FHIR IG analytics| Package | ru.core |
| Resource Type | Composition |
| Id | Composition-example-core-composition-ivanov-consultation.json |
| FHIR Version | R5 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Основная информация:
Участники:
Аттестация:
Разделы документа:
{
"resourceType": "Composition",
"id": "example-core-composition-ivanov-consultation",
"meta": {
"profile": [
"https://fhir.ru/ig/core/StructureDefinition/core-composition"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"identifier": [
{
"use": "official",
"system": "https://fhir.ru/ig/core/systems/composition",
"value": "COMP-2024-001"
}
],
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "11506-3",
"display": "Progress note"
}
],
"text": "Запись о приеме"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/document-classcodes",
"code": "11506-3",
"display": "Progress note"
}
]
}
],
"subject": [
{
"reference": "Patient/example-core-patient-ivanov",
"display": "Иванов Иван Петрович"
}
],
"encounter": {
"reference": "Encounter/example-core-encounter-consultation",
"display": "Консультация терапевта"
},
"date": "2024-01-15T10:30:00Z",
"author": [
{
"reference": "PractitionerRole/example-core-practitionerrole-smirnov-therapist",
"display": "Смирнов Александр Иванович"
}
],
"title": "Запись о приеме пациента Иванова И.П.",
"attester": [
{
"mode": {
"coding": [
{
"code": "legal"
}
]
},
"time": "2024-01-15T10:30:00Z",
"party": {
"reference": "PractitionerRole/example-core-practitionerrole-smirnov-therapist",
"display": "Смирнов Александр Иванович"
}
}
],
"custodian": {
"reference": "Organization/example-core-organization-polyclinic",
"display": "ГБУЗ Городская поликлиника №1"
},
"section": [
{
"title": "Жалобы",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46239-0",
"display": "Chief complaint"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Пациент жалуется на повышенную температуру тела 38.5°C в течение 3 дней</div>"
},
"entry": [
{
"reference": "Observation/example-core-observation-ivanov-temperature",
"display": "Температура тела 38.5°C"
}
]
},
{
"title": "Объективный статус",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "8716-3",
"display": "Vital signs"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Состояние удовлетворительное. Температура тела 38.5°C. Кожные покровы бледные.</div>"
},
"entry": [
{
"reference": "Observation/example-core-observation-ivanov-temperature",
"display": "Температура тела 38.5°C"
}
]
},
{
"title": "Диагноз",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11506-3",
"display": "Progress note"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Предварительный диагноз: ОРВИ</div>"
},
"entry": [
{
"reference": "Condition/example-core-condition-ivanov-fever",
"display": "Повышенная температура"
}
]
},
{
"title": "Назначения",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11506-3",
"display": "Progress note"
}
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">1. Парацетамол 500 мг 3 раза в день<br/>2. Обильное питье<br/>3. Постельный режим</div>"
},
"entry": [
{
"reference": "MedicationRequest/example-core-medicationrequest-ivanov-paracetamol",
"display": "Назначение парацетамола"
}
]
}
]
}