Единая платформа цифрового здравоохранения Узбекистана
0.10.0 - draft
This page is part of the Uzbekistan Digital Health Platform (v0.10.0: Releases Draft) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
| Официальный URL: https://dhp.uz/fhir/core/StructureDefinition/uz-core-condition | Версия: 0.10.0 | ||||
| Active по состоянию на 2026-09-29 | Вычисляемое имя: UZCoreCondition | ||||
Uzbekistan Core Condition profile, used for documenting a patient's symptoms, conditions, and their characteristics
UZ Core Condition содержит сведения о диагнозе, проблеме или другом клиническом состоянии пациента на Цифровой платформе здравоохранения (DHP, Digital Health Platform). Для кодирования клинических состояний используются ICD-10 или SNOMED CT; применение ICD-11 запланировано. Condition связывается с Patient и с посещением, в рамках которого он был зарегистрирован. Encounter, в свою очередь, может указывать на Condition как на один из диагнозов; соответствующий код диагноза используется при формировании отчётности.
Приведённые ниже элементы должны либо всегда присутствовать (mandatory), либо поддерживаться при наличии данных (Must Support). Не все из них являются обязательными, однако система должна заполнять каждый элемент Must Support, если соответствующие данные имеются, и обрабатывать его при получении. Это человекочитаемое резюме; точные кардинальности, типы и терминологические привязки приведены ниже в формальных представлениях.
Этот профиль не добавляет собственных обязательных кардинальностей. Обязательные элементы унаследованы от базового ресурса: клинический статус (1..1) и subject - пациент, к которому относится клиническое состояние.
code соответствует концепту SNOMED Disability, классификация инвалидности обязательна);code, идентифицирующий само клиническое состояние (ICD-10 или SNOMED CT; предпочтительная привязка к ValueSet состояний DHP);diagnosisType - например, основной диагноз или диагноз направившей организации (0..1);bodySite;subject и Encounter, в рамках которого клиническое состояние было зарегистрировано;onset[x], время прекращения или разрешения abatement[x], а также recordedDate;participant (0..*) - участника, указавшего клиническое состояние, и его функцию;
verificationStatusне является обязательным, однако вместе с обязательнымclinicalStatusопределяет, будет ли состояние отображаться в последующих представлениях как активная подтверждённая проблема. Если данные известны, следует заполнять оба элемента.
В примерах ниже показан переход от минимального экземпляра, принимаемого сервером, к полному кодированному диагнозу. Скопируйте подходящий пример и адаптируйте его: все приведённые значения проходят валидацию по этому профилю. Полные эталонные экземпляры доступны по ссылкам в нижней части страницы (головная боль, онкологическое заболевание, инвалидность).
Обязательные элементы Condition - subject (Patient, к которому относится состояние) и clinicalStatus (оба имеют кардинальность 1..1). Condition имеет практический смысл только при наличии code, указывающего, какое именно состояние зарегистрировано. Каждый ресурс UZ Core также должен указывать в meta.profile профиль, которому он заявляет соответствие, чтобы сервер знал, по каким правилам выполнять валидацию. code связан с ValueSet состояний DHP (ICD-10 или SNOMED CT; preferred), clinicalStatus имеет тип CodeableConcept и связан с ValueSet клинических статусов DHP, а subject представляет собой обычный Reference на Patient. Приведённого набора уже достаточно для прохождения валидации:
{
"resourceType": "Condition",
"meta": {
"profile": ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-condition"]
},
"clinicalStatus": {
"coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" }]
},
"code": {
"coding": [{ "system": "http://hl7.org/fhir/sid/icd-10", "code": "G43.9", "display": "Migraine, unspecified" }]
},
"subject": { "reference": "Patient/example-patient" }
}
В настоящее время используются системы кодирования ICD-10 и SNOMED CT; поддержка ICD-11 запланирована. Рекомендации по выбору системы приведены в разделе Терминология.
