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

Document Subject

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

## Preventive and screening health record

### General practitioner record

### Results of colorectal cancer screening tests

### Results of biochemistry laboratory tests

### Results of imaging observation

### Result of urology observations

## Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:fe858e7c-ba5f-4641-9878-7c6c4790634f

Resource Patient:

> 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:38e5929e-afe4-40bc-ba9d-c0a80549791e

Resource PractitionerRole:

> Profile: Practitioner Role (CZ core)

> practitioner: Practitioner Testovací Jan

> organization: Organization Fakultní nemocnice Oblackov

> specialty: Radiology

Entry 4 - fullUrl = urn:uuid:e031c581-1616-4f9c-a0fe-3d7b5094bf1a

Resource Practitioner:

> Profile: Practitioner (CZ core)

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

> name: Testovací Jan

> gender: Male

Entry 5 - fullUrl = urn:uuid:2ef3f712-d586-4b3e-92eb-6a5bddc58a68

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:7248f0f4-a508-4668-acd8-9782ab4e0f98

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:8a6733be-e107-44b6-99a8-77869faea42a

Resource Observation:

> Profile: Observation: Weight (SZZ CZ)

> status: Final

> category: Vital Signs

> code: Body weight

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

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

> performer: PractitionerRole: specialty = Radiology

> value: 75 kg (Details: UCUM codekg = 'kg')

Entry 8 - fullUrl = urn:uuid:5031be23-9628-49af-8cac-d23ea87cb8e0

Resource Observation:

> Profile: Observation: Height (SZZ CZ)

> status: Final

> category: Vital Signs

> code: Body height

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

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

> performer: PractitionerRole: specialty = Radiology

> value: 180 cm (Details: UCUM codecm = 'cm')

Entry 9 - fullUrl = urn:uuid:d87b5700-f89c-444b-8360-29c9f7673bf1

Resource Observation:

> Profile: Observation: Blood Pressure (SZZ CZ)

> status: Final

> category: Vital Signs

> code: Blood pressure panel with all children optional

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

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

> performer: PractitionerRole: specialty = Radiology

> > component

> > code: Systolic blood pressure

> > value: 120 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

> > component

> > code: Diastolic blood pressure

> > value: 80 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 10 - fullUrl = urn:uuid:cd2b65ad-9926-4589-98c9-7e581e21602a

Resource Observation:

> Profile: Observation: Colonoscopy (SZZ CZ)

> status: Final

> category: Imaging

> code: Colonoscopy

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

> effective: 2025-12-10 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> interpretation: dispenzární koloskopie za 6 měsíců

> > component

> > code: Procedure type

> > value: TOKS+

> > component

> > code: Boston bowel preparation scale

> > value: 9

> > component

> > code: Colonoscopy normal

> > value: true

Entry 11 - fullUrl = urn:uuid:02f3d1a4-4a5c-42ae-9f68-ba2f7dfe88a8

Resource Observation:

> Profile: Observation: Colorectal Cancer Screening (SZZ CZ)

> status: Final

> category: Laboratory

> code: Occult blood panel - Stool by Immunoassay

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

> effective: 2025-12-10 11:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: 18 ug/g (Details: UCUM codeug/g = 'ug/g')

> interpretation: Signální výkon – Stanovení okultního krvácení ve stolici speciálním testem v rámci screeningu kolorektálního karcinomu – nález pozitivní

Entry 12 - fullUrl = urn:uuid:824055fa-6107-49c8-b217-f029aa7b8872

Resource Observation:

> Profile: Observation: Prostate Cancer Screening (SZZ CZ)

> status: Final

> category: Laboratory

> code: Prostatický specifický Ag [Hmotnost/objem] v séru nebo plazmě

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

> effective: 2025-12-13 11:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: 4 ug/l (Details: UCUM codeug/l = 'ug/l')

> interpretation: PSA 3,0 UG/L A VÍCE INFORMACE V PROGRAMU ČASNÉHO ZÁCHYTU KARCINOMU PROSTATY

Entry 13 - fullUrl = urn:uuid:76879fde-d561-4435-b119-6bb579bea0f5

Resource Observation:

> Profile: Observation: MRI Prostate Cancer (SZZ CZ)

> status: Final

> category: Imaging

> code: MRI without contrast

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

> effective: 2025-11-10 15:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: PI-RADS 3

> ### Components

> - | Code | Value[x]
> * | Region of prostate | Transition zone of prostate

Entry 14 - fullUrl = urn:uuid:57838f4e-238c-43e4-9088-42971d8171a6

Resource Observation:

> Profile: Observation: Urology Biopsy(SZZ CZ)

> status: Final

> category: Laboratory

> code: Biopsy of prostate

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

> effective: 2025-11-13 10:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: maligní - klinicky signifikatní

> ### Components

> - | Code | Value[x]
> * | Procedure on prostate | cílená

Entry 15 - fullUrl = urn:uuid:bc143cd8-4638-4823-87d5-6bc16ce68e85

Resource Observation:

> Profile: Observation: Urology (SZZ CZ)

> status: Final

> category: Exam

> code: Prostate finding

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

> effective: 2025-11-13 11:30:00+0100

> performer: PractitionerRole: specialty = Radiology

> value: abnormální

> interpretation: MRI s kontrastní látkou /biopsie

> > component

> > code: Quantitative measurement of mass concentration of prostate specific antigen in serum or plasma

> > value: 4 ug/l (Details: UCUM codeug/l = 'ug/l')

> > component

> > code: Prostate specific Ag/Prostate volume calculated

> > value: 0.2 ng/ml/cm3 (Details: UCUM codeng/ml/cm3 = 'ng/ml/cm3')

> > component

> > code: Prostate specific antigen measurement

> > value: 0.75 ng/ml/a (Details: UCUM codeng/ml/a = 'ng/ml/a')

> > component

> > code: Prostate volume

> > value: 20 ml (Details: UCUM codeml = 'ml')