Руководство к использованию стандарта FHIR в ЦИСЗ
0.2.6803 - ci-build
Руководство к использованию стандарта FHIR в ЦИСЗ
0.2.6803 - ci-build
{
"resourceType" : "Bundle",
"id" : "BundleConclusionMRECTempDisability",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleMREC"
]
},
"identifier" : {
"system" : "https://minzdrav.gov.by",
"value" : "04-123456789-2025000000000003"
},
"type" : "document",
"timestamp" : "2025-09-01T11:12:21Z",
"entry" : [
{
"fullUrl" : "Composition/ExampleCompositionMRECTempDisability",
"resource" : {
"resourceType" : "Composition",
"id" : "ExampleCompositionMRECTempDisability",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/DocumentMREC"
]
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionType",
"code" : "conclusion-mrec",
"display" : "Заключение МРЭК"
}
]
},
"subject" : [
{
"reference" : "Patient/PatientEDConclusionMRECDisability"
}
],
"date" : "2025-09-01T11:12:21Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896"
}
],
"title" : "Уточненный состав необходимых данных о лице, предоставляемых медико-реабилитационными экспертными комиссиями",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ClinicalImpression/ExampleConclusionMRECTempAndDisability"
}
}
]
}
]
}
},
{
"fullUrl" : "Patient/PatientEDConclusionMRECDisability",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientEDConclusionMRECDisability",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientED"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DocumentKind",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
"code" : "04"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "7001112A009PB3"
}
],
"active" : true,
"name" : [
{
"family" : "Иванов",
"given" : [
"Петр",
"Сидорович"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "89001234567"
}
],
"gender" : "male",
"birthDate" : "1990-12-31",
"address" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/CoutryForAddresses",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CitizenshipCode",
"code" : "BY",
"display" : "Беларусь"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/StreetGeoRegistry",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/StreetGeoRegistry",
"code" : "72609920778",
"display" : "Переулок Снежный"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ApartmentRoom",
"valueString" : "кв. 11"
}
],
"use" : "home",
"text" : "Могилевская область, г.Могилев, Переулок Гоголя, д.19",
"postalCode" : "212011"
}
],
"contact" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ContactIdentifierNumber",
"valueString" : "7001112A009PB3"
},
{
"url" : "https://fhir.by/StructureDefinition/AddressExtension",
"valueAddress" : {
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/StreetGeoRegistry",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/StreetGeoRegistry",
"code" : "72609920778",
"display" : "Переулок Снежный"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ApartmentRoom",
"valueString" : "кв. 11"
}
],
"use" : "temp",
"text" : "Могилевская область, г.Могилев, Переулок Снежный, д.19",
"postalCode" : "212011"
}
}
],
"name" : {
"family" : "Иванова",
"given" : [
"Лариса",
"Ивановна"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "+375172000669"
}
],
"address" : {
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/CoutryForAddresses",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CitizenshipCode",
"code" : "BY",
"display" : "Беларусь"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/StreetGeoRegistry",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/StreetGeoRegistry",
"code" : "72609920778",
"display" : "Переулок Снежный"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ApartmentRoom",
"valueString" : "кв. 11"
}
],
"text" : "Могилевская область, г.Могилев, Переулок Снежный, д.19",
"postalCode" : "212011"
},
"gender" : "female"
}
],
"link" : [
{
"other" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber"
},
"type" : "refer"
}
]
}
},
{
"fullUrl" : "ClinicalImpression/ExampleConclusionMRECTempAndDisability",
"resource" : {
"resourceType" : "ClinicalImpression",
"id" : "ExampleConclusionMRECTempAndDisability",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ConclusionMREC"
]
},
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/CodesReasonForMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ReasonForMREC",
"code" : "prolongTD",
"display" : "продление лечения в периоде временной нетрудоспособности"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/StringReasonForMREC",
