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

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

## Resource Profile: CZ_CompositionSzz - Mappings

Draft as of 2025-12-22

Mappings for the cz-composition-sharedhealthrecord resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | RIM Mapping | CDA (R2) | FHIR DocumentReference | FiveWs Pattern Mapping
--- | --- | --- | --- | --- | ---
Composition | Event | Document[classCode="DOC" and moodCode="EVN" and isNormalAct()] | ClinicalDocument | when described by DocumentReference |
id |  |  |  |  |
meta |  |  |  |  |
implicitRules |  |  |  |  |
language |  |  |  |  |
text |  | Act.text? |  |  |
contained |  | N/A |  |  |
Slices for extension |  |  |  |  |
extension:versionNumber |  | N/A |  |  |
id |  | n/a |  |  |
extension |  |  |  |  |
url |  | N/A |  |  |
value[x] |  | N/A |  |  |
modifierExtension |  | N/A |  |  |
identifier | Event.identifier | Document.id / Document.setId | .setId | DocumentReference.masterIdentifier | FiveWs.identifier
status | Event.status | .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition" .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition" .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" | n/a | DocumentReference.status | FiveWs.status
type | Event.code | ./code | .code | DocumentReference.type | FiveWs.class
category | Event.subject | .outboundRelationship[typeCode="COMP].target[classCode="LIST" moodCode="EVN"].code | n/a | DocumenttReference.category | FiveWs.class
subject |  | .participation[typeCode="SBJ"].role[typeCode="PAT"] | .recordTarget | DocumentReference.subject | FiveWs.subject
encounter | Event.context | unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()] priorityNumber)/target[moodCode="EVN" and classCode=("ENC" "PCPR") and isNormalAct]) | .componentOf.encompassingEncounter | DocumentReference.context.encounter | FiveWs.context
date | Event.occurrence[x] | .effectiveTime[type="TS"] | .effectiveTime | DocumentReference.content.attachment.date DocumentReference.created | FiveWs.done[x]
author | Event.performer | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor | DocumentReference.agent | FiveWs.author
title |  | ./title | .title | DocumentReference.description DocumentReference.content.attachment.title |
confidentiality |  | .confidentialityCode | .confidentialityCode | DocumentReference.securityLabel |
attester |  | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] | .authenticator/.legalAuthenticator | DocumentReference.authenticator |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
mode |  | unique(./modeCode) | implied by .authenticator/.legalAuthenticator |  |
time |  | ./time[type="TS" and isNormalDatatype()] | .authenticator.time |  |
party |  | ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV" "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()] | .authenticator.assignedEnttty |  | FiveWs.witness
custodian |  | .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] | .custodian.assignedCustodian | DocumentReference.custodian |
relatesTo |  | .outboundRelationship | .relatedDocument | DocumentReference.relatesTo |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
code |  | .outboundRelationship.typeCode | .relatedDocument.typeCode | DocumentReference.relatesTo.code |
target[x] |  | .target[classCode="DOC" moodCode="EVN"].id | .relatedDocument.id | DocumentReference.relatesTo.target |
event |  | outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] | .documentationOf.serviceEvent | DocumentReference.event |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
code |  | .code | .code | DocumentReference.event.code |
period |  | .effectiveTime | .effectiveTime | DocumentReference.event.period |
detail |  | .outboundRelationship[typeCode="SUBJ"].target | n/a |  |
Slices for section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.structuredBody.component.section |  |
section:All Slices |  |  |  |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:emergencyRecord |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.structuredBody.component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
Slices for entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:bloodType |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:allergiesAndAdverseReactions |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:otherEmergencyInformation |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:medicationHistoryDuringHospitalization |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:preventingAndScreeningRecord |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.structuredBody.component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
Slices for section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:All Slices |  |  |  |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:generalPractitioner |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
Slices for entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationColorectalCancerScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationProstateCancerScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:preventingExamination |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:gynecology |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
Slices for entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationColorectalCancerScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationCervicalCancerCytologyScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationCervicalCancerHPVScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationCervicalCancerColposcopy |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:preventingExamination |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:biochemistryLaboratory |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
Slices for entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationColorectalCancerScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationProstateCancerScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:urology |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
Slices for entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationProstateCancerScreening |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationUrology |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationUrologyBiopsy |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:pulmonology |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:gastroenterology |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:radiology |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
Slices for entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationMammography |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationMammographyBiopsy |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationLungCancer |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationMRIProstateCancer |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
entry:observationAbdominaAorticAneurysms |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
section:angiology |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
title |  | ./title | .title |  |
code |  | ./code | .code |  |
author |  | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | .author.assignedAuthor |  | FiveWs.author
focus |  |  | .subject? (CDA did not differentiate between subject and focus) |  |
text |  | .text | .text |  |
mode |  | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | n/a |  | FiveWs.class
orderedBy |  | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | n/a |  |
entry |  | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | .entry |  |
emptyReason |  | .inboundRelationship[typeCode=SUBJ code<ListEmptyReason].value[type=CD] | n/a |  |
section |  | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | .component.section |  |
Documentation for this format