Руководство к использованию стандарта FHIR в ЦИСЗ
0.2.6803 - ci-build
{
"resourceType" : "Bundle",
"id" : "ExampleBundleBirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleBirth"
]
},
"identifier" : {
"system" : "https://minzdrav.gov.by",
"value" : "02-123456789-2025000000000001"
},
"type" : "document",
"timestamp" : "2026-02-10T05:30:21Z",
"entry" : [
{
"fullUrl" : "Composition/ExampleBirthComposition",
"resource" : {
"resourceType" : "Composition",
"id" : "ExampleBirthComposition",
"meta" : {
"lastUpdated" : "2026-02-10T05:35:21Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/BirthComposition"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/CitezenshipBy",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CitizenshipCode",
"code" : "BY",
"display" : "Беларусь"
}
]
}
}
],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionType",
"code" : "birth-certificate",
"display" : "Электронная медицинская справка о рождении"
}
]
},
"subject" : [
{
🔗 "reference" : "Patient/ExampleMotherED"
}
],
"date" : "2026-02-10T05:30:21Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896"
}
],
"title" : "Электронная медицинская справка о рождении",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Provenance/ExampleProvenanceDocumentInfoBirth"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ClinicalImpression/ExampleBirth"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "QuestionnaireResponse/QRMotherSpecialInfBirth"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Patient/ExampleNewBornED"
}
}
]
}
]
}
},
{
"fullUrl" : "Patient/ExampleMotherED",
"resource" : {
"resourceType" : "Patient",
"id" : "ExampleMotherED",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientED"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DocumentKind",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
"code" : "02"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "9031112A009PB9"
}
],
"active" : true,
"name" : [
{
"family" : "Аксенова",
"given" : [
"Екатерина",
"Юрьевна"
]
}
],
"birthDate" : "1988-04-20",
"deceasedDateTime" : "2025-05-02T05:35:21Z",
"link" : [
{
"other" : {
🔗 "reference" : "Patient/ExampleWomenStillbirth"
},
"type" : "refer"
}
]
}
},
{
"fullUrl" : "Patient/ExampleNewBornED",
"resource" : {
"resourceType" : "Patient",
"id" : "ExampleNewBornED",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientED"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DocumentKind",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
"code" : "02"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/PatientBirthDateTime",
"valueDateTime" : "2026-02-10T05:30:21Z"
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "UMD"
}
]
},
"value" : "000000001",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"active" : true,
"name" : [
{
"family" : "Аврелий",
"given" : [
"Марк",
"Феофанович"
]
}
],
"gender" : "male",
"birthDate" : "2026-02-10",
"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" : "temp",
"text" : "Могилевская область, г.Могилев, Переулок Гоголя, д.19",
"postalCode" : "212011"
}
],
"multipleBirthInteger" : 2,
"link" : [
{
"other" : {
🔗 "reference" : "Patient/pa-af3c3468-d2a1-42b3-81e8-f6dec5460d10"
},
"type" : "refer"
}
]
}
},
{
"fullUrl" : "QuestionnaireResponse/QRMotherSpecialInfBirth",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "QRMotherSpecialInfBirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/QRSpecialInformation"
]
},
"identifier" : [
{
"system" : "https://minzdrav.gov.by",
"value" : "02-123456789-2025000000000001",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"questionnaire" : "https://fhir.by/Questionnaire/QMotherSpecialInformation",
"status" : "completed",
"authored" : "2026-02-10T05:30:21Z",
"author" : {
🔗 "reference" : "PractitionerRole/3de45eef-9815-434b-88a4-6a7ad139d555"
},
"item" : [
{
"linkId" : "1",
"text" : "Образование матери",
"answer" : [
{
"valueCoding" : {
"system" : "https://fhir.by/ValueSet/MotherEducation",
