Руководство к использованию стандарта FHIR в ЦИСЗ
0.2.6803 - ci-build
{
"resourceType" : "Procedure",
"id" : "RadiotherapyProcedureRectalCancer01",
"meta" : {
"profile" : [
🔗 "https://fhir.by/StructureDefinition/RadiotherapyProcedure"
]
},
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/ProcedureNumber",
"valueUnsignedInt" : 1
}
],
"identifier" : [
{
"value" : "1357"
}
],
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/SRRadiotherapyRectumCancer"
}
],
"status" : "completed",
"category" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RadiationTherapyType",
"code" : "radical",
"display" : "Самостоятельная радикальная"
}
]
}
],
"code" : {
"coding" : [
{
"extension" : [
{
"extension" : [
{
"url" : "https://fhir.by/StructureDefinition/RadiotherapyModifiers",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RadiationModifiers",
"code" : "not-used",
"display" : "Радиомодификаторы не использовались"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/ImpactZone",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RadiationTherapyTarget",
"code" : "main-focus",
"display" : "Основной очаг"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/SingleDose",
"valueQuantity" : {
"value" : 2,
"unit" : "Гр",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "Gy"
}
},
{
"url" : "https://fhir.by/StructureDefinition/TotalDose",
"valueQuantity" : {
"value" : 2,
"unit" : "Гр",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "Gy"
}
},
{
"url" : "https://fhir.by/StructureDefinition/EquivalentDose",
"valueQuantity" : {
"value" : 2,
"unit" : "Гр",
"system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
"code" : "Gy"
}
},
{
"url" : "https://fhir.by/StructureDefinition/FractionationMode",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/RadiationTherapyFractionation",
"code" : "conventional-fractionation",
"display" : "Стандартное фракционирование"
}
]
}
},
{
"url" : "https://fhir.by/StructureDefinition/FixingDevice",
"valueString" : "Термопластический фиксатор для нижней части тела, Подставка для ног"
}
],
"url" : "https://fhir.by/StructureDefinition/ParameterRadiotherapy"
}
],
"system" : "https://fhir.by/ValueSet/RadiationTherapyMethods",
"code" : "3D-CRT",
"display" : "Трехмерная конформная лучевая терапия"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientForDemo"
},
"encounter" : {
🔗 "reference" : "Encounter/EncounterRadiotherapistRectumCancer01"
},
"occurrencePeriod" : {
"start" : "2025-03-24T12:00:00Z",
"end" : "2025-03-24T13:20:00Z"
},
"recorded" : "2025-03-24",
"recorder" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
},
"performer" : [
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PerformerRoleProcedure",
"code" : "radiation-oncologist",
"display" : "Врач-радиационный онколог"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
}
},
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PerformerRoleProcedure",
"code" : "nurse",
"display" : "Медицинская сестра"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/ExampleNurseRole"
}
},
{
"function" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/PerformerRoleProcedure",
"code" : "medical-dosimetrist",
"display" : "Техник-дозиметрист"
}
]
},
"actor" : {
🔗 "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
}
}
],
"location" : {
🔗 "reference" : "Location/TherapyUnit"
},
"reason" : [
{
"concept" : {
"coding" : [
{
"system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
"code" : "C20",
"display" : "C20 - ЗЗлокачественной новообразование прямой кишки"
}
]
},
"reference" : {
🔗 "reference" : "Condition/DiagnosisRectumCancer"
}
}
],
"bodySite" : [
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Rectum",
"display" : "Прямая кишка"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
"code" : "Pararectal-nodes",
"display" : "Околопрямокишечные (аноректальные) узлы"
}
]
}
]
}