На практике передаётся клинический контекст, поддержку которого ожидает платформа: clinicalStatus и verificationStatus (вместе они определяют, будет ли состояние отображаться как активная подтверждённая проблема), дата начала (onsetDateTime) и дата регистрации (recordedDate). Свободный текст в note содержит клиническое описание специалиста:
{
"resourceType": "Condition",
"meta": {
"profile": ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-condition"]
},
"clinicalStatus": {
"coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active", "display": "Active" }]
},
"verificationStatus": {
"coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed", "display": "Confirmed" }]
},
"code": {
"coding": [{ "system": "http://hl7.org/fhir/sid/icd-10", "code": "G43.9", "display": "Migraine, unspecified" }]
},
"subject": { "reference": "Patient/example-patient" },
"onsetDateTime": "2025-07-25",
"recordedDate": "2025-07-29",
"note": [
{ "text": "Patient reported a mild migraine lasting two days; advised rest, hydration, and analgesia." }
]
}
clinicalStatus (active, recurrence, remission, resolved и другие) и verificationStatus (provisional, confirmed, refuted, entered-in-error и другие) связаны с соответствующими ValueSet DHP. Значения следует выбирать из этих привязок; полный перечень приведён ниже в представлении Snapshot.
Более полный ресурс включает элементы Must Support, классифицирующие Condition и указывающие источник сведений: severity (SNOMED, preferred), bodySite (SNOMED), extension diagnosisType (основной диагноз, диагноз направившей организации и другие) и participant, указывающий, кто зафиксировал состояние. participant.actor представляет собой обычный Reference на Practitioner, PractitionerRole, Patient, RelatedPerson или Device:
{
"resourceType": "Condition",
"meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-condition" ] },
"extension": [
{
"url": "https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type",
"valueCodeableConcept": {
"coding": [
{
"system": "https://terminology.dhp.uz/fhir/core/CodeSystem/diagnosis-type-cs",
"code": "gencl-0001-00003",
"display": "Main diagnosis"
}
]
}
}
],
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"severity": {
"coding": [ { "system": "http://snomed.info/sct", "code": "255604002", "display": "Mild" } ]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "254837009",
"display": "Malignant neoplasm of breast"
}
]
},
"bodySite": [
{
"coding": [
{ "system": "http://snomed.info/sct", "code": "76752008", "display": "Breast structure" }
]
}
],
"subject": { "reference": "Patient/example-emma" },
"onsetDateTime": "2025-08-15",
"recordedDate": "2025-09-01",
"participant": [
{
"actor": { "reference": "Practitioner/example-practitioner" },
"function": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
}
]
}
}
]
}
Extension diagnosisType содержит собственный URL (https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type) и кодированное значение из системы DHP diagnosis-type-cs. bodySite представляет собой список CodeableConcept. participant имеет кардинальность 0..*: каждый actor и его function.
Если code соответствует концепту SNOMED Disability (21134002), профиль требует, чтобы значение severity выбиралось из ValueSet инвалидности DHP; обычная шкала тяжести SNOMED в этом случае не применяется. В severity необходимо передать группу инвалидности:
{
"resourceType": "Condition",
"language": "uz",
"meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-condition" ] },
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed"
}
]
},
"code": {
"coding": [
{ "system": "http://snomed.info/sct", "code": "21134002", "display": "Disability" }
]
},
"severity": {
"coding": [
{
"system": "https://terminology.dhp.uz/fhir/core/CodeSystem/disability-cs",
"code": "regis0011.00001",
"display": "I guruh"
}
]
},
"subject": { "reference": "Patient/example-salim" },
"onsetDateTime": "2020-03-10",
"recordedDate": "2025-09-17"
}
Полный экземпляр приведён в примере инвалидности. Для любого другого клинического состояния severity остаётся связанным с предпочтительной шкалой SNOMED (например, Mild), как показано выше.
Примеры вызовов API и образец полезной нагрузки приведены в разделе Быстрый старт в нижней части этой страницы.
