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 - XML Representation

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