Электронные рецепты на лекарственные средства, закупленные за счет централизованных средств

{

"resourceType": "MedicationPrescription",

"meta": {

"profile": ["http://fhir.org/fhir/StructureDefinition/by-medicationprescription"]},

"contained": [{

"resourceType": "Medication",

"id": "internalMedication2",

"code": {

"coding": [{

"system": "http://www.pharma.by/Справочник.МеждународноеНаименование",

"code": "402019",

"display": "Эналаприл"}]},

"isBrand": false},

{

"resourceType": "Medication",

"id": "internalMedication1",

"code": {

"coding": [{

"system": "http://www.pharma.by/Справочник.Дозировка",

"code": "37254",

"display": "Эналаприл"}]},

"manufacturer": {

"reference": "#internalOrganization1"},

"isBrand": true,

"kind": "product",

"product": {

"form": {

"coding": [{

"system": "http://www.pharma.by/Справочник.ЛекарственнаяФорма",

"code": "0001",

"display": "таблетки"}]},

"ingredient": [{

"item": {

"reference": "#internalMedication2"}}]}},

{

"resourceType": "Organization",

"id": "internalOrganization1",

"identifier": [{

"system": "http://www.pharma.by/Справочник.Производитель",

"value": "123456789"}],

"name": "OrganizationTest"}],

"extension": [

{

"url": "http://fhir.org/fhir/StructureDefinition/by-medicamentType",

"valueCodeableConcept": {

"coding": [

{

"system": "http://hl7.org/fhir/vs/by-medicament-type",

"code": "medicinal"}]}},

{

"url": "http://fhir.org/fhir/StructureDefinition/by-factor",

"valueDecimal": 0.0

},

{

"url": "http://fhir.org/fhir/StructureDefinition/by-centralizedRelease",

"valueBoolean": true

},

{

"url": "http://fhir.org/fhir/StructureDefinition/by-speedProduction",

"valueCodeableConcept": {

"coding": [

{

"system": "http://hl7.org/fhir/vs/by-speed-production",

"code": "10",

"display": "10"}]}}],

"dateWritten": "2024-11-04",

"status": "active",

"patient": {

"extension": [

{

"url": "http://uiip.bas-net.by/hl7/fhir/patient-medication-card",

"valueReference": {

"reference": "Patient?identifier={{PatientMedicationCard}}"}}],

"reference": "Patient/{{guid_Patient}}",

"display": "Тестовый Пациент 1"},

"prescriber": {

"extension": [

{

"url": "http://uiip.bas-net.by/hl7/fhir/practitioner-personal-passport-number",

"valueReference": {

"reference": "Practitioner?identifier={{PractitionerPassportNumber}}"}}],

"reference": "Practitioner/{{guid_Practitioner}}",

"display": "Тестовый Врач 1"},

"medication": {

"reference": "#internalMedication1"},

"dosageInstruction": [{

"text": "По 1 таблетке 2 раза в день"}],

"dispense": {

"validityPeriod": {

"end": "2024-12-01",

"start": "2024-11-04"

},

"numberOfRepeatsAllowed": 1,

"quantity": {

"value": 10.0}}}

{

"resourceType":"Parameters",

"parameter":[

{

"name":"medicationprescription",

"resource":

{

"resourceType": "MedicationPrescription",

"meta": {

"profile": ["http://fhir.org/fhir/StructureDefinition/by-medicationprescription"]},

