{ "resourceType" : "Questionnaire", "id" : "BreastCancerScreeningQuestionnaire", "meta" : { "profile" : ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-questionnaire|0.10.0"] }, "language" : "ru", "text" : { "status" : "generated", "div" : "

Russian

Сгенерированный нарратив: Questionnaire BreastCancerScreeningQuestionnaire

Язык: uz

Профиль: UZ Core Questionnaire версия: 0.10.0

Структура\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDТекстКардинальностьТипФлагиОписание и ограничения\"doco\"
\".\"\".\" BreastCancerScreeningQuestionnaireKo‘krak bezi saratoni xavf belgilarini aniqlash uchun skrining so‘rovnomasiQuestionnairehttps://dhp.uz/fhir/integrations/Questionnaire/BreastCancerScreeningQuestionnaire#0.10.0
\".\"\".\"\".\" mastitis-historySizda mastit bo‘lganmi?1..1codingПараметры: 2 options
\".\"\".\"\".\" breast-surgery-historySizda ko‘krak bezida operatsiya bo‘lganmi?1..1codingПараметры: 2 options
\".\"\".\"\".\" breast-trauma-historySizda ko‘krak bezi jarohati bo‘lganmi?1..1codingПараметры: 2 options
\".\"\".\"\".\" fibrocystic-mastopathySizda fibroz-kistoz mastopatiya bo‘lganmi?1..1codingПараметры: 2 options
\".\"\".\"\".\" axillary-lymph-node-changesQo‘ltiq osti limfa tugunlarida palpatsiyada o‘zgarishlar bormi (kattalashgan, og‘riqli)?1..1codingПараметры: 2 options
\".\"\".\"\".\" breast-local-changesKo‘krak bezida o‘zgarishlar bormi (teri qizarishi, «limon po‘sti» belgisi, ko‘krak uchidan ajralma, qattiqlashish, o‘sma)?1..1codingПараметры: 2 options
\".\"\".\"\".\" gynecological-diseasesSizda ginekologik kasalliklar bo‘lganmi?1..1codingПараметры: 2 options
\".\"\".\"\".\" cyclic-breast-painHayz sikli bilan bog‘liq ko‘krak bezlarida og‘riq bormi (hayz boshlanishidan oldin)?1..1codingПараметры: 2 options
\".\"\".\"\".\" thyroid-diseaseSizda qalqonsimon bez kasalligi (bo‘qoq) bo‘lganmi?1..1codingПараметры: 2 options
\".\"\".\"\".\" relationYaqin qarindoshlarda (buvi, ona, xola, opa/singil) ko‘krak bezi saratoni kuzatilganmi?1..1codingПараметры: 2 options
\".\"\".\"\".\" breast-cancer-risk-resultKo‘krak bezi saratoni xavfini baholash natijasi0..1group
\".\"\".\"\".\"\".\" breast-cancer-total-scoreUmumiy ball0..1integer\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" breast-cancer-risk-categoryKo‘krak bezi saratoni xavfi darajasi0..1coding\"icon\"/\"icon\"/Параметры: 3 options
\".\"\".\"\".\"\".\" recommendation-lowOdatiy skrining nazorati davom ettiriladi, alohida chora talab etilmaydi.0..1displayВключить когда: breast-cancer-total-score <= 10
\".\"\".\"\".\"\".\" recommendation-mediumSkrining protokoli bo‘yicha standart marshrutlash talab etiladi.0..1displayВключить когда:
\".\"\".\"\".\"\".\" recommendation-highProtokol bo‘yicha ustuvor yo‘naltirish/qo‘shimcha diagnostika talab etiladi.0..1displayВключить когда: breast-cancer-total-score >= 21

