Form 066 - Hospital discharge statistical card - Uzbekistan Digital Health Platform

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Example Bundle: Form 066 - Hospital discharge statistical card

Document Details

Language: en

Final Document at 2026-01-15 14:30:00+0500 by Observation Social status, Observation Eligible for benefit, Observation Educational achievement for Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier) in encounter Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500

Document Subject

Language: en

Profile: UZ Core Patient

Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Other Ids:

Health Card Number/HC-2026-00066
Passport number/AC1234567

Contact Detail

+998901234567
test@mail.com
12-mavze 15-uy 24-xonadon 16090011 1726 100017 UZ

Links:

Managing Organization: Observation Occupation

Document Content

Personal Information

Residence Information

Admission Information

Hospitalization Information

Final Diagnosis

Main diagnosis

Competing diagnosis

Concomitant diagnosis

Background diagnosis

Complication

Pathologoanatomical Diagnosis

Immediate cause of death

Underlying cause of death

Main disease (cause of death)

Other significant diseases

Surgical Procedures

Laboratory Results

Payment Type

Newborn Information

Tuberculosis Drug Sensitivity

Temporary Disability Insurance

Responsible Persons

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:06600002-1111-2222-3333-444444444444

Resource Patient:

Language: en
Profile: UZ Core Patient
Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
Other Ids:
Health Card Number/HC-2026-00066
Passport number/AC1234567
Contact Detail
+998901234567
test@mail.com
12-mavze 15-uy 24-xonadon 16090011 1726 100017 UZ
Links:
Managing Organization: Observation Occupation

Entry 3 - fullUrl = urn:uuid:06600003-1111-2222-3333-444444444444

Resource Encounter:

Language: en
Profile: UZ Core Encounter 066
identifier: UzbekistanMedicalRecordNumberSystem/MRN-066-2026-0001
status: Completed
class: inpatient encounter
priority: Emergency
type: Treatment services
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
subjectStatus: Recovered
serviceProvider: Organization Toshkent shahar ruhiy kasalliklar shifoxonasi
participant
actor: Observation Social status
participant
actor: Observation Eligible for benefit
participant
actor: Observation Educational achievement
actualPeriod: 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
Lengths
- Value Unit System Code
* 10 days http://unitsofmeasure.org d
Admissions
- AdmitSource ReAdmission DischargeDisposition
* Without referral / Self-referred First time Discharged
Locations
- Location Form Period
* Observation Hepatitis C virus Ab [Presence] in Serum or Plasma by Immunoassay Therapy 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500

Entry 4 - fullUrl = urn:uuid:06600004-1111-2222-3333-444444444444

Resource Organization:

Language: en
identifier: OrganizationCode/200001
name: Toshkent shahar klinik shifoxonasi

Entry 5 - fullUrl = urn:uuid:06600005-1111-2222-3333-444444444444

Resource Practitioner:

Language: en
Profile: UZ Core Practitioner
identifier: National unique individual identifier/12345678900001
name: Rasulov B.B.(Official)

Entry 6 - fullUrl = urn:uuid:06600006-1111-2222-3333-444444444444

Resource Practitioner:

Language: en
Profile: UZ Core Practitioner
identifier: National unique individual identifier/12345678900002
name: Qodirov A.A.(Official)

Entry 7 - fullUrl = urn:uuid:06600007-1111-2222-3333-444444444444

Resource Practitioner:

Language: en
Profile: UZ Core Practitioner
identifier: National unique individual identifier/12345678900003
name: Karimova D.D.(Official)

Entry 8 - fullUrl = urn:uuid:06600008-1111-2222-3333-444444444444

Resource PractitionerRole:

Language: en
Profile: UZ Core PractitionerRole
practitioner: Practitioner Rasulov B.B.(official)
organization: Organization Toshkent shahar ruhiy kasalliklar shifoxonasi
code: Medical specialist

Entry 9 - fullUrl = urn:uuid:06600009-1111-2222-3333-444444444444

Resource PractitionerRole:

Language: en
Profile: UZ Core PractitionerRole
practitioner: Practitioner Qodirova M.M.(official)
organization: Organization Toshkent shahar ruhiy kasalliklar shifoxonasi
code: Head of department (health institution)

