{ "resourceType": "Bundle", "id": "BundleHospitalisation2.3Test", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3086", "value": "{{$guid}}" }, "type": "document", "timestamp": "2025-02-03T16:00:00Z", "entry": [ { "fullUrl": "Composition/CompositionHospitalisation2.3Test", "resource": { "resourceType": "Composition", "id": "CompositionHospitalisation2.3Test", "meta": { "profile": [ "https://fhir.by/StructureDefinition/CompDocument" ] }, "status": "final", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/CompositionType", "code": "general", "display": "Общая медицинская информация" } ] }, "subject": [ { "reference": "Patient/PatientTest" } ], "encounter": { "reference": "Encounter/EncounterSurgeon2.3Test" }, "date": "2025-02-08T16:00:00Z", "author": [ { "reference": "Practitioner/{{PractitionerAuth}}" } ], "title": "CompDocument для наполненного Bundle выписки пациента из стационара", "custodian": { "reference": "Organization/{{OrganizationAuth}}" }, "event": [ { "detail": [ { "reference": { "reference": "Condition/AcuteAppendicitisFinalTest" } } ] }, { "detail": [ { "reference": { "reference": "EpisodeOfCare/ExampleHospitalisation2.3Test" } } ] } ] } }, { "fullUrl": "Patient/PatientTest", "resource": { "resourceType": "Patient", "id": "PatientTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/PatientWithIdentificationNumber" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/IncapacityExtension", "valueBoolean": true }, { "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/PatientJobProfession", "valueString": "Инспектор по контролю за содержанием и охране зеленых насаждений" }, { "url": "https://fhir.by/StructureDefinition/PatientJobProfessionCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/SpecialtyProfPerson", "code": "3119-007", "display": "Инспектор по контролю за содержанием и охране зеленых насаждений" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "УП «Зеленстрой»" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2020-11-07" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": true } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataBoolean", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataPeriod", "valuePeriod": { "start": "2025-01-01" } } ], "url": "https://fhir.by/StructureDefinition/ConsentPersonalData" } ], "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "INP", "display": "Уникальный идентификационный номер" } ] }, "value": "7551027A009PB6" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 21.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2021-08-21" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "710" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "Passport-RB", "display": "Паспорт гражданина Республики Беларусь" } ] }, "value": "MP2334561" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2024-03-01" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным МРЭК г Минска, 31.01.2024" } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "official", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "CDP", "display": "Удостоверение инвалида" } ] }, "value": "Серия 09 №1234562", "period": { "start": "2024-02-15" }, "assigner": { "reference": "Organization/af69999d-3e5c-49b9-a9e9-38e7687785f3" } }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "1990-12-31" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Октябрьское РУВД г.Минска" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "705", "display": "Октябрьское РУВД г.Минска" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "BC", "display": "Свидетельство о рождении" } ] }, "value": "АВ7654322" } ], "active": true, "name": [ { "family": "Иванов", "given": [ "Петр", "Сидорович" ] } ], "telecom": [ { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientNotificationType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PatientNotificationType", "code": "SMS", "display": "SMS" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientNotificationType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PatientNotificationType", "code": "messenger-tel", "display": "Telegram" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientNotificationType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PatientNotificationType", "code": "e-mail", "display": "e-mail" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientConsentForNotification", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/PatientAccountPoint", "valueBoolean": true } ], "url": "https://fhir.by/StructureDefinition/PatientTelecomPurpose" } ], "system": "phone", "value": "295748410" }, { "system": "email", "value": "test_mail@gmail.by" } ], "gender": "male", "birthDate": "1990-12-31", "deceasedBoolean": false, "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": "5170309411", "display": "Улица Золотая Горка" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 29" } ], "use": "home", "text": "г.Минск, Улица Золотая Горка, д.5, кв.29", "postalCode": "220022" }, { "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": "51703019678", "display": "Проспект Рокоссовского" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 2" } ], "use": "temp", "text": "г.