\"doco\" Документация для этого формата

Наборы параметров

Варианты ответов для mastitis-history

Варианты ответов для breast-surgery-history

Варианты ответов для breast-trauma-history

Варианты ответов для fibrocystic-mastopathy

Варианты ответов для axillary-lymph-node-changes

Варианты ответов для breast-local-changes

Варианты ответов для gynecological-diseases

Варианты ответов для cyclic-breast-pain

Варианты ответов для thyroid-disease

Варианты ответов для relation

Варианты ответов для breast-cancer-risk-category

" }, "url" : "https://dhp.uz/fhir/integrations/Questionnaire/BreastCancerScreeningQuestionnaire", "identifier" : [{ "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program", "value" : "268547008" }], "version" : "0.10.0", "name" : "BreastCancerScreeningQuestionnaire", "title" : "Скрининг на выявление рака груди", "status" : "active", "subjectType" : ["Patient"], "date" : "2026-09-30T13:55:52+05:00", "publisher" : "Uzinfocom LLC", "contact" : [{ "name" : "Uzinfocom LLC", "telecom" : [{ "system" : "url", "value" : "https://uzinfocom.uz" }, { "system" : "email", "value" : "info@uzinfocom.uz" }] }], "description" : "Опросник для скрининга на выявление признаков риска рака груди", "useContext" : [{ "code" : { "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type", "code" : "program" }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/integration-area-cs", "code" : "screening" }] } }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "UZ", "display" : "Uzbekistan" }] }], "code" : [{ "system" : "https://terminology.dhp.uz/fhir/core/CodeSystem/screening-code-cs", "code" : "mserv-0007-00007", "display" : "Ko'krak bezi saratonini aniqlash so'rovnomasi" }], "item" : [{ "linkId" : "mastitis-history", "text" : "У вас был мастит?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "breast-surgery-history", "text" : "Была ли у вас операция на молочной железе?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 1 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "breast-trauma-history", "text" : "Были ли у вас травмы молочной железы?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "fibrocystic-mastopathy", "text" : "Была ли у вас фиброзно-кистозная мастопатия?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "axillary-lymph-node-changes", "text" : "Есть ли изменения в подмышечных лимфоузлах при пальпации (увеличены, болезненны)?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 5 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "breast-local-changes", "text" : "Есть ли у вас изменения в области молочной железы (покраснение кожи, эффект «лимонной корки», выделения из соска, уплотнения, опухоли)?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 5 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "gynecological-diseases", "text" : "Были ли у вас гинекологические заболевания?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "cyclic-breast-pain", "text" : "Есть ли у вас боли в молочных железах, связанные с менструальным циклом (до начала менструации)?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "thyroid-disease", "text" : "Было ли у вас заболевание щитовидной железы (зоб)?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 3 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "linkId" : "relation", "text" : "Был ли рак молочной железы у ваших родственников (бабушка, мать, тетя, сестра)?", "type" : "coding", "required" : true, "answerOption" : [{ "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 5 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "Y", "display" : "Да" } }, { "valueCoding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal" : 0 }], "system" : "http://terminology.hl7.org/CodeSystem/v2-0532", "code" : "N", "display" : "Нет" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q1", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='mastitis-history').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q2", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='breast-surgery-history').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q3", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='breast-trauma-history').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q4", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='fibrocystic-mastopathy').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q5", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='axillary-lymph-node-changes').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q6", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='breast-local-changes').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q7", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='gynecological-diseases').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q8", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='cyclic-breast-pain').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q9", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='thyroid-disease').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "q10", "language" : "text/fhirpath", "expression" : "%resource.item.where(linkId='relation').answer.value.ofType(Coding).code.first()" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/variable", "valueExpression" : { "name" : "totalScore", "language" : "text/fhirpath", "expression" : "iif(%q1 = 'Y', 3, 0) + iif(%q2 = 'Y', 1, 0) + iif(%q3 = 'Y', 3, 0) + iif(%q4 = 'Y', 3, 0) + iif(%q5 = 'Y', 5, 0) + iif(%q6 = 'Y', 5, 0) + iif(%q7 = 'Y', 3, 0) + iif(%q8 = 'Y', 3, 0) + iif(%q9 = 'Y', 3, 0) + iif(%q10 = 'Y', 5, 0)" } }], "linkId" : "breast-cancer-risk-result", "text" : "Результат оценки риска рака молочной железы", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "description" : "Sum of the 10 weighted Yes/No answers", "language" : "text/fhirpath", "expression" : "%totalScore" } }], "linkId" : "breast-cancer-total-score", "text" : "Суммарный балл", "type" : "integer", "readOnly" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", "valueExpression" : { "description" : "Risk band from the total score: 0-10 low, 11-20 medium, 21-34 high", "language" : "text/fhirpath", "expression" : "iif(%totalScore <= 10, 'low', iif(%totalScore <= 20, 'medium', 'high'))" } }], "linkId" : "breast-cancer-risk-category", "text" : "Степень риска рака молочной железы", "type" : "coding", "readOnly" : true, "answerOption" : [{ "valueCoding" : { "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/breast-cancer-risk-category-cs", "code" : "low", "display" : "Низкий риск развития рака молочной железы" } }, { "valueCoding" : { "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/breast-cancer-risk-category-cs", "code" : "medium", "display" : "Средний риск развития рака молочной железы" } }, { "valueCoding" : { "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/breast-cancer-risk-category-cs", "code" : "high", "display" : "Высокий риск развития рака молочной железы" } }] }, { "linkId" : "recommendation-low", "text" : "Продолжается стандартное скрининговое наблюдение, дополнительных мер не требуется.", "type" : "display", "enableWhen" : [{ "question" : "breast-cancer-total-score", "operator" : "<=", "answerInteger" : 10 }] }, { "linkId" : "recommendation-medium", "text" : "Требуется стандартная маршрутизация по протоколу скрининга.", "type" : "display", "enableWhen" : [{ "question" : "breast-cancer-total-score", "operator" : ">=", "answerInteger" : 11 }, { "question" : "breast-cancer-total-score", "operator" : "<=", "answerInteger" : 20 }], "enableBehavior" : "all" }, { "linkId" : "recommendation-high", "text" : "Требуется приоритетное направление/дальнейшая диагностика по протоколу.", "type" : "display", "enableWhen" : [{ "question" : "breast-cancer-total-score", "operator" : ">=", "answerInteger" : 21 }] }] }] }