Использование:
You can also check for usages in the FHIR IG Statistics
Описание профилей, дифференциалов, снимков и их представлений.
| Наименование | Флаги | Карта. | Тип | Описание и ограничения Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Condition(5.0.0) | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3 | ||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||||
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0..* | Extension | Extension Разрез: Не упорядочено, Открыто от value:url Constraints: ext-1 | |||||||
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S | 0..1 | CodeableConcept | Diagnosis type URL: https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type Привязка: DiagnosisTypeVS (0.10.0) (required) Constraints: ext-1 | ||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||||
![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Привязка: ClinicalStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
?!SΣ | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Привязка: ConditionVerificationStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Привязка: ConditionSeverityVS (0.10.0) (preferred)
| ||||||
![]() ![]() |
SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Привязка: ConditionCodeVS (0.10.0) (preferred) | ||||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Привязка: SNOMEDCTBodyStructures (example) | ||||||
![]() ![]() |
SΣ | 1..1 | Reference(UZ Core Patient(0.10.0)) | Who has the condition? | ||||||
![]() ![]() |
SΣ | 0..1 | Reference(UZ Core Encounter(0.10.0)) | The Encounter during which this Condition was created | ||||||
![]() ![]() |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Age | |||||||||
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Period | |||||||||
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Range | |||||||||
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string | |||||||||
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SC | 0..1 | When in resolution/remission | |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Age | |||||||||
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Period | |||||||||
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Range | |||||||||
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string | |||||||||
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SΣ | 0..1 | dateTime | Date condition was first recorded | ||||||
![]() ![]() |
SΣ | 0..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||||
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Type of involvement Привязка: ConditionParticipationRoleTypeVS (0.10.0) (extensible) | ||||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Patient(0.10.0) | UZ Core RelatedPerson(0.10.0) | UZ Core Organization(0.10.0) | Device) | Who or what participated in the activities related to the condition | ||||||
![]() ![]() |
S | 0..* | Annotation | Additional information about the Condition | ||||||
Документация для этого формата | ||||||||||
| Путь | Статус | Использование | ValueSet | Версия | Источник |
| Condition.clinicalStatus | Base | required | Types of clinical status | 📍0.10.0 | этот IG |
| Condition.verificationStatus | Base | required | Types of verification status | 📍0.10.0 | этот IG |
| Condition.severity | Base | preferred | Types of Condition severities | 📍0.10.0 | этот IG |
| Condition.code | Base | preferred | Condition Codes | 📍0.10.0 | этот IG |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | Стандарт FHIR |
| Condition.participant.function | Base | extensible | Types of participation role | 📍0.10.0 | этот IG |
| Id | Градация | Путь(и) | Описание | Выражение |
| Наименование | Флаги | Карта. | Тип | Описание и ограничения Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | Condition(5.0.0) | Detailed information about conditions, problems or diagnoses | |||||||
![]() ![]() |
0..* | Extension | Extension Разрез: Не упорядочено, Открыто от value:url | |||||||
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Diagnosis type URL: https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type Привязка: DiagnosisTypeVS (0.10.0) (required) | ||||||
![]() ![]() |
S | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Привязка: ClinicalStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Привязка: ConditionVerificationStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Привязка: ConditionSeverityVS (0.10.0) (preferred)
| ||||||
![]() ![]() |
S | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Привязка: ConditionCodeVS (0.10.0) (preferred) | ||||||
![]() ![]() |
S | 0..* | CodeableConcept | Anatomical location, if relevant Привязка: SNOMEDCTBodyStructures (example) | ||||||
![]() ![]() |
S | 1..1 | Reference(UZ Core Patient(0.10.0)) | Who has the condition? | ||||||
![]() ![]() |
S | 0..1 | Reference(UZ Core Encounter(0.10.0)) | The Encounter during which this Condition was created | ||||||
![]() ![]() |
S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age | ||||||
![]() ![]() |
S | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission | ||||||
![]() ![]() |
S | 0..1 | dateTime | Date condition was first recorded | ||||||
![]() ![]() |
S | 0..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||||
