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" : "BundleFunctDiagn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument"
]
},
"identifier" : {
"system" : "https://fhir.by/ValueSet/urn:ietf:rfc:3986",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6t9"
},
"type" : "document",
"timestamp" : "2024-08-29T12:00:00Z",
"entry" : [
{
"fullUrl" : "Composition/CompositionFunctDiagn",
"resource" : {
"resourceType" : "Composition",
"id" : "CompositionFunctDiagn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/CompDocument"
]
},
"status" : "registered",
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionType",
"code" : "general",
"display" : "Общая медицинская информация"
}
]
},
"subject" : [
{
🔗 "reference" : "Patient/PatientFunctDiagn"
}
],
"encounter" : {
🔗 "reference" : "Encounter/EncounterFunctDiagn"
},
"date" : "2024-08-29T12:00:00Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896"
}
],
"title" : "CompDocument для наполненного Bundle",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisArterialHypertension"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Observation/HeightFunctDiagn"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Observation/WeightFunctDiagn"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Observation/ArterialBloodPressureFunctDiagn"
}
}
]
}
]
}
},
{
"fullUrl" : "ServiceRequest/ExampleServiceRequest24BpMonitor",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ExampleServiceRequest24BpMonitor",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ServiceRequestFunctDiagn"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/FirstServiceRequestFunctDiagn",
"valueBoolean" : true
},
{
"url" : "https://fhir.by/StructureDefinition/RequestFromOrganization",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
},
{
"url" : "https://fhir.by/StructureDefinition/IndividualCharactPatient",
"valueString" : "Наличие избыточного веса..."
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
"code" : "02/1",
"display" : "Амбулаторно-поликлиническая диагностика для взрослого населения"
}
]
}
],
"priority" : "routine",
"code" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/MedicalServiceType",
"code" : "C060.3",
"display" : "Суточное мониторирование АД (СМАД)"
}
]
}
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn"
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterFunctDiagn"
},
"occurrencePeriod" : {
"start" : "2024-08-27T12:00:00Z",
"end" : "2024-09-26T12:50:00Z"
},
"authoredOn" : "2024-08-29T12:00:00Z",
"requester" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
},
"performer" : [
{
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
}
],
"location" : [
{
"reference" : {
🔗 "reference" : "Location/TherapyUnit"
}
}
],
"reason" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ReasonForFunctDiagn",
"valueString" : "Оценка суточного АД"
}
],
"concept" : {
"text" : "Боль в груди"
},
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisArterialHypertension"
}
}
],
"note" : [
{
"text" : "При себе иметь: 1. Результаты ЭКГ"
}
],
"patientInstruction" : [
{
"instructionMarkdown" : "За сутки до обследования отменить физические активности, не употреблять кофе, крепкий чай и алкоголь"
}
]
}
},
{
"fullUrl" : "Patient/PatientFunctDiagn",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientFunctDiagn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientWithIdentificationNumber"
]
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "7001112A009PB3",
"period" : {
"start" : "2024-01-31"
}
},
{
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/PassportIssuedString",
"valueString" : "Центральным РУВД г Минска, 11.08.2021"
},
{
"url" : "https://fhir.by/StructureDefinition/PassportIssuedDate",
"valueDate" : "2021-08-11"
},
{
"url" : "https://fhir.by/StructureDefinition/PassportIssuedCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/OCAM",
"code" : "106"
}
]
}
}
],
"url" : "https://fhir.by/StructureDefinition/PassportIssued"
}
],
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "Passport-RB"
}
]
},
"value" : "MP1234579"
}
],
"active" : true,
"name" : [
{
"family" : "Иванов",
"given" : [
"Василий",
"Васильевич"
],
"period" : {
"start" : "2024-01-31"
}
}
],
"telecom" : [
{
"system" : "phone",
"value" : "89001234567"
}
],
"gender" : "male",
"birthDate" : "1989-01-31",
"deceasedBoolean" : false,
"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"
}
]
}
},
{
"fullUrl" : "Encounter/EncounterFunctDiagn",
