{
  "resourceType" : "Bundle",
  "id" : "BundleConclusionMRECDisability",
  "meta" : {
    "profile" : ["https://fhir.by/AbstractArea/StructureDefinition/Bundle/BundleMREC"]
  },
  "identifier" : {
    "system" : "https://minzdrav.gov.by",
    "value" : "04-123456789-2025000000000001"
  },
  "type" : "document",
  "timestamp" : "2025-09-01T11:12:21Z",
  "entry" : [{
    "fullUrl" : "Composition/ExampleCompositionMRECDisability",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "ExampleCompositionMRECDisability",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/DocumentMREC"]
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/CompositionType",
          "code" : "conclusion-mrec",
          "display" : "Заключение МРЭК"
        }]
      },
      "subject" : [{
        "reference" : "Patient/PatientEDConclusionMRECDisability"
      }],
      "date" : "2025-09-01T11:12:21Z",
      "author" : [{
        "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896"
      }],
      "title" : "Уточненный состав необходимых данных о лице, предоставляемых медико-реабилитационными экспертными комиссиями",
      "custodian" : {
        "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
      },
      "event" : [{
        "detail" : [{
          "reference" : {
            "reference" : "ClinicalImpression/ExampleConclusionMREC"
          }
        }]
      },
      {
        "detail" : [{
          "reference" : {
            "reference" : "CarePlan/ExampleIPR"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "Patient/PatientEDConclusionMRECDisability",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "PatientEDConclusionMRECDisability",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/PatientED"]
      },
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/DocumentKind",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/DigitalDocumentKind",
            "code" : "04"
          }]
        }
      }],
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/PersonalDocumentType",
            "code" : "INP"
          }]
        },
        "value" : "7001112A009PB3"
      }],
      "active" : true,
      "name" : [{
        "family" : "Иванов",
        "given" : ["Петр",
        "Сидорович"]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "89001234567"
      }],
      "gender" : "male",
      "birthDate" : "1990-12-31",
      "address" : [{
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/CoutryForAddresses",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/CitizenshipCode",
              "code" : "BY",
              "display" : "Беларусь"
            }]
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/StreetGeoRegistry",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/StreetGeoRegistry",
              "code" : "72609920778",
              "display" : "Переулок Снежный"
            }]
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/ApartmentRoom",
          "valueString" : "кв. 11"
        }],
        "use" : "home",
        "text" : "Могилевская область, г.Могилев, Переулок Гоголя, д.19",
        "postalCode" : "212011"
      }],
      "contact" : [{
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/ContactIdentifierNumber",
          "valueString" : "7001112A009PB3"
        },
        {
          "url" : "https://fhir.by/StructureDefinition/AddressExtension",
          "valueAddress" : {
            "extension" : [{
              "url" : "https://fhir.by/StructureDefinition/StreetGeoRegistry",
              "valueCodeableConcept" : {
                "coding" : [{
                  "system" : "https://fhir.by/ValueSet/StreetGeoRegistry",
                  "code" : "72609920778",
                  "display" : "Переулок Снежный"
                }]
              }
            },
            {
              "url" : "https://fhir.by/StructureDefinition/ApartmentRoom",
              "valueString" : "кв. 11"
            }],
            "use" : "temp",
            "text" : "Могилевская область, г.Могилев, Переулок Снежный, д.19",
            "postalCode" : "212011"
          }
        }],
        "name" : {
          "family" : "Иванова",
          "given" : ["Лариса",
          "Ивановна"]
        },
        "telecom" : [{
          "system" : "phone",
          "value" : "+375172000669"
        }],
        "address" : {
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/CoutryForAddresses",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/CitizenshipCode",
                "code" : "BY",
                "display" : "Беларусь"
              }]
            }
          },
          {
            "url" : "https://fhir.by/StructureDefinition/StreetGeoRegistry",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/StreetGeoRegistry",
                "code" : "72609920778",
                "display" : "Переулок Снежный"
              }]
            }
          },
          {
            "url" : "https://fhir.by/StructureDefinition/ApartmentRoom",
            "valueString" : "кв. 11"
          }],
          "text" : "Могилевская область, г.Могилев, Переулок Снежный, д.19",
          "postalCode" : "212011"
        },
        "gender" : "female"
      }],
      "link" : [{
        "other" : {
          "reference" : "Patient/ExamplePatientWithIdentificationNumber"
        },
        "type" : "refer"
      }]
    }
  },
  {
    "fullUrl" : "ClinicalImpression/ExampleConclusionMREC",
    "resource" : {
      "resourceType" : "ClinicalImpression",
      "id" : "ExampleConclusionMREC",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/ConclusionMREC"]
      },
      "extension" : [{
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/CodesReasonForMREC",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/ReasonForMREC",
              "code" : "end-of-term",
