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" : "BundleHystoCytoLymphNode",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument"
]
},
"identifier" : {
"system" : "https://fhir.by/ValueSet/urn:ietf:rfc:3086",
"value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a2c6t1"
},
"type" : "document",
"timestamp" : "2023-05-18T14:00:00Z",
"entry" : [
{
"fullUrl" : "Composition/CompositionHystoCyto",
"resource" : {
"resourceType" : "Composition",
"id" : "CompositionHystoCyto",
"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/PatientMax"
}
],
"encounter" : {
🔗 "reference" : "Encounter/EncounterMax"
},
"date" : "2023-05-18T14:00:00Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
"display" : "хирург"
}
],
"title" : "CompDocument для наполненного Bundle",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "1 ГКБ"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/DiagnosisrMax"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ServiceRequest/ExampleCytologyLymphNode"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ServiceRequest/ExamplePathohystologyLymphNode"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Procedure/ExampleBiopsy"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Specimen/14784sf-42-kk-56467.2023"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Specimen/88766-ddg.2023"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Specimen/143134dg.2023"
}
}
]
}
]
}
},
{
"fullUrl" : "Patient/PatientMax",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientMax",
"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/EncounterMax",
"resource" : {
"resourceType" : "Encounter",
"id" : "EncounterMax",
"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/PatientMax",
"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" : "2024-04-07T11:12:21Z",
"end" : "2024-04-07T11:25:21Z"
},
"diagnosis" : [
{
"condition" : [
{
"reference" : {
🔗 "reference" : "Condition/DiagnosisrMax"
}
}
],
"use" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "mainDiagnosis"
}
]
}
]
}
]
}
},
{
"fullUrl" : "Condition/DiagnosisrMax",
"resource" : {
"resourceType" : "Condition",
"id" : "DiagnosisrMax",
"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" : "2024-04-07"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
"code" : "E11"
}
],
"text" : "E11 - Сахарный диабет 2 типа"
},
"subject" : {
🔗 "reference" : "Patient/PatientMax",
"display" : "Иванов Василий Васильевич"
},
"onsetDateTime" : "2024-04-07",
"recordedDate" : "2024-04-07",
"participant" : [
{
"actor" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Филатов Олег Михайлович"
}
}
]
}
},
{
"fullUrl" : "ServiceRequest/ExampleCytologyLymphNode",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ExampleCytologyLymphNode",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ServiceRequestBioMatResearch"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/SpecialtyCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ServiceSpecialtyBy",
"code" : "C061",
"display" : "Хирургия"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/FromOrganization",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "1 ГКБ"
}
},
{
"url" : "https://fhir.by/StructureDefinition/PurposeOfResearch",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PurposeOfResearch",
"code" : "primary-research",
"display" : "первичное исследование"
}
]
}
}
],
"identifier" : [
{
"value" : "21386"
}
],
"status" : "active",
"intent" : "directive",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
"code" : "03",
"display" : "Диагностика"
}
]
}
],
"priority" : "routine",
"code" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ResearchMethods",
"code" : "general-cytology",
"display" : "Цитологическое исследование любого биологического материала"
}
]
}
},
"subject" : {
🔗 "reference" : "Patient/PatientMax",
"display" : "Иванова И.И."
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterMax",
"display" : "осмотр хирурга"
},
"authoredOn" : "2023-05-15T13:00:00Z",
"requester" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "хирург"
},
"performer" : [
{
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "РНПЦ им.Александрова, цитологическая лаборатория"
}
],
"location" : [
{
"reference" : {
🔗 "reference" : "Location/TherapyUnit",
"display" : "Терапевтическое отделение №1"
}
}
],
"reason" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
"code" : "Z12.9",
"display" : "Z12.9 - Специальное скрининговое обследование с целью выявления новообразования неуточненного"
}
]
}
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/143134dg.2023"
}
]
}
},
{
"fullUrl" : "ServiceRequest/ExamplePathohystologyLymphNode",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "ExamplePathohystologyLymphNode",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ServiceRequestBioMatResearch"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/SpecialtyCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ServiceSpecialtyBy",
"code" : "C061",
"display" : "Хирургия"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/FromOrganization",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "1 ГКБ"
}
},
{
"url" : "https://fhir.by/StructureDefinition/PurposeOfResearch",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PurposeOfResearch",
"code" : "primary-research",
"display" : "первичное исследование"
}
]
}
},
{
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ShortClinicalData",
"valueString" : "увеличение лимфоузлов в размере"
}
],
"url" : "https://fhir.by/StructureDefinition/PathoHistology"
}
],
"url" : "https://fhir.by/StructureDefinition/TypeOfResearch"
}
],
"identifier" : [
{
"value" : "21386"
}
],
"status" : "active",
"intent" : "directive",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
"code" : "03",
"display" : "Диагностика"
}
]
}
],
"priority" : "routine",
"code" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ResearchMethods",
"code" : "patho-histology",
"display" : "Патогистологическое исследование"
}
]
}
},
"subject" : {
🔗 "reference" : "Patient/PatientMax",
"display" : "Иванова И.И."
