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

## Example Bundle: Bundle: Emergency Report (CZ)

Document Details

Profile: Bundle (SZZ CZ)

Final Document at 2025-05-20 12:02:00+0100 by PractitionerRole: specialty = Radiology for Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

Document Subject

Generated Narrative: Patient 142534ac-0274-4a16-b6a2-d4d4f24ff67b

Profile: Patient (CZ core)

Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

Other Id: | `https://ncez.mzcr.cz/fhir/sid/rid`/2066425387
Contact Detail | Pod Hroudou 8, 190 00 Praha 9 - Prosek(home)
Language: | Czech (preferred)

Document Content

Generated Narrative: Composition f711d704-df5c-4599-ac80-e8636e0f9931

Language: cs

Profile: Composition (SZZ CZ)

identifier: `http://example.org/myhospital/reportidentifiers`/dfkjewoieoijwoskdjg

status: Final

type: History and physical note

date: 2025-05-20 12:02:00+0100

author: PractitionerRole: specialty = Radiology

title: Shared Health Record - Emergency Report for patient Ing. Králíka

confidentiality: normal

custodian: Organization Fakultní nemocnice Oblackov

## Emergency Record

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:142534ac-0274-4a16-b6a2-d4d4f24ff67b

Resource Patient:

> Generated Narrative: Patient 142534ac-0274-4a16-b6a2-d4d4f24ff67b

> Profile: Patient (CZ core)

> Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

> Other Id: | `https://ncez.mzcr.cz/fhir/sid/rid`/2066425387
> Contact Detail | Pod Hroudou 8, 190 00 Praha 9 - Prosek(home)
> Language: | Czech (preferred)

Entry 3 - fullUrl = urn:uuid:428025b5-e328-4542-8812-dd6a874c44f9

Resource PractitionerRole:

> Generated Narrative: PractitionerRole 428025b5-e328-4542-8812-dd6a874c44f9

> Profile: Practitioner Role (CZ core)

> practitioner: Practitioner Testovací Jan

> organization: Organization Fakultní nemocnice Oblackov

> specialty: Radiology

Entry 4 - fullUrl = urn:uuid:c3830e95-5f0a-46e8-a9e4-403f299ab2c5

Resource Practitioner:

> Generated Narrative: Practitioner c3830e95-5f0a-46e8-a9e4-403f299ab2c5

> Profile: Practitioner (CZ core)

> identifier: `https://ncez.mzcr.cz/fhir/sid/krzp`/123456789

> name: Testovací Jan

> gender: Male

Entry 5 - fullUrl = urn:uuid:f84d821c-ba13-412b-a340-2547a6f36b7f

Resource Organization:

> Generated Narrative: Organization f84d821c-ba13-412b-a340-2547a6f36b7f

> Profile: Organization (CZ core)

> Organization Logo: DocumentReference: status = current

> identifier: `https://ncez.mzcr.cz/fhir/sid/ico`/456789655

> type: Fakultní nemocnice

> name: Fakultní nemocnice Oblackov

> telecom: +420257216007, fax: +420257216007(Work)

> address: Fiktivní 951/125, 100 00 Město(work)

Entry 6 - fullUrl = urn:uuid:5da80cc6-b699-42dc-aeba-86e229063975

Resource Observation:

> Generated Narrative: Observation 5da80cc6-b699-42dc-aeba-86e229063975

> Profile: Observation: Blood Type (SZZ CZ)

> status: Final

> code: Krevní skupina AB0 RhD kompletní (B; přítomnost [-] Aglutinace (gel))

> subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

> effective: 2025-10-20 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: Blood group A

Entry 7 - fullUrl = urn:uuid:040eb849-a513-4d74-b3f3-d2f246a26877

Resource DocumentReference:

> Generated Narrative: DocumentReference 040eb849-a513-4d74-b3f3-d2f246a26877

> Profile: DocumentReference containing logo (CZ)

> status: Current

> > content

> > ### Attachments

> > - | ContentType | Data | Title
> > * | image/jpeg | (base64 data - 57,948 base64 chars) | Organization logo

Entry 8 - fullUrl = urn:uuid:4b343429-16da-4a5b-be80-17e4122f5956

Resource AllergyIntolerance:

> Generated Narrative: AllergyIntolerance 4b343429-16da-4a5b-be80-17e4122f5956

> Profile: Allergy intolerance (SZZ CZ)

> identifier: `http://example.org/allergies`/ALG20200115

> clinicalStatus: Active

> verificationStatus: Confirmed

> type: Allergy

> category: Medication

> criticality: High Risk

> code: V-PENICILIN BBP

> patient: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

> onset: 2020-01-15

> recordedDate: 2020-01-16

> recorder: PractitionerRole: specialty = Radiology

> ### Reactions

> - | Manifestation | Severity
> * | Dyspnea | Mild

Entry 9 - fullUrl = urn:uuid:ce0f692f-0461-4ed0-8df3-f8db265f755c

Resource MedicationStatement:

> Generated Narrative: MedicationStatement ce0f692f-0461-4ed0-8df3-f8db265f755c

> Profile: Medication Statement (CZ)

> identifier: `http://example.org/medicationstatements`/MEDSTAT2024

> status: Active

> medication: Fludeoxythymidin

> subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

> effective: 2024-12-01

> informationSource: Organization Fakultní nemocnice Oblackov

> > dosage

> > ### DoseAndRates

> > - | Dose[x]
> > * | 260000 ul

Entry 10 - fullUrl = urn:uuid:74d87d39-d681-4df4-80a5-975b359e6210

Resource AdverseEvent:

> Generated Narrative: AdverseEvent 74d87d39-d681-4df4-80a5-975b359e6210

> Profile: Adverse event (SZZ CZ)

> actuality: Adverse Event

> event: nežádoucí účinky, závažné nežádoucí účinky a neočekávané nežádoucí účinky léčivých přípravků

> subject: Králík Pokusný Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110 (use: official, ))

> date: 2024-12-01

> recorder: PractitionerRole: specialty = Radiology

> ### SuspectEntities

> - | Instance
> * | Medication Fludeoxythymidin

Entry 11 - fullUrl = urn:uuid:d6511f3f-a311-4050-a34a-542f1ffe40bd

Resource Medication:

> Generated Narrative: Medication d6511f3f-a311-4050-a34a-542f1ffe40bd

> Profile: Medication (CZ)

> identifier: `http://example.org/medications`/FLUDEX2024

> code: Fludeoxythymidin