{ "resourceType": "Bundle", "id": "BundleEncObservCase3", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "timestamp": "2026-03-13T16:00:00Z", "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3987", "value": "urn:uuid:6c3151bd-1cbf-4d64-b04d-cd9187a4c6t9" }, "type": "document", "entry": [ { "fullUrl": "Composition/CompositionBundleEncObservCase3", "resource": { "resourceType": "Composition", "id": "CompositionBundleEncObservCase3", "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": "2026-03-13T16:00:00Z", "author": [ { "reference": "Practitioner/00000000-0000-0000-0000-000000000000" } ], "title": "CompDocument о повторном 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": "QuestionnaireResponse/ma-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/ExampleEncounterEncObservCase3", "resource": { "resourceType": "Encounter", "id": "ExampleEncounterEncObservCase3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/EncounterGeneral" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/EncounterTypeOfVisit", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/EncounterTypeOfVisit", "code": "repeated", "display": "повторное обращение" } ] } }, { "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": "2026-03-13T16:00:00Z", "end": "2026-03-13T16:00:00Z" }, "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/ExampleDiagnosisEncObservCase3", "resource": { "resourceType": "Condition", "id": "ExampleDiagnosisEncObservCase3", "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": "2026-03-13" } ], "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": "2026-03-13", "recordedDate": "2026-03-13" } }, { "fullUrl": "Observation/ExampleObservCaseComplaints3", "resource": { "resourceType": "Observation", "id": "ExampleObservCaseComplaints3", "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": "2026-03-13T16:00:00Z", "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "valueString": "Жалобы на головные боли, одышка при физической нагрузке. После приема назначенного Метопролола головокружения нет." } }, { "fullUrl": "Observation/ArterialBloodPressureForEncObserv3", "resource": { "resourceType": "Observation", "id": "ArterialBloodPressureForEncObserv3", "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": "2026-03-13T16:00:00Z", "performer": [ { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } ], "component": [ { "code": { "coding": [ { "system": "https://fhir.by/ValueSet/VitalSignsCodes", "code": "systolic-arterial-blood-pressure" } ] }, "valueQuantity": { "value": 135, "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": 85, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] } }, { "fullUrl": "QuestionnaireResponse/ExampleAVBadHabitsCase3", "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": "2026-03-13T16:00:00Z", "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 1 сигарету 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": "MedicationRequest/ExampleMedicationOrderEncCase3", "resource": { "resourceType": "MedicationRequest", "id": "ExampleMedicationOrderEncCase3", "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": "2026-03-13T16:00:00Z", "requester": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "reason": [ { "reference": { "reference": "Condition/ea-00000000-0000-0000-0000-000000000000" } } ], "effectiveDosePeriod": { "start": "2026-03-13", "end": "2026-04-16" }, "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" } } ] } ] } } ] }