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

## Domovská stránka

### Úvod

Tato implementační specifikace vychází ze standardu HL7 FHIR ve verzi R4 a definuje jednotný rámec pro reprezentaci Sdílení zdravotní záznam (SZZ) v českém národním kontextu. Specifikace stanovuje obsahové a strukturální komponenty dokumentu a zajišťuje jejich soulad s právními požadavky České republiky a s evropskými iniciativami v oblasti interoperability elektronických zdravotních záznamů.

Hlavním cílem je vytvořit standardizovanou podobu Sdíleného zdravotního záznamu jako součásti zdravotnické dokumentace pacienta, která bude využitelná pro elektronickou výměnu zdravotnických informací mezi poskytovateli zdravotní péče, pacientem a národní infrastrukturou.

### Stručný rozsah

Tato příručka je rozdělena na několik stránek, které jsou uvedeny v horní části každé stránky na liště nabídek.

- Home - Domovská stránka - Domovská stránka: Tato stránka poskytuje úvodní informace, stručný rozsah použití, reference, závislosti, rozdílovou analýzu verzí a prohlášení o duševním vlastnictví.
- Introduction:
  - Rozsah použití a obsah: Tento segment obsahuje úvodní obecné informace o sdíleném zdravotním záznamu.
  - Background: Tento segment obsahuje obecné informace o původu definice záznamu o sdíleném zdravotním záznamu.
- Functional:
  - Případy užití: Tento segment obsahuje informace o případech použití.
  - Workflow: Tento segment obsahuje informace o pracovním postupu.
  - Logické modely: Tento segment obsahuje informace o logických modelech.
- Implementation:
  - Mapování logického modelu: Tento segment obsahuje informace o mapování logického modelu na profily sdíleného zdravotního záznamu.
  - Příklady: Tento segment obsahuje informace o příkladech.
- About:
  - Autoři: Tento segment obsahuje informace o autorech.
  - Downloads: Tento segment obsahuje informace o možnostech stahování obsahu implementační specifikace.
  - Závislosti: Tento segment obsahuje informace o závislostech.
  - Autorská práva: Tento segment obsahuje informace o autorských právech.
- Artifacts: Tato stránka poskytuje seznam FHIR artefaktů definovaných jako součást této implementační příručky.

### Reference

- Související specifikace:
  - EHDS Logical Information Models
    - Tato specifikace inspirovala mnoho návrhových vzorů definovaných v tomto IG.
  - HL7 Czech Base and Core Implementation Guide
    - Kde to bylo možné, byly poděděny specifikace z definicí CZ core.

### Závislosti

IG | Package | FHIR | Comment
--- | --- | --- | ---
HL7 Czech Shared Health Record Implementation Guide | hl7.fhir.cz.szz#0.0.1 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.1 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.0.0 | R4 |
fhir.dicom | fhir.dicom#2022.4.20221006 | R4 |
HL7 Czech Base and Core Implementation Guide | hl7.fhir.cz.core#current | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#0.1.0-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.3.0 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#0.1.1-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.2.0 | R4 |
HL7 Czech Terminology Implementation Guide | hl7.fhir.cz.terminology#current | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#0.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.5.0 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#2.0.0 | R4 |
International Patient Access | hl7.fhir.uv.ipa#1.1.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.0.0 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#0.1.1 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions#0.1.1 | R5 |
HL7 Terminology (THO) | hl7.terminology.r5#6.5.0 | R5 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#0.9.0 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.eu.extensions.r4#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.base#0.1.0-ballot This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, May 5, 2025 21:42+0200+02:00)

Package hl7.fhir.cz.terminology#current HL7 Czech Terminology Implementation Guide (built Fri, Dec 19, 2025 09:15+0000+00:00)

Package hl7.fhir.cz.core#current HL7 Czech Base and Core Resources Implementation Guide (built Fri, Dec 19, 2025 09:24+0000+00:00)

Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package hl7.fhir.eu.extensions.r4#0.1.1 This guide lists the extensions specified for the European REALM. (built Sun, Oct 26, 2025 20:13+0100+01:00)

Package hl7.fhir.eu.base#0.1.0 This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Sun, Oct 26, 2025 21:01+0100+01:00)

Package hl7.fhir.eu.extensions#0.1.1 This guide lists the extensions specified for the European REALM. (built Sun, Oct 26, 2025 20:13+0100+01:00)

Package hl7.fhir.uv.tools.r4#0.9.0 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Dec 16, 2025 23:18+1100+11:00)

### Rozdílová analýza verzí

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.cz.szz.r4) and R4B (hl7.fhir.cz.szz.r4b) are available.