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Type of involvement Привязка: ConditionParticipationRoleTypeVS (0.10.0) (extensible) | ||||||
![]() ![]() ![]() |
S | 1..1 | Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Patient(0.10.0) | UZ Core RelatedPerson(0.10.0) | UZ Core Organization(0.10.0) | Device) | Who or what participated in the activities related to the condition | ||||||
![]() ![]() |
S | 0..* | Annotation | Additional information about the Condition | ||||||
Документация для этого формата | ||||||||||
| Путь | Статус | Использование | ValueSet | Версия | Источник |
| Condition.clinicalStatus | Base | required | Types of clinical status | 📍0.10.0 | этот IG |
| Condition.verificationStatus | Base | required | Types of verification status | 📍0.10.0 | этот IG |
| Condition.severity | Base | preferred | Types of Condition severities | 📍0.10.0 | этот IG |
| Condition.code | Base | preferred | Condition Codes | 📍0.10.0 | этот IG |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | Стандарт FHIR |
| Condition.participant.function | Base | extensible | Types of participation role | 📍0.10.0 | этот IG |
| Наименование | Флаги | Карта. | Тип | Описание и ограничения Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Condition(5.0.0) | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3 | ||||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
![]() ![]() |
0..1 | code | Language of the resource content Привязка: AllLanguages (required): IETF language tag for a human language
| |||||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
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0..* | Resource | Contained, inline Resources | |||||||
![]() ![]() |
0..* | Extension | Extension Разрез: Не упорядочено, Открыто от value:url Constraints: ext-1 | |||||||
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Diagnosis type URL: https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type Привязка: DiagnosisTypeVS (0.10.0) (required) Constraints: ext-1 | ||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||||
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?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Привязка: ClinicalStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
?!SΣ | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Привязка: ConditionVerificationStatusVS (0.10.0) (required) | ||||||
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C | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Привязка: ConditionCategoryCodes (preferred): A category assigned to the condition. | ||||||
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S | 0..1 | CodeableConcept | Subjective severity of condition Привязка: ConditionSeverityVS (0.10.0) (preferred)
| ||||||
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SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Привязка: ConditionCodeVS (0.10.0) (preferred) | ||||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Привязка: SNOMEDCTBodyStructures (example) | ||||||
![]() ![]() |
SΣ | 1..1 | Reference(UZ Core Patient(0.10.0)) | Who has the condition? | ||||||
![]() ![]() |
SΣ | 0..1 | Reference(UZ Core Encounter(0.10.0)) | The Encounter during which this Condition was created | ||||||
![]() ![]() |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Age | |||||||||
![]() ![]() ![]() |
Period | |||||||||
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Range | |||||||||
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string | |||||||||
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SC | 0..1 | When in resolution/remission | |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Age | |||||||||
![]() ![]() ![]() |
Period | |||||||||
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Range | |||||||||
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string | |||||||||
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SΣ | 0..1 | dateTime | Date condition was first recorded | ||||||
![]() ![]() |
SΣ | 0..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||||
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Type of involvement Привязка: ConditionParticipationRoleTypeVS (0.10.0) (extensible) | ||||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Patient(0.10.0) | UZ Core RelatedPerson(0.10.0) | UZ Core Organization(0.10.0) | Device) | Who or what participated in the activities related to the condition | ||||||
![]() ![]() |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||||
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C | 0..1 | CodeableConcept | Simple summary (disease specific) Привязка: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||
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C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||
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0..1 | CodeableConcept | Kind of staging Привязка: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||
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Σ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Привязка: SNOMEDCTClinicalFindings (example) | ||||||
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S | 0..* | Annotation | Additional information about the Condition | ||||||
Документация для этого формата | ||||||||||
| Путь | Статус | Использование | ValueSet | Версия | Источник |
