{ "resourceType": "Bundle", "id": "BundleEpisodeOfEmergencyCareWithoutID3", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3987", "value": "urn:uuid:6c3151bd-1cbf-4d64-b04d-cd9187a4c6t9" }, "type": "document", "timestamp": "2025-05-07T11:30:00Z", "entry": [ { "fullUrl": "Composition/CompositionBundleEpisode3", "resource": { "resourceType": "Composition", "id": "CompositionBundleEpisode3", "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/PatientBundleEp3" } ], "date": "2025-05-07T11:12:21Z", "author": [ { "reference": "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896" } ], "title": "CompDocument об эпизоде оказания скорой медицинской помощи", "custodian": { "reference": "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f" }, "event": [ { "detail": [ { "reference": { "reference": "RelatedPerson/ExampleRelatedPersonTempEp3" } } ] }, { "detail": [ { "reference": { "reference": "Condition/ExampleDiagnosisPrelEp3" } } ] }, { "detail": [ { "reference": { "reference": "Observation/SPO2Ep3" } } ] }, { "detail": [ { "reference": { "reference": "Observation/PulseRateEp3" } } ] }, { "detail": [ { "reference": { "reference": "Observation/ArterialBloodPressureEp3" } } ] }, { "detail": [ { "reference": { "reference": "Observation/ExampleObjectiveEp3" } } ] }, { "detail": [ { "reference": { "reference": "EpisodeOfCare/ExampleEpisodeOfCare3" } } ] } ] } }, { "fullUrl": "Patient/PatientBundleEp3", "resource": { "resourceType": "Patient", "id": "PatientBundleEp3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/PatientWithoutIdentificationNumber" ] }, "identifier": [ { "use": "temp", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "UMD" } ] }, "value": "0000UNIQMD", "assigner": { "reference": "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f" } } ], "active": true, "name": [ { "family": "Иванов", "given": [ "Петр", "Михайлович" ] } ], "gender": "male", "birthDate": "1980-01-01", "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": "72609920778", "display": "Переулок Снежный" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 11" } ], "use": "temp", "text": "Могилевская область, г.Могилев, Переулок Снежный, д.11", "postalCode": "212037" } ] } }, { "fullUrl": "RelatedPerson/ExampleRelatedPersonTempEp3", "resource": { "resourceType": "RelatedPerson", "id": "ExampleRelatedPersonTempEp3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/RelatedPersonTemporaryBy" ] }, "identifier": [ { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 11.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2021-08-11" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "Passport-RB" } ] }, "value": "MP1234579" } ], "active": true, "patient": { "reference": "Patient/PatientBundleEp3" }, "relationship": [ { "coding": [ { "system": "https://fhir.by/ValueSet/RelatedPersonType", "code": "son", "display": "сын" } ] } ], "name": [ { "family": "Иванов", "given": [ "Петр", "Петрович" ] } ], "telecom": [ { "system": "phone", "value": "+375172000669", "period": { "start": "2025-01-31" } } ], "gender": "male", "birthDate": "2000-01-01", "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": "72609920778", "display": "Переулок Снежный" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 11" } ], "use": "temp", "text": "Могилевская область, г.Могилев, Переулок Снежный, д.11", "postalCode": "212037" } ], "period": { "start": "2025-05-07" } } }, { "fullUrl": "Condition/ExampleDiagnosisPrelEp3", "resource": { "resourceType": "Condition", "id": "ExampleDiagnosisPrelEp3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FinalDiagnosis" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/KindOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Preliminary", "display": "Предварительный диагноз" } ] } }, { "url": "https://fhir.by/StructureDefinition/AssertedDate", "valueDateTime": "2025-05-07" } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "code": { "coding": [ { "system": "https://fhir.by/ValueSet/InternClassificDiseases10", "code": "R04.0", "display": "R04.0 - Носовое кровотечение" } ] }, "subject": { "reference": "Patient/PatientBundleEp3" }, "onsetDateTime": "2025-05-07", "recordedDate": "2025-05-07", "participant": [ { "actor": { "reference": "PractitionerRole/ExamplePediatricianAmbulance" } } ], "note": [ { "text": "Носовое кровотечение?" } ] } }, { "fullUrl": "Observation/SPO2Ep3", "resource": { "resourceType": "Observation", "id": "SPO2Ep3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/VitalSignsBy" ] }, "status": "final", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ObservationCategoryCode", "code": "vital-signs", "userSelected": false } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "spO2" } ] }, "subject": { "reference": "Patient/PatientBundleEp3" }, "effectiveDateTime": "2025-05-07T11:12:21Z", "performer": [ { "reference": "PractitionerRole/ExamplePediatricianAmbulance" } ], "valueQuantity": { "value": 97, "unit": "%", "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy", "code": "%" } } }, { "fullUrl": "Observation/PulseRateEp3", "resource": { "resourceType": "Observation", "id": "PulseRateEp3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/VitalSignsBy" ] }, "status": "final", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ObservationCategoryCode", "code": "vital-signs", "userSelected": false } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "pulse-rate" } ] }, "subject": { "reference": "Patient/PatientBundleEp3" }, "effectiveDateTime": "2025-05-07T11:12:21Z", "performer": [ { "reference": "PractitionerRole/ExamplePediatricianAmbulance" } ], "valueQuantity": { "value": 75, "unit": "в минуту", "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy", "code": "/min" } } }, { "fullUrl": "Observation/ArterialBloodPressureEp3", "resource": { "resourceType": "Observation", "id": "ArterialBloodPressureEp3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/VitalSignsBy" ] }, "status": "registered", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ObservationCategoryCode", "code": "vital-signs", "userSelected": false } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "arterial-blood-pressure" } ] }, "subject": { "reference": "Patient/PatientBundleEp3" }, "effectiveDateTime": "2025-05-07T11:12:21Z", "performer": [ { "reference": "PractitionerRole/ExamplePediatricianAmbulance" } ], "component": [ { "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "systolic-arterial-blood-pressure" } ] }, "valueQuantity": { "value": 120, "unit": "mm[Hg]", "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy", "code": "mm[Hg]" } }, { "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "diastolic-arterial-blood-pressure" } ] }, "valueQuantity": { "value": 75, "unit": "mm[Hg]", "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy", "code": "mm[Hg]" } } ] } }, { "fullUrl": "Observation/ExampleObjectiveEp3", "resource": { "resourceType": "Observation", "id": "ExampleObjectiveEp3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/ObservationObjective" ] }, "status": "final", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ObservationCategoryCode", "code": "exam" } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/ObservationObjectiveCode", "code": "nasopharynx", "display": "Носоглотка" } ] }, "subject": { "reference": "Patient/PatientBundleEp3" }, "effectiveDateTime": "2025-05-07T11:12:21Z", "issued": "2025-05-07T11:12:21Z", "performer": [ { "reference": "PractitionerRole/ExamplePediatricianAmbulance" } ], "valueString": "Кровотечение из переднего отдела носовой перегородки. Кровотечение умеренное, преимущественно из правой ноздри. Сгустков в носоглотке нет." } }, { "fullUrl": "EpisodeOfCare/ExampleEpisodeOfCare3", "resource": { "resourceType": "EpisodeOfCare", "id": "ExampleEpisodeOfCare3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/EpisodeOfEmergencyCare" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/EmergencyTime", "valueDateTime": "2025-05-07T11:12:21Z" }, { "url": "https://fhir.by/StructureDefinition/CallClassification", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CallClassificationEmergCare", "code": "primary", "display": "Первичный" } ] } }, { "url": "https://fhir.by/StructureDefinition/CallAddress", "valueAddress": { "extension": [ { "url": "https://fhir.by/StructureDefinition/StreetGeoRegistry", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/StreetGeoRegistry", "code": "726099207786084259", "display": "11" } ] } } ], "text": "Могилевская область, г. Могилев, Переулок Снежный, д.11" } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/RefusalTransferOrMedical", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/RefusalHospitalization", "code": "contact-person", "display": "Письменный отказ от госпитализации получен от контактного лица" } ] } }, { "url": "https://fhir.by/StructureDefinition/RefusalTransferOtherPerson", "valueReference": { "reference": "RelatedPerson/ExampleRelatedPersonTempEp3" } } ], "url": "https://fhir.by/StructureDefinition/OptionsForRefusing" }, { "url": "https://fhir.by/StructureDefinition/KindOfTraumaEmergencyCare", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfTraumaGeneral", "code": "disease-not-injury", "display": "заболевание (состояние) не связанное с травмой" } ] } }, { "url": "https://fhir.by/StructureDefinition/ResultVisitingEmergencyCare", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ResultEmergencyCare", "code": "left-in-place", "display": "Оставлен на месте" } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PerformedActivityEmergencyCareReference", "valueReference": { "reference": "Observation/SPO2Ep3" } }, { "url": "https://fhir.by/StructureDefinition/PerformedActivityEmergencyCareReference", "valueReference": { "reference": "Observation/PulseRateEp3" } }, { "url": "https://fhir.by/StructureDefinition/PerformedActivityEmergencyCareReference", "valueReference": { "reference": "Observation/ArterialBloodPressureEp3" } }, { "url": "https://fhir.by/StructureDefinition/PerformedActivityEmergencyCareReference", "valueReference": { "reference": "Observation/ExampleObjectiveEp3" } } ], "url": "https://fhir.by/StructureDefinition/PerformedActivityEmergencyCare" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/EmergencyCareProvided", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/EmergencyCareProvided", "code": "stopping-bleeding", "display": "Остановка кровотечения" } ] } } ], "url": "https://fhir.by/StructureDefinition/EmergencyCareProvidedMedicines" } ], "identifier": [ { "type": { "coding": [ { "system": "https://fhir.by/ValueSet/IdentifierTypeEmergencyCare", "code": "Team-call-card-number" } ] }, "value": "998" }, { "type": { "coding": [ { "system": "https://fhir.by/ValueSet/IdentifierTypeEmergencyCare", "code": "Number-team" } ] }, "value": "116" } ], "status": "finished", "type": [ { "coding": [ { "system": "https://fhir.by/ValueSet/EmergencyCrewType", "code": "line", "display": "фельдшерская" } ] } ], "reason": [ { "use": { "coding": [ { "system": "https://fhir.by/ValueSet/EmergencyCallCategory", "code": "immediate", "display": "неотложный" } ] }, "value": [ { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/ImmediatlyCallReason", "code": "bleeding", "display": "кровотечение (желудочно-кишечное, маточное, носовое)" } ] } } ] } ], "diagnosis": [ { "condition": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/TypeOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfDiagnosis", "code": "mainDiagnosis", "display": "Основной диагноз" } ] } } ], "concept": { "text": "Носовое кровотечение" }, "reference": { "reference": "Condition/ExampleDiagnosisPrelEp3" } } ] } ], "patient": { "reference": "Patient/PatientBundleEp3" }, "managingOrganization": { "reference": "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f" }, "period": { "start": "2025-05-07", "end": "2025-05-07" } } } ] }