Entry 10 - fullUrl = urn:uuid:06600010-1111-2222-3333-444444444444

Resource PractitionerRole:

Language: en
Profile: UZ Core PractitionerRole
practitioner: Practitioner Karimova D.D.(official)
organization: Organization Toshkent shahar ruhiy kasalliklar shifoxonasi
code: Chief medical nurse

Entry 11 - fullUrl = urn:uuid:06600011-1111-2222-3333-444444444444

Resource Organization:

Language: en
identifier: OrganizationCode/200935
name: Yunusobod tuman oilaviy poliklinikasi

Entry 12 - fullUrl = urn:uuid:06600012-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Socioeconomic Observation
status: Final
code: Social status
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 10:30:00+0500
performer: Observation Social status
value: Unemployed

Entry 13 - fullUrl = urn:uuid:06600013-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Socioeconomic Observation
status: Final
code: Eligible for benefit
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 10:35:00+0500
performer: Observation Social status
value: Medical staff

Entry 14 - fullUrl = urn:uuid:06600014-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Emergent care utilized during assessment period [CMS Assessment]
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 09:40:00+0500
performer: Observation Social status
value: true

Entry 15 - fullUrl = urn:uuid:06600016-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Illness duration
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 09:50:00+0500
performer: Observation Social status
value: Within first 6 hours

Entry 16 - fullUrl = urn:uuid:06600017-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Ambulance transport
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 09:55:00+0500
performer: Observation Social status
value: true

Entry 17 - fullUrl = urn:uuid:06600018-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Referral note
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 10:00:00+0500
performer: Observation Social status
value: true

Entry 18 - fullUrl = urn:uuid:06600019-1111-2222-3333-444444444444

Resource Organization:

Language: en
identifier: OrganizationCode/200002
name: Yunusobod tuman tibbiyot birlashmasi

Entry 19 - fullUrl = urn:uuid:06600020-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Active
category: Referring institution diagnosis
code: Pneumonia, unspecified
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
onset: 2026-01-03

Entry 20 - fullUrl = urn:uuid:06600021-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Readmission to the same hospital within 30D of surgical discharge
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 10:05:00+0500
performer: Observation Social status
value: false

Entry 21 - fullUrl = urn:uuid:06600022-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Active
category: Admission diagnosis
code: Pneumonia, unspecified
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
onset: 2026-01-05

Entry 22 - fullUrl = urn:uuid:06600024-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Hospital stay duration
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-15 14:00:00+0500
performer: Observation Social status
value: 10 days (Details: UCUM coded = 'd')

Entry 23 - fullUrl = urn:uuid:06600025-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Intensive care unit
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-15 14:00:00+0500
performer: Observation Social status
value: 0 days (Details: UCUM coded = 'd')

Entry 24 - fullUrl = urn:uuid:06600026-1111-2222-3333-444444444444

Resource Organization:

Language: en
identifier: DepartmentCodeNamingSystem/DEP-001
name: Therapeutic department

Entry 25 - fullUrl = urn:uuid:06600029-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Active
category: Main diagnosis
code: Pneumonia, unspecified
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 26 - fullUrl = urn:uuid:06600030-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Active
category: Competing diagnosis
code: Chronic obstructive pulmonary disease, unspecified
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 27 - fullUrl = urn:uuid:06600031-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Active
category: Concomitant diagnosis
code: Essential (primary) hypertension
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 28 - fullUrl = urn:uuid:06600032-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Active
category: Background diagnosis
code: Type 2 diabetes mellitus : Without complications
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 29 - fullUrl = urn:uuid:06600033-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Active
category: Complication
code: Acute respiratory failure
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 30 - fullUrl = urn:uuid:06600034-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Inactive
category: Immediate cause of death
code: Other ill-defined and unspecified causes of mortality
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 31 - fullUrl = urn:uuid:06600035-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Inactive
category: Underlying cause of death
code: Other ill-defined and unspecified causes of mortality
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 32 - fullUrl = urn:uuid:06600036-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Inactive
category: Main disease (cause of death)
code: Other ill-defined and unspecified causes of mortality
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 33 - fullUrl = urn:uuid:06600037-1111-2222-3333-444444444444