### Prohlášení o duševním vlastnictví

This publication includes IP covered under the following statements.

- ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
  Show Usage
  - ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: AbdominaAorticAneurysmsResultCS, AbdominaAorticAneurysmsResultVs... Show 132 more, AllergyIntoleranceTypeSzzCs, AllergyIntoleranceTypeSzzVs, AllergyReactionCategorySzzVs, BiradsDensityCS, BiradsDensityVS, BloodPressureCodeSzzVs, BloodTypeEhdsiVs, BloodTypeLaboratoryCodeSzzVs, Bundle/cz-example-bundle-emergencyrecord, Bundle/cz-example-bundle-screeningrecord, Bundle/cz-example-bundle-screeningrecord-2, CZ_AdverseEvent, CZ_AllergyIntoleranceSzz, CZ_BodyHeight, CZ_BodyWeight, CZ_BundleSzz, CZ_ColonoscopyAbnormalFindingsCS, CZ_ColonoscopyAbnormalFindingsVS, CZ_ColonoscopyInterpretation, CZ_ColonoscopyInterpretationVS, CZ_ColonoscopyTypeCS, CZ_ColonoscopyTypeVS, CZ_CompositionSzz, CZ_HpvVaccineCodeVs, CZ_ImmunizationHPV, CZ_ObservationAbdominaAorticAneurysms, CZ_ObservationBloodPressure, CZ_ObservationBloodType, CZ_ObservationColonoscopy, CZ_ObservationColorectalCancer, CZ_ObservationColposcopyCervicalCancer, CZ_ObservationCytologyCervicalCancer, CZ_ObservationHPVCervicalCancer, CZ_ObservationLungCancer, CZ_ObservationMRIProstateCancer, CZ_ObservationMammography, CZ_ObservationMammographyBiopsy, CZ_ObservationProstateCancer, CZ_ObservationPulmonology, CZ_ObservationUnitsHeightVs, CZ_ObservationUnitsWeightVs, CZ_ObservationUrology, CZ_ObservationUrologyBiopsy, CZ_WaistCircumference, CervicalCancerColposcopyResultCS, CervicalCancerColposcopyResultVS, CervicalCancerCytologyResultCS, CervicalCancerCytologyResultVS, CervicalCancerHPVResultCS, CervicalCancerHPVResultVS, ClinicalSeverityOfSymptomsSzzCs, ClinicalSeverityOfSymptomsSzzVs, ColorectalCancerResultAlternateVS, ColorectalCancerResultCS, ColorectalCancerResultVS, DensityTypeCs, DocumentSectionCzSzzCs, EmergencyRecord2FHIR, FunctionalExaminationPulmonologyResultCS, FunctionalExaminationPulmonologyResultVS, HL7CzSZZImplementationGuide, Header2FHIR, LogCzAngiologyCz, LogCzBiochemistryLabCz, LogCzDigitalSignatureCz, LogCzEmergencyRecordCz, LogCzGastroenterologyCz, LogCzGeneralPractitionerCz, LogCzGynecologyCz, LogCzHeaderSzzCz, LogCzPreventiveAndScreeningRecordCz, LogCzPulmonologyCz, LogCzRadiologyCz, LogCzSubjectCz, LogCzSzzCz, LogCzUrologyCz, LogEnAngiologyCz, LogEnBiochemistryLabCz, LogEnDigitalSignatureCz, LogEnEmergencyRecordCz, LogEnGastroenterologyCz, LogEnGeneralPractitionerCz, LogEnGynecologyCz, LogEnHeaderSzzCz, LogEnPreventiveAndScreeningRecordCz, LogEnPulmonologyCz, LogEnRadiologyCz, LogEnSubjectCz, LogEnSzzCz, LogEnUrologyCz, LungCancerInterpretationCS, LungCancerInterpretationVS, MRIProstateCancerCodeVs, Patient/142534ac-0274-4a16-b6a2-d4d4f24ff67b, Patient/cb1344a1-ee6e-45b3-a6b4-c3eacae4ddec, Patient/fe858e7c-ba5f-4641-9878-7c6c4790634f, PhysicalExaminationPulmonologyResultCS, PhysicalExaminationPulmonologyResultVS, ProstateCancerResultCS, ProstateCancerResultVS, PulmonologyInterpretationCS, PulmonologyInterpretationVS, PulmonologyResultCS, PulmonologyResultVS, RegionOfProstateVS, ResultBiopsyBreastCS, ResultBiopsyBreastVS, ResultBiopsyProstateCS, ResultBiopsyProstateVS, ResultLungCancerCS, ResultLungCancerVs, ResultMRIProstateCancerCS, ResultMRIProstateCancerVS, ResultMamographyCS, ResultMamographyVs, ScreeningRecord2FHIR, TabarDensityCS, TabarDensityVS, TobaccoHistoryCS, TobaccoHistoryVS, TypeBiopsyBreastCS, TypeBiopsyBreastVS, TypeBiopsyProstateCS, TypeBiopsyProstateVS, TypeLungCancerObservationCS, TypeLungCancerObservationVS, TypeOfAdverseEventSzzCS, TypeOfAdverseEventSzzVS, UrologyInterpretationCS, UrologyInterpretationVS, UrologyResultCS and UrologyResultVS
- The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
  Show Usage
  - Unified Code for Units of Measure (UCUM): Bundle/cz-example-bundle-screeningrecord, Bundle/cz-example-bundle-screeningrecord-2... Show 13 more, CZ_BodyHeight, CZ_BodyWeight, CZ_ObservationUnitsHeightVs, CZ_ObservationUnitsWeightVs, Observation/02f3d1a4-4a5c-42ae-9f68-ba2f7dfe88a8, Observation/31e1de93-1c46-4f9e-849c-c46f8c7f1496, Observation/5031be23-9628-49af-8cac-d23ea87cb8e0, Observation/504f3628-9a5e-4a1a-83b0-418c4b8dc38b, Observation/824055fa-6107-49c8-b217-f029aa7b8872, Observation/82451f85-ee50-4367-b809-0511ea469269, Observation/8a6733be-e107-44b6-99a8-77869faea42a, Observation/bc143cd8-4638-4823-87d5-6bc16ce68e85 and Observation/d87b5700-f89c-444b-8360-29c9f7673bf1
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: BloodPressureCodeSzzVs, Bundle/cz-example-bundle-emergencyrecord... Show 28 more, Bundle/cz-example-bundle-screeningrecord, Bundle/cz-example-bundle-screeningrecord-2, CZ_BodyHeight, CZ_BodyWeight, CZ_CompositionSzz, CZ_ObservationBloodPressure, CZ_ObservationColorectalCancer, CZ_ObservationColposcopyCervicalCancer, CZ_ObservationCytologyCervicalCancer, CZ_ObservationHPVCervicalCancer, CZ_ObservationProstateCancer, CZ_ObservationUrology, CZ_WaistCircumference, Composition/91795ef9-ba97-4712-95b4-177f1d784066, Composition/930ca243-d3aa-4b38-9737-3c2e48000f74, Composition/f711d704-df5c-4599-ac80-e8636e0f9931, Observation/02f3d1a4-4a5c-42ae-9f68-ba2f7dfe88a8, Observation/180d74d4-fe14-408c-a3a8-07da4e3b8fcd, Observation/1d79f716-c583-4e42-a68f-bc8c9bb2781d, Observation/31e1de93-1c46-4f9e-849c-c46f8c7f1496, Observation/40ee0269-0027-4e7b-b061-e039c06cf988, Observation/5031be23-9628-49af-8cac-d23ea87cb8e0, Observation/504f3628-9a5e-4a1a-83b0-418c4b8dc38b, Observation/824055fa-6107-49c8-b217-f029aa7b8872, Observation/82451f85-ee50-4367-b809-0511ea469269, Observation/8a6733be-e107-44b6-99a8-77869faea42a, Observation/bc143cd8-4638-4823-87d5-6bc16ce68e85 and Observation/d87b5700-f89c-444b-8360-29c9f7673bf1
- This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
  Show Usage
