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

## : Observation: Pulmonology - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "407b583e-4c05-47eb-b0df-6d8166c0d4f1",
      "meta" : {
        "profile" : [
          🔗 "https://hl7.cz/fhir/szz/StructureDefinition/cz-observation-pulmonology"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation 407b583e-4c05-47eb-b0df-6d8166c0d4f1</b></p><a name=\"407b583e-4c05-47eb-b0df-6d8166c0d4f1\"> </a><a name=\"hc407b583e-4c05-47eb-b0df-6d8166c0d4f1\"> </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-pulmonology.html\">Observation: Pulmonology (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 301230006}\">Lung finding</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>: 2024-04-14 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>interpretation</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-pulmonology-interpretation-cs recommended}\">Doporučení screeningového LDCT plic - ano</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 365981007}\">Finding of tobacco smoking behavior</span></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-tobacco-history-cs exsmoker}\">exkuřák (přestal před více než měsícem)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160617001}\">Stopped smoking</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 266918002}\">Tobacco smoking consumption</span></p><p><b>value</b>: 10</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 782516008}\">Number of calculated smoking pack years</span></p><p><b>value</b>: 20</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 5880005}\">Physical examination</span></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-physical-examination-pulmonology-result-cs patological}\">patologický poslechový nález</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 12894003}\">Functional assessment</span></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-functional-examination-pulmonology-result-cs nespecificDisorder}\">nespecifikovaná porucha</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 399208008}\">Plain chest X-ray</span></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-pulmonology-result-cs pathological}\">patologický nález</span></p></blockquote></div>"
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "exam"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "301230006",
            "display" : "Lung finding"
          }
        ]
      },
      "subject" : {
        "reference" : "urn:uuid:cb1344a1-ee6e-45b3-a6b4-c3eacae4ddec"
      },
      "effectiveDateTime" : "2024-04-14T10:30:00+01:00",
      "performer" : [
        {
          "reference" : "urn:uuid:2a06ef57-f377-4031-a098-612aa44f54b2"
        }
      ],
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-pulmonology-interpretation-cs",
              "code" : "recommended",
              "display" : "Doporučení screeningového LDCT plic - ano"
            }
          ]
        }
      ],
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "365981007",
                "display" : "Finding of tobacco smoking behavior"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-tobacco-history-cs",
                "code" : "exsmoker",
                "display" : "exkuřák (přestal před více než měsícem)"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "160617001",
                "display" : "Stopped smoking"
              }
            ]
          },
          "valueInteger" : 2
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "266918002",
                "display" : "Tobacco smoking consumption"
              }
            ]
          },
          "valueInteger" : 10
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "782516008",
                "display" : "Number of calculated smoking pack years"
              }
            ]
          },
          "valueInteger" : 20
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "5880005",
                "display" : "Physical examination"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-physical-examination-pulmonology-result-cs",
                "code" : "patological",
                "display" : "patologický poslechový nález"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "12894003",
                "display" : "Functional assessment"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-functional-examination-pulmonology-result-cs",
                "code" : "nespecificDisorder",
                "display" : "nespecifikovaná porucha"
              }
            ]
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "399208008",
                "display" : "Plain chest X-ray"
              }
            ]
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-pulmonology-result-cs",
                "code" : "pathological",
                "display" : "patologický nález"
              }
            ]
          }
        }
      ]
    }