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterMax",
"display" : "осмотр хирурга"
},
"authoredOn" : "2023-05-15T13:00:00Z",
"requester" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "хирург"
},
"performer" : [
{
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "РНПЦ им.Александрова, цитологическая лаборатория"
}
],
"location" : [
{
"reference" : {
🔗 "reference" : "Location/TherapyUnit",
"display" : "Терапевтическое отделение №1"
}
}
],
"reason" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
"code" : "Z12.9",
"display" : "Z12.9 - Специальное скрининговое обследование с целью выявления новообразования неуточненного"
}
]
}
}
],
"specimen" : [
{
🔗 "reference" : "Specimen/88766-ddg.2023"
},
{
🔗 "reference" : "Specimen/14784sf-42-kk-56467.2023"
}
]
}
},
{
"fullUrl" : "Procedure/ExampleBiopsy",
"resource" : {
"resourceType" : "Procedure",
"id" : "ExampleBiopsy",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProcedureBioMatCollection"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/FromOrganization",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "1 ГКБ"
}
},
{
"url" : "https://fhir.by/StructureDefinition/SpecialtyCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ServiceSpecialtyBy",
"code" : "C018",
"display" : "Лабораторная диагностика"
}
]
}
}
],
"identifier" : [
{
"value" : "46"
}
],
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/ExampleRequestBiopsy"
}
],
"status" : "completed",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
"code" : "03/2",
"display" : "Стационарная медицинская диагностика для взрослого населения"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/MethodOfObtaining",
"code" : "needle-biopsy",
"display" : "пункционная биопсия"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientMax",
"display" : "Иванов И.И."
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterMax",
"display" : "приём хирурга"
},
"occurrenceDateTime" : "2023-05-15",
"recorded" : "2023-05-15T12:00:00Z",
"recorder" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "хирург"
},
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PerformerRoleObservation",
"code" : "doctor",
"display" : "Врач"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
}
}
],
"location" : {
🔗 "reference" : "Location/SurgeryUnit"
},
"reason" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
"code" : "Z12.9",
"display" : "Z12.9 - Специальное скрининговое обследование с целью выявления новообразования неуточненного"
}
]
}
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Superficial-anterior-cervical-nodes",
"display" : "Поверхностные передние шейные узлы"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Lateral-cervical-nodes",
"display" : "Латеральные шейные узлы"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Paratracheal-cervical-nodes",
"display" : "Паратрахеальные шейные узлы"
}
]
}
],
"outcome" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ProcedureResult",
"code" : "successful",
"display" : "Успешно"
}
]
},
"complication" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
"code" : "T81.0",
"display" : "T81.0 - Кровотечение и гематома, осложняющие процедуру, не классифицированные в других рубриках"
}
],
"text" : "кровотечение, лёгкой степени"
}
}
]
}
},
{
"fullUrl" : "Specimen/ExampleSpecimenAntCervicalNodeHysto",
"resource" : {
"resourceType" : "Specimen",
"id" : "14784sf-42-kk-56467.2023",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/BioMatSpecimen"
]
},
"identifier" : [
{
"value" : "245664.2023",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "1 ГКБ"
}
}
],
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSBiologicalMaterial",
"code" : "12.5.6",
"display" : "Аспират иной локализации"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientMax",
"display" : "Иванов И.И."
},
"collection" : {
"procedure" : {
🔗 "reference" : "Procedure/ExampleBiopsy"
},
"bodySite" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Superficial-anterior-cervical-nodes",
"display" : "Поверхностные передние шейные узлы"
}
]
}
}
},
"processing" : [
{
"method" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ColoringMicropreparations",
"code" : "Native",
"display" : "Не окрашивался"
}
]
}
}
],
"condition" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/StateOfSpecimen",
"code" : "COOL",
"display" : "Охлажденный"
}
]
}
]
}
},
{
"fullUrl" : "Specimen/ExampleSpecimenParatrCervicalNodeHysto",
"resource" : {
"resourceType" : "Specimen",
"id" : "88766-ddg.2023",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/BioMatSpecimen"
]
},
"identifier" : [
{
"value" : "8267773.2023",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "1 ГКБ"
}
}
],
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSBiologicalMaterial",
"code" : "12.5.6",
"display" : "Аспират иной локализации"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientMax",
"display" : "Иванов И.И."
},
"collection" : {
"procedure" : {
🔗 "reference" : "Procedure/ExampleBiopsy"
},
"bodySite" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Paratracheal-cervical-nodes",
"display" : "Паратрахеальные шейные узлы"
}
]
}
}
},
"processing" : [
{
"method" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ColoringMicropreparations",
"code" : "Native",
"display" : "Не окрашивался"
}
]
}
}
],
"condition" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/StateOfSpecimen",
"code" : "COOL",
"display" : "Охлажденный"
}
]
}
]
}
},
{
"fullUrl" : "Specimen/ExampleSpecimenAntCervicalNodeCytology",
"resource" : {
"resourceType" : "Specimen",
"id" : "143134dg.2023",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/BioMatSpecimen"
]
},
"identifier" : [
{
"value" : "11123.2023",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "1 ГКБ"
}
}
],
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSBiologicalMaterial",
"code" : "12.5.6",
"display" : "Аспират иной локализации"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientMax",
"display" : "Иванов И.И."
},
"collection" : {
"procedure" : {
🔗 "reference" : "Procedure/ExampleBiopsy"
},
"bodySite" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Superficial-anterior-cervical-nodes",
"display" : "Поверхностные передние шейные узлы"
}
]
}
}
},
"processing" : [
{
"method" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ColoringMicropreparations",
"code" : "Native",
"display" : "Не окрашивался"
}
]
}
}
],
"condition" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/StateOfSpecimen",
"code" : "COOL",
"display" : "Охлажденный"
}
]
}
]
}
}
]
}