| Condition.language | Base | required | All Languages | 📍5.0.0 | Стандарт FHIR |
| Condition.clinicalStatus | Base | required | Types of clinical status | 📍0.10.0 | этот IG |
| Condition.verificationStatus | Base | required | Types of verification status | 📍0.10.0 | этот IG |
| Condition.category | Base | preferred | Condition Category Codes | 📍5.0.0 | Стандарт FHIR |
| Condition.severity | Base | preferred | Types of Condition severities | 📍0.10.0 | этот IG |
| Condition.code | Base | preferred | Condition Codes | 📍0.10.0 | этот IG |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | Стандарт FHIR |
| Condition.participant.function | Base | extensible | Types of participation role | 📍0.10.0 | этот IG |
| Condition.stage.summary | Base | example | Condition Stage | 📍5.0.0 | Стандарт FHIR |
| Condition.stage.type | Base | example | Condition Stage Type | 📍5.0.0 | Стандарт FHIR |
| Condition.evidence | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | Стандарт FHIR |
| Id | Градация | Путь(и) | Описание | Выражение |
Summary
Обязательная поддержка: 15 элементs
Структуры
Эта структура относится к этим другим структурам:
Расширения
Эта структура ссылается на эти расширения:
Просмотр ключевых элементов
| Наименование | Флаги | Карта. | Тип | Описание и ограничения Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
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C | 0..* | Condition(5.0.0) | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3 | ||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
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0..* | Resource | Contained, inline Resources | |||||||
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0..* | Extension | Extension Разрез: Не упорядочено, Открыто от value:url Constraints: ext-1 | |||||||
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S | 0..1 | CodeableConcept | Diagnosis type URL: https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type Привязка: DiagnosisTypeVS (0.10.0) (required) Constraints: ext-1 | ||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||||
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?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Привязка: ClinicalStatusVS (0.10.0) (required) | ||||||
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?!SΣ | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Привязка: ConditionVerificationStatusVS (0.10.0) (required) | ||||||
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S | 0..1 | CodeableConcept | Subjective severity of condition Привязка: ConditionSeverityVS (0.10.0) (preferred)
| ||||||
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SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Привязка: ConditionCodeVS (0.10.0) (preferred) | ||||||
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SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Привязка: SNOMEDCTBodyStructures (example) | ||||||
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SΣ | 1..1 | Reference(UZ Core Patient(0.10.0)) | Who has the condition? | ||||||
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SΣ | 0..1 | Reference(UZ Core Encounter(0.10.0)) | The Encounter during which this Condition was created | ||||||
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SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
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dateTime | |||||||||
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Age | |||||||||
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Period | |||||||||
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Range | |||||||||
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string | |||||||||
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SC | 0..1 | When in resolution/remission | |||||||
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dateTime | |||||||||
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Age | |||||||||
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Period | |||||||||
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Range | |||||||||
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string | |||||||||
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SΣ | 0..1 | dateTime | Date condition was first recorded | ||||||
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SΣ | 0..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||||
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SΣ | 0..1 | CodeableConcept | Type of involvement Привязка: ConditionParticipationRoleTypeVS (0.10.0) (extensible) | ||||||
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SΣ | 1..1 | Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Patient(0.10.0) | UZ Core RelatedPerson(0.10.0) | UZ Core Organization(0.10.0) | Device) | Who or what participated in the activities related to the condition | ||||||
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S | 0..* | Annotation | Additional information about the Condition | ||||||
Документация для этого формата | ||||||||||
| Путь | Статус | Использование | ValueSet | Версия | Источник |
| Condition.clinicalStatus | Base | required | Types of clinical status | 📍0.10.0 | этот IG |
| Condition.verificationStatus | Base | required | Types of verification status | 📍0.10.0 | этот IG |