  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): AllergyIntolerance/4b343429-16da-4a5b-be80-17e4122f5956, AllergyReactionCategorySzzVs... Show 35 more, BloodTypeEhdsiVs, Bundle/cz-example-bundle-emergencyrecord, Bundle/cz-example-bundle-screeningrecord, Bundle/cz-example-bundle-screeningrecord-2, CZ_AllergyIntoleranceSzz, CZ_ObservationAbdominaAorticAneurysms, CZ_ObservationBloodType, CZ_ObservationColonoscopy, CZ_ObservationLungCancer, CZ_ObservationMRIProstateCancer, CZ_ObservationMammography, CZ_ObservationMammographyBiopsy, CZ_ObservationPulmonology, CZ_ObservationUrology, CZ_ObservationUrologyBiopsy, ColorectalCancerResultAlternateVS, MRIProstateCancerCodeVs, Observation/0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08, Observation/31e1de93-1c46-4f9e-849c-c46f8c7f1496, Observation/407b583e-4c05-47eb-b0df-6d8166c0d4f1, Observation/5031be23-9628-49af-8cac-d23ea87cb8e0, Observation/504f3628-9a5e-4a1a-83b0-418c4b8dc38b, Observation/57838f4e-238c-43e4-9088-42971d8171a6, Observation/5da80cc6-b699-42dc-aeba-86e229063975, Observation/76879fde-d561-4435-b119-6bb579bea0f5, Observation/8a6733be-e107-44b6-99a8-77869faea42a, Observation/bc143cd8-4638-4823-87d5-6bc16ce68e85, Observation/cd2b65ad-9926-4589-98c9-7e581e21602a, Observation/dd8033d4-d1c9-48e8-8edd-c0dda913678d, Observation/f564cd9a-422f-439b-ae17-b2c0a1311ead, Observation/fa768d55-f16c-457b-8bdc-1d0b1c9e24fa, PractitionerRole/2a06ef57-f377-4031-a098-612aa44f54b2, PractitionerRole/38e5929e-afe4-40bc-ba9d-c0a80549791e, PractitionerRole/428025b5-e328-4542-8812-dd6a874c44f9 and RegionOfProstateVS
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
  Show Usage
  - AllergyIntolerance Clinical Status Codes: AllergyIntolerance/4b343429-16da-4a5b-be80-17e4122f5956 and Bundle/cz-example-bundle-emergencyrecord
  - AllergyIntolerance Verification Status: AllergyIntolerance/4b343429-16da-4a5b-be80-17e4122f5956 and Bundle/cz-example-bundle-emergencyrecord
  - Observation Category Codes: Bundle/cz-example-bundle-screeningrecord, Bundle/cz-example-bundle-screeningrecord-2... Show 20 more, Observation/02f3d1a4-4a5c-42ae-9f68-ba2f7dfe88a8, Observation/0a3b5d6a-e9a8-4aa2-bcff-7c916540bf08, Observation/180d74d4-fe14-408c-a3a8-07da4e3b8fcd, Observation/1d79f716-c583-4e42-a68f-bc8c9bb2781d, Observation/31e1de93-1c46-4f9e-849c-c46f8c7f1496, Observation/407b583e-4c05-47eb-b0df-6d8166c0d4f1, Observation/40ee0269-0027-4e7b-b061-e039c06cf988, Observation/5031be23-9628-49af-8cac-d23ea87cb8e0, Observation/504f3628-9a5e-4a1a-83b0-418c4b8dc38b, Observation/57838f4e-238c-43e4-9088-42971d8171a6, Observation/76879fde-d561-4435-b119-6bb579bea0f5, Observation/824055fa-6107-49c8-b217-f029aa7b8872, Observation/82451f85-ee50-4367-b809-0511ea469269, Observation/8a6733be-e107-44b6-99a8-77869faea42a, Observation/bc143cd8-4638-4823-87d5-6bc16ce68e85, Observation/cd2b65ad-9926-4589-98c9-7e581e21602a, Observation/d87b5700-f89c-444b-8360-29c9f7673bf1, Observation/dd8033d4-d1c9-48e8-8edd-c0dda913678d, Observation/f564cd9a-422f-439b-ae17-b2c0a1311ead and Observation/fa768d55-f16c-457b-8bdc-1d0b1c9e24fa