"code" : "high",
"display" : "Высшее"
}
}
]
},
{
"linkId" : "2",
"text" : "Семейное положение матери",
"answer" : [
{
"valueCoding" : {
"system" : "https://fhir.by/ValueSet/MotherMaritalStatus",
"code" : "married",
"display" : "состоит в браке"
}
}
]
},
{
"linkId" : "3",
"text" : "Ребенок родился",
"answer" : [
{
"valueCoding" : {
"system" : "https://fhir.by/ValueSet/ConditionsOfBirth",
"code" : "first_of_twins",
"display" : "первым из двойни"
}
}
]
},
{
"linkId" : "4",
"text" : "Номер настоящей беременности",
"answer" : [
{
"valueInteger" : 2
}
]
},
{
"linkId" : "5",
"text" : "Номер настоящих родов",
"answer" : [
{
"valueInteger" : 2
}
]
},
{
"linkId" : "6",
"text" : "Дата первого дня последней менструации",
"answer" : [
{
"valueDate" : "2025-07-02"
}
]
},
{
"linkId" : "7",
"text" : "Срок настоящей беременности в днях",
"answer" : [
{
"valueInteger" : 210
}
]
},
{
"linkId" : "8",
"text" : "Число родившихся живыми детей от беременностей, предшествовавших настоящей",
"answer" : [
{
"valueInteger" : 1
}
]
},
{
"linkId" : "9",
"text" : "Число мертворождений, имевших место при предшествовавших беременностях",
"answer" : [
{
"valueInteger" : 0
}
]
},
{
"linkId" : "10",
"text" : "Число самопроизвольных абортов (выкидышей) и абортов, произведенных по медицинским и социальным показаниям",
"answer" : [
{
"valueInteger" : 0
}
]
},
{
"linkId" : "11",
"text" : "Число прерываний беременности, включая число искусственных медицинских абортов и вакуум-аспираций",
"answer" : [
{
"valueInteger" : 0
}
]
},
{
"linkId" : "12",
"text" : "Число живых к настоящему моменту детей у матери",
"answer" : [
{
"valueInteger" : 1
}
]
},
{
"linkId" : "13",
"text" : "Дата окончания последней из беременностей, предшествовавших настоящей",
"answer" : [
{
"valueDate" : "2021-02-27"
}
]
},
{
"linkId" : "14",
"text" : "Данные об исходе последней беременности, предшествовавшей настоящей",
"answer" : [
{
"valueCoding" : {
"system" : "https://fhir.by/ValueSet/PregnancyOutcome",
"code" : "01",
"display" : "Роды живым плодом"
}
}
]
},
{
"linkId" : "15",
"text" : "Масса тела ребёнка при рождении (в граммах)",
"answer" : [
{
"valueInteger" : 2230
}
]
},
{
"linkId" : "16",
"text" : "Длина тела ребёнка при рождении (в сантиметрах)",
"answer" : [
{
"valueInteger" : 40
}
]
}
]
}
},
{
"fullUrl" : "Provenance/ExampleProvenanceDocumentInfoBirth",
"resource" : {
"resourceType" : "Provenance",
"id" : "ExampleProvenanceDocumentInfoBirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProvenanceDocumentInfoBirth"
]
},
"target" : [
{
🔗 "reference" : "Patient/ExampleWomenStillbirth"
}
],
"recorded" : "2026-02-10T05:35:21Z",
"agent" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "organization"
}
]
},
"who" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "РНПЦ Мать и дитя"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitioner"
}
]
},
"who" : {
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
"display" : "Иванова Ирина Ивановна"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitionerRole"
}
]
},
"who" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "акушер-гинеколог, Иванова Ирина Ивановна"
}
}
]
}
},
{
"fullUrl" : "ClinicalImpression/ExampleBirth",
"resource" : {
"resourceType" : "ClinicalImpression",
"id" : "ExampleBirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/BirthCertificate"
]
},
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/BirthPlaceOrganisation",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"url" : "https://fhir.by/StructureDefinition/BirthPlace"
},
{
"url" : "https://fhir.by/StructureDefinition/Newborn",
"valueReference" : {
🔗 "reference" : "Patient/pa-af3c3468-d2a1-42b3-81e8-f6dec5460d10"
}
}
],
"identifier" : [
{
"system" : "https://minzdrav.gov.by",
"value" : "02-123456789-2025000000000001",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/ExampleWomenStillbirth"
},
"date" : "2026-02-10T05:30:21Z",
"performer" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
}
}
}
]
}