{ "resourceType" : "Composition", "id" : "1100", "meta" : { "profile" : ["https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-occupational"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Composition 1100

Profile: Töötervishoiu tervisekontrolli otsus

identifier: https://fhir.ee/hcert/health-certificate-number/DOC-12345

status: Preliminary

type: Medical certificate (record artifact)

category: Occupational health examination

date: 2024-11-05 11:45:29+0000

author: PractitionerRole

title: Töötervishoiu tervisekontrolli otsus

Events

-Period
*2024-05-05 00:00:00+0000 --> 2025-11-05 00:00:00+0000

Generated Narrative: PractitionerRole #100

practitioner: Practitioner Paavo Lepzig

organization: Organization PÕHJA-EESTI REGIONAALHAIGLA

Generated Narrative: Observation #600

Profile: Töötamine

status: Final

code: Patient occupation

performer: Suurepärane OÜ (Identifier: https://fhir.ee/sid/org/est/br/12345678)

component

code: Job details

value: Pediaater

component

code: Regularity of work

value: 0.75 1 (Details: UCUM code1 = '1')

Generated Narrative: Observation #700

Profile: Otsus

status: Final

code: Practitioner decision status

value: Unfit for work

Generated Narrative: Observation #800

Profile: Meditsiiniline piirang

status: Final

code: Restriction

note:

Raskemad asjad tõsta ainult abivahenditega

\n

Components

-CodeValue[x]
*Should be avoided manual handling of loads over10 kg (Details: UCUM codekg = 'kg')

Generated Narrative: Observation #802

Profile: Meditsiiniline piirang

status: Final

code: Restriction

Components

-CodeValue[x]
*Not suitable for work involving the following occupational risk factorsKantserogeenid

Generated Narrative: Observation #900

Profile: Töölaadi ja töökeskkonnaga seotud ohutegurid

status: Final

code: Risk factor

value: Raskuste käsitsi teisaldamine

Generated Narrative: Observation #1000

Profile: Töötamiseks vajalik lisatingimus

status: Final

code: Fit for work with certain limitations

value: Provision of personal protective equipment

" }, "contained" : [{ "resourceType" : "PractitionerRole", "id" : "100", "practitioner" : { "reference" : "Practitioner/36109255737" }, "organization" : { "reference" : "Organization/90006399" } }, { "resourceType" : "Observation", "id" : "600", "meta" : { "profile" : ["https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-occupational-employment"] }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "184104002", "display" : "Patient occupation" }] }, "performer" : [{ "identifier" : { "system" : "https://fhir.ee/sid/org/est/br", "value" : "12345678" }, "display" : "Suurepärane OÜ" }], "component" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "160922003", "display" : "Job details" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/ametite-klassifikaator", "code" : "22122501", "display" : "Pediaater" }] } }, { "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "224374003", "display" : "Regularity of work" }] }, "valueQuantity" : { "value" : 0.75, "system" : "http://unitsofmeasure.org", "code" : "1" } }] }, { "resourceType" : "Observation", "id" : "700", "meta" : { "profile" : ["https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-decision"] }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "419183001", "display" : "Practitioner decision status" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "160910001" }] } }, { "resourceType" : "Observation", "id" : "800", "meta" : { "profile" : ["https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-medical-restriction"] }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "146861000181105", "display" : "Restriction" }] }, "note" : [{ "text" : "Raskemad asjad tõsta ainult abivahenditega" }], "component" : [{ "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-piirangud", "code" : "586" }] }, "valueQuantity" : { "value" : 10, "system" : "http://unitsofmeasure.org", "code" : "kg" } }] }, { "resourceType" : "Observation", "id" : "802", "meta" : { "profile" : ["https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-medical-restriction"] }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "146861000181105", "display" : "Restriction" }] }, "component" : [{ "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-piirangud", "code" : "750" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/toolaadi-ja-tookeskkonnaga-seotud-ohutegurid", "code" : "114", "display" : "Kantserogeenid" }] } }] }, { "resourceType" : "Observation", "id" : "900", "meta" : { "profile" : ["https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-work-related-risk-factor"] }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "80943009", "display" : "Risk factor" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/toolaadi-ja-tookeskkonnaga-seotud-ohutegurid", "code" : "558", "display" : "Raskuste käsitsi teisaldamine" }] } }, { "resourceType" : "Observation", "id" : "1000", "meta" : { "profile" : ["https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-work-additional-condition"] }, "status" : "final", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "225891002", "display" : "Fit for work with certain limitations" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tootamiseks-vajalikud-lisatingimused", "code" : "personal-protective-equipment" }] } }], "identifier" : [{ "system" : "https://fhir.ee/hcert/health-certificate-number", "value" : "DOC-12345" }], "status" : "preliminary", "type" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "772786005", "display" : "Medical certificate (record artifact)" }] }, "category" : [{ "coding" : [{ "system" : "https://fhir.ee/CodeSystem/labivaatuse-tyyp", "code" : "occupational" }] }], "subject" : [{ "reference" : "Patient/200" }], "date" : "2024-11-05T11:45:29.0437162+00:00", "author" : [{ "reference" : "#100" }], "title" : "Töötervishoiu tervisekontrolli otsus", "event" : [{ "period" : { "start" : "2024-05-05T00:00:00.000+00:00", "end" : "2025-11-05T00:00:00.000+00:00" } }], "section" : [{ "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "employer" }] }, "text" : { "status" : "additional", "div" : "
10006966
" }, "entry" : [{ "reference" : "#600" }] }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "decision" }] }, "entry" : [{ "reference" : "#700" }] }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "medical-restrictions" }] }, "text" : { "status" : "additional", "div" : "
Tekst, mis kirjeldab piirangud
" }, "entry" : [{ "reference" : "#800" }, { "reference" : "#802" }] }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "shortened-reason" }] }, "text" : { "status" : "additional", "div" : "
Arst ei usalda isiku uuringute tulemustele
" } }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "reject-reason" }] }, "text" : { "status" : "additional", "div" : "
Raske füüsiline töö, ei sobi selja probleemide tõttu
" } }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "change-reason" }] }, "text" : { "status" : "additional", "div" : "
Kirjavea parandus
" } }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "cancel-reason" }] }, "text" : { "status" : "additional", "div" : "
Vale otsus
" } }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "suspend-reason" }] }, "text" : { "status" : "additional", "div" : "
Ootab lisauringute tulemusi
" } }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "risk-factors" }] }, "text" : { "status" : "additional", "div" : "
Tekst, mis kirjeldab ohutegurid
" }, "entry" : [{ "reference" : "#900" }] }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "health-declaration" }] }, "entry" : [{ "identifier" : { "system" : "https://fhir.ee/hcert/health-declaration-external-document-number", "value" : "HD-67890" } }] }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "work-additional-restrictions" }] }, "text" : { "status" : "additional", "div" : "
Tekst, mis kirjeldab lisatingumusi
" }, "entry" : [{ "reference" : "#1000" }] }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "employer-suggestions" }] }, "text" : { "status" : "additional", "div" : "
Töötajale on vaja parem valgustus
" } }, { "code" : { "coding" : [{ "system" : "https://fhir.ee/CodeSystem/tervisetoendi-sektsioon", "code" : "employee-suggestions" }] }, "text" : { "status" : "additional", "div" : "
Tööandja peab paigaldama uut valgustust
" } }] }