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Packagehl7.fhir.cz.hdr
Resource TypeComposition
IdComposition-6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Composition 6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001

status: Final

type: Hospital Discharge summary

encounter: Encounter: extension = Legal; status = finished; class = inpatient encounter (ActCode#IMP); priority = Emergency; period = 2025-01-01 08:00:00+0100 --> 2025-01-10 08:00:00+0100; reasonCode = Heart failure

date: 2025-05-18 12:30:00+0200

author: Practitioner Eva Svobodova

title: Gynekologická propouštěcí zpráva - spontánní vaginální porod


Source1

{
  "resourceType": "Composition",
  "id": "6e9f3ec7-0a3c-4ee4-a2f2-a9c6ad91d001",
  "meta": {
    "profile": [
      "https://hl7.cz/fhir/hdr/StructureDefinition/cz-composition-hdr"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://hl7.cz/fhir/core/StructureDefinition/presentedForm"
    }
  ],
  "status": "final",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "34105-7",
        "display": "Hospital Discharge summary"
      }
    ]
  },
  "subject": {
    "reference": "Patient/Mracena2"
  },
  "encounter": {
    "reference": "Encounter/CZ-Encounter-HDR-Example"
  },
  "date": "2025-05-18T12:30:00+02:00",
  "author": [
    {
      "reference": "Practitioner/1ec5e355-648f-42b9-a316-3f056fbd04b5"
    }
  ],
  "title": "Gynekologická propouštěcí zpráva - spontánní vaginální porod",
  "section": [
    {
      "title": "Průběh hospitalizace",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "8648-8",
            "display": "Hospital course note"
          }
        ]
      },
      "text": {
        "status": "additional",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hospitalizace pro spontánně proběhlý porod v termínu, bez závažných komplikací.</p></div>"
      },
      "section": [
        {
          "title": "Porod",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "57074-7",
                "display": "Delivery note"
              }
            ]
          },
          "text": {
            "status": "additional",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Porod dne 18.05.2025 v 10:46, spontánní vaginální, novorozenec mužského pohlaví, 3210 g, 49 cm, Apgar 10-10-10.</p></div>"
          },
          "entry": [
            {
              "reference": "Procedure/GynNaturalBirth-DeliveryMethod"
            },
            {
              "reference": "Observation/GynNaturalBirth-FetalPresentation"
            },
            {
              "reference": "Observation/GynNaturalBirth-BirthWeight"
            },
            {
              "reference": "Observation/GynNaturalBirth-BirthLength"
            },
            {
              "reference": "Observation/GynNaturalBirth-Apgar1"
            },
            {
              "reference": "Observation/GynNaturalBirth-Apgar5"
            },
            {
              "reference": "Observation/GynNaturalBirth-Apgar10"
            },
            {
              "reference": "Patient/3f85726c-ad2f-441b-89ce-100000000000"
            }
          ]
        }
      ]
    },
    {
      "title": "Anamnéza",
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "35090-0",
            "display": "Patient history note"
          }
        ]
      },
      "text": {
        "status": "additional",
        "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gynekologická anamnéza: gravidita/parita 2/2, gestační stáří při porodu 39+6.</p></div>"
      },
      "section": [
        {
          "title": "Těhotenská anamnéza",
          "code": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "10162-6",
                "display": "History of pregnancies"
              }
            ]
          },
          "text": {
            "status": "additional",
            "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Gestační stáří 39+6, gravidita 2, parita 2, singleton gravidita.</p></div>"
          },
          "entry": [
            {
              "reference": "Observation/GynNaturalBirth-GestationalAgeAtDelivery"
            },
            {
              "reference": "Observation/GynNaturalBirth-Gravidity"
            },
            {
              "reference": "Observation/GynNaturalBirth-Parity"
            },
            {
              "reference": "Observation/GynNaturalBirth-MultiplePregnancy"
            }
          ]
        }
      ]
    }
  ]
}