Tervisetõendi teenus (HCERT) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Töötervishoiu tervisekontrolli otsus tööandjale - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="1110"/>
  <meta>
    <profile
             value="https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-occupational-employer"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Composition 1110</b></p><a name="1110"> </a><a name="hc1110"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ee-health-certificate-occupational-employer.html">Töötervishoiu tervisekontrolli otsus tööandjale</a></p></div><p><b>identifier</b>: <code>https://fhir.ee/hcert/health-certificate-number</code>/DOC-12345</p><p><b>status</b>: Preliminary</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 772786005}">Medical certificate (record artifact)</span></p><p><b>category</b>: <span title="Codes:{https://fhir.ee/CodeSystem/labivaatuse-tyyp occupational}">Occupational health examination</span></p><p><b>date</b>: 2024-11-05 11:45:29+0000</p><p><b>author</b>: <a href="#hc1110/100">PractitionerRole</a></p><p><b>title</b>: Töötervishoiu tervisekontrolli otsus</p><h3>Events</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Period</b></td></tr><tr><td style="display: none">*</td><td>2024-05-05 00:00:00+0000 --&gt; 2025-11-05 00:00:00+0000</td></tr></table><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: PractitionerRole #100</b></p><a name="1110/100"> </a><a name="hc1110/100"> </a><p><b>practitioner</b>: <a href="Practitioner-36109255737.html">Practitioner Paavo Lepzig </a></p><p><b>organization</b>: <a href="Organization-90006399.html">Organization PÕHJA-EESTI REGIONAALHAIGLA</a></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #600</b></p><a name="1110/600"> </a><a name="hc1110/600"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ee-health-certificate-occupational-employment.html">Töötamine</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 184104002}">Patient occupation</span></p><p><b>performer</b>: Suurepärane OÜ (Identifier: <code>https://fhir.ee/sid/org/est/br</code>/12345678)</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 160922003}">Job details</span></p><p><b>value</b>: <span title="Codes:{https://fhir.ee/CodeSystem/ametite-klassifikaator 22122501}">Pediaater</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 224374003}">Regularity of work</span></p><p><b>value</b>: 0.75 1<span style="background: LightGoldenRodYellow"> (Details: UCUM  code1 = '1')</span></p></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #700</b></p><a name="1110/700"> </a><a name="hc1110/700"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ee-health-certificate-decision.html">Otsus</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 419183001}">Practitioner decision status</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 160910001}">Unfit for work</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #800</b></p><a name="1110/800"> </a><a name="hc1110/800"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ee-health-certificate-medical-restriction.html">Meditsiiniline piirang</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 146861000181105}">Restriction</span></p><p><b>note</b>: </p><blockquote><div><p>Raskemad asjad tõsta ainult abivahenditega</p>
</div></blockquote><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://fhir.ee/CodeSystem/tervisetoendi-piirangud 586}">Should be avoided manual handling of loads over</span></td><td>10 kg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codekg = 'kg')</span></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #802</b></p><a name="1110/802"> </a><a name="hc1110/802"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ee-health-certificate-medical-restriction.html">Meditsiiniline piirang</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 146861000181105}">Restriction</span></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{https://fhir.ee/CodeSystem/tervisetoendi-piirangud 750}">Not suitable for work involving the following occupational risk factors</span></td><td><span title="Codes:{https://fhir.ee/CodeSystem/toolaadi-ja-tookeskkonnaga-seotud-ohutegurid 114}">Kantserogeenid</span></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #900</b></p><a name="1110/900"> </a><a name="hc1110/900"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ee-health-certificate-work-related-risk-factor.html">Töölaadi ja töökeskkonnaga seotud ohutegurid</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 80943009}">Risk factor</span></p><p><b>value</b>: <span title="Codes:{https://fhir.ee/CodeSystem/toolaadi-ja-tookeskkonnaga-seotud-ohutegurid 558}">Raskuste käsitsi teisaldamine</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation #1000</b></p><a name="1110/1000"> </a><a name="hc1110/1000"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ee-health-certificate-work-additional-condition.html">Töötamiseks vajalik lisatingimus</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 225891002}">Fit for work with certain limitations</span></p><p><b>value</b>: <span title="Codes:{https://fhir.ee/CodeSystem/tootamiseks-vajalikud-lisatingimused personal-protective-equipment}">Provision of personal protective equipment</span></p></blockquote></div>
  </text>
  <contained>
    <PractitionerRole>
      <id value="100"/>
      <practitioner>🔗 
        <reference value="Practitioner/36109255737"/>
      </practitioner>
      <organization>🔗 
        <reference value="Organization/90006399"/>
      </organization>
    </PractitionerRole>
  </contained>
  <contained>
    <Observation>
      <id value="600"/>
      <meta>
        <profile
                 value="https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-occupational-employment"/>
      </meta>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="184104002"/>
          <display value="Patient occupation"/>
        </coding>
      </code>
      <performer>
        <identifier>
          <system value="https://fhir.ee/sid/org/est/br"/>
          <value value="12345678"/>
        </identifier>
        <display value="Suurepärane OÜ"/>
      </performer>
      <component>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="160922003"/>
            <display value="Job details"/>
          </coding>
        </code>
        <valueCodeableConcept>
          <coding>
            <system
                    value="https://fhir.ee/CodeSystem/ametite-klassifikaator"/>
            <code value="22122501"/>
            <display value="Pediaater"/>
          </coding>
        </valueCodeableConcept>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="224374003"/>
            <display value="Regularity of work"/>
          </coding>
        </code>
        <valueQuantity>
          <value value="0.75"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="1"/>