"contained": [{

"resourceType": "Medication",

"id": "internalMedication2",

"code": {

"coding": [{

"system": "http://www.pharma.by/Справочник.МеждународноеНаименование",

"code": "402019",

"display": "Эналаприл"}]},

"isBrand": false},

{

"resourceType": "Medication",

"id": "internalMedication1",

"code": {

"coding": [{

"system": "http://www.pharma.by/Справочник.Дозировка",

"code": "37254",

"display": "Эналаприл"}]},

"manufacturer": {

"reference": "#internalOrganization1"},

"isBrand": true,

"kind": "product",

"product": {

"form": {

"coding": [{

"system": "http://www.pharma.by/Справочник.ЛекарственнаяФорма",

"code": "0001",

"display": "таблетки"}]},

"ingredient": [{

"item": {

"reference": "#internalMedication2"}}]}},

{

"resourceType": "Organization",

"id": "internalOrganization1",

"identifier": [{

"system": "http://www.pharma.by/Справочник.Производитель",

"value": "123456789"}],

"name": "OrganizationTest"}],

"extension": [

{

"url": "http://fhir.org/fhir/StructureDefinition/by-medicamentType",

"valueCodeableConcept": {

"coding": [

{

"system": "http://hl7.org/fhir/vs/by-medicament-type",

"code": "medicinal"

}]}},

{

"url": "http://fhir.org/fhir/StructureDefinition/by-factor",

"valueDecimal": 0.0

},

{

"url": "http://fhir.org/fhir/StructureDefinition/by-centralizedRelease",

"valueBoolean": true

},

{

"url": "http://fhir.org/fhir/StructureDefinition/by-speedProduction",

"valueCodeableConcept": {

"coding": [

{

"system": "http://hl7.org/fhir/vs/by-speed-production",

"code": "10",

"display": "10"}]}}],

"dateWritten": "2024-11-04",

"status": "active",

"patient": {

"extension": [

{

"url": "http://uiip.bas-net.by/hl7/fhir/patient-medication-card",

"valueReference": {

"reference": "Patient?identifier={{PatientMedicationCard}}"}}],

"reference": "Patient/{{guid_Patient}}",

"display": "Тестовый Пациент 1"},

"prescriber": {

"extension": [

{

"url": "http://uiip.bas-net.by/hl7/fhir/practitioner-personal-passport-number",

"valueReference": {

"reference": "Practitioner?identifier={{PractitionerPassportNumber}}"}}],

"reference": "Practitioner/{{guid_Practitioner}}",

"display": "Тестовый Врач 1"},

"medication": {

"reference": "#internalMedication1"},

"dosageInstruction": [{

"text": "По 1 таблетке 2 раза в день"}],

"dispense": {

"validityPeriod": {

"end": "2024-12-01",

"start": "2024-11-04"},

"numberOfRepeatsAllowed": 1,

"quantity": {

"value": 10.0}}}},

{

"name":"DigitalSignature",

"valueBase64Binary":"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"

}]}

{"contained":[{"code":{"coding":[{"code":"37254","display":"Эналаприл","system":"http://www.pharma.by/Справочник.Дозировка"}]},"id":"internalMedication1","isBrand":true,"kind":"product","manufacturer":{"reference":"#internalOrganization1"},"product":{"form":{"coding":[{"code":"0001","display":"таблетки","system":"http://www.pharma.by/Справочник.ЛекарственнаяФорма"}]},"ingredient":[{"item":{"reference":"#internalMedication2"}}]},"resourceType":"Medication"},{"code":{"coding":[{"code":"402019","display":"Эналаприл","system":"http://www.pharma.by/Справочник.МеждународноеНаименование"}]},"id":"internalMedication2","isBrand":false,"resourceType":"Medication"},{"id":"internalOrganization1","identifier":[{"system":"http://www.pharma.by/Справочник.Производитель","value":"123456789"}],"name":"OrganizationTest","resourceType":"Organization"}],"dateWritten":"2024-11-04","dispense":{"numberOfRepeatsAllowed":1,"quantity":{"value":10.0},"validityPeriod":{"end":"2024-12-01","start":"2024-11-04"}},"dosageInstruction":[{"text":"По 1 таблетке 2 раза в день"}],"extension":[{"url":"http://fhir.org/fhir/StructureDefinition/by-medicamentType","valueCodeableConcept":{"coding":[{"code":"medicinal","system":"http://hl7.org/fhir/vs/by-medicament-type"}]}},{"url":"http://fhir.org/fhir/StructureDefinition/by-factor","valueDecimal":0.0},{"url":"http://fhir.org/fhir/StructureDefinition/by-speedProduction","valueCodeableConcept":{"coding":[{"code":"10","display":"10","system":"http://hl7.org/fhir/vs/by-speed-production"}]}},{"url":"http://fhir.org/fhir/StructureDefinition/by-centralizedRelease","valueBoolean":true}],"medication":{"reference":"#internalMedication1"},"patient":{"display":"Тестовый Пациент 1","extension":[{"url":"http://uiip.bas-net.by/hl7/fhir/patient-medication-card","valueReference":{"reference":"Patient?identifier={{PatientMedicationCard}}"}}]},"prescriber":{"display":"Тестовый Врач 1","extension":[{"url":"http://uiip.bas-net.by/hl7/fhir/practitioner-personal-passport-number","valueReference":{"reference":"Practitioner?identifier={{PractitionerPassportNumber}}"}}]},"resourceType":"MedicationPrescription"}

