{ "resourceType": "Bundle", "id": "BundleEncObservCase2", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "timestamp": "2026-03-04T16:00:00Z", "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3987", "value": "urn:uuid:6c3151bd-1cbf-4d64-b04d-cd9187a4c6t9" }, "type": "document", "entry": [ { "fullUrl": "Composition/CompositionBundleEncObservCase2", "resource": { "resourceType": "Composition", "id": "CompositionBundleEncObservCase2", "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": "2026-03-04T16:00:00Z", "author": [ { "reference": "Practitioner/00000000-0000-0000-0000-000000000000" } ], "title": "CompDocument о первичном посещении пациентом врача общей практики", "custodian": { "reference": "Organization/00000000-0000-0000-0000-000000000000" }, "event": [ { "detail": [ { "reference": { "reference": "Condition/ea-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "Observation/oa-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "FamilyMemberHistory/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "Questionnarie/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "QuestionnaireResponse/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "QuestionnaireResponse/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "QuestionnaireResponse/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "QuestionnaireResponse/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "QuestionnaireResponse/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "QuestionnaireResponse/ma-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "ServiceRequest/sr-00000000-0000-0000-0000-000000000000" } } ] }, { "detail": [ { "reference": { "reference": "MedicationRequest/mr-00000000-0000-0000-0000-000000000000" } } ] } ] } }, { "fullUrl": "Patient/pa-00000000-0000-0000-0000-000000000000", "resource": { "resourceType": "Patient", "id": "PatientTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/PatientWithIdentificationNumber" ] }, "name": [ { "family": "Иванова", "given": [ "Полина", "Михайловна" ] } ], "identifier": [ { "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "INP" } ] }, "value": "7551323A009PB7" }, { "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", "version": "1.3", "code": "Minsk", "display": "Минск" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "version": "1.10", "code": "Passport-RB", "display": "Паспорт гражданина Республики Беларусь" } ] }, "value": "MP1955212" } ], "active": true, "telecom": [ { "system": "phone", "value": "+375123456789" } ], "gender": "female", "birthDate": "1980-12-31", "deceasedBoolean": false, "address": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/CoutryForAddresses", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CitizenshipCode", "version": "1.51", "code": "BY", "display": "Беларусь" } ] } }, { "url": "https://fhir.by/StructureDefinition/StreetGeoRegistry", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/StreetGeoRegistry", "version": "1.3", "code": "517030229743858774", "display": "Минск, г. Минск, Улица Уручская, д. 23 к.2" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 101" } ], "use": "home", "text": "г. Минск, Улица Уручская" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/CoutryForAddresses", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CitizenshipCode", "version": "1.51", "code": "BY", "display": "Беларусь" } ] } }, { "url": "https://fhir.by/StructureDefinition/StreetGeoRegistry", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/StreetGeoRegistry", "version": "1.3", "code": "517030229743858774", "display": "Минск, г. Минск, Улица Уручская, д. 23 к.1201" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 1201" } ], "use": "temp", "text": "г. Минск, Улица Уручская" } ] } }, { "fullUrl": "Encounter/ExampleEncounterEncObservCase2", "resource": { "resourceType": "Encounter", "id": "ExampleEncounterEncObservCase2", "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" } ] } }, { "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": "1", "display": "амбулаторные" } ] } ], "priority": { "coding": [ { "system": "https://fhir.by/ValueSet/HealthCareForms", "code": "planned", "display": "Плановая медицинская помощь" } ] }, "type": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfHealthCare", "code": "primary", "display": "Первичная 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": "2026-03-04T16:00:00Z", "end": "2026-03-04T16:00:00Z" }, "diagnosis": [ { "condition": [ { "reference": { "reference": "Condition/ea-00000000-0000-0000-0000-000000000000", "display": "I11.9 - Гипертензивная [гипертоническая] болезнь с преимущественным поражением сердца без (застойной) сердечной недостаточности" } } ], "use": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfDiagnosis", "code": "mainDiagnosis", "display": "Основной диагноз" } ] } ] } ], "location": [ { "location": { "reference": "Location/00000000-0000-0000-0000-000000000000" } } ] } }, { "fullUrl": "Condition/ExampleDiagnosisEncObservCase1", "resource": { "resourceType": "Condition", "id": "ExampleDiagnosisEncObservCase1", "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": "2026-03-04" } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "code": { "coding": [ { "system": "https://fhir.by/ValueSet/InternClassificDiseases10", "code": "I11.9", "display": "I11.9 - Гипертензивная [гипертоническая] болезнь с преимущественным поражением сердца без (застойной) сердечной недостаточности" } ] }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "onsetDateTime": "2026-03-04", "recordedDate": "2026-03-04" } }, { "fullUrl": "Observation/ExampleObservCaseComplaints2", "resource": { "resourceType": "Observation", "id": "ExampleObservCaseComplaints2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/ObservationSubjective" ] }, "status": "final", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ObservationCategoryCode", "code": "exam", "userSelected": false } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/ObservationSubjectiveCode", "code": "complaints", "display": "Жалобы" } ] }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000", "display": "Осмотр терапевта" }, "effectiveDateTime": "2026-03-04T16:00:00Z", "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "valueString": "Жалобы на головные боли, головокружения, одышка при физической нагрузке" } }, { "fullUrl": "Observation/ArterialBloodPressureForEncObserv2", "resource": { "resourceType": "Observation", "id": "ArterialBloodPressureForEncObserv2", "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": "arterial-blood-pressure" } ] }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "effectiveDateTime": "2026-03-04T16:00:00Z", "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "component": [ { "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "systolic-arterial-blood-pressure" } ] }, "valueQuantity": { "value": 140, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } }, { "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "diastolic-arterial-blood-pressure" } ] }, "valueQuantity": { "value": 93, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] } }, { "fullUrl": "Observation/ExampleObservationCardiovascular", "resource": { "resourceType": "Observation", "id": "ExampleObservationCardiovascular", "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": "cardiovascular", "display": "Сердечно-сосудистая система" } ] }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "effectiveDateTime": "2026-03-04T16:00:00Z", "issued": "2026-03-04T16:00:00Z", "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "valueString": "Артериальное давление повышено. При аускультации сердца — усиление тонов" } }, { "fullUrl": "FamilyMemberHistory/FamilyMemberHistoryCase2", "resource": { "resourceType": "FamilyMemberHistory", "id": "FamilyMemberHistoryCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FamilyMemberHistoryBy" ] }, "status": "completed", "patient": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "date": "2026-03-04T16:00:00Z", "participant": [ { "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } } ], "name": "Алексеева