Uzbekistan Digital Health Platform
0.4.0 - ci-build Uzbekistan flag

Uzbekistan Digital Health Platform, published by Ministry of Health of the Republic of Uzbekistan. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/uzinfocom-org/digital-health-ig/ and changes regularly. See the Directory of published versions

Changelog

In development

Added laboratory observation codes for panels and analytes used in Uzbekistan.

Added document identifier namespace (doc) to identifier systems.

Organization profile changes

type.coding[organizationType] in UZ Core Organization now uses OrganizationTypeUZCS instead of the HL7 organization-type CodeSystem. For example, $organization-type-cs#prov must be replaced with a code from organization-types-uz-cs (e.g. #I "Distribution by management"). There is no 1:1 mapping - each organization must be classified into the new system (codes I-V).

Added type.coding[organizationGrouping] slice to UZ Core Organization using OrganizationGroupingCS for detailed facility grouping (e.g. #104 "Specialized hospitals", #210 "Family polyclinic"). Implementers should populate this new slice.

type.coding[organizationalServiceGroup] and type.coding[specialization] cardinality in UZ Core Organization widened from 0..1 to 0..*. Implementers can now send multiple service group and specialization codes per organization.

Added code I_6 "Organizations with foreign investors participation" to OrganizationalSubordinationGroupCS. Implementers should use this code in type.coding[subordinationGroup] for applicable organizations.

OrganizationalStructureCS expanded with new codes for outpatient facilities (e.g. #200 polyclinics), educational institutions (#300), blood transfusion centers (#400), sanepid services (#500), and others. Some existing translations corrected (e.g. #116 fixed from "Medical center center" to "Medical center"). Implementers should review if a more specific code now exists for their facilities.

Added coverage area extension to UZ Core Organization for specifying the administrative territory an organization serves, bound to StateVS. SSV territory codes can be mapped to StateCS using SSVAdministrativeTerritoryToRegionsCM.

Added example demonstrating how to translate a MIS2 JSON organization into a UZ Core Organization resource using the ConceptMaps.

Added ConceptMaps for translating MIS2 codes to UZ Core terminology: MIS2MedicalTypeToOrganizationalStructureCM for type.coding[organizationalStructure], MIS2LevelTypeToSubordinationGroupCM for type.coding[subordinationGroup], and MIS2ServiceTypeToOrganizationalServiceGroupCM for type.coding[organizationalServiceGroup]. Implementers translating from MIS2 should use these maps to populate the corresponding slices.

Version 0.4.0

Added UZ Core Goal profile with associated codesystems and valuesets.

Added UZ Core Questionnaire and QuestionnaireResponse profiles with multilingual support for translated answer options.

Added pension certificate identifier type (Номер пенсионного удостоверения) with NamingSystem support in Patient resource.

Clarified binding strength requirements in modelling guidelines.

Applied feedback from DHP Connectathon 1.

Fixed profile references to use UZ Core profiles where possible instead of base FHIR resources.

Patient citizenship now uses ISO 3166-1 alpha-2 codes instead of custom MVD codes.

Fixed OrganizationalSpecialization code consistency (101 → 101.0).

Fixed Russian translation for I_3 in OrganizationalSubordinationGroup.

Clarified descriptions for NomenclatureGroup, OrganizationalStructure, and OrganizationalServiceGroup to explain their purpose and hierarchy.

Added managing organization attachment extension to track when a patient was attached to a managing organization.

Added ConceptMap for translating MVD country codes to ISO 3166-1 alpha-2 codes.

Added explicit slices for foreign patient passport numbers and drivers licenses with country code support.

Updated EpisodeOfCare description.

Improved identifier documentation including PINFL clarity and migration to alpha-2 country codes.

Added vital signs section with guidance and examples.

Added Karakalpak language (kaa) support in the MultilingualName ruleset, used for multilingual names in Organization and Location profiles.

Updated IP holder to Ministry of Health.

UZ Core Clinical Condition added to differentiate clinical (ICD-10) and non-ICD-10 based conditions.

Patient disability status has been moved from the Patient resource (using a FHIR-standard extension) to the Condition resource.

Underscores have been removed from NamingSystem identifiers.

Added a CapabilityStatement describing DHP's supported resources, profiles, operations and searchparameters.

Added IP statements, globals table, and a dependency table to the IG.

Canonical URLs of NamingSystems now start with https://terminology.dhp.uz.

Name of the Observation Interpretation codesystem supplement has been fixed.

Added multilingual terminology strategy with Uzbek-authored CodeSystems and THO supplements for UI localization.

Documented use of ConceptMaps and their associated strategy.

Updated slice names to follow best practice naming convention of lower camelCase.

Added support for international addresses in Patient, Practitioner, and RelatedPerson resources.

Added Uzbek translations.

Version 0.3.0

UZ Core profiles for Encounter, EpisodeOfCare, and Observation have been added.

Canonical URLs have been changed to https://dhp.uz/fhir/core for conformance resources and https://terminology.dhp.uz/fhir/core for terminology resources to accommodate future IGs, which will follow a pattern of https://dhp.uz/fhir/<ig>.

Russian translations have been added.

Version 0.2.0

This is a first, in-development release of the IG that updates the canonical URLs of all resources to their final version.

Major changes

UZ Core profiles for AuditEvent, Consent, Condition, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Provenance and the Socioeconomic Observation have been added.

Canonical URLs of profiles, terminology resources, and the IG have been changed from the temporary medcore.uz domain to the official dhp.uz domain.