Руководство к использованию стандарта FHIR в ЦИСЗ
0.2.6803 - ci-build
{
"resourceType" : "Procedure",
"id" : "06ef3105-f9ce-4a7a-8db1-de79f896d4f3",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/SurgicalProcedure"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/FromOrganization",
"valueReference" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
},
{
"url" : "https://fhir.by/StructureDefinition/EncounterTypeOfService",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/EncounterTypeOfService",
"code" : "free",
"display" : "Бесплатные услуги"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/TermsOfService",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/VSTermsOfService",
"code" : "2",
"display" : "стационарные"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/InpatientMedicalRecord",
"valueReference" : {
🔗 "reference" : "EpisodeOfCare/ExampleHospitalisationUrg"
}
},
{
"url" : "https://fhir.by/StructureDefinition/AnesthesiaType",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnesthesiaType",
"code" : "endotracheal",
"display" : "Эндотрахеальный наркоз"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ProcedureUrgency",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ProcedureUrgency",
"code" : "emergency",
"display" : "Экстренное"
}
]
}
}
],
"identifier" : [
{
"value" : "13579",
"assigner" : {
🔗 "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
}
}
],
"status" : "completed",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/ProcedureType",
"code" : "postoperative-complications",
"display" : "По поводу послеоперационных осложнений"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/SurgicalInterventions",
"code" : "JASH20",
"display" : "Релапаротомия / Программированная релапаротомия"
}
],
"text" : "Релапаротомия, остановка кровотечения с дренированием брюшной полости"
},
"subject" : {
🔗 "reference" : "Patient/ExamplePatientWithIdentificationNumber"
},
"occurrencePeriod" : {
"start" : "2025-02-03T21:00:00Z",
"end" : "2025-02-03T13:22:30Z"
},
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/OperatingTeam",
"code" : "operator",
"display" : "врач-хирург оперирующий"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
}
},
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/OperatingTeam",
"code" : "assistant",
"display" : "врач-хирург ассистирующий"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
}
},
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/OperatingTeam",
"code" : "surgical-sister",
"display" : "медицинская сестра операционная"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/ExampleNurseRole"
}
},
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/OperatingTeam",
"code" : "anesthetist",
"display" : "врач-анестезиолог-реаниматолог"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/c05ded81-1ebe-11f0-8257-f1172741d6fc"
}
}
],
"location" : {
🔗 "reference" : "Location/SurgeryUnit"
},
"reason" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis",
"code" : "preoperative",
"display" : "Диагноз до вмешательства"
}
]
},
"reference" : {
🔗 "reference" : "Condition/762cc6c8-7c3c-4241-b9d9-e89ec7afedc9"
}
},
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis",
"code" : "postoperative",
"display" : "Диагноз после вмешательства"
}
]
},
"reference" : {
🔗 "reference" : "Condition/7465e01e-6818-4d4c-99f9-143c3c5ff03b"
}
}
],
"note" : [
{
"text" : "Средне-срединная лапаротомия. В брюшной полости до 1.5 литров крови со сгустками. Гемостаз прошивнием и использованием гемостатической губки. Дренирование брюшной полости"
}
],
"focalDevice" : [
{
"manipulated" : {
🔗 "reference" : "Device/45db8eba-1940-4a46-8372-974e4e8d7be7"
}
}
]
}