"resource" : {
"resourceType" : "Encounter",
"id" : "EncounterFunctDiagn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/EncounterGeneral"
]
},
"status" : "completed",
"class" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSTermsOfService",
"code" : "1"
}
]
}
],
"priority" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthCareForms",
"code" : "emergency"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfHealthCare",
"code" : "primary"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn",
"display" : "Иванов Василий Васильевич"
},
"serviceProvider" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"participant" : [
{
"actor" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Филатов Олег Михайлович"
}
}
],
"actualPeriod" : {
"start" : "2024-11-28T12:00:00Z",
"end" : "2024-11-28T12:15:00Z"
},
"diagnosis" : [
{
"condition" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisArterialHypertension"
}
}
],
"use" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "mainDiagnosis"
}
]
}
]
}
]
}
},
{
"fullUrl" : "Procedure/ExampleProcedureFunctDiagnos",
"resource" : {
"resourceType" : "Procedure",
"id" : "ExampleProcedureFunctDiagnos",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProcedureFunctDiagn"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/EncounterTypeOfService",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/EncounterTypeOfService",
"code" : "free"
}
]
}
}
],
"status" : "completed",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
"code" : "03/1",
"display" : "Амбулаторно-поликлиническая диагностика для взрослого населения"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSDiagnosticMethodsFD",
"code" : "A04-10-002",
"display" : "Реовазография"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn"
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterFunctDiagn"
},
"occurrencePeriod" : {
"start" : "2024-11-28T12:00:00Z",
"end" : "2024-11-29T12:50:00Z"
},
"recorded" : "2024-11-29T12:47:00Z",
"recorder" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
},
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PerformerRoleObservation",
"code" : "doctor"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
}
}
],
"location" : {
🔗 "reference" : "Location/TherapyUnit"
},
"reason" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ReasonForFunctDiagn",
"valueString" : "Мониторинг состояния пациента с хронической ишемической болезнью сердца, оценка эффективности лечения"
}
],
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisArterialHypertension"
}
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSDiagnosticBodySite",
"code" : "Left-atrioventricular-valve",
"display" : "Митральный клапан (левый атриовентрикулярный)"
}
]
}
],
"outcome" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ProcedureResult",
"code" : "successful"
}
],
"text" : "Улучшение кровообращения"
}
}
},
{
"fullUrl" : "Condition/ExampleDiagnosisArterialHypertension",
"resource" : {
"resourceType" : "Condition",
"id" : "ExampleDiagnosisArterialHypertension",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/FinalDiagnosis"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/KindOfDiagnosis",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/KindOfDiagnosisCode",
"code" : "Final"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/AssertedDate",
"valueDateTime" : "2024-08-08"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
"code" : "I11.9",
"display" : "I11.9 - Гипертензивная [гипертоническая] болезнь с преимущественным поражением сердца без (застойной) сердечной недостаточности"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn",
"display" : "Петр Сидорович Иванов"
},
"onsetDateTime" : "2024-08-08",
"recordedDate" : "2024-08-08"
}
},
{
"fullUrl" : "Observation/Example24hBpMonitor",
"resource" : {
"resourceType" : "Observation",
"id" : "Example24hBpMonitor",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/GeneralFunctionalResearch"
]
},
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/ExampleServiceRequest24BpMonitor",
"display" : "Направление на функциональное исследование"
}
],
"partOf" : [
{
🔗 "reference" : "Procedure/ExampleProcedureFunctDiagnos"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
"code" : "02/1",
"display" : "Амбулаторно-поликлиническая помощь взрослому населению"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSDiagnosticMethodsFD",
"code" : "A12-12-004",
