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" : "ExampleBundleHospitalisation2",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleHospitalisation"
]
},
"identifier" : {
"system" : "https://minzdrav.gov.by",
"value" : "05-198765617-2025000000000002"
},
"type" : "document",
"timestamp" : "2025-04-07T11:12:21Z",
"entry" : [
{
"fullUrl" : "Composition/ExampleDocumentHosp1",
"resource" : {
"resourceType" : "Composition",
"id" : "ExampleDocumentHosp1",
"meta" : {
"lastUpdated" : "2025-04-07T11:12:21Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/DocumentHospitalisation"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/Recomendations",
"valueString" : "Выписан под амублаторное наблюдение хирурга и далее..."
}
],
"status" : "final",
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionType",
"code" : "epicrisis",
"display" : "Выписной эпикриз"
}
]
},
"subject" : [
{
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber"
}
],
"date" : "2025-04-07T11:12:21Z",
"author" : [
{
🔗 "reference" : "Practitioner/127abdf9-2abc-4c5a-aafc-bee6a635a67c",
"display" : "Иванова Ирина Ивановна"
}
],
"title" : "Выписной эпикриз",
"custodian" : {
🔗 "reference" : "Organization/af69999d-3e5c-49b9-a9e9-38e7687785f3",
"display" : "Учреждение здравоохранения '1-я центральная районная клиническая поликлиника Центрального района г.Минска'"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "EpisodeOfCare/ExampleHospitalisationPlan"
}
}
]
}
],
"section" : [
{
"title" : "Поступил в удовлетворительном состоянии и далее...",
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionHospitalisationSection",
"code" : "1",
"display" : "Состояние и жалобы при поступлении"
}
]
},
"entry" : [
{
🔗 "reference" : "Encounter/EncounterBundleForTestAnPat"
}
]
},
{
"title" : "Выписан в удовлетворительном состоянии и далее...",
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionHospitalisationSection",
"code" : "7",
"display" : "Состояние при выписке"
}
]
},
"entry" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/SectionEntryAdditionalNotes",
"valueString" : "Выписан в удовлетворительном состоянии и далее..."
}
]
}
]
}
]
}
},
{
"fullUrl" : "Patient/PatientEDConclusionMRECDisability",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientEDConclusionMRECDisability",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/PatientED"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/DocumentKind",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
"code" : "04"
}
]
}
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PersonalDocumentType",
"code" : "INP"
}
]
},
"value" : "7001112A009PB3"
}
],
"active" : true,
"name" : [
{
"family" : "Иванов",
"given" : [
"Петр",
"Сидорович"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "89001234567"
}
],
"gender" : "male",
"birthDate" : "1990-12-31",
"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"
}
],
"contact" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ContactIdentifierNumber",
"valueString" : "7001112A009PB3"
},
{
"url" : "https://fhir.by/StructureDefinition/AddressExtension",
"valueAddress" : {
"extension" : [
{
"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 Снежный, д.19",
"postalCode" : "212011"
}
}
],
"name" : {
"family" : "Иванова",
"given" : [
"Лариса",
"Ивановна"
]
},
"telecom" : [
{
"system" : "phone",
"value" : "+375172000669"
}
],
"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"
}
],
"text" : "Могилевская область, г.Могилев, Переулок Снежный, д.19",
"postalCode" : "212011"
},
"gender" : "female"
}
],
"link" : [
{
"other" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber"
},
"type" : "refer"
}
]
}
},
{
"fullUrl" : "Provenance/ExampleProvenanceDocumentInfoHosp1",
"resource" : {
"resourceType" : "Provenance",
"id" : "ExampleProvenanceDocumentInfoHosp1",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ProvenanceDocumentInfoHosp"
]
},
"target" : [
{
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber"
}
],
"recorded" : "2025-04-07T11:12:21Z",
"agent" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "organization"
}
]
},
"who" : {
🔗 "reference" : "Organization/af69999d-3e5c-49b9-a9e9-38e7687785f3",
"display" : "Учреждение здравоохранения '1-я центральная районная клиническая поликлиника Центрального района г.Минска'"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitioner"
}
]
},
"who" : {
🔗 "reference" : "Practitioner/127abdf9-2abc-4c5a-aafc-bee6a635a67c",
"display" : "Иванова Ирина Ивановна"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
"code" : "practitionerRole"
}
]
},
"who" : {
🔗 "reference" : "PractitionerRole/c05ded81-1ebe-11f0-8257-f1172741d6fc",
"display" : "акушер-гинеколог, Иванова Ирина Ивановна"
}
}
]
}
},
{
"fullUrl" : "EpisodeOfCare/ExampleHospitalisationPlan",
"resource" : {
"resourceType" : "EpisodeOfCare",
"id" : "ExampleHospitalisationPlan",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/Hospitalisation"
]
},
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/TreatmentOutcome",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TreatmentOutcome",
"code" : "3",
