FHIR IG analytics| Package | hl7.fhir.cz.hdr |
| Resource Type | Composition |
| Id | Composition-5e848ec9-b5bf-4c90-9d7e-6b0894208bfe.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Composition 5e848ec9-b5bf-4c90-9d7e-6b0894208bfe
Profile: Composition (HDR CZ)
status: Final
type: Hospital Discharge summary
date: 2025-05-20 11:30:00+0200
author: Practitioner Eva Svobodova
title: Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)
FHIR
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"subject": {
"reference": "Patient/6c4f4d2c-5f24-4a91-a75e-1b0e2a1f7731"
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"encounter": {
"reference": "Encounter/7d7a6f19-5dfb-45ee-8bcf-0f63d9fe49f2"
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"date": "2025-05-20T11:30:00+02:00",
"author": [
{
"reference": "Practitioner/1ec5e355-648f-42b9-a316-3f056fbd04b5"
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],
"title": "Gynekologická propouštěcí zpráva - spontánní vaginální porod (Jana Nováková)",
"section": [
{
"title": "Průběh hospitalizace",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8648-8",
"display": "Hospital course note"
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},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hospitalizace pro spontánní porod v termínu, bez závažných komplikací.</p></div>"
},
"section": [
{
"title": "Porod",
"code": {
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"code": "57074-7",
"display": "Delivery note"
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"text": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Porod dne 18.05.2025 v 10:46, spontánní vaginální, bez indukce, analgezie EDA (ropivakain + fentanyl), novorozenec mužského pohlaví, 3210 g, 49 cm, Apgar 10-10-10. Mateřské poranění: epiziotomie mediolaterální.</p></div>"
},
"entry": [
{
"reference": "Procedure/GynNaturalBirthJana-DeliveryMethod"
},
{
"reference": "Observation/GynNaturalBirthJana-FetalPresentation"
},
{
"reference": "Observation/GynNaturalBirthJana-BirthWeight"
},
{
"reference": "Observation/GynNaturalBirthJana-BirthLength"
},
{
"reference": "Condition/GynNaturalBirthJana-BirthInjury"
},
{
"reference": "Observation/GynNaturalBirthJana-BirthOutcome"
},
{
"reference": "Observation/GynNaturalBirthJana-Apgar1"
},
{
"reference": "Observation/GynNaturalBirthJana-Apgar5"
},
{
"reference": "Observation/GynNaturalBirthJana-Apgar10"
},
{
"reference": "Patient/b7e6c8a1-4a8d-4d9f-8f69-df4f210cb2d7"
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},
{
"title": "Anamnéza",
"code": {
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{
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"code": "35090-0",
"display": "Patient history note"
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]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gynekologická anamnéza: prvorodička, gravidita/parita 1/1, gestační stáří při porodu 39+6.</p></div>"
},
"section": [
{
"title": "Těhotenská anamnéza",
"code": {
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{
"system": "http://loinc.org",
"code": "10162-6",
"display": "History of pregnancies"
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},
"text": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gestační stáří 39+6, prvorodička, gravidita 1, parita 1, singleton gravidita.</p></div>"
},
"entry": [
{
"reference": "Observation/GynNaturalBirthJana-GestationalAgeAtDelivery"
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{
"reference": "Observation/GynNaturalBirthJana-Gravidity"
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{
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{
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}
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},
{
"title": "Health insurance and payment information",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48768-6",
"display": "Payment sources Document"
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]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Payer: 111 (VZP), insurance number: 9355181234.</p></div>"
},
"entry": [
{
"reference": "Coverage/8f9c2f14-1f69-4f2b-b4a8-8b7ca4db9f31"
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{
"title": "Alergie, intolerance a varování",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Alergie na penicilin, reakce: kožní vyrážka a otok rtů.</p></div>"
},
"entry": [
{
"reference": "AllergyIntolerance/Allergy-Penicillin-Novakova-Jana"
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]
},
{
"title": "Pharmacotherapy",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "87232-5",
"display": "Medication administration brief"
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]
},
"text": {
"status": "additional",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Porodní analgezie: epidurální podání ropivakainu s malou dávkou fentanylu během porodu.</p></div>"
},
"entry": [
{
"reference": "Medication/med-ropivacaine-epidural"
},
{
"reference": "Medication/med-fentanyl-epidural"
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{
"reference": "MedicationStatement/medstmt-ropivacaine-epidural-jana"
},
{
"reference": "MedicationStatement/medstmt-fentanyl-epidural-jana"
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]
}
]
}