              "display" : "переосвидетельствование пациента  по  окончанию  срока  инвалидности"
            }]
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/StringReasonForMREC",
          "valueString" : "Дополнительно: переосвидетельствование инвалида"
        }],
        "url" : "https://fhir.by/StructureDefinition/ReasonForMREC"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/ExtSurveyTypeMREC",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/SurveyTypeMREC",
            "code" : "1",
            "display" : "первичное очное"
          }]
        }
      },
      {
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/PatientStudyPlace",
          "valueString" : "БГУ, факультет журналистики"
        },
        {
          "url" : "https://fhir.by/StructureDefinition/PatientStudyKind",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/EducationKind",
              "code" : "student",
              "display" : "Студент очной формы обучения"
            }]
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/PatientTermOfStudy",
          "valuePeriod" : {
            "start" : "2024-09-01"
          }
        }],
        "url" : "https://fhir.by/StructureDefinition/PatientStudy"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/SpecialtyMREC",
        "valueString" : "маляр-штукатур"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/StudyProgrammMREC",
        "valueString" : "маляр-штукатур"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/DisabilityCertificate",
        "valueIdentifier" : {
          "value" : "AB3333333",
          "period" : {
            "start" : "2024-01-31"
          },
          "assigner" : {
            "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
          }
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/DisabilityGroup",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/DisabilityGroup",
            "code" : "2_group",
            "display" : "II группа"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/DisabilityReason",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/DisabilityReason",
            "code" : "general",
            "display" : "общее заболевание"
          }]
        }
      },
      {
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbilityPercentage",
          "valueQuantity" : {
            "value" : 80,
            "unit" : "%",
            "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
            "code" : "%"
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbilityCase",
          "valueString" : "Страховой случай №434 от 2020"
        },
        {
          "url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbilityTerm",
          "valuePeriod" : {
            "start" : "2022-09-02",
            "end" : "2025-09-01"
          }
        }],
        "url" : "https://fhir.by/StructureDefinition/LossOfProfessionalAbility"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/AdditionalTypesOfHelp",
        "valueString" : "не нуждается в постоянной помощи"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/AdditionalTypesOfCare",
        "valueString" : "не нуждается в постоянном уходе"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/AdditionalForConclusionMREC",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/AdditionalForConclusionMREC",
            "code" : "absens",
            "display" : "отсутствует"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/ProgramRehabilitionMREC",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ProgramRehabilitionMREC",
            "code" : "ipr-prof",
            "display" : "программа реабилитации потерпевшего в результате несчастного случая на производстве или профессионального заболевания"
          }]
        }
      },
      {
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/ContraindicatedFactors",
          "valueString" : "Исключены работы на высоте, подъемы тяжестей"
        }],
        "url" : "https://fhir.by/StructureDefinition/RequirementsForWorking"
      },
      {
        "url" : "https://fhir.by/StructureDefinition/MissedExaminationPeriod",
        "valuePeriod" : {
          "start" : "2023-09-02",
          "end" : "2024-09-01"
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/TimeDisabilityOnsetMREC",
        "valueDate" : "2023-09-02"
      }],
      "identifier" : [{
        "value" : "04-123456789-2025000000000001",
        "period" : {
          "start" : "2025-09-02",
          "end" : "2026-09-01"
        },
        "assigner" : {
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/LocationReference",
            "valueReference" : {
              "reference" : "Location/b122e513-9361-4b5c-b2d6-0e9b4685477e"
            }
          }],
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "Организация ЦИСМ МРЭК"
        }
      }],
      "status" : "completed",
      "description" : "Заключение МРЭК №134, Иванов Петр Сидорович, 31.12.1990",
      "subject" : {
        "reference" : "Patient/PatientEDConclusionMRECDisability"
      },
      "encounter" : {
        "reference" : "Encounter/ExampleEncounterForMREC"
      },
      "effectiveDateTime" : "2025-09-01",
      "date" : "2025-09-01",
      "performer" : {
        "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
      },
      "problem" : [{
        "reference" : "Condition/ExampleDiagnosisMREC"
      }]
    }
  },
  {
    "fullUrl" : "CarePlan/ExampleIPR",
    "resource" : {
      "resourceType" : "CarePlan",
      "id" : "ExampleIPR",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/IPR"]
      },
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/AdditionalForConclusionMREC",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/AdditionalForConclusionMREC",
            "code" : "musculoskeletal-system",