"display" : "Выписка из стационара"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/BedProfiles",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/BedProfile",
"code" : "short-surgical-adult",
"display" : "хирургические для взрослых"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/LocationUnitOfOrganization",
"valueReference" : {
🔗 "reference" : "Location/SurgeryUnit"
}
},
{
"url" : "https://fhir.by/StructureDefinition/TreatmentPeriod",
"valuePeriod" : {
"start" : "2024-09-01",
"end" : "2024-09-06"
}
},
{
"url" : "https://fhir.by/StructureDefinition/TreatingPractitioner",
"valueReference" : {
🔗 "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
}
},
{
"url" : "https://fhir.by/StructureDefinition/HeadOfUnit",
"valueReference" : {
🔗 "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
}
}
],
"url" : "https://fhir.by/StructureDefinition/TreatmentInUnit"
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/HospitalisationPaidType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HospitalisationPaidType",
"code" : "optional-insurance",
"display" : "добровольное медицинское страхование"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/InsurancePolicyNumber",
"valueString" : "AO39198215"
},
{
"url" : "https://fhir.by/StructureDefinition/DateIssueInsurancePolicy",
"valueDate" : "2024-09-01"
},
{
"url" : "https://fhir.by/StructureDefinition/PeriodTemporaryInsurancePolicy",
"valuePeriod" : {
"start" : "2024-09-01",
"end" : "2025-09-01"
}
},
{
"url" : "https://fhir.by/StructureDefinition/InsuranceOrganization",
"valueString" : "АГСРСтрах"
}
],
"url" : "https://fhir.by/StructureDefinition/HealthInsurance"
}
],
"url" : "https://fhir.by/StructureDefinition/HospitalisationPaid"
},
{
"url" : "https://fhir.by/StructureDefinition/DiagnosisOfSendingOrganisation",
"valueReference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins"
}
},
{
"url" : "https://fhir.by/StructureDefinition/PreviusResourceHospitalisation",
"valueReference" : {
🔗 "reference" : "EpisodeOfCare/ExampleHospitalisationPlanProlong"
}
},
{
"url" : "https://fhir.by/StructureDefinition/SequenceNumbeHospitalisation",
"valuePositiveInt" : 2
}
],
"identifier" : [
{
"value" : "123/5",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"status" : "waitlist",
"type" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfHealthCare",
"code" : "special",
"display" : "специализированная"
}
]
}
],
"reason" : [
{
"use" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/HospitalisationReasonUse",
"code" : "11",
"display" : "Плановая госпитализация с целью лечения"
}
]
},
"value" : [
{
"concept" : {
"text" : "Для плановго оперативного лечения варикозной болезни вен н/к"
}
}
]
}
],
"diagnosis" : [
{
"condition" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/TypeOfDiagnosis",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "mainDiagnosis",
"display" : "Основной диагноз"
}
]
}
}
],
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins"
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/TypeOfDiagnosis",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "additionalDiagnosis",
"display" : "Сопутствующий диагноз"
}
]
}
}
],
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisArterialHypertension"
}
}
],
"use" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/KindOfDiagnosisCode",
"code" : "Preliminary",
"display" : "Предварительный диагноз"
}
]
}
},
{
"condition" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/TypeOfDiagnosis",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "mainDiagnosis",
"display" : "Основной диагноз"
}
]
}
}
],
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins"
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/TypeOfDiagnosis",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "additionalDiagnosis",
"display" : "Сопутствующий диагноз"
}
]
}
}
],
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisArterialHypertension"
}
}
],
"use" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/KindOfDiagnosisCode",
"code" : "Clinical",
"display" : "Клинический диагноз"
}
]
}
},
{
"condition" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/TypeOfDiagnosis",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "mainDiagnosis",
"display" : "Основной диагноз"
}
]
}
}
],
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins"
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/TypeOfDiagnosis",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
"code" : "additionalDiagnosis",
"display" : "Сопутствующий диагноз"
}
]
}
}
],
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisArterialHypertension"
}
}
],
"use" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/KindOfDiagnosisCode",
"code" : "Final",
"display" : "Заключительный диагноз"
}
]
}
}
],
"patient" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber"
},
"managingOrganization" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"period" : {
"start" : "2024-09-01",
"end" : "2024-09-06"
},
"referralRequest" : [
{
🔗 "reference" : "ServiceRequest/ExampleServiceRequestConsult"
}
],
"careManager" : {
🔗 "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
}
}
}
]
}