Resource Condition:

Language: en
Profile: UZ Core Condition
clinicalStatus: Inactive
category: Other significant diseases
code: Other ill-defined and unspecified causes of mortality
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 34 - fullUrl = urn:uuid:06600038-1111-2222-3333-444444444444

Resource Procedure:

Language: en
status: Completed
category: Surgical procedure (procedure)
code: Surgical procedure (procedure)
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
occurrence: 2026-01-08 11:30:00+0500
Performers
- Actor
* Observation Social status
Reasons
- Reference
* PractitionerRole Medical specialist

Entry 35 - fullUrl = urn:uuid:06600039-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: HIV 1+2 Ab+HIV1 p24 Ag [Presence] in Serum or Plasma by Immunoassay
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-06 09:00:00+0500
performer: Observation Social status
value: Negative

Entry 36 - fullUrl = urn:uuid:06600040-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Treponema pallidum IgG+IgM Ab [Presence] in Serum or Plasma by Immunoassay
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-06 09:10:00+0500
performer: Observation Social status
value: Negative

Entry 37 - fullUrl = urn:uuid:06600041-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Hepatitis B virus surface Ag [Presence] in Serum or Plasma by Immunoassay
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-06 09:20:00+0500
performer: Observation Social status
value: Negative

Entry 38 - fullUrl = urn:uuid:06600042-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Hepatitis C virus Ab [Presence] in Serum or Plasma by Immunoassay
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-06 09:30:00+0500
performer: Observation Social status
value: Negative

Entry 39 - fullUrl = urn:uuid:06600043-1111-2222-3333-444444444444

Resource Coverage:

Language: en
status: Active
kind: Insurance
type: State Health Insurance treated case (Resolution No. PQ-311)
beneficiary: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)

Entry 40 - fullUrl = urn:uuid:06600044-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Birth weight measured
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-06 09:00:00+0500
performer: Observation Social status
value: 3200 g (Details: UCUM codeg = 'g')

Entry 41 - fullUrl = urn:uuid:06600045-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Body height Measured --at birth
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-06 09:00:00+0500
performer: Observation Social status
value: 51 cm (Details: UCUM codecm = 'cm')

Entry 42 - fullUrl = urn:uuid:06600046-1111-2222-3333-444444444444

Resource RelatedPerson:

Language: en
Profile: UZ Core RelatedPerson
identifier: National unique individual identifier/39876543210987
patient: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
relationship: next of kin
name: Karimova Dilnoza(Official)
gender: Female
birthDate: 1992-03-12

Entry 43 - fullUrl = urn:uuid:06600047-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Microbial susceptibility tests Set
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-07 10:00:00+0500
performer: Observation Social status
value: Drug-sensitive

Entry 44 - fullUrl = urn:uuid:06600048-1111-2222-3333-444444444444

Resource Observation:

Language: en
Profile: UZ Core Observation
status: Final
code: Worker Sick leave form
subject: Tursunov Alisher Valiyevich(official) Male, DoB: 1990-04-12 ( National unique individual identifier)
encounter: Encounter: identifier = REG-066-2026-0001; status = completed; class = inpatient encounter; priority = Transferred from another facility; type = Treatment services; subjectStatus = Recovered; actualPeriod = 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
effective: 2026-01-05 10:00:00+0500 --> 2026-01-15 14:00:00+0500
performer: Practitioner Rasulov B.B.(official)

Entry 45 - fullUrl = urn:uuid:06600023-1111-2222-3333-444444444444

Resource Location:

Language: en
status: Active
name: Therapeutic department
mode: Instance

Entry 46 - fullUrl = urn:uuid:06600049-1111-2222-3333-444444444444

Resource Provenance:

Language: en
Provenance for Bundle: identifier = UUID:760e8400-e29b-41d4-a716-446655440066; type = document; timestamp = 2026-01-15 14:30:00+0500
Summary
Recorded 2026-01-15 14:45:00+0500
Agents
Type who
Attester Rasulov B.B.