| Condition.severity | Base | preferred | Types of Condition severities | 📍0.10.0 | этот IG |
| Condition.code | Base | preferred | Condition Codes | 📍0.10.0 | этот IG |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | Стандарт FHIR |
| Condition.participant.function | Base | extensible | Types of participation role | 📍0.10.0 | этот IG |
| Id | Градация | Путь(и) | Описание | Выражение |
Дифференциальный вид
| Наименование | Флаги | Карта. | Тип | Описание и ограничения Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | Condition(5.0.0) | Detailed information about conditions, problems or diagnoses | |||||||
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0..* | Extension | Extension Разрез: Не упорядочено, Открыто от value:url | |||||||
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S | 0..1 | CodeableConcept | Diagnosis type URL: https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type Привязка: DiagnosisTypeVS (0.10.0) (required) | ||||||
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S | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Привязка: ClinicalStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
S | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Привязка: ConditionVerificationStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Привязка: ConditionSeverityVS (0.10.0) (preferred)
| ||||||
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S | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Привязка: ConditionCodeVS (0.10.0) (preferred) | ||||||
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S | 0..* | CodeableConcept | Anatomical location, if relevant Привязка: SNOMEDCTBodyStructures (example) | ||||||
![]() ![]() |
S | 1..1 | Reference(UZ Core Patient(0.10.0)) | Who has the condition? | ||||||
![]() ![]() |
S | 0..1 | Reference(UZ Core Encounter(0.10.0)) | The Encounter during which this Condition was created | ||||||
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S | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age | ||||||
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S | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission | ||||||
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S | 0..1 | dateTime | Date condition was first recorded | ||||||
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S | 0..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||||
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S | 0..1 | CodeableConcept | Type of involvement Привязка: ConditionParticipationRoleTypeVS (0.10.0) (extensible) | ||||||
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S | 1..1 | Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Patient(0.10.0) | UZ Core RelatedPerson(0.10.0) | UZ Core Organization(0.10.0) | Device) | Who or what participated in the activities related to the condition | ||||||
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S | 0..* | Annotation | Additional information about the Condition | ||||||
Документация для этого формата | ||||||||||
| Путь | Статус | Использование | ValueSet | Версия | Источник |
| Condition.clinicalStatus | Base | required | Types of clinical status | 📍0.10.0 | этот IG |
| Condition.verificationStatus | Base | required | Types of verification status | 📍0.10.0 | этот IG |
| Condition.severity | Base | preferred | Types of Condition severities | 📍0.10.0 | этот IG |
| Condition.code | Base | preferred | Condition Codes | 📍0.10.0 | этот IG |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | Стандарт FHIR |
| Condition.participant.function | Base | extensible | Types of participation role | 📍0.10.0 | этот IG |
Обзор моментальных снимковView
| Наименование | Флаги | Карта. | Тип | Описание и ограничения Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Condition(5.0.0) | Detailed information about conditions, problems or diagnoses Constraints: con-2, con-3 | ||||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
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0..1 | code | Language of the resource content Привязка: AllLanguages (required): IETF language tag for a human language
| |||||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
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0..* | Resource | Contained, inline Resources | |||||||
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0..* | Extension | Extension Разрез: Не упорядочено, Открыто от value:url Constraints: ext-1 | |||||||
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S | 0..1 | CodeableConcept | Diagnosis type URL: https://dhp.uz/fhir/core/StructureDefinition/diagnosis-type Привязка: DiagnosisTypeVS (0.10.0) (required) Constraints: ext-1 | ||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||||
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Σ | 0..* | Identifier | External Ids for this condition | ||||||
![]() ![]() |
?!SΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Привязка: ClinicalStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
?!SΣ | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Привязка: ConditionVerificationStatusVS (0.10.0) (required) | ||||||
![]() ![]() |
C | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Привязка: ConditionCategoryCodes (preferred): A category assigned to the condition. | ||||||
