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" : "ClinicalImpression",
"id" : "e03b6851-d9dd-4f77-95bd-d3feee2c2d51",
"meta" : {
"lastUpdated" : "2025-03-30T23:00:00Z",
"profile" : [
🔗 "https://fhir.by/StructureDefinition/ConclusionMREC"
]
},
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/CodesReasonForMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ReasonForMREC",
"code" : "end-of-term",
"display" : "переосвидетельствование пациента по окончанию срока инвалидности"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/StringReasonForMREC",
"valueString" : "Дополнительно: переосвидетельствование инвалида"
}
],
"url" : "https://fhir.by/StructureDefinition/ReasonForMREC"
},
{
"url" : "https://fhir.by/StructureDefinition/ExtSurveyTypeMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/SurveyTypeMREC",
"code" : "1",
"display" : "первичное очное"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/SpecialtyMREC",
"valueString" : "маляр-штукатур"
},
{
"url" : "https://fhir.by/StructureDefinition/StudyProgrammMREC",
"valueString" : "маляр-штукатур"
},
{
"url" : "https://fhir.by/StructureDefinition/DisabilityCertificate",
"valueIdentifier" : {
"value" : "AB3333333",
"period" : {
"start" : "2024-01-31"
},
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
},
{
"url" : "https://fhir.by/StructureDefinition/DisabilityGroup",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DisabilityGroup",
"code" : "2_group",
"display" : "II группа"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/DisabilityReason",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/DisabilityReason",
"code" : "general",
"display" : "общее заболевание"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbilityPercentage",
"valueQuantity" : {
"value" : 80,
"unit" : "%",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "%"
}
},
{
"url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbilityCase",
"valueString" : "Страховой случай №434 от 2020"
},
{
"url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbilityTerm",
"valuePeriod" : {
"start" : "2022-09-02",
"end" : "2025-09-01"
}
}
],
"url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbility"
},
{
"url" : "https://fhir.by/StructureDefinition/AdditionalTypesOfHelp",
"valueString" : "не нуждается в постоянной помощи"
},
{
"url" : "https://fhir.by/StructureDefinition/AdditionalTypesOfCare",
"valueString" : "не нуждается в постоянном уходе"
},
{
"url" : "https://fhir.by/StructureDefinition/AdditionalForConclusionMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AdditionalForConclusionMREC",
"code" : "absens",
"display" : "отсутствует"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ProgramRehabilitionMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ProgramRehabilitionMREC",
"code" : "ipra",
"display" : "индивидуальная программа реабилитации, абилитации инвалида"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ProgramRehabilitionMREC",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ProgramRehabilitionMREC",
"code" : "ipr-prof",
"display" : "программа реабилитации потерпевшего в результате несчастного случая на производстве или профессионального заболевания"
}
]
}
},
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ContraindicatedFactors",
"valueString" : "Исключены работы на высоте, подъемы тяжестей"
}
],
"url" : "https://fhir.by/StructureDefinition/RequirementsForWorking"
},
{
"url" : "https://fhir.by/StructureDefinition/MissedExaminationPeriod",
"valuePeriod" : {
"start" : "2023-09-02",
"end" : "2024-09-01"
}
},
{
"url" : "https://fhir.by/StructureDefinition/TimeDisabilityOnsetMREC",
"valueDate" : "2023-09-02"
}
],
"identifier" : [
{
"value" : "04-123456789-2025000000000006",
"period" : {
"start" : "2025-03-30",
"end" : "2026-03-01"
},
"assigner" : {
🔗 "extension" : [
{
"url" : "https://fhir.by/StructureDefinition/LocationReference",
"valueReference" : {
🔗 "reference" : "Location/b122e513-9361-4b5c-b2d6-0e9b4685477e"
}
}
],
"reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
"display" : "Организация ЦИСМ МРЭК"
}
}
],
"status" : "completed",
"description" : "Заключение МРЭК №136, Иванов Петр Сидорович, 31.12.1990",
"subject" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber",
"display" : "Иванов Петр Сидорович, 31.12.1990"
},
"encounter" : {
🔗 "reference" : "Encounter/ExampleEncounterForMREC"
},
"effectivePeriod" : {
"start" : "2025-03-29",
"end" : "2025-03-30"
},
"date" : "2025-03-30",
"performer" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
"display" : "Председатель МРЭК Иванова АА"
},
"previous" : {
🔗 "extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ConfirmedConclusion",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ConfirmedConclusionMREC",
"code" : "2",
"display" : "отменяется"
}
]
}
}
],
"reference" : "ClinicalImpression/ExampleConclusionMRECDisabilityStoppedStatus",
"display" : "Заключение МРЭК №135, Иванов Петр Сидорович, 31.12.1990"
}
}