Минск, Проспект Рокоссовского, д.20, кв.2", "postalCode": "220011" } ], "maritalStatus": { "coding": [ { "system": "https://fhir.by/ValueSet/MaritalStatus", "code": "married" } ] }, "contact": [ { "relationship": [ { "coding": [ { "system": "https://fhir.by/ValueSet/RelatedPersonType", "code": "wife" } ] } ], "name": { "family": "Иванова", "given": [ "Лариса", "Ивановна" ] }, "telecom": [ { "system": "phone", "value": "802990990908" } ] } ], "generalPractitioner": [ { "reference": "Organization/97e05a7d-b923-4b34-bf76-e4b19e248f83", "identifier": { "value": "123156789012", "period": { "start": "2002-12-11" } } } ] } }, { "fullUrl": "EpisodeOfCare/ExampleHospitalisation2.3Test", "resource": { "resourceType": "EpisodeOfCare", "id": "ExampleHospitalisation2.3Test", "meta": { "profile": [ "https://fhir.by/StructureDefinition/Hospitalisation" ] }, "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/TreatmentOutcome", "valueCodeableConcept": { "coding": [ { "system": 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"https://fhir.by/StructureDefinition/TreatmentInUnit" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/TreatmentOutcome", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/TreatmentOutcome", "code": "1", "display": "Перевод в другое отделение" } ] } }, { "url": "https://fhir.by/StructureDefinition/LocationUnitOfOrganization", "valueReference": { "reference": "Location/a4e0cc8b-a864-4235-8421-611550a7e60d" } }, { "url": "https://fhir.by/StructureDefinition/TreatmentPeriod", "valuePeriod": { "start": "2025-02-03", "end": "2025-02-04" } }, { "url": "https://fhir.by/StructureDefinition/TreatingPractitioner", "valueReference": { "reference": "PractitionerRole/0c0862ee-6307-11f0-a055-0e5f08ffeb08" } }, { "url": "https://fhir.by/StructureDefinition/HeadOfUnit", "valueReference": { "reference": "PractitionerRole/0c0862ee-6307-11f0-a055-0e5f08ffeb08" } }, { "url": "https://fhir.by/StructureDefinition/BedProfiles", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/BedProfile", "code": "short-intensive-adult", "display": "реанимационные для взрослых" } ] } } ], "url": "https://fhir.by/StructureDefinition/TreatmentInUnit" }, { "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/LocationUnitOfOrganization", "valueReference": { "reference": "Location/4858c9c3-05e7-4ad6-8a13-fe1d6b01b9c8" } }, { "url": "https://fhir.by/StructureDefinition/TreatmentPeriod", "valuePeriod": { "start": "2025-02-05", "end": "2025-02-08" } }, { "url": "https://fhir.by/StructureDefinition/TreatingPractitioner", "valueReference": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } }, { "url": "https://fhir.by/StructureDefinition/HeadOfUnit", "valueReference": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } }, { "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/TreatmentInUnit" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/HospitalisationPaidType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/HospitalisationPaidType", "code": "govern", "display": "\tза счет бюджетных средств" } ] } } ], "url": "https://fhir.by/StructureDefinition/HospitalisationPaid" }, { "url": "https://fhir.by/StructureDefinition/EmergencyHospitalisationTerm", "valuePositiveInt": 6 }, { "url": "https://fhir.by/StructureDefinition/HepatitisBool", "valueBoolean": false }, { "url": "https://fhir.by/StructureDefinition/DiagnosisOfSendingOrganisation", "valueReference": { "reference": "Condition/AcuteAppendicitisPreliminaryTest" } }, { "url": "https://fhir.by/StructureDefinition/SequenceNumbeHospitalisation", "valuePositiveInt": 1 }, { "url": "https://fhir.by/StructureDefinition/PreviusResourceHospitalisation", "valueReference": { "reference": "EpisodeOfCare/{{hospitalisation2}}" } } ], "identifier": [ { "value": "12/1", "assigner": { "reference": "Organization/c0506d77-eb71-48e0-968e-833c0ca3dd51" } } ], "status": "waitlist", "type": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfHealthCare", "code": "hightechnology", "display": "Высокотехнологичная медицинская помощь" } ] } ], "reason": [ { "use": { "coding": [ { "system": "https://fhir.by/ValueSet/HospitalisationReasonUse", "code": "2", "display": "Экстренная госпитализация" } ] }, "value": [ { "concept": { "text": "Для уточнения диагноза и лечения" } } ] } ], "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/AcuteAppendicitisPreliminaryTest" } } ], "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/AcuteAppendicitisClinicalTest" } } ], "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/AcuteAppendicitisFinalTest" } } ], "use": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Final", "display": "Заключительный диагноз" } ] } } ], "patient": { "reference": "Patient/PatientTest" }, "managingOrganization": { "extension": [ { "url": "https://fhir.by/StructureDefinition/LocationPartOfOrganization", "valueReference": { "reference": "Location/4858c9c3-05e7-4ad6-8a13-fe1d6b01b9c8" } } ], "reference": "Organization/c0506d77-eb71-48e0-968e-833c0ca3dd51" }, "period": { "start": "2025-02-03", "end": "2025-02-08" }, "careManager": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } }, { "fullUrl": "Condition/AcuteAppendicitisPreliminaryTest", "resource": { "resourceType": "Condition", "id": "AcuteAppendicitisPreliminaryTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FinalDiagnosis" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/KindOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Preliminary" } ] } }, { "url": "https://fhir.by/StructureDefinition/AssertedDate", "valueDateTime": "2025-02-03T10:12:00Z" }, { "url": "https://fhir.by/StructureDefinition/CourseOfDisease", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfDisease", "code": "acute" } ] } }, { "url": "https://fhir.by/StructureDefinition/FirstTimeRevealed", "valueBoolean": true } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "code": { "coding": [ { "system": "https://fhir.by/ValueSet/InternClassificDiseases10", "code": "K35", "display": "K35 - Острый аппендицит" } ] }, "subject": { "reference": "Patient/PatientTest" }, "onsetDateTime": "2025-02-03", "recordedDate": "2025-02-03", "participant": [ { "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } ], "note": [ { "text": "Предварительный диагноз О. аппендицит ?" } ] } }, { "fullUrl": "Condition/AcuteAppendicitisClinicalTest", "resource": { "resourceType": "Condition", "id": "AcuteAppendicitisClinicalTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FinalDiagnosis" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/KindOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Clinical" } ] } }, { "url": "https://fhir.by/StructureDefinition/AssertedDate", "valueDateTime": "2025-02-03T15:15:00Z" }, { "url": "https://fhir.by/StructureDefinition/CourseOfDisease", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfDisease", "code": "acute" } ] } }, { "url": "https://fhir.by/StructureDefinition/FirstTimeRevealed", "valueBoolean": true } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "code": { "coding": [ { "system": "https://fhir.by/ValueSet/InternClassificDiseases10", "code": "K35.3", "display": "K35.3 - Острый аппендицит с ограниченным перитонитом" } ] }, "subject": { "reference": "Patient/PatientTest" }, "onsetDateTime": "2025-02-03", "recordedDate": "2025-02-03", "participant": [ { "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } ], "note": [ { "text": "Клинический диагноз. Острый флегмонозный аппендицин. Местный серозно-фибринозный перитонит." } ] } }, { "fullUrl": "Condition/AcuteAppendicitisFinalTest", "resource": { "resourceType": "Condition", "id": "AcuteAppendicitisFinalTest", "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": "2025-02-08T15:15:00Z" }, { "url": "https://fhir.by/StructureDefinition/CourseOfDisease", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfDisease", "code": "acute" } ] } }, { "url": "https://fhir.by/StructureDefinition/FirstTimeRevealed", "valueBoolean": true } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "code": { "coding": [ { "system": "https://fhir.by/ValueSet/InternClassificDiseases10", "code": "K35.3", "display": "K35.3 - Острый аппендицит с ограниченным перитонитом" } ] }, "subject": { "reference": "Patient/PatientTest" }, "onsetDateTime": "2025-02-08", "recordedDate": "2025-02-08", "participant": [ { "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } ], "note": [ { "text": "Клинический диагноз. Острый флегмонозный аппендицин. Местный серозно-фибринозный перитонит." } ] } }, { "fullUrl": "Encounter/EncounterSurgeon2.3Test", "resource": { "resourceType": "Encounter", "id": "EncounterSurgeon2.3Test", "meta": { "profile": [ "https://fhir.by/StructureDefinition/EncounterGeneral" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/EncounterConclusion", "valueString": "Послеоперационная рана состоятельна. Пациент готов к выписке" }, { "url": "https://fhir.by/StructureDefinition/EcnounterRecomendation", "valueString": "Наблюдение у хирурга по месту жительства" }, { "url": "https://fhir.by/StructureDefinition/EncounterTypeOfService", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/EncounterTypeOfService", "code": "free", "display": "Бесплатные услуги" } ] } } ], "status": "completed", "class": [ { "coding": [ { "system": "https://fhir.by/ValueSet/VSTermsOfService", "code": "2", "display": "стационарные" } ] } ], "priority": { "coding": [ { "system": "https://fhir.by/ValueSet/HealthCareForms", "code": "emergency", "display": "Экстренная медицинская помощь" } ] }, "type": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfHealthCare", "code": "hightechnology", "display": "Высокотехнологичная медицинская помощь" } ] } ], "subject": { "reference": "Patient/PatientTest" }, "serviceProvider": { "reference": "Organization/c0506d77-eb71-48e0-968e-833c0ca3dd51" }, "participant": [ { "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } ], "actualPeriod": { "start": "2025-02-08T15:12:21Z", "end": "2025-02-08T15:25:21Z" }, "diagnosis": [ { "condition": [ { "reference": { "reference": "Condition/AcuteAppendicitisFinalTest" } } ], "use": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfDiagnosis", "code": "mainDiagnosis" } ] } ] } ], "location": [ { "location": { "reference": "Location/a4e0cc8b-a864-4235-8421-611550a7e60d" } } ] } } ] }