"valueString" : "Продление ЛН №АВ1234567 свыше 120 дней"
}
],
"url" : "https://fhir.by/StructureDefinition/ReasonForMREC"
},
{
"url" : "https://fhir.by/StructureDefinition/ExtSurveyTypeMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/SurveyTypeMREC",
"code" : "1",
"display" : "первичное очное"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/DisabilityCertificate",
"valueIdentifier" : {
"value" : "AB3333333",
"period" : {
"start" : "2024-01-31"
},
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
},
{
"url" : "https://fhir.by/StructureDefinition/DisabilityGroup",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DisabilityGroup",
"code" : "2_group",
"display" : "II группа"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/DisabilityReason",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DisabilityReason",
"code" : "general",
"display" : "общее заболевание"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbilityPercentage",
"valueQuantity" : {
"value" : 40,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
}
],
"url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbility"
},
{
"url" : "https://fhir.by/StructureDefinition/AdditionalTypesOfHelp",
"valueString" : "не нуждается в постоянной помощи"
},
{
"url" : "https://fhir.by/StructureDefinition/AdditionalTypesOfCare",
"valueString" : "не нуждается в постоянном уходе"
},
{
"url" : "https://fhir.by/StructureDefinition/AdditionalForConclusionMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AdditionalForConclusionMREC",
"code" : "absens",
"display" : "отсутствует"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ProgramRehabilitionMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ProgramRehabilitionMREC",
"code" : "ipra",
"display" : "индивидуальная программа реабилитации, абилитации инвалида"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ContraindicatedFactors",
"valueString" : "Исключены работы на высоте, подъемы тяжестей"
}
],
"url" : "https://fhir.by/StructureDefinition/RequirementsForWorking"
},
{
"url" : "https://fhir.by/StructureDefinition/MissedExaminationPeriod",
"valuePeriod" : {
"start" : "2023-09-02",
"end" : "2024-09-01"
}
},
{
"url" : "https://fhir.by/StructureDefinition/TimeDisabilityOnsetMREC",
"valueDate" : "2023-09-02"
}
],
"identifier" : [
{
"value" : "04-123456789-2025000000000003",
"period" : {
"start" : "2025-09-02",
"end" : "2026-09-01"
},
"assigner" : {
🔗 "extension" : [
{
"url" : "https://fhir.by/StructureDefinition/LocationReference",
"valueReference" : {
🔗 "reference" : "Location/b122e513-9361-4b5c-b2d6-0e9b4685477e"
}
}
],
"reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "Организация ЦИСМ МРЭК"
}
}
],
"status" : "completed",
"description" : "Заключение МРЭК №132, Иванов Петр Сидорович, 31.12.1990",
"subject" : {
"reference" : "Patient/PatientEDConclusionMRECDisability"
},
"encounter" : {
🔗 "reference" : "Encounter/ExampleEncounterForMREC"
},
"effectiveDateTime" : "2025-09-01",
"date" : "2025-09-01",
"performer" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
},
"problem" : [
{
🔗 "reference" : "Condition/ExampleDiagnosisMREC"
}
]
}
},
{
"fullUrl" : "CarePlan/ExampleIPR",
"resource" : {
"resourceType" : "CarePlan",
"id" : "ExampleIPR",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/IPR"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/AdditionalForConclusionMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AdditionalForConclusionMREC",
"code" : "musculoskeletal-system",
"display" : "инвалид с нарушением опорно-двигательного аппарата"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/AdditionalForConclusionMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AdditionalForConclusionMREC",
"code" : "visual-impairment",
"display" : "инвалид с нарушением зрения"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ReferredInitially",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RehabProgramm",
"code" : "first",
"display" : "впервые"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ReferenceToConclusionMREC",
"valueReference" : {
🔗 "reference" : "ClinicalImpression/ExampleConclusionMREC"
}
}
],
"identifier" : [
{
"value" : "04-123456789-2025000000000001",
"assigner" : {
🔗 "extension" : [
{
"url" : "https://fhir.by/StructureDefinition/LocationReference",
"valueReference" : {
🔗 "reference" : "Location/b122e513-9361-4b5c-b2d6-0e9b4685477e"