"display" : "Суточное мониторирование АД (СМАД)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn"
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterFunctDiagn"
},
"effectivePeriod" : {
"start" : "2024-11-28T12:00:00Z",
"end" : "2024-11-29T12:00:00Z"
},
"issued" : "2024-11-28T12:47:00Z",
"performer" : [
{
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "mean-systolic-24h",
"display" : "Средняя величина АД САД за сутки"
}
]
},
"valueQuantity" : {
"value" : 120,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "mean-systolic-day",
"display" : "Средняя величина АД САД день"
}
]
},
"valueQuantity" : {
"value" : 124,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "mean-systolic-night",
"display" : "Средняя величина АД САД ночь"
}
]
},
"valueQuantity" : {
"value" : 109,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "mean-diastolic-24h",
"display" : "Средняя величина АД ДАД за сутки"
}
]
},
"valueQuantity" : {
"value" : 66,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "mean-diastolic-day",
"display" : "Средняя величина АД ДАД день"
}
]
},
"valueQuantity" : {
"value" : 69,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "mean-diastolic-night",
"display" : "Средняя величина АД ДАД ночь"
}
]
},
"valueQuantity" : {
"value" : 62,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "variability-systolic-day",
"display" : "Вариабельность САД день"
}
]
},
"valueQuantity" : {
"value" : 9,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "variability-systolic-night",
"display" : "Вариабельность САД ночь"
}
]
},
"valueQuantity" : {
"value" : 13,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "variability-diastolic-day",
"display" : "Вариабельность ДАД день"
}
]
},
"valueQuantity" : {
"value" : 12,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "variability-diastolic-night",
"display" : "Вариабельность ДАД ночь"
}
]
},
"valueQuantity" : {
"value" : 6,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "hypertension-time-index-systolic-24h",
"display" : "Индекс времени гипертонии САД за сутки"
}
]
},
"valueQuantity" : {
"value" : 2.6,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "hypertension-time-index-systolic-day",
"display" : "Индекс времени гипертонии САД день"
}
]
},
"valueQuantity" : {
"value" : 3.9,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "hypertension-time-index-systolic-night",
"display" : "Индекс времени гипертонии САД ночь"
}
]
},
"valueQuantity" : {
"value" : 0,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "hypertension-time-index-diastolic-24h",
"display" : "Индекс времени гипертонии ДАД за сутки"
}
]
},
"valueQuantity" : {
"value" : 2.6,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "hypertension-time-index-diastolic-day",
"display" : "Индекс времени гипертонии ДАД день"
}
]
},
"valueQuantity" : {
"value" : 3.9,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "hypertension-time-index-diastolic-night",
"display" : "Индекс времени гипертонии ДАД ночь"
}
]
},
"valueQuantity" : {
"value" : 0,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "24h-Index-systolic",
"display" : "Суточный индекс степени ночного снижения АД САД"
}
]
},
"valueQuantity" : {
"value" : 12.1,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "24h-Index-diastolic",
"display" : "Суточный индекс степени ночного снижения АД ДАД"
}
]
},
"valueQuantity" : {
"value" : 10.1,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "morning-rise-systolic-speed",
"display" : "Скорость утреннего подъема АД САД"
}
]
},
"valueQuantity" : {
"value" : 5,
"unit" : "mm[Hg]/h",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]/h"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/QuantityParametersFD",
"code" : "morning-rise-diastolic-speed",
"display" : "Скорость утреннего подъема АД ДАД"
}
]
},
"valueQuantity" : {
"value" : 4,
"unit" : "mm[Hg]/h",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]/h"
}
}
]
}
},
{
"fullUrl" : "DiagnosticReport/ExampleFunctDiagnDiagnosticReport",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "ExampleFunctDiagDiagnosticReport",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/FunctDiagDiagnosticReport"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ReferenceForPatientLocation",
"valueReference" : {
"reference" : "Location/ExampleCabinet"
}
},
{
"url" : "https://fhir.by/StructureDefinition/RecomendationForFuncDiagConclusion",
"valueString" : "Консультация кардиолога"
}
],
