZ Colonoscopy Type Code System

This code system defines the codes for colonoscopy types in the context of the Shared Health Record (SZZ CZ).

CZ Document Section SZZ Code System

This Code System defines codes for sections used in the Shared Health Record (SZZ) in Czechia.

CZ Type of breast density Code System

This Code System defines codes for type breast density in Czechia.

Cervical Cancer Screening Colposcopy Result Code System

Cervical cancer screening colposcopy result code system

Cervical Cancer Screening Cytology Result Code System

Cervical cancer screening cytology result code system

Cervical Cancer Screening HPV Result Code System

Cervical cancer screening HPV result code system

Clinical severity of symptoms

The Value Set is used for Record of allergy or other significant adverse reaction to a substance or medicinal product in the Shared Health Record to indicate the Clinical severity of symptoms.

Colorectal Cancer Screening Result Code System

Colorectal cancer screening result code system

Functional Examination Pulmonology Result Code System

Functional Examination Pulmonology Result code system

Lung Cancer Result Code System

Lung cancer result code system

Lung Cancer interpretation Code System

Lung Cancer interpretation code system

MRI Prostate Cancer Result Code System

MRI Prostate Cancer result code system

Mammography Result Code System

Mammography result code system

Physical Examination Pulmonology Result Code System

Physical Examination Pulmonology Result code system

Prostate Cancer Screening Result Code System

Prostate cancer screening result code system

Pulmonology Result Code System

Pulmonology Result code system

Pulmonology interpretation Code System

Pulmonology interpretation code system

Tabar Density Result Code System

Tabar density result code system

Tobacco History Code System

Tobacco history code system

Type of Breast Biopsy Code System

Type of Breast Biopsy code system

Type of Prostate Biopsy Code System

Type of Prostate Biopsy code system

Type of adverse event Code System

Type of adverse event code system according to act $34a para 2 of Act No. 325/2021 Coll., on health services, as amended.

Type of lung cancer observation Code System

Type of lung cancer observation code system

Urology Result Code System

Urology result code system

Urology interpretation Code System

Urology interpretation code system

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

CZ Emergency record Model to this guide Map

CZ Shared Health Record Model to this guide mapping

CZ Header Model to this guide Map

CZ Shared Health Record Model to this guide mapping

CZ Screening record Model to this guide Map

CZ Shared Health Record Model to this guide mapping

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AdverseEvent: Rash due to Penicillin (CZ)

Example of AdverseEvent resource representing rash due to Penicillin.

AllergyIntolerance: Penicillin Allergy (CZ)

Example of AllergyIntolerance resource representing allergy to Penicillin.

Bundle: Emergency Report (CZ)

Example of Shared Health Record Bundle containing Emergency Report.

Bundle: Female Preventive and screening Report (CZ)

Example of Shared Health Record Bundle containing Screening Report for female patient.

Bundle: Male Preventive and screening Report (CZ)

Example of Shared Health Record Bundle containing Screening Report for male patient.

Composition: Emergency Report (CZ)

Composition example for Shared Health Record containing Emergency Report.

Composition: Screening Report (CZ)

Composition example for Shared Health Record containing Screening Report.

Composition: Screening Report 2 (CZ)

Composition example for Shared Health Record containing Screening Report.

Medication: Fludeoxythymidin (CZ)

Example of Medication resource representing Fludeoxythymidin medication.

MedicationStatement: Fludeoxythymidin (CZ)

Example of MedicationStatement resource representing Fludeoxythymidin medication.

Observation Blood Type for Patient Králík

Blood type observation for Patient Králík in SZZ

Observation: Abdomina Aortic Aneurysms Example (CZ)

Example of Abdomina Aortic Aneurysms for Shared Health Record.

Observation: Blood Pressure Example (CZ)

Example of Blood Pressure Observation for Shared Health Record.

Observation: Body Height Example (CZ)

Example of Body Height Observation for Shared Health Record.

Observation: Body Height Example (CZ)

Example of Body Height Observation for Shared Health Record.

Observation: Body Weight Example (CZ)

Example of Body Weight Observation for Shared Health Record.

Observation: Body Weight Example (CZ)

Example of Body Weight Observation for Shared Health Record.

Observation: Colonoscopy Example (CZ)

Example of Colonoscopy Observation for Shared Health Record.

Observation: Colorectal Cancer Screening Example (CZ)

Example of Colorectal Cancer Observation for Shared Health Record.

Observation: Colposcopy cervical cancer

Example of Colposcopy cervical cancer for Shared Health Record.

Observation: Cytology cervical cancer

Example of Cytology cervical cancer for Shared Health Record

Observation: HPV cervical cancer

Example of HPV cervical cancer for Shared Health Record

Observation: Immunization HPV Example (CZ)

Example of Immunization HPV for Shared Health Record.

Observation: Lung cancer

Example of Lung cancer for Shared Health Record

Observation: Mammography

Example of Mammography for Shared Health Record

Observation: Mammography biopsy

Example of Mammography biopsy for Shared Health Record

Observation: Prostate Cancer Screening Example (CZ)

Example of Prostate Cancer Observation for Shared Health Record.

Observation: Pulmonology

Example of Pulmonology for Shared Health Record

Observation: Urology biopsy (CZ)

Urology biopsy example for Shared Health Record containing Screening Report.

Observation: Urology examination (CZ)

Urology examination example for Shared Health Record containing Screening Report.

Observation: Waist circumference Example (CZ)

Example of Waist circumference Observation for Shared Health Record.

Patient Králík

Patient in SZZ

Patient Králík

Male patient in SZZ

Patient Mrakomorová

Female patient in SZZ

Practitioner Testovací

Author of SZZ report

Practitioner Testovací

Author of SZZ report

Practitioner Testovací

Author of SZZ report

PractitionerRole Testovací

Author of SZZ report

PractitionerRole Testovací

Author of SZZ report

PractitionerRole Testovací

Author of SZZ report

cz-example-observation-mri-prostate-cancer
cz-example-organization

An example of the organization with logo extension

cz-example-organization2

An example of the organization with logo extension

cz-example-organization3

An example of the organization with logo extension

cz-logo-example

Example of logo as document reference for FN Obláčkov.

cz-logo-example2

Example of logo as document reference for FN Obláčkov.

cz-logo-example3

Example of logo as document reference for FN Obláčkov.