}
}
],
"reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"basedOn" : [
{
"identifier" : {
"value" : "act00292929",
"period" : {
"start" : "2024-01-05"
}
}
}
],
"status" : "active",
"intent" : "plan",
"title" : "Программа реабилитации инвалида",
"subject" : {
"reference" : "Patient/PatientEDConclusionMRECDisability"
},
"period" : {
"start" : "2024-01-05",
"end" : "2025-01-05"
},
"created" : "2024-01-05",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"contributor" : [
{
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Председатель МРЭК"
}
],
"addresses" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ActivitiesLoss",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/FunctionalClass",
"code" : "2",
"display" : "Функциональный класс II"
}
]
}
}
],
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RestrictCategoriesActivity",
"code" : "abletoselfcare",
"display" : "Способность к самообслуживанию"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ActivitiesLoss",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/FunctionalClass",
"code" : "3",
"display" : "Функциональный класс III"
}
]
}
}
],
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RestrictCategoriesActivity",
"code" : "abletoorientate",
"display" : "Способность к ориентации"
}
]
}
}
],
"activity" : [
{
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEventCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RehubActivities",
"code" : "complex",
"display" : "Физиотерапия"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/RehabilitationEventNeediness",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/Neediness",
"code" : "need",
"display" : "нуждается"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/RehabilitationEventString",
"valueString" : "Магнитотерапия на всё"
},
{
"url" : "https://fhir.by/StructureDefinition/RehabilitationEventPeriod",
"valuePeriod" : {
"start" : "2024-01-05"
}
}
],
"url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEvent"
}
],
"performedActivity" : [
{
"concept" : {
"text" : "Магнитотерапия выполнена"
}
}
],
"progress" : [
{
"text" : "ВОП Иванов ИИ - молодец"
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEventCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RehubActivities",
"code" : "technicalrehabmeans",
"display" : "Технические средства социальной реабилитации, изделия медицинского назначения"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/RehabilitationEventNeediness",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/Neediness",
"code" : "need",
"display" : "нуждается"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/RehabilitationEventString",
"valueString" : "Костыль с локтевой опорой"
},
{
"url" : "https://fhir.by/StructureDefinition/RehabilitationEventPeriod",
"valuePeriod" : {
"start" : "2024-01-05"
}
}
],
"url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEvent"
}
],
"performedActivity" : [
{
"concept" : {
"text" : "Снабжен через БПОВЦ"
}
}
],
"progress" : [
{
"text" : "ВОП Иванов ИИ - молодец"
}
]
}
]
}
},
{
"fullUrl" : "Provenance/ExampleProvenanceDocumentInfoMRECTempDisability",
"resource" : {
"resourceType" : "Provenance",
"id" : "ExampleProvenanceDocumentInfoMRECTempDisability",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProvenanceDocumentInfoMREC"
]
},
"target" : [
{
"reference" : "Patient/PatientEDConclusionMRECDisability"
}
],
"recorded" : "2025-09-01T11:12:21Z",
"location" : {
🔗 "extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ExtStringValue",
"valueString" : "667"
}
],
"reference" : "Location/b122e513-9361-4b5c-b2d6-0e9b4685477e",
"display" : "Межрайонная МРЭК №1"
},
"authorization" : [
{
"reference" : {
🔗 "reference" : "ClinicalImpression/ExampleConclusionMRECTempAndDisability"
}
}
],
"patient" : {
"reference" : "Patient/PatientEDConclusionMRECDisability"
},
"agent" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "organization"
}
]
},
"who" : {
🔗 "extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ExtStringValue",
"valueString" : "665"
}
],
"reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "АГСМ"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitioner"
}
]
},
"who" : {
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
"display" : "Филатов Олег Михайлович"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitionerRole"
}
]
},
"who" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Председатель комиссии"
}
}
]
}
}
]
}