Антонина Алексеевна", "relationship": { "coding": [ { "system": "https://fhir.by/ValueSet/FamilyMemeberRelationship", "code": "Grandmother" } ] }, "sex": { "coding": [ { "system": "https://fhir.by/ValueSet/administrative-gender", "code": "female" } ] }, "condition": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/FamilyMemberConditionType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/FamilyMemberConditionType", "code": "cvd", "display": "Сердечно-сосудистые заболевания" } ] } } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/InternClassificDiseases10", "code": "I11.9", "display": "I11.9 - Гипертензивная [гипертоническая] болезнь с преимущественным поражением сердца без (застойной) сердечной недостаточности" } ] } } ] } }, { "fullUrl": "QuestionnaireResponse/ExampleFamilyAnamnesisCase2", "resource": { "resourceType": "QuestionnaireResponse", "id": "ExampleFamilyAnamnesisCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FamilyAnamnesisBY" ] }, "questionnaire": "https://fhir.by/Questionnaire/FamilyAnamnesis", "status": "completed", "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "authored": "2026-03-04T16:00:00Z", "author": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "source": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "item": [ { "linkId": "1", "text": "Семейный анамнез отягощен?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "FM", "text": "Заболевание родственника #1", "answer": [ { "valueReference": { "reference": "FamilyMemberHistory/ma-00000000-0000-0000-0000-000000000000" } } ] } ] } }, { "fullUrl": "QuestionnaireResponse/ExampleFisicalDevelopmentAdultCase2", "resource": { "resourceType": "QuestionnaireResponse", "id": "ExampleFisicalDevelopmentAdultCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/AVFisicalDevelopmentAdult" ] }, "questionnaire": "https://fhir.by/Questionnaire/QAVFisicalDevelopmentAdult", "status": "completed", "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "authored": "2026-03-04T16:00:00Z", "author": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "source": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "item": [ { "linkId": "1", "text": "Занятие спортом", "answer": [ { "valueBoolean": true } ] }, { "linkId": "1.1", "text": "Плавание" }, { "linkId": "2", "text": "Служба в армии", "answer": [ { "valueBoolean": false } ] } ] } }, { "fullUrl": "QuestionnaireResponse/ExampleAVBadHabitsCase2", "resource": { "resourceType": "QuestionnaireResponse", "id": "ExampleAVBadHabitsCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/AVBadHabits" ] }, "questionnaire": "https://fhir.by/Questionnaire/QAVBadHabits", "status": "completed", "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "authored": "2026-03-04T16:00:00Z", "author": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "source": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "item": [ { "linkId": "1", "text": "Курение", "answer": [ { "valueBoolean": true } ] }, { "linkId": "1.1", "text": "Дополнительная информация о курении", "answer": [ { "valueString": "Пациент курит 3-5 сигарет в день" } ] }, { "linkId": "2", "text": "Употребление алкоголя", "answer": [ { "valueBoolean": true } ] }, { "linkId": "2.1", "text": "Дополнительная информация об употреблении алкоголя", "answer": [ { "valueString": "Алкоголь принимает в умеренных количествах по праздникам" } ] }, { "linkId": "3", "text": "Употребление наркотиков", "answer": [ { "valueCoding": { "code": "N" } } ] } ] } }, { "fullUrl": "QuestionnaireResponse/ExampleLivingConditionsCase2", "resource": { "resourceType": "QuestionnaireResponse", "id": "ExampleLivingConditionsCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/AVLivingConditions" ] }, "questionnaire": "https://fhir.by/Questionnaire/QAVLivingConditions", "status": "completed", "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "authored": "2026-03-04T16:00:00Z", "author": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "source": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "item": [ { "linkId": "1", "text": "Жилищные условия удовлетворительные", "answer": [ { "valueBoolean": true } ] }, { "linkId": "1.1", "text": "Описание жилищных условий", "answer": [ { "valueString": "Проживает с мужем в отдельной квартире" } ] } ] } }, { "fullUrl": "QuestionnaireResponse/ExamplePreviousDiseasesCase2", "resource": { "resourceType": "QuestionnaireResponse", "id": "ExamplePreviousDiseasesCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/AVPreviousDiseases" ] }, "questionnaire": "https://fhir.by/Questionnaire/QAVPreviousDiseases", "status": "completed", "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "authored": "2026-03-04T16:00:00Z", "author": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "source": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "item": [ { "linkId": "1", "text": "Хронический вирусный гепатит?", "answer": [ { "valueCoding": { "system": "https://fhir.by/ValueSet/VSExpandedYesNOIndicator", "code": "N" } } ] }, { "linkId": "2", "text": "Инфицирован вирусом иммунодефицита человека?", "answer": [ { "valueCoding": { "system": "https://fhir.by/ValueSet/VSExpandedYesNOIndicator", "code": "N" } } ] }, { "linkId": "3", "text": "Туберкулез?", "answer": [ { "valueCoding": { "system": "https://fhir.by/ValueSet/VSExpandedYesNOIndicator", "code": "N" } } ] }, { "linkId": "4", "text": "Перенесенные (в том числе инфекционные) заболевания (уточненные)?" }, { "linkId": "5", "text": "Перенесенные (в том числе инфекционные) заболевания (со слов пациента)", "answer": [ { "valueString": "Простудные заболевания" } ] }, { "linkId": "6", "text": "Полученные ранее травмы (уточненные)" }, { "linkId": "7", "text": "Полученные ранее травмы (со слов пациента)", "answer": [ { "valueString": "Перелом костей правой голени в 2010 году" } ] }, { "linkId": "8", "text": "Перенесенные хирургические вмешательства (уточненные)" }, { "linkId": "9", "text": "Перенесенные хирургические вмешательства (со слов пациента)", "answer": [ { "valueString": "Оперирован по поводу острого аппендицита в детстве" } ] } ] } }, { "fullUrl": "QuestionnaireResponse/ExampleOccupationHistoryCase2", "resource": { "resourceType": "QuestionnaireResponse", "id": "ExampleOccupationHistoryCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/AVOccupationHistory" ] }, "questionnaire": "https://fhir.by/Questionnaire/QAVOccupationHistory", "status": "completed", "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "authored": "2026-03-04T16:00:00Z", "author": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "source": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "item": [ { "linkId": "1", "text": "Пациент работает", "answer": [ { "valueBoolean": true } ] }, { "linkId": "1.1", "text": "Наличие вредных и опасных условий труда (со слов пациента)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "1.1.1", "text": "Описание условий труда (со слов пациента)", "answer": [ { "valueString": "Работает слесарем-наладчиком станков в горячем цеху" } ] } ] } }, { "fullUrl": "QuestionnaireResponse/QRObstetrGynecAnamnesisCase2", "resource": { "resourceType" : "QuestionnaireResponse", "id" : "QRObstetrGynecAnamnesisCase2", "meta" : { "versionId" : "1", "lastUpdated" : "2026-03-04T16:00:00Z", "profile" : [ "https://fhir.by/StructureDefinition/QRObstetrGynecAnamnesis" ] }, "questionnaire" : "https://fhir.by/Questionnaire/QObstetrGynecAnamnesis", "status" : "completed", "subject" : { "reference" : "Patient/pa-00000000-0000-0000-0000-000000000000" }, "authored" : "2026-03-04T16:00:00Z", "author" : { "reference" : "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "source" : { "reference" : "Patient/pa-00000000-0000-0000-0000-000000000000" }, "item" : [ { "linkId" : "1", "text" : "Информация о состоянии менструального цикла", "item" : [ { "linkId" : "1.1", "text" : "Возраст, в котором началась менструация (полных лет)", "answer" : [ { "valueInteger" : 14 } ] }, { "linkId" : "1.2", "text" : "Сроки установления менструального цикла", "answer" : [ { "valueString" : "через 8 месяцев" } ] }, { "linkId" : "1.3", "text" : "Продолжительность