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" : "ExampleBundleDeathAfterChildBirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleDeathCertificate"
]
},
"identifier" : {
"system" : "https://minzdrav.gov.by",
"value" : "03-123456789-2025000000000004"
},
"type" : "document",
"timestamp" : "2025-05-03T05:35:21Z",
"entry" : [
{
"fullUrl" : "Composition/CompositionDeathAfterChildBirth",
"resource" : {
"resourceType" : "Composition",
"id" : "CompositionDeathAfterChildBirth",
"meta" : {
"lastUpdated" : "2025-05-03T05:35:21Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/DeathCertificateComposition"
]
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionType",
"code" : "death-conclusion",
"display" : "Электронное врачебное свидетельство о смерти"
}
]
},
"subject" : [
{
🔗 "reference" : "Patient/ExampleDeadWomenED"
}
],
"date" : "2025-05-03T05:35:21Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896"
}
],
"title" : "Электронное врачебное свидетельство о смерти",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Provenance/ExampleProvenanceDeathAfterChildBirth"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ClinicalImpression/ExampleDeathAfterChildBirth"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins05"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet"
}
}
]
}
]
}
},
{
"fullUrl" : "Patient/ExampleDeadWomenED",
"resource" : {
"resourceType" : "Patient",
"id" : "ExampleDeadWomenED",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientED"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DocumentKind",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
"code" : "03"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "7631112A009PB9"
}
],
"active" : true,
"name" : [
{
"family" : "Аксенова",
"given" : [
"Екатерина",
"Юрьевна"
]
}
],
"birthDate" : "1988-04-20",
"deceasedDateTime" : "2025-05-02T05:35:21Z",
"link" : [
{
"other" : {
🔗 "reference" : "Patient/ExampleDeadWomen"
},
"type" : "refer"
}
]
}
},
{
"fullUrl" : "Provenance/ExampleProvenanceDeathAfterChildBirth",
"resource" : {
"resourceType" : "Provenance",
"id" : "ExampleProvenanceDeathAfterChildBirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProvenanceDocumentInfoDeath"
]
},
"target" : [
{
🔗 "reference" : "Patient/ExampleDeadWomenED"
}
],
"recorded" : "2025-05-03T05:35:21Z",
"agent" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "organization"
}
]
},
"who" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "Патологоанатомическое бюро"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitioner"
}
]
},
"who" : {
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
"display" : "Рокитанский К."
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitionerRole"
}
]
},
"who" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "патологоанатом, Рокитанский К."
}
}
]
}
},
{
"fullUrl" : "ClinicalImpression/ExampleDeathAfterChildBirth",
"resource" : {
"resourceType" : "ClinicalImpression",
"id" : "ExampleDeathAfterChildBirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/DeathCertificate"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/AgeOfDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgeOfDeath",
"code" : "04",
"display" : "умер в возрасте старше года"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/PlaceInMedicalOrganization",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "ГУ `МНПЦ хирургии, трансплантологии и гематологии`"
}
},
{
"url" : "https://fhir.by/StructureDefinition/PlaceOfDeathByCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PlaceOfDeathByCode",
"code" : "3",
"display" : "в организации здравоохранения, оказывающей медицинскую помощь"
}
]
}
}
],
"url" : "https://fhir.by/StructureDefinition/PlaceOfDeath"
},
{
"url" : "https://fhir.by/StructureDefinition/EstablishmentOfCauseOfDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/EstablishmentOfCauseOfDeath",
"code" : "3",
"display" : "вскрытия"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DuringPregnancy",
"valueBoolean" : false
},
{
"url" : "https://fhir.by/StructureDefinition/DuringChildbirth",
"valueBoolean" : false
},
{
"url" : "https://fhir.by/StructureDefinition/DayAfterChildBirth",
"valuePositiveInt" : 6
}
],
"url" : "https://fhir.by/StructureDefinition/DeathDuringChildbirth"
}
],
"identifier" : [
{
"system" : "https://minzdrav.gov.by",
"value" : "03-123456789-2025000000000004",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/ExampleDeadWomenED"
},
"date" : "2025-05-03T05:35:21Z",
"performer" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
},
"finding" : [
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDeathReason",
"code" : "DirectlyDeathReason",
"display" : "Непосредственная причина смерти (мертворождения) - заболевание или состояние, непосредственно приведшее к смерти"
}
]
},
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins",
"display" : "I50.0 - Застойная сердечная недостаточность"
}
}
},
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDeathReason",
"code" : "ConditionsForDirectlyDeathReason",
"display" : "Непосредственная причина смерти (мертворождения) - заболевание или состояние, непосредственно приведшее к смерти"
}
]
},
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet",
"display" : "I25.2 - Перенесенный в прошлом инфаркт миокарда"
}
}
},
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDeathReason",
"code" : "MainDeathReason",
"display" : "Основная причина смерти (мертворождения) - первоначальное заболевание или состояние"
}
]
},
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins05",
"display" : "I25.1 - Атеросклеротическая болезнь сердца"
}
}
}
]
}
},
{
"fullUrl" : "Condition/ExampleDiagnosisVeins",
"resource" : {
"resourceType" : "Condition",
"id" : "ExampleDiagnosisVeins",
"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" : "I83.9",
"display" : "I83.9 - Варикозное расширение вен нижних конечностей без язвы или воспаления"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber",
"display" : "Петр Сидорович Иванов"
},
"onsetDateTime" : "2024-08-08",
"recordedDate" : "2024-08-08"
}
},
{
"fullUrl" : "Condition/ExampleDiagnosisVeins05",
"resource" : {
"resourceType" : "Condition",
"id" : "ExampleDiagnosisVeins05",
"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" : "I80.0",
"display" : "I80.0 - Флебит и тромбофлебит поверхностных сосудов нижних конечностей"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber",
"display" : "Петр Сидорович Иванов"
},
"onsetDateTime" : "2024-08-08",
"recordedDate" : "2024-08-08"
}
},
{
"fullUrl" : "Condition/ExampleDiagnosisDiabet",
"resource" : {
"resourceType" : "Condition",
"id" : "ExampleDiagnosisDiabet",
"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" : "E11.9",
"display" : "E11.9 - Инсулиннезависимый сахарный диабет без осложнений"
}
]
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber",
"display" : "Петр Сидорович Иванов"
},
"onsetDateTime" : "2024-08-08",
"recordedDate" : "2024-08-08"
}
}
]
}