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" : "ExampleBundleStillborn",
"meta" : {
"profile" : [
🔗 "https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleStillbirth"
]
},
"identifier" : {
"system" : "https://minzdrav.gov.by",
"value" : "12-123456789-2025000000000001"
},
"type" : "document",
"timestamp" : "2026-02-10T05:35:21Z",
"entry" : [
{
"fullUrl" : "Composition/ExampleStillbirthComposition",
"resource" : {
"resourceType" : "Composition",
"id" : "ExampleStillbirthComposition",
"meta" : {
"lastUpdated" : "2026-02-10T05:35:21Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/StillbirthComposition"
]
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/CompositionType",
"code" : "stillbirth-conclusion",
"display" : "Электронное врачебное свидетельство о мертворождении"
}
]
},
"subject" : [
{
🔗 "reference" : "Patient/ExampleWomenStillbirthED"
}
],
"date" : "2026-02-10T05:35:21Z",
"author" : [
{
🔗 "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896"
}
],
"title" : "Электронное врачебное свидетельство о мертворождении",
"custodian" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
},
"event" : [
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Provenance/ExampleProvenanceStillborn"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "ClinicalImpression/ExampleStillbirth"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "QuestionnaireResponse/QRMotherSpecialInformation"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDepression"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisDiabet"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins05"
}
}
]
},
{
"detail" : [
{
"reference" : {
🔗 "reference" : "Condition/ExampleDiagnosisVeins"
}
}
]
}
]
}
},
{
"fullUrl" : "Patient/ExampleWomenStillbirthED",
"resource" : {
"resourceType" : "Patient",
"id" : "ExampleWomenStillbirthED",
"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" : "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" : "Provenance/ExampleProvenanceStillborn",
"resource" : {
"resourceType" : "Provenance",
"id" : "ExampleProvenanceStillborn",
"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" : "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/ExampleStillbirth",
"resource" : {
"resourceType" : "ClinicalImpression",
"id" : "ExampleStillbirth",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/Stillbirth"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/AgeOfDeath",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AgeOfDeath",
"code" : "01",
"display" : "мертворожденный"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/GenderStillbirth",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/administrative-gender",
"code" : "male",
"display" : "Мужской"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/DateTimeStillbirth",
"valueDateTime" : "2026-02-09T04:30:21Z"
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/PlaceInMedicalOrganization",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
},
{
"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"
}
]
}
}
],
"identifier" : [
{
"system" : "https://minzdrav.gov.by",
"value" : "12-123456789-2025000000000001",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/ExampleWomenStillbirthED"
},
"date" : "2026-02-10T05:35:21Z",
"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" : "P20.9 - Внутриутробная гипоксия неуточненная"
}
}
},
{
"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" : "P02.7 - Поражения плода и новорожденного, обусловленные хориоамнионитом"
}
}
},
{
"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" : "P02.1 - Поражения плода и новорожденного, обусловленные другими осложнениями, связанными с отделением плаценты и кровотечением"
}
}
},
{
"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"
}
}
},
{
"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/ExampleDiagnosisVeins",
"display" : "O14.1 - Тяжелая преэклампсия"
}
}
},
{
"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/ExampleDiagnosisVeins",
"display" : "O10.1 - Существовавшая ранее кардиоваскулярная гипертензия, осложняющая беременность, роды и послеродовой период"
}
}
}
]
}
},
{
"fullUrl" : "QuestionnaireResponse/QRMotherSpecialInformation",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "QRMotherSpecialInformation",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/QRSpecialInformation"
]
},
"identifier" : [
{
"system" : "https://minzdrav.gov.by",
"value" : "12-123456789-2025000000000001",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"questionnaire" : "https://fhir.by/Questionnaire/QMotherSpecialInformation",
"status" : "completed",
"authored" : "2026-02-10T05:35:21Z",
"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" : "second_of_twins",
"display" : "вторым 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" : 2100
}
]
},
{
"linkId" : "16",
"text" : "Длина тела ребёнка при рождении (в сантиметрах)",
"answer" : [
{
"valueInteger" : 38
}
]
}
]
}
}
]
}