{ "resourceType": "Bundle", "id": "BundleAllergyCase1", "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": "2025-11-17T11:30:00Z", "entry": [ { "fullUrl": "Composition/CompositionForAllergyCase1", "resource": { "resourceType": "Composition", "id": "CompositionForAllergyCase1", "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/pa-00000000-0000-0000-0000-000000000000" } ], "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "date": "2025-11-17T11:30:00Z", "author": [ { "reference": "Practitioner/00000000-0000-0000-0000-000000000000" } ], "title": "CompDocument для наполненного Bundle", "custodian": { "reference": "Organization/00000000-0000-0000-0000-000000000000" }, "event": [ { "detail": [ { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "MedicationRequest/mr-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "AllergyIntolerance/ag-00000000-0000-0000-0000-000000000000" } } ] } ] } }, { "fullUrl": "Patient/pa-00000000-0000-0000-0000-000000000000", "resource": { "resourceType": "Patient", "id": "PatientSelfExamCase4", "meta": { "lastUpdated": "2025-11-17T11:30:00Z", "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": "3_group", "display": "III группа" } ] } }, { "url": "https://fhir.by/StructureDefinition/DisabilityReason", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/DisabilityReason", "code": "ch-general", "display": "вследствие общего заболевания" } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientJobProfession", "valueString": "Экономист" }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "ОАО Экономика" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2015-09-01" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": true } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientJobProfession", "valueString": "Экономист" }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "ОАО СтройВозводи" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2015-09-01" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": false } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientStudyPlace", "valueString": "БГУ, экономический факультет" }, { "url": "https://fhir.by/StructureDefinition/PatientTermOfStudy", "valuePeriod": { "start": "2011-09-01", "end": "2015-07-01" } } ], "url": "https://fhir.by/StructureDefinition/PatientStudy" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientStudyPlace", "valueString": "ГБУ, факультет программирования" }, { "url": "https://fhir.by/StructureDefinition/PatientTermOfStudy", "valuePeriod": { "start": "2015-09-01", "end": "2018-07-01" } } ], "url": "https://fhir.by/StructureDefinition/PatientStudy" }, { "url": "https://fhir.by/StructureDefinition/PatientPreferences", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/VSPatientPreferences", "code": "6", "display": "Дети-инвалиды в возрасте до 18 лет и дети в возрасте до 3 лет." } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataBoolean", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataPeriod", "valuePeriod": { "start": "2024-08-01" } } ], "url": "https://fhir.by/StructureDefinition/ConsentPersonalData" } ], "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "INP" } ] }, "value": "7001112A009PB3" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 21.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2022-08-21" }, { "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": "MP1234560" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 22.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2022-08-21" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "temp", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "Resident-card" } ] }, "value": "MP3241533" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 22.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2022-08-21" }, { "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": "RCN", "display": "Удостоверение беженца" } ] }, "value": "UB3241533" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 23.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2023-08-21" }, { "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": "Identification-card-of-a-citizen-RB", "display": "Идентификационная карта гражданина Республики Беларусь" } ] }, "value": "BY1284120" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "1985-12-31" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 31.12.1985" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "official", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "CDP", "display": "Удостоверение инвалида" } ] }, "value": "AB3333333", "period": { "start": "2024-01-31" }, "assigner": { "reference": "Organization/00000000-0000-0000-0000-000000000000" } }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 31.12.1985" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "1985-12-31" }, { "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": "BC", "display": "Свидетельство о рождении" } ] }, "value": "АВ1234567" } ], "active": true, "name": [ { "family": "Алексеев", "given": [ "Василий", "Петрович" ] } ], "telecom": [ { "system": "phone", "value": "80290000000" }, { "system": "email", "value": "test_mail@mail.by" } ], "gender": "male", "birthDate": "1985-12-31", "deceasedBoolean": false, "address": [ { "use": "home", "text": "РБ, г. Минск, пр-т Независимости д.28, кв.101", "city": "Minsk city", "state": "Minskaya oblast", "country": "Belarus" }, { "use": "temp", "text": "РБ, г. Минск, пр-т Победителей д.28, кв.101", "city": "Minsk city", "state": "Minskaya oblast", "country": "Belarus" } ], "maritalStatus": { "coding": [ { "system": "https://fhir.by/ValueSet/MaritalStatus", "code": "married" } ] } } }, { "fullUrl": "Encounter/EncounterAllergyCase1", "resource": { "resourceType": "Encounter", "id": "EncounterAllergyCase1", "meta": { "profile": [ "https://fhir.by/StructureDefinition/EncounterGeneral" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/EncounterTypeOfVisit", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/EncounterTypeOfVisit", "code": "primary", "display": "первичное обращение" } ] } }, { "url": "https://fhir.by/StructureDefinition/EncounterTypeOfService", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/EncounterTypeOfService", "code": "insurance", "display": "Услуги предоставленные в рамках договора добровольного страхования" } ] } } ], "identifier": [ { "value": "1234/8", "assigner": { "reference": "Organization/00000000-0000-0000-0000-000000000000" } } ], "status": "completed", "class": [ { "coding": [ { "system": "https://fhir.by/ValueSet/VSTermsOfService", "code": "2", "display": "стационарные" } ] } ], "priority": { "coding": [ { "system": "https://fhir.by/ValueSet/HealthCareForms", "code": "planned", "display": "Плановая медицинская помощь" } ] }, "type": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfHealthCare", "code": "special", "display": "Специализированная медицинская помощь" } ] } ], "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "serviceProvider": { "reference": "Organization/00000000-0000-0000-0000-000000000000" }, "participant": [ { "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } } ], "actualPeriod": { "start": "2025-11-17T11:20:00Z", "end": "2025-11-17T11:20:00Z" }, "diagnosis": [ { "condition": [ { "reference": { "reference": "Condition/ea-00000000-0000-0000-0000-000000000000" } } ], "use": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfDiagnosis", "code": "mainDiagnosis" } ] } ] } ] } }, { "fullUrl": "Observation/TempAllergyCase1", "resource": { "resourceType": "Observation", "id": "TempAllergyCase1", "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": "body-temperature" } ] }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "effectiveDateTime": "2025-11-17T11:20:00Z", "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "valueQuantity": { "value": 37.7, "unit": "°C", "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy", "code": "Cel" } } }, { "fullUrl": "Observation/SkinAllergyCase1", "resource": { "resourceType": "Observation", "id": "SkinAllergyCase1", "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": "skin", "display": "Кожный покров" } ] }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "effectiveDateTime": "2025-11-17T11:20:00Z", "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "valueString": "Локализация сыпи в области нанесения мази в паховой области, на предплечье. \n Элементы сыпи рассеянные. Кожа в зоне поражения ярко-розовая. Присутствуют \n следы расчесов, что свидетельствует об интенсивном зуде." } }, { "fullUrl": "AllergyIntolerance/ExampleAllergyIntolerCase1", "resource": { "resourceType": "AllergyIntolerance", "id": "ExampleAllergyIntolerCase1", "meta": { "lastUpdated": "2025-11-17T11:25:00Z", "profile": [ "https://fhir.by/StructureDefinition/AllergyIntoleranceBy" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/MedicationAllergy", "valueReference": { "reference": "Medication/b277d2a8-c79e-4531-947e-b52810985cd5" } }, { "url": "https://fhir.by/StructureDefinition/AllergyIntolerCategory", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/AllergyIntoleranceCauses", "code": "medications", "display": "Лекарственные препараты" } ] } }, { "url": "https://fhir.by/StructureDefinition/HospitalisationReference", "valueReference": { "reference": "EpisodeOfCare/ha-00000000-0000-0000-0000-000000000000" } } ], "clinicalStatus": { "coding": [ { "system": "https://fhir.by/ValueSet/AllergyIntoleranceClinicalStatus", "code": "active", "display": "Наличие симптомов и/или клинических проявлений" } ] }, "verificationStatus": { "coding": [ { "system": "https://fhir.by/ValueSet/AllergyIntoleranceVerificationStatus", "code": "confirmed", "display": "Подтвержденная: клинически или лабораторно подтвержден факт аллергии/непереносимости" } ] }, "type": { "coding": [ { "system": "https://fhir.by/ValueSet/AllergyIntoleranceType", "code": "allergy", "display": "Аллергия (иммунный механизм реакции)" } ] }, "category": [ "medication" ], "criticality": "high", "patient": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "onsetDateTime": "2025-11-17", "participant": [ { "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } } ], "note": [ { "text": "Аллергия на мазь Левомеколь выявлена в стационаре. \n Клинические проявления: элементы сыпи в области нанесения (паховая область, предплечье), выраженный зуд,\n повышение температуры. Аллергия подтверждена клинически." } ], "reaction": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/Measures", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/AEReportMeasures", "code": "medication-discontinuation", "display": "отмена подозреваемого препарата" } ] } }, { "url": "https://fhir.by/StructureDefinition/Measures", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/AEReportMeasures", "code": "pharmacological-treatment", "display": "применение медикаментозной терапии" } ] } }, { "url": "https://fhir.by/StructureDefinition/Measures", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/AEReportMeasures", "code": "other", "display": "другое" } ], "text": "Замена мази Левомеколь на мазь Банеоцин" } }, { "url": "https://fhir.by/StructureDefinition/MedicationsCode", "valueReference": { "reference": "MedicationRequest/mr-00000000-0000-0000-0000-000000000000" } } ], "manifestation": [ { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } }, { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } } ], "description": "После двух нанесений препарата отмечены: повышение температуры, сыпь, выраженная гиперемия кожи в зоне нанесения.", "onset": "2025-11-15", "exposureRoute": { "coding": [ { "system": "https://fhir.by/ValueSet/MedicationRouteAdmin", "code": "227", "display": "на очаг повреждения" } ] } } ] } }, { "fullUrl": "MedicationRequest/ExampleMedicationOrderCetirizineCase1", "resource": { "resourceType": "MedicationRequest", "id": "ExampleMedicationOrderCetirizineCase1", "meta": { "profile": [ "https://fhir.by/StructureDefinition/MedicationOrder" ] }, "status": "completed", "intent": "order", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfTherapyType", "code": "inpatient", "display": "Лечение, проведенное в условиях стационара" } ] } ], "medication": { "reference": { "reference": "Medication/00000000-0000-0000-0000-000000000000" } }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "informationSource": [ { "reference": "Organization/00000000-0000-0000-0000-000000000000" } ], "authoredOn": "2025-05-17T11:12:21Z", "requester": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "reason": [ { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } } ], "effectiveDosePeriod": { "start": "2025-11-17", "end": "2025-11-21" }, "dosageInstruction": [ { "patientInstruction": "Принимать внутрь по 1 таблетке один раз в сутки в течение 5 дней", "route": { "coding": [ { "system": "https://fhir.by/ValueSet/MedicationRouteAdmin", "code": "048", "display": "для приема внутрь" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 10, "unit": "мг", "system": "https://fhir.by/ValueSet/MedicationByUnits", "code": "mg" } } ] } ] } } ] }