![]() ![]() |
S | 0..1 | CodeableConcept | Subjective severity of condition Привязка: ConditionSeverityVS (0.10.0) (preferred)
| ||||||
![]() ![]() |
SΣ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Привязка: ConditionCodeVS (0.10.0) (preferred) | ||||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | Anatomical location, if relevant Привязка: SNOMEDCTBodyStructures (example) | ||||||
![]() ![]() |
SΣ | 1..1 | Reference(UZ Core Patient(0.10.0)) | Who has the condition? | ||||||
![]() ![]() |
SΣ | 0..1 | Reference(UZ Core Encounter(0.10.0)) | The Encounter during which this Condition was created | ||||||
![]() ![]() |
SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Age | |||||||||
![]() ![]() ![]() |
Period | |||||||||
![]() ![]() ![]() |
Range | |||||||||
![]() ![]() ![]() |
string | |||||||||
![]() ![]() |
SC | 0..1 | When in resolution/remission | |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Age | |||||||||
![]() ![]() ![]() |
Period | |||||||||
![]() ![]() ![]() |
Range | |||||||||
![]() ![]() ![]() |
string | |||||||||
![]() ![]() |
SΣ | 0..1 | dateTime | Date condition was first recorded | ||||||
![]() ![]() |
SΣ | 0..* | BackboneElement | Who or what participated in the activities related to the condition and how they were involved | ||||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||||
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Type of involvement Привязка: ConditionParticipationRoleTypeVS (0.10.0) (extensible) | ||||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(UZ Core Practitioner(0.10.0) | UZ Core PractitionerRole(0.10.0) | UZ Core Patient(0.10.0) | UZ Core RelatedPerson(0.10.0) | UZ Core Organization(0.10.0) | Device) | Who or what participated in the activities related to the condition | ||||||
![]() ![]() |
C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1 | ||||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||||
![]() ![]() ![]() |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Привязка: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||||
![]() ![]() ![]() |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Kind of staging Привязка: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||||
![]() ![]() |
Σ | 0..* | CodeableReference(Resource) | Supporting evidence for the verification status Привязка: SNOMEDCTClinicalFindings (example) | ||||||
![]() ![]() |
S | 0..* | Annotation | Additional information about the Condition | ||||||
Документация для этого формата | ||||||||||
| Путь | Статус | Использование | ValueSet | Версия | Источник |
| Condition.language | Base | required | All Languages | 📍5.0.0 | Стандарт FHIR |
| Condition.clinicalStatus | Base | required | Types of clinical status | 📍0.10.0 | этот IG |
| Condition.verificationStatus | Base | required | Types of verification status | 📍0.10.0 | этот IG |
| Condition.category | Base | preferred | Condition Category Codes | 📍5.0.0 | Стандарт FHIR |
| Condition.severity | Base | preferred | Types of Condition severities | 📍0.10.0 | этот IG |
| Condition.code | Base | preferred | Condition Codes | 📍0.10.0 | этот IG |
| Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | Стандарт FHIR |
| Condition.participant.function | Base | extensible | Types of participation role | 📍0.10.0 | этот IG |
| Condition.stage.summary | Base | example | Condition Stage | 📍5.0.0 | Стандарт FHIR |
| Condition.stage.type | Base | example | Condition Stage Type | 📍5.0.0 | Стандарт FHIR |
| Condition.evidence | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | Стандарт FHIR |
| Id | Градация | Путь(и) | Описание | Выражение |
Summary
Обязательная поддержка: 15 элементs
Структуры
Эта структура относится к этим другим структурам:
Расширения
Эта структура ссылается на эти расширения:
Другие представления профиля: CSV, Excel, Schematron
Типовые операции API для этого профиля. Для запросов требуется токен доступа JWT - см. раздел Безопасность и аутентификация. [base] - базовый URL FHIR-сервера; символ | отделяет систему кодирования от значения и должен быть URL-кодирован как %7C.
Получение по идентификатору сервера
GET [base]/Condition/[id]
Поиск диагнозов и клинических состояний
GET [base]/Condition?patient=Patient/[id]
GET [base]/Condition?patient=Patient/[id]&category=problem-list-item
GET [base]/Condition?patient=Patient/[id]&clinical-status=active&verification-status=confirmed
GET [base]/Condition?patient=Patient/[id]&code=http://hl7.org/fhir/sid/icd-10%7CG43.9
GET [base]/Condition?encounter=Encounter/[id]
GET [base]/Condition?patient=Patient/[id]&onset-date=ge2025-01-01
GET [base]/Condition?patient=Patient/[id]&recorded-date=ge2025-01-01
Создание
POST [base]/Condition
{
"resourceType": "Condition",
"meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-condition" ] },
"clinicalStatus": { "coding": [ { "code": "active" } ] },
"code": { ... },
"subject": { "reference": "Patient/[id]" },
...
}
Обновление (например, перевод проблемы в разрешившееся состояние): отправьте полный ресурс с новым значением clinicalStatus / abatement[x] с помощью PUT:
PUT [base]/Condition/[id]
If-Match: W/"3" # ETag из последнего ответа; 412, если ресурс с тех пор изменился
Полный перечень поддерживаемых параметров поиска приведён в CapabilityStatement.