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" : "ExampleBundleDeathCertificateWithoutSection",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleDeathCertificate"
]
},
"identifier" : {
"system" : "https://minzdrav.gov.by",
"value" : "03-123456789-2025000000000001"
},
"type" : "document",
"timestamp" : "2025-05-05T11:12:21Z",
"entry" : [
{
"fullUrl" : "Composition/CompositionDeathCertificateWithoutSection",
"resource" : {
"resourceType" : "Composition",
"id" : "CompositionDeathCertificateWithoutSection",
"meta" : {
"lastUpdated" : "2025-05-05T05:35:21Z",
"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/ExampleDeadPatientED"
}
],
"date" : "2025-05-05T05:35:21Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
"display" : "Врач-терапевт участковый, Филатов Олег Михайлович"
}
],
"title" : "Электронное врачебное свидетельство о смерти",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "Поликлиника №5"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Provenance/ExampleProvenanceDocumentInfoDeath"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ClinicalImpression/ExampleDeathCertificateWithoutSection"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDepression"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins05"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins"
}
}
]
}
]
}
},
{
"fullUrl" : "Patient/ExampleDeadPatientED",
"resource" : {
"resourceType" : "Patient",
"id" : "ExampleDeadPatientED",
"meta" : {
"lastUpdated" : "2025-05-05T14:10:00Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientED"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DocumentKind",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
"code" : "03"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "7240275A007PB3"
}
],
"active" : true,
"name" : [
{
"family" : "Иванов",
"given" : [
"Петр",
"Сидорович"
]
}
],
"gender" : "male",
"birthDate" : "1975-02-24",
"deceasedDateTime" : "2025-05-05T14:10:00Z",
"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. 2"
}
],
"use" : "home",
"text" : "Могилевская область, г.Могилев, Сурганова, 15Б"
}
],
"link" : [
{
"other" : {
🔗 "reference" : "Patient/ExampleDeadPatientWithId"
},
"type" : "refer"
}
]
}
},
{
"fullUrl" : "Provenance/ExampleProvenanceDocumentInfoDeath",
"resource" : {
"resourceType" : "Provenance",
"id" : "ExampleProvenanceDocumentInfoDeath",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProvenanceDocumentInfoDeath"
]
},
"target" : [
{
🔗 "reference" : "Patient/ExampleDeadPatientED"
}
],
"recorded" : "2025-05-05T14:00:00Z",
"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" : "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/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" : "ClinicalImpression/ExampleDeathCertificateWithoutSection",
"resource" : {
"resourceType" : "ClinicalImpression",
"id" : "ExampleDeathCertificateWithoutSection",
"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" : [
{
"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/ApartmentRoom",
"valueString" : "кв. 11"
}
],
"url" : "https://fhir.by/StructureDefinition/PlaceOutsideOrganization"
},
{
"url" : "https://fhir.by/StructureDefinition/PlaceOfDeathByCode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PlaceOfDeathByCode",
"code" : "4",
"display" : "дома"
}
]
}
}
],
"url" : "https://fhir.by/StructureDefinition/PlaceOfDeath"
},
{
"url" : "https://fhir.by/StructureDefinition/EstablishmentOfCauseOfDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/EstablishmentOfCauseOfDeath",
"code" : "2",
"display" : "записей лечащего врача в медицинской документации"
}
]
}
}
],
"identifier" : [
{
"system" : "https://minzdrav.gov.by",
"value" : "03-123456789-2025000000000001",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "Поликлиника №5"
}
}
],
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/ExampleDeadPatientED"
},
"date" : "2025-05-05T05:35:21Z",
"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" : "I50.0 - Застойная сердечная недостаточность"
}
}
},
{
"item" : {
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDeathReason",
"code" : "ConditionsForDirectlyDeathReason",
"display" : "Патологические состояния (заболевания), вызвавшие или обусловившие непосредственную причину смерти (мертворождения)"
}
]
},
"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"
}
}
},
{
"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/ExampleDiagnosisVeins",
"display" : "C61 - Злокачественное новообразование предстательной железы"
}
}
}
]
}
}
]
}