<meta>

</meta>

<code>

</coding>

</code>

</Medication>

</contained>

<code>

</coding>

</code>

</manufacturer>

<form>

</coding>

</form>

<item>

</item>

</ingredient>

</product>

</Medication>

</contained>

</identifier>

</Organization>

</contained>

</coding>

</valueCodeableConcept>

</extension>

</extension>

<extension url='http://fhir.org/fhir/StructureDefinition/by-centralizedRelease'>

<valueBoolean value='true' />

</extension>

</valueReference>

</extension>

</patient>

</valueReference>

</extension>

</prescriber>

</medication>

</dosageInstruction>

</validityPeriod>

</quantity>

</dispense>

</MedicationPrescription>

<meta>

</meta>

<code>

</coding>

</code>

</Medication>

</contained>

<code>

</coding>

</code>

</manufacturer>

<form>

</coding>

</form>

<item>

</item>

</ingredient>

</product>

</Medication>

</contained>

</identifier>

</Organization>

</contained>

</coding>

</valueCodeableConcept>

</extension>

</extension>

<extension url='http://fhir.org/fhir/StructureDefinition/by-centralizedRelease'>

<valueBoolean value='true' />

</extension>

</valueReference>

</extension>

</patient>

</valueReference>

</extension>

</prescriber>

</medication>

</dosageInstruction>

</validityPeriod>

</quantity>

</dispense>

</MedicationPrescription>

</resource>

</parameter>

</parameter>

</Parameters>

{"resourceType": "Claim",

"meta": {

"profile": ["http://fhir.org/fhir/StructureDefinition/by-claim"]},

"extension": [

{

"url": "http://fhir.org/fhir/StructureDefinition/by-centralizedRelease",

"valueBoolean": true

}],

"facility": {"reference": "Location/{{id_Location}}"},

"type": "pharmacy",

"created": "2024-11-28",

"organization": {"reference":"Organization/{{id_Organization}}"},

"originalPrescription": {"reference": "MedicationPrescription/{{id_MedicationPrescription}}"},

"patient": {"reference": "Patient/{{id_Patient}}"},

"item": [{"sequence": 1,

"type": {"display": "Электронный рецепт",

"system": "http://hl7.org/fhir/vs/ActInvoiceGroupCode",

"code": "group"},

"service": {"system": "http://hl7.org/fhir/vs/service-uscls",

"code": "2102"},

"unitPrice": {

"value": 22,

"system": "urn:std:iso:4217",

"code":"BYN"},

"factor": 1.0,

"net": {"value": 22,

"system": "urn:std:iso:4217",

"code": "BYN"}}]}

Если в ресурсе Claim при отоваривании ЭР на централизованное ЛС не указан атрибут CentralizedRelease", АИС ЭР возвращает ответ 400 и OperationOutcome "Отметка централизованного отпуска рецепта не соответствует информации из электронного рецепта".