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" : "ExampleBundleDeathCertificateWithSection",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleDeathCertificate"
]
},
"identifier" : {
"system" : "https://minzdrav.gov.by",
"value" : "03-123456789-2025000000000002"
},
"type" : "document",
"timestamp" : "2026-02-05T17:10:00Z",
"entry" : [
{
"fullUrl" : "Composition/ExampleCompositionNewborn",
"resource" : {
"resourceType" : "Composition",
"id" : "ExampleCompositionNewborn",
"meta" : {
"lastUpdated" : "2026-02-05T17:10:00Z",
"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/ExampleDeadNewbornED"
}
],
"date" : "2026-02-05T17:10:00Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
"display" : "патологоанатом, Рокитанский К."
}
],
"title" : "Электронное врачебное свидетельство о смерти",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "Патологоанатомическое бюро"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Provenance/ExampleProvenanceDeathNewborn"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ClinicalImpression/ExampleDeathCertificateWithSectionOutpatient"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "RelatedPerson/f60d152a-9c19-402a-92a2-5ad32eb0eab7"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDepression"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet"
}
}
]
}
]
}
},
{
"fullUrl" : "Patient/ExampleDeadNewbornED",
"resource" : {
"resourceType" : "Patient",
"id" : "ExampleDeadNewbornED",
"meta" : {
"lastUpdated" : "2026-02-05T19:10:00Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientED"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DocumentKind",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
"code" : "03"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/PatientBirthDateTime",
"valueDateTime" : "2026-02-01T05:25:00Z"
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "7240275A007PB2"
}
],
"active" : true,
"name" : [
{
"family" : "Семёнов",
"given" : [
"Петр",
"Иванович"
]
}
],
"gender" : "male",
"birthDate" : "2026-02-01",
"deceasedDateTime" : "2026-02-05T14:10:00Z",
"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"
}
],
"link" : [
{
"other" : {
🔗 "reference" : "Patient/ExampleNewBorn"
},
"type" : "refer"
}
]
}
},
{
"fullUrl" : "Provenance/ExampleProvenanceDeathNewborn",
"resource" : {
"resourceType" : "Provenance",
"id" : "ExampleProvenanceDeathNewborn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProvenanceDocumentInfoDeath"
]
},
"target" : [
{
🔗 "reference" : "Patient/ExampleDeadNewbornED"
}
],
"recorded" : "2026-02-05T17:10:00Z",
"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" : "Condition/ExampleDiagnosisDepression",
"resource" : {
"resourceType" : "Condition",
"id" : "ExampleDiagnosisDepression",
"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" : "F32.0",
"display" : "F32.0 - Депрессивный эпизод легкой степени"
}
]
},
"subject" : {
🔗 "reference" : "Patient/AnonymousPatient01",
"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"
}
},
{
"fullUrl" : "ClinicalImpression/ExampleDeathCertificateWithSectionOutpatient",
"resource" : {
"resourceType" : "ClinicalImpression",
"id" : "ExampleDeathCertificateWithSectionOutpatient",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/DeathCertificate"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/AgeOfDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgeOfDeath",
"code" : "02",
"display" : "умер в возрасте 0-6 суток"
}
]
}
},
{
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/StreetGeoRegistry",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/StreetGeoRegistry",
"code" : "5170301729728235",
"display" : "Проспект Партизанский, 83"
}
]
}
}
],
"url" : "https://fhir.by/StructureDefinition/PlaceOutsideOrganization"
},
{
"url" : "https://fhir.by/StructureDefinition/PlaceOfDeathByCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PlaceOfDeathByCode",
"code" : "5",
"display" : "в другом месте"
}
],
"text" : "на улице, около дома"
}
}
],
"url" : "https://fhir.by/StructureDefinition/PlaceOfDeath"
},
{
"url" : "https://fhir.by/StructureDefinition/EstablishmentOfCauseOfDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/EstablishmentOfCauseOfDeath",
"code" : "3",
"display" : "вскрытия"
}
]
}
}
],
"identifier" : [
{
"system" : "https://minzdrav.gov.by",
"value" : "03-123456789-2025000000000002",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"status" : "in-progress",
"subject" : {
🔗 "reference" : "Patient/ExampleDeadNewbornED"
},
"date" : "2026-05-05T05:35:21Z",
"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/ExampleDiagnosisDepression",
"display" : "R95.9 - Синдром внезапной смерти младенца без упоминания о вскрытии"
}
}
},
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDeathReason",
"code" : "OtherCondition",
"display" : "Прочие важные состояния, сопутствующие смерти (мертворождению), но не связанные с заболеванием или патологическим состоянием, приведшим к ней"
}
]
},
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet",
"display" : "P07.3 - Другие случаи недоношенности"
}
}
},
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDeathReason",
"code" : "MotherDeathCondition",
"display" : "Основное заболевание или состояние матери (последа), оказавшее неблагоприятное влияние на ребенка (плод)"
}
]
},
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet",
"display" : "P01.0 - Поражения плода и новорожденного, обусловленные истмико-цервикальной недостаточностью"
}
}
},
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDeathReason",
"code" : "OtherMotherConditions",
"display" : "Другие заболевания или состояния матери (последа), оказавшие неблагоприятное влияние на ребенка (плод)"
}
]
},
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet",
"display" : "O23.1 - Инфекции мочевого пузыря при беременности"
}
}
}
]
}
},
{
"fullUrl" : "RelatedPerson/f60d152a-9c19-402a-92a2-5ad32eb0eab7",
"resource" : {
"resourceType" : "RelatedPerson",
"id" : "f60d152a-9c19-402a-92a2-5ad32eb0eab7",
"meta" : {
"lastUpdated" : "2025-05-15T12:12:21Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/RelatedPersonPermanentBy"
]
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "7551006A009PB7",
"period" : {
"start" : "2020-01-31"
}
},
{
"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,
"patient" : {
🔗 "reference" : "Patient/42d47b92-d6a9-4030-9146-358babf6ba0b"
},
"relationship" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RelatedPersonType",
"code" : "mother",
"display" : "мать"
}
]
}
],
"name" : [
{
"family" : "Аврелий",
"given" : [
"Ирина",
"Владимировна"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+375172000669",
"period" : {
"start" : "2024-01-31"
}
}
],
"gender" : "female",
"birthDate" : "1992-10-08",
"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"
}
]
}
}
]
}