менструального цикла", "answer" : [ { "valueString" : "29 дней" } ] }, { "linkId" : "1.4", "text" : "Длительность менструации", "answer" : [ { "valueString" : "6 дней" } ] }, { "linkId" : "1.5", "text" : "Интенсивность менструаций", "answer" : [ { "valueCoding" : { "system" : "https://fhir.by/ValueSet/MenstrualBleeding", "code" : "moderate" } } ] }, { "linkId" : "1.6", "text" : "Регулярность менструаций", "answer" : [ { "valueCoding" : { "system" : "https://fhir.by/ValueSet/MenstrualCycle", "code" : "regular" } } ] }, { "linkId" : "1.7", "text" : "Болезненность менструаций", "answer" : [ { "valueCoding" : { "system" : "https://fhir.by/ValueSet/MenstrualPain", "code" : "painless" } } ] }, { "linkId" : "1.8", "text" : "Дата последней менструации", "answer" : [ { "valueDateTime" : "2025-03-21T00:00:00Z" } ] }, { "linkId" : "1.9", "text" : "Изменения характера менструаций после начала половой жизни", "answer" : [ { "valueString" : "без изменений" } ] }, { "linkId" : "1.10", "text" : "Изменения характера менструаций после родов", "answer" : [ { "valueString" : "менструации стали более регулярными" } ] } ] }, { "linkId" : "2", "text" : "Половая функция", "item" : [ { "linkId" : "2.1", "text" : "Возраст, в котором началась половая жизнь (полных лет)", "answer" : [ { "valueInteger" : 19 } ] }, { "linkId" : "2.2", "text" : "Количество браков", "answer" : [ { "valueInteger" : 1 } ] }, { "linkId" : "2.3", "text" : "Случайные половые связи", "answer" : [ { "valueString" : "Нет" } ] }, { "linkId" : "2.4", "text" : "Метод контрацепции (длительность и эффективность)", "answer" : [ { "valueString" : "барьерный метод, 2 года, эффективен" }, { "valueString" : "гормональные контрацептивы, 3 года, эффективны" } ] } ] }, { "linkId" : "3", "text" : "Репродуктивная функция", "item" : [ { "linkId" : "3.1", "text" : "Период времени от начала половой жизни до наступления первой беременности", "answer" : [ { "valueString" : "3 года" } ] }, { "linkId" : "3.2", "text" : "Причина длительного отсутствия беременности", "answer" : [ { "valueString" : "использование контрацепции" } ] }, { "linkId" : "3.3", "text" : "Количество беременностей", "answer" : [ { "valueInteger" : 1 } ] }, { "linkId" : "3.4", "text" : "Беременности", "item" : [ { "linkId" : "3.4.1", "text" : "Год беременности", "answer" : [ { "valueString" : "2024" } ] }, { "linkId" : "3.4.2", "text" : "Течение беременности", "answer" : [ { "valueString" : "физиологическое" } ] }, { "linkId" : "3.4.3", "text" : "Чем окончилась беременность", "answer" : [ { "valueCoding" : { "system" : "https://fhir.by/ValueSet/InternClassificDiseases10", "code" : "O80-O84", "display" : "O80-O84 - РОДОРАЗРЕШЕНИЕ" } } ] }, { "linkId" : "3.4.4", "text" : "В какой срок окончилась беременность (недели)", "answer" : [ { "valueInteger" : 40 } ] }, { "linkId" : "3.4.5", "text" : "Осложнения беременности (уточненные)", "answer" : [ { "valueCoding" : { "system" : "https://fhir.by/ValueSet/InternClassificDiseases10", "code" : "O10.0", "display" : "O10.0 - Существовавшая ранее эссенциальная гипертензия, осложняющая беременность, роды и послеродовой период" } } ] }, { "linkId" : "3.4.6", "text" : "Осложнения беременности (со слов пациента)", "answer" : [ { "valueString" : "Токсикоз в первом триместре" } ] } ] }, { "linkId" : "3.5", "text" : "Информация по родам", "item" : [ { "linkId" : "3.5.1", "text" : "На каком сроке были роды (количество недель)", "answer" : [ { "valueInteger" : 40 } ] }, { "linkId" : "3.5.2", "text" : "Дата родов", "answer" : [ { "valueDateTime" : "2024-01-01T08:30:00Z" } ] }, { "linkId" : "3.5.3", "text" : "Операции, выполняемые в родах", "answer" : [ { "valueString" : "эпизиотомия" } ] }, { "linkId" : "3.5.4", "text" : "Операции, выполняемые после родов", "answer" : [ { "valueString" : "не проводились" } ] }, { "linkId" : "3.5.5", "text" : "Продолжительность родов (часы)", "answer" : [ { "valueInteger" : 14 } ] }, { "linkId" : "3.5.6", "text" : "Течение родов", "answer" : [ { "valueString" : "физиологическое" } ] }, { "linkId" : "3.5.7", "text" : "Осложнения