Uzbekistan Digital Health Platform - Integrations
0.10.0 - draft Uzbekistan flag

This page is part of the Uzbekistan Digital Health Platform - Integrations (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

Narcology

Recording the patient's social status (Observation)

The patient's social status is represented using the UZ Core Socioeconomic Observation profile.

Examples: example-narcology-socioeconomic

The observation identifies the social-status observation using SNOMED CT concept 82996008. The patient's actual social status is recorded in valueCodeableConcept using SocialStatusVS.

Information to record Value set Example code Stored in
Observation status ObservationStatus final status
Observation type SocioeconomicObservationCodesVS SNOMED CT#82996008 code
Social status SocialStatusVS regis0010.00003 (Employed) valueCodeableConcept
Patient - reference to UZCorePatient subject
Observation date - 2026-03-12 effectiveDateTime
Performer - reference to UZCorePractitionerRole performer

The following social-status codes are used in the Narcology Registry:

Code Description
regis0010.00001 Учащийся
regis0010.00003 Работающий / Employed
regis0010.00004 Неработающий
regis0010.00006 Пенсионер

The subject references the patient whose social status is being recorded.

Registering the patient in a dynamic observation group (EpisodeOfCare)

The patient's narcology registration and dynamic observation group are represented using the Narcology Episode Of Care profile.

Examples: example-narcology-episode-of-care

The episode records the patient's registration status, dynamic observation group, diagnoses associated with the episode, patient, managing organization, registration period, and responsible practitioner role.

Information to record Value set Example code Stored in
Identifier - https://dhp.uz/fhir/core/sid/reg/uz/narco identifier
Registration status EpisodeOfCareStatusVS active status
Dynamic observation group NarcologyPsychiatryEpisodeOfCareTypeGroupVS narcr0001-00001 type[group]
Diagnosis ConditionCodeVS F15.1 diagnosis.condition
Diagnosis use Encounter Diagnosis Use working diagnosis.use
Patient - reference to UZCorePatient patient
Managing organization - reference to UZCoreOrganization managingOrganization
Registration date - 2026-03-10 period.start
Care manager - reference to UZCorePractitionerRole careManager

When the patient is registered in the Narcology Registry, the episode status is active.

When the patient is removed from registration, the episode status should be finished.

The dynamic observation group is represented using the group slice on EpisodeOfCare.type.

The defined narcology and psychiatry episode-of-care group codes are:

Code SNOMED CT code RU UZ ENG
narcr0001-00001 302805002 Профилактическая группа Profilaktik guruh Preventive group
narcr0001-00002 225419007 Диспансерная группа Dispanser guruhi Dispensary group
psycr0001-00001 52748007 Стационарное принудительное лечение Majburiy statsionar davolanish Compulsory inpatient treatment

The SNOMED CT mappings are defined by the Narcology and Psychiatry EpisodeOfCare Type Groups to SNOMED CT.

Diagnosis codes

When recording a diagnosis associated with the narcology episode, implementers should use the applicable code from ConditionCodeVS.

The specified diagnosis codes are:

Clinical condition Code system Code When to record
Harmful use of other stimulants, including caffeine ICD-10 F15.1 Record when this narcology diagnosis applies to the patient
HIV disease resulting in other conditions ICD-10 B23 Record as a separate Condition when HIV is selected or identified in the Narcology Registry
Tuberculosis of respiratory system ICD-10 A15.7 Record as a separate Condition when tuberculosis is selected or identified in the Narcology Registry

If disability is present, a separate Condition should be created using SNOMED CT code 21134002 (Disability).

The episode may contain multiple diagnoses. Each diagnosis.condition references the corresponding UZ Core Condition.

Recording a medical encounter (Encounter)

A patient's medical visit within the Narcology Registry is represented using the UZ Core Encounter profile.

Examples: example-narcology-encounter

The encounter represents the medical visit recorded by the healthcare provider and may be associated with the patient's EpisodeOfCare.

Information to record Value set Example code Stored in
Encounter status Encounter Status completed status
Patient - reference to UZCorePatient subject
Episode of care - reference to NarcologyEpisodeOfCare episodeOfCare
Actual encounter period - 2026-03-10T10:00:00Z – 2026-03-10T11:00:00Z actualPeriod
Participant type Participant Type ATND participant.type
Encounter practitioner - reference to UZCorePractitionerRole participant.actor
Encounter type - mserv-0001-00004 (Treatment services) type[nationalType]
Diagnosis ConditionCodeVS F15.1 diagnosis.condition
Diagnosis use Encounter Diagnosis Use final diagnosis.use

The encounter status may be:

  • in-progress
  • on-hold
  • completed
  • cancelled
  • entered-in-error

The episodeOfCare reference associates the encounter with the patient's narcology registration episode.

An encounter may contain multiple diagnoses. Each diagnosis references a UZ Core Condition and may have an associated diagnosis-use value.

Recording the medical-consultation commission decision (Observation)

The medical-consultation commission's decision is represented using the NarcologyObservation profile.

Examples: example-narcology-commission

The profile is used to contain notes, findings, and recommendations issued by the Medical Advisory Commission.

Information to record Value set Example code Stored in
Observation status Observation Status final status
Commission decision type NarcologyTypeResourceVS type-res-0002-0001 code
Patient - reference to UZCorePatient subject
Encounter - reference to UZCoreEncounter encounter
Commission decision date - 2026-03-12 effectiveDateTime
Commission member - reference to UZCorePractitionerRole performer
Commission result - Dispensary observation is required. The patient is to be reviewed again in six months. valueString

The commission decision type is:

Code SNOMED CT code RU UZ ENG
type-res-0002-0001 444804000 Решение комиссии Komissiya qarori The commission's decision

The corresponding terminology is defined in TypeResourceCS, and the SNOMED CT mapping is defined by the Type Resource to SNOMED CT ConceptMap.