"basedOn" : [
{
"reference" : "ServiceRequest/ExampleServiceRequest",
"display" : "Направление на СМАД"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
"code" : "03/1",
"display" : "Амбулаторно-поликлиническая диагностика для взрослого населения"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSDiagnosticMethodsFD",
"code" : "A12-12-004",
"display" : "Суточное мониторирование АД (СМАД)"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn"
},
"encounter" : {
🔗 "reference" : "Encounter/ExampleEncounter"
},
"effectiveDateTime" : "2024-11-28T12:00:00Z",
"issued" : "2024-11-28T15:50:00Z",
"performer" : [
{
"reference" : "Organization/OrganizationForDemo"
}
],
"resultsInterpreter" : [
{
🔗 "reference" : "PractitionerRole/ExampleCardiologist"
}
],
"result" : [
{
🔗 "reference" : "Observation/Example24hBpMonit",
"display" : "Результаты суточного мониторирования АД"
}
],
"conclusion" : "Средние величины АД, мм.рт.ст. (сутки-120/66; день-124/69;ночь-109/62): по САД и ДАД за весь период в пределах нормы. Показатели вариабельности, мм.рт.ст.( сутки-11/12;день-9/12;ночь-13/6): по САД и ДАД за весь период в пределах нормы. Индекс времени гипертонии, %(сутки-2,6/2,6;день-3,9/3,9;ночь-0/0): по САД и ДАД за весь период в пределах нормы. Суточный индекс(степень ночного снижения), %(12,1/10,0): по САД и ДАД нормальная степень ночного сниженияАД-\"дипперы\". Величина утреннего подъема, мм.рт.ст.(30/26): по САД и ДАД в норме. Скорость утреннего подъема, мм.рт.ст.(5/4: по САД и ДАД в норме.)"
}
},
{
"fullUrl" : "Observation/HeightFunctDiagn",
"resource" : {
"resourceType" : "Observation",
"id" : "HeightFunctDiagn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/AnthropometricDataBy"
]
},
"status" : "registered",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ObservationCategoryCode",
"code" : "exam",
"userSelected" : false
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnthropoMetricCodes",
"code" : "body-height"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn",
"display" : "Иванов Василий Васильевич"
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterFunctDiagn"
},
"effectiveDateTime" : "2024-04-07T11:12:21Z",
"performer" : [
{
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Филатов Олег Михайлович"
}
],
"valueQuantity" : {
"value" : 180,
"unit" : "cm",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "cm"
}
}
},
{
"fullUrl" : "Observation/WeightFunctDiagn",
"resource" : {
"resourceType" : "Observation",
"id" : "WeightFunctDiagn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/AnthropometricDataBy"
]
},
"status" : "registered",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ObservationCategoryCode",
"code" : "exam",
"userSelected" : false
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnthropoMetricCodes",
"code" : "body-weight"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn",
"display" : "Иванов Василий Васильевич"
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterFunctDiagn"
},
"effectiveDateTime" : "2024-04-07T11:12:21Z",
"performer" : [
{
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Филатов Олег Михайлович"
}
],
"valueQuantity" : {
"value" : 90,
"unit" : "kg",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "kg"
}
}
},
{
"fullUrl" : "Observation/ArterialBloodPressureFunctDiagn",
"resource" : {
"resourceType" : "Observation",
"id" : "ArterialBloodPressureFunctDiagn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/VitalSignsBy"
]
},
"status" : "registered",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ObservationCategoryCode",
"code" : "vital-signs",
"userSelected" : false
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VitalSignsCodes",
"code" : "arterial-blood-pressure"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientFunctDiagn",
"display" : "Иванов Василий Васильевич"
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterFunctDiagn"
},
"effectiveDateTime" : "2024-04-07T11:12:21Z",
"performer" : [
{
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Филатов Олег Михайлович"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VitalSignsCodes",
"code" : "systolic-arterial-blood-pressure"
}
]
},
"valueQuantity" : {
"value" : 140,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VitalSignsCodes",
"code" : "diastolic-arterial-blood-pressure"
}
]
},
"valueQuantity" : {
"value" : 95,
"unit" : "mm[Hg]",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "mm[Hg]"
}
}
]
}
}
]
}