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: Female Preventive and screening Report (CZ)

Document Details

Profile: Bundle (SZZ CZ)

Final Document at 2025-05-20 12:02:00+0100 by PractitionerRole: specialty = Radiology for Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

Document Subject

Profile: Patient (CZ core)

Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

Other Id: | `https://ncez.mzcr.cz/fhir/sid/rid`/2066425388
Contact Detail | Na Náměstí 16, 190 00 Praha 9 - Prosek(home)
Language: | Czech (preferred)

Document Content

## Preventive and screening health record

### General practitioner record

### Gynecology record

### Results of imaging observation

### Results of pulmonology observation

### Angiology record

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:cb1344a1-ee6e-45b3-a6b4-c3eacae4ddec

Resource Patient:

> Profile: Patient (CZ core)

> Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> Other Id: | `https://ncez.mzcr.cz/fhir/sid/rid`/2066425388
> Contact Detail | Na Náměstí 16, 190 00 Praha 9 - Prosek(home)
> Language: | Czech (preferred)

Entry 3 - fullUrl = urn:uuid:2a06ef57-f377-4031-a098-612aa44f54b2

Resource PractitionerRole:

> Profile: Practitioner Role (CZ core)

> practitioner: Practitioner Testovací Karel

> organization: Organization Fakultní nemocnice Oblackov

> specialty: Radiology

Entry 4 - fullUrl = urn:uuid:575c3fb2-e037-4415-95da-283679927aba

Resource Practitioner:

> Profile: Practitioner (CZ core)

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

> name: Testovací Karel

> gender: Male

Entry 5 - fullUrl = urn:uuid:08f3f0c5-69ac-45c6-9bec-b8ab940ec721

Resource Organization:

> 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

> > contact

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

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

Entry 6 - fullUrl = urn:uuid:2620c461-29d4-44a7-a8d0-599d88fdb60f

Resource DocumentReference:

> Profile: DocumentReference containing logo (CZ)

> status: Current

> > content

> > ### Attachments

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

Entry 7 - fullUrl = urn:uuid:31e1de93-1c46-4f9e-849c-c46f8c7f1496

Resource Observation:

> Profile: Observation: Weight (SZZ CZ)

> status: Final

> category: Vital Signs

> code: Body weight

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-05-15 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: 60 kg (Details: UCUM codekg = 'kg')

Entry 8 - fullUrl = urn:uuid:504f3628-9a5e-4a1a-83b0-418c4b8dc38b

Resource Observation:

> Profile: Observation: Height (SZZ CZ)

> status: Final

> category: Vital Signs

> code: Body height

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-05-15 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: 165 cm (Details: UCUM codecm = 'cm')

Entry 9 - fullUrl = urn:uuid:82451f85-ee50-4367-b809-0511ea469269

Resource Observation:

> Profile: Observation: Waist circumference (SZZ CZ)

> status: Final

> category: Vital Signs

> code: Waist Circumference at umbilicus by Tape measure

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-05-15 10:35:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: 100 cm

Entry 10 - fullUrl = urn:uuid:dd06896e-959b-44ec-b791-19a68ffdc576

Resource Immunization:

> Profile: Immunization against HPV Resource Profile (SZZ CZ)

> status: Completed

> vaccineCode: CERVARIX

> patient: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> occurrence: 2000

Entry 11 - fullUrl = urn:uuid:dd8033d4-d1c9-48e8-8edd-c0dda913678d

Resource Observation:

> Profile: Observation: Abdomina aortic aneurysms (SZZ CZ)

> status: Final

> category: Imaging

> code: Abdominal aortic aneurysm screening

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-05-15 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: bez nálezu aneurysmatu

Entry 12 - fullUrl = urn:uuid:180d74d4-fe14-408c-a3a8-07da4e3b8fcd

Resource Observation:

> Profile: Observation: Cervical Cancer Colposcopy Screening (SZZ CZ)

> status: Final

> category: Procedure

> code: Colposcopy study

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-06-15 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: provedena biopsie

Entry 13 - fullUrl = urn:uuid:40ee0269-0027-4e7b-b061-e039c06cf988

Resource Observation:

> Profile: Observation: Cervical Cancer Cytology Screening (SZZ CZ)

> status: Final

> category: Laboratory

> code: Screening techniques [Identifier] in Cervical or vaginal smear or scraping by Cyto stain

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-07-15 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: Abnormální nález

Entry 14 - fullUrl = urn:uuid:1d79f716-c583-4e42-a68f-bc8c9bb2781d

Resource Observation:

> Profile: Observation: Cervical Cancer HPV Screening (SZZ CZ)

> status: Final

> category: Laboratory

> code: Human papilloma virus high-risk genotypes panel - Cervix by NAA with probe detection

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-04-15 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: Pozitivní nález

Entry 15 - fullUrl = urn:uuid:0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08

Resource Observation:

> Profile: Observation: Mammography (SZZ CZ)

> status: Final

> category: Imaging

> code: Mammography

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-04-14 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: nejednoznačný nález - potřeba dalšího vyšetření

> > component

> > code: Klasifikace dle Tabára

> > value: Tabár IV

> > component

> > code: Klasifikace dle BiRADS

> > value: BIRADS D

Entry 16 - fullUrl = urn:uuid:fa768d55-f16c-457b-8bdc-1d0b1c9e24fa

Resource Observation:

> Profile: Observation: Mammography Biopsy(SZZ CZ)

> status: Final

> category: Laboratory

> code: Biopsy of breast

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2025-04-14 11:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: nezdařený odběr

> ### Components

> - | Code | Value[x]
> * | Breast procedure | core-cut biopsie

Entry 17 - fullUrl = urn:uuid:f564cd9a-422f-439b-ae17-b2c0a1311ead

Resource Observation:

> Profile: Observation: Lung cancer (SZZ CZ)

> status: Final

> category: Imaging

> code: Computed tomography

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2024-04-14 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: neurčitý

> interpretation: Kontrolní LDCT za 6-8 týdnů

> ### Components

> - | Code | Value[x]
> * | CT of lungs | vstupní

Entry 18 - fullUrl = urn:uuid:407b583e-4c05-47eb-b0df-6d8166c0d4f1

Resource Observation:

> Profile: Observation: Pulmonology (SZZ CZ)

> status: Final

> category: Exam

> code: Lung finding

> subject: Mračena Mrakomorová Female, DoB: 1988-02-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621111 (use: official, ))

> effective: 2024-04-14 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> interpretation: Doporučení screeningového LDCT plic - ano

> > component

> > code: Finding of tobacco smoking behavior

> > value: exkuřák (přestal před více než měsícem)

> > component

> > code: Stopped smoking

> > value: 2

> > component

> > code: Tobacco smoking consumption

> > value: 10

> > component

> > code: Number of calculated smoking pack years

> > value: 20

> > component

> > code: Physical examination

> > value: patologický poslechový nález

> > component

> > code: Functional assessment

> > value: nespecifikovaná porucha

> > component

> > code: Plain chest X-ray

> > value: patologický nález