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: Urology examination (CZ) - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "bc143cd8-4638-4823-87d5-6bc16ce68e85",
      "meta" : {
        "profile" : [
          🔗 "https://hl7.cz/fhir/szz/StructureDefinition/cz-observation-urology"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation bc143cd8-4638-4823-87d5-6bc16ce68e85</b></p><a name=\"bc143cd8-4638-4823-87d5-6bc16ce68e85\"> </a><a name=\"hcbc143cd8-4638-4823-87d5-6bc16ce68e85\"> </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-urology.html\">Observation: Urology (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 249604002}\">Prostate finding</span></p><p><b>subject</b>: <a href=\"Bundle-cz-example-bundle-screeningrecord.html#urn-uuid-fe858e7c-ba5f-4641-9878-7c6c4790634f\">Králík Pokusný  Male, DoB: 1985-01-12 ( https://ncez.mzcr.cz/fhir/sid/cpoj#0551621110\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>effective</b>: 2025-11-13 11:30:00+0100</p><p><b>performer</b>: <a href=\"Bundle-cz-example-bundle-screeningrecord.html#urn-uuid-38e5929e-afe4-40bc-ba9d-c0a80549791e\">PractitionerRole: specialty = Radiology</a></p><p><b>value</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-result-cs abnormal}\">abnormální</span></p><p><b>interpretation</b>: <span title=\"Codes:{https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-interpretation-cs mriwith}\">MRI s kontrastní látkou /biopsie</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 443969004}\">Quantitative measurement of mass concentration of prostate specific antigen in serum or plasma</span></p><p><b>value</b>: 4 ug/l<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeug/l = 'ug/l')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 15325-4}\">Prostate specific Ag/Prostate volume calculated</span></p><p><b>value</b>: 0.2 ng/ml/cm3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeng/ml/cm3 = 'ng/ml/cm3')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 63476009}\">Prostate specific antigen measurement</span></p><p><b>value</b>: 0.75 ng/ml/a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeng/ml/a = 'ng/ml/a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1297142007}\">Prostate volume</span></p><p><b>value</b>: 20 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeml = 'ml')</span></p></blockquote></div>"
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "exam"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "249604002"
          }
        ]
      },
      "subject" : {
        "reference" : "urn:uuid:fe858e7c-ba5f-4641-9878-7c6c4790634f"
      },
      "effectiveDateTime" : "2025-11-13T11:30:00+01:00",
      "performer" : [
        {
          "reference" : "urn:uuid:38e5929e-afe4-40bc-ba9d-c0a80549791e"
        }
      ],
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-result-cs",
            "code" : "abnormal",
            "display" : "abnormální"
          }
        ]
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "https://ncez.mzcr.cz/terminology/CodeSystem/cz-urology-interpretation-cs",
              "code" : "mriwith",
              "display" : "MRI s kontrastní látkou /biopsie"
            }
          ]
        }
      ],
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "443969004",
                "display" : "Quantitative measurement of mass concentration of prostate specific antigen in serum or plasma"
              }
            ]
          },
          "valueQuantity" : {
            "value" : 4,
            "system" : "http://unitsofmeasure.org",
            "code" : "ug/l"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "15325-4"
              }
            ]
          },
          "valueQuantity" : {
            "value" : 0.2,
            "system" : "http://unitsofmeasure.org",
            "code" : "ng/ml/cm3"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "63476009",
                "display" : "Prostate specific antigen measurement"
              }
            ]
          },
          "valueQuantity" : {
            "value" : 0.75,
            "system" : "http://unitsofmeasure.org",
            "code" : "ng/ml/a"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1297142007",
                "display" : "Prostate volume"
              }
            ]
          },
          "valueQuantity" : {
            "value" : 20,
            "system" : "http://unitsofmeasure.org",
            "code" : "ml"
          }
        }
      ]
    }