        </valueQuantity>
      </component>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="700"/>
      <meta>
        <profile
                 value="https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-decision"/>
      </meta>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="419183001"/>
          <display value="Practitioner decision status"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="160910001"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="800"/>
      <meta>
        <profile
                 value="https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-medical-restriction"/>
      </meta>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="146861000181105"/>
          <display value="Restriction"/>
        </coding>
      </code>
      <note>
        <text value="Raskemad asjad tõsta ainult abivahenditega"/>
      </note>
      <component>
        <code>
          <coding>
            <system
                    value="https://fhir.ee/CodeSystem/tervisetoendi-piirangud"/>
            <code value="586"/>
          </coding>
        </code>
        <valueQuantity>
          <value value="10"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
        </valueQuantity>
      </component>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="802"/>
      <meta>
        <profile
                 value="https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-medical-restriction"/>
      </meta>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="146861000181105"/>
          <display value="Restriction"/>
        </coding>
      </code>
      <component>
        <code>
          <coding>
            <system
                    value="https://fhir.ee/CodeSystem/tervisetoendi-piirangud"/>
            <code value="750"/>
          </coding>
        </code>
        <valueCodeableConcept>
          <coding>
            <system
                    value="https://fhir.ee/CodeSystem/toolaadi-ja-tookeskkonnaga-seotud-ohutegurid"/>
            <code value="114"/>
            <display value="Kantserogeenid"/>
          </coding>
        </valueCodeableConcept>
      </component>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="900"/>
      <meta>
        <profile
                 value="https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-work-related-risk-factor"/>
      </meta>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="80943009"/>
          <display value="Risk factor"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://fhir.ee/CodeSystem/toolaadi-ja-tookeskkonnaga-seotud-ohutegurid"/>
          <code value="558"/>
          <display value="Raskuste käsitsi teisaldamine"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="1000"/>
      <meta>
        <profile
                 value="https://fhir.ee/hcert/StructureDefinition/ee-health-certificate-work-additional-condition"/>
      </meta>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="225891002"/>
          <display value="Fit for work with certain limitations"/>
        </coding>
      </code>
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://fhir.ee/CodeSystem/tootamiseks-vajalikud-lisatingimused"/>
          <code value="personal-protective-equipment"/>
        </coding>
      </valueCodeableConcept>
    </Observation>
  </contained>
  <identifier>
    <system value="https://fhir.ee/hcert/health-certificate-number"/>
    <value value="DOC-12345"/>
  </identifier>
  <status value="preliminary"/>
  <type>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="772786005"/>
      <display value="Medical certificate (record artifact)"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="https://fhir.ee/CodeSystem/labivaatuse-tyyp"/>
      <code value="occupational"/>
    </coding>
  </category>
  <subject>🔗 
    <reference value="Patient/200"/>
    <identifier>
      <system value="https://fhir.ee/sid/pid/est/ni"/>
      <value value="37605030299"/>
    </identifier>
  </subject>
  <date value="2024-11-05T11:45:29.0437162+00:00"/>
  <author>
    <reference value="#100"/>
  </author>
  <title value="Töötervishoiu tervisekontrolli otsus"/>
  <event>
    <period>
      <start value="2024-05-05T00:00:00.000+00:00"/>
      <end value="2025-11-05T00:00:00.000+00:00"/>
    </period>
  </event>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="employer"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">10006966</div>
    </text>
    <entry>
      <reference value="#600"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="decision"/>
      </coding>
    </code>
    <entry>
      <reference value="#700"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="medical-restrictions"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Tekst, mis kirjeldab piirangud</div>
    </text>
    <entry>
      <reference value="#800"/>
    </entry>
    <entry>
      <reference value="#802"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="shortened-reason"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Arst ei usalda isiku uuringute tulemustele</div>
    </text>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="reject-reason"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Raske füüsiline töö, ei sobi selja probleemide tõttu</div>
    </text>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="change-reason"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Kirjavea parandus</div>
    </text>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="cancel-reason"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Vale otsus</div>
    </text>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="suspend-reason"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Ootab lisauringute tulemusi</div>
    </text>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="risk-factors"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Tekst, mis kirjeldab ohutegurid</div>
    </text>
    <entry>
      <reference value="#900"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="health-declaration"/>
      </coding>
    </code>
    <entry>
      <identifier>
        <system
                value="https://fhir.ee/hcert/health-declaration-external-document-number"/>
        <value value="HD-67890"/>
      </identifier>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="work-additional-restrictions"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Tekst, mis kirjeldab lisatingumusi</div>
    </text>
    <entry>
      <reference value="#1000"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system value="https://fhir.ee/CodeSystem/tervisetoendi-sektsioon"/>
        <code value="employer-suggestions"/>
      </coding>
    </code>
    <text>
      <status value="additional"/>
      <div xmlns="http://www.w3.org/1999/xhtml">Töötajale on vaja parem valgustus</div>
    </text>
  </section>
</Composition>