Each commission member is recorded as a separate performer reference. The decision the commission reached is recorded in valueString, which is required by this profile.

Recording a patient's clinical condition (Condition)

A narcology-related clinical condition is represented using the UZ Core Condition profile.

Examples: example-narcology-condition

The Condition records the clinical status, diagnosis, patient, related encounter, registration date, and organization providing the information.

Information to record Value set Example code Stored in
Clinical status Condition Clinical Status Codes active clinicalStatus
Disability severity DisabilityVS applicable disability severity severity
Diagnosis ConditionCodeVS F15.1 code
Patient - reference to UZCorePatient subject
Encounter - reference to UZCoreEncounter encounter
Registration date - 2026-03-10 recordedDate
Information provider - reference to UZCoreOrganization participant.actor

The clinical status is required.

When the condition is currently applicable to the patient, its status should be active.

When the condition is no longer applicable, the condition status should be changed according to the appropriate FHIR clinical-status semantics, for example resolved where applicable.

Diagnosis codes

Implementers should use the applicable diagnosis code from ConditionCodeVS.

The Narcology Registry uses the following specified diagnosis codes:

Condition Code system Code When to record
Harmful use of other stimulants, including caffeine ICD-10 F15.1 Record when this narcology diagnosis applies to the patient
HIV disease resulting in other conditions ICD-10 B23 Record as a separate Condition when HIV is selected or identified in the Narcology Registry
Tuberculosis of respiratory system ICD-10 A15.7 Record as a separate Condition when tuberculosis is selected or identified in the Narcology Registry
Disability SNOMED CT 21134002 Record as a separate Condition when disability is present

If HIV or tuberculosis is not selected in the Narcology Registry, the corresponding additional Condition should not be created.

Each condition is associated with the patient through subject.

When a condition is identified or managed during a specific medical encounter, the encounter reference may be populated.

Disability

The following rules apply to disability:

  1. severity should only be populated when disability is present and the applicable severity is known.
  2. When disability is present, a separate Condition should be created.
  3. The separate disability condition uses SNOMED CT code 21134002 (Disability).
  4. The disability condition is associated with the patient through subject.

Recording social danger and compulsory treatment (Flag)

Important narcology registry information that healthcare providers should be aware of is represented using the NarcologyPsychiatryFlag profile.

Examples: example-narcology-flag

The Flag resource is used to record registry flags such as social danger and compulsory treatment.

Information to record Value set Example code Stored in
Flag status FlagStatusVS active status
Registry flag NarcologyPsychiatryRegistryFlagVS registri0001-00002 code
Patient - reference to UZCorePatient subject
Validity period - 2026-03-12 period
Encounter - reference to UZCoreEncounter encounter
Author - reference to UZCorePractitionerRole author

The flag status is required and may be:

  • active
  • inactive
  • entered-in-error

The registry flag codes are:

Code SNOMED CT code SNOMED name RU UZ ENG
registri0001-00001 129707006 At increased risk for other-directed violence (finding) Социальная опасность Ijtimoiy xavflilik Social danger / Social risk
registri0001-00002 303163003 Treatments administered under the provisions of the law (regime/therapy) Принудительное лечение Majburiy davolanish Compulsory treatment
registri0001-00003 303163003 Treatments administered under the provisions of the law (regime/therapy) Принудительное амбулаторное лечение Majburiy ambulatoriya sharoitida davolanish Compulsory outpatient treatment
registri0001-00005 1193838006 Legal guardian status (observable entity) Под опекой Vasiylik ostida Legal guardian status
registri0001-00006 21134002 Disability (finding) Инвалидность Nogironlik Disability
psycr0001-00001 52748007 Involuntary hospital admission (procedure) Стационарное принудительное лечение Majburiy statsionar davolanish Compulsory inpatient treatment

The complete mapping is defined by the Narcology and Psychiatry Registry Flags to SNOMED CT.

The subject identifies the patient to whom the registry flag applies.

The encounter may be used to associate the flag with a specific medical encounter.

The author references the practitioner role responsible for recording the flag.

Terminology summary

The terminology used by the Narcology Registry resources is summarized below.

Terminology Resource / Element Purpose
SocialStatusVS Observation.valueCodeableConcept Patient's social status
SocioeconomicObservationCodesVS Observation.code Identifies the social-status observation
NarcologyPsychiatryEpisodeOfCareTypeGroupVS EpisodeOfCare.type[group] Dynamic observation group
EpisodeOfCareStatusVS EpisodeOfCare.status Narcology registration lifecycle
NarcologyTypeResourceVS Observation.code Medical-consultation commission decision
ConditionCodeVS Condition.code Narcology diagnosis
DisabilityVS Condition.severity Disability-related severity
NarcologyPsychiatryRegistryFlagVS Flag.code Narcology registry flags
FlagStatusVS Flag.status Flag lifecycle

Resource relationships

A typical Narcology Registry record may connect the resources as follows:

How a narcology registry record fits togetherPatientEncounterConditionSocioeconomicObservationNarcologyEpisodeOfCareNarcologyObservationNarcologyPsychiatryFlagpatient10..*subject10..*subject10..*subject10..*subject10..*episodeOfCare0..10..*diagnosis.condition10..*encounter0..10..*encounter0..10..*encounter0..10..*


These resources are linked through patient, episode-of-care, encounter, organization, and practitioner-role references to represent the patient's narcology registration, clinical diagnoses, social status, medical encounters, commission decisions, and important registry flags.