родов (уточненные)", "answer" : [ { "valueCoding" : { "system" : "https://fhir.by/ValueSet/InternClassificDiseases10", "code" : "O75.8", "display" : "O75.8 - Другие уточненные осложнения родов и родоразрешения" } } ] }, { "linkId" : "3.5.8", "text" : "Осложнения родов (со слов пациента)", "answer" : [ { "valueString" : "Без осложнений" } ] }, { "linkId" : "3.5.9", "text" : "Диагноз, установленный после родов", "answer" : [ { "valueCoding" : { "system" : "https://fhir.by/ValueSet/InternClassificDiseases10", "code" : "O00.0", "display" : "O00.0 - Абдоминальная брюшная беременность" } } ] } ] }, { "linkId" : "3.6", "text" : "Количество живых детей", "answer" : [ { "valueInteger" : 1 } ] }, { "linkId" : "3.7", "text" : "Причины смерти детей", "answer" : [ { "valueString" : "нет" } ] }, { "linkId" : "3.8", "text" : "Дата наступления климактерического периода", "answer" : [ { "valueString" : "не наступил" } ] }, { "linkId" : "3.9", "text" : "Протекание климактерического периода", "answer" : [ { "valueString" : "не применимо" } ] } ] } ] } }, { "fullUrl": "ServiceRequest/ExampleSRConsultEncCase2", "resource": { "resourceType": "ServiceRequest", "id": "ExampleSRConsultEncCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/ServiceRequestConsult" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/SpecialtyCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ServiceSpecialtyBy", "code": "C013", "display": "Кардиология" } ] } }, { "url": "https://fhir.by/StructureDefinition/RequestFromOrganization", "valueReference": { "reference": "Organization/00000000-0000-0000-0000-000000000000" } } ], "status": "active", "intent": "directive", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/HealthcareServiceCategory", "code": "02/1", "display": "Амбулаторно-поликлиническая помощь взрослому населению" } ] } ], "priority": "routine", "code": { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/HealthcareServiceTypeB", "code": "B01-013-001", "display": "Прием (осмотр, консультация) врача-кардиолога первичный" } ] } }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "authoredOn": "2026-03-04T16:00:00Z", "requester": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "reason": [ { "concept": { "text": "Гипертензивная болезнь. Жалобы на головные боли, головокружения, одышка при физической нагрузке, шум в ушах." } } ] } }, { "fullUrl": "MedicationRequest/ExampleMedicationOrderEncCase2", "resource": { "resourceType": "MedicationRequest", "id": "ExampleMedicationOrderEncCase2", "meta": { "profile": [ "https://fhir.by/StructureDefinition/MedicationOrder" ] }, "status": "active", "intent": "order", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfTherapyType", "code": "course", "display": "Короткий курс медикаментозной терапии" } ] } ], "medication": { "reference": { "reference": "Medication/4aec80d3-53ae-4c0b-b01b-915afaa86a46" } }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "informationSource": [ { "reference": "Organization/00000000-0000-0000-0000-000000000000" } ], "encounter": { "reference": "Encounter/ea-00000000-0000-0000-0000-000000000000" }, "authoredOn": "2026-03-04T16:00:00Z", "requester": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "reason": [ { "reference": { "reference": "Condition/ea-00000000-0000-0000-0000-000000000000" } } ], "effectiveDosePeriod": { "start": "2026-03-04", "end": "2026-03-12" }, "dosageInstruction": [ { "patientInstruction": "Принимать по 50 мг два раза в день (утром и вечером). Таблетки принимают внутрь независимо от приема пищи, не разжевывая и запивая достаточным количеством питьевой воды.", "timing": { "repeat": { "frequency": 2, "period": 1, "periodUnit": "d" }, "code": { "text": "Во время еды или непосредственно перед едой" } }, "route": { "coding": [ { "system": "https://fhir.by/ValueSet/MedicationRouteAdmin", "code": "048", "display": "для приема внутрь" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1, "unit": "таблетка", "system": "https://fhir.by/ValueSet/MedicationByUnits", "code": "tablet" } } ] } ] } } ] }