            "display" : "инвалид с нарушением опорно-двигательного аппарата"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/AdditionalForConclusionMREC",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/AdditionalForConclusionMREC",
            "code" : "visual-impairment",
            "display" : "инвалид с нарушением зрения"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/ReferredInitially",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/RehabProgramm",
            "code" : "first",
            "display" : "впервые"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/ReferenceToConclusionMREC",
        "valueReference" : {
          "reference" : "ClinicalImpression/ExampleConclusionMREC"
        }
      }],
      "identifier" : [{
        "value" : "04-123456789-2025000000000001",
        "assigner" : {
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/LocationReference",
            "valueReference" : {
              "reference" : "Location/b122e513-9361-4b5c-b2d6-0e9b4685477e"
            }
          }],
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
        }
      }],
      "basedOn" : [{
        "identifier" : {
          "value" : "act00292929",
          "period" : {
            "start" : "2024-01-05"
          }
        }
      }],
      "status" : "active",
      "intent" : "plan",
      "title" : "Программа реабилитации инвалида",
      "subject" : {
        "reference" : "Patient/PatientEDConclusionMRECDisability"
      },
      "period" : {
        "start" : "2024-01-05",
        "end" : "2025-01-05"
      },
      "created" : "2024-01-05",
      "custodian" : {
        "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
      },
      "contributor" : [{
        "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
        "display" : "Председатель МРЭК"
      }],
      "addresses" : [{
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/ActivitiesLoss",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/FunctionalClass",
              "code" : "2",
              "display" : "Функциональный класс II"
            }]
          }
        }],
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/RestrictCategoriesActivity",
            "code" : "abletoselfcare",
            "display" : "Способность к самообслуживанию"
          }]
        }
      },
      {
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/ActivitiesLoss",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/FunctionalClass",
              "code" : "3",
              "display" : "Функциональный класс III"
            }]
          }
        }],
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/RestrictCategoriesActivity",
            "code" : "abletoorientate",
            "display" : "Способность к ориентации"
          }]
        }
      }],
      "activity" : [{
        "extension" : [{
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEventCode",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/RehubActivities",
                "code" : "complex",
                "display" : "Физиотерапия"
              }]
            }
          },
          {
            "url" : "https://fhir.by/StructureDefinition/RehabilitationEventNeediness",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/Neediness",
                "code" : "need",
                "display" : "нуждается"
              }]
            }
          },
          {
            "url" : "https://fhir.by/StructureDefinition/RehabilitationEventString",
            "valueString" : "Магнитотерапия на всё"
          },
          {
            "url" : "https://fhir.by/StructureDefinition/RehabilitationEventPeriod",
            "valuePeriod" : {
              "start" : "2024-01-05"
            }
          }],
          "url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEvent"
        }],
        "performedActivity" : [{
          "concept" : {
            "text" : "Магнитотерапия выполнена"
          }
        }],
        "progress" : [{
          "text" : "ВОП Иванов ИИ - молодец"
        }]
      },
      {
        "extension" : [{
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEventCode",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/RehubActivities",
                "code" : "technicalrehabmeans",
                "display" : "Технические средства социальной реабилитации, изделия медицинского назначения"
              }]
            }
          },
          {
            "url" : "https://fhir.by/StructureDefinition/RehabilitationEventNeediness",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/Neediness",
                "code" : "need",
                "display" : "нуждается"
              }]
            }
          },
          {
            "url" : "https://fhir.by/StructureDefinition/RehabilitationEventString",
            "valueString" : "Костыль с локтевой опорой"
          },
          {
            "url" : "https://fhir.by/StructureDefinition/RehabilitationEventPeriod",
            "valuePeriod" : {
              "start" : "2024-01-05"
            }
          }],
          "url" : "https://fhir.by/StructureDefinition/MedicalRehabilitationEvent"
        }],
        "performedActivity" : [{
          "concept" : {
            "text" : "Снабжен через  БПОВЦ"
          }
        }],
        "progress" : [{
          "text" : "ВОП Иванов ИИ - молодец"
        }]
      }]
    }
  },
  {
    "fullUrl" : "Provenance/ExampleProvenanceDocumentInfoMRECDisability",
    "resource" : {
      "resourceType" : "Provenance",
      "id" : "ExampleProvenanceDocumentInfoMRECDisability",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/ProvenanceDocumentInfoMREC"]
      },
      "target" : [{
        "reference" : "Patient/PatientEDConclusionMRECDisability"
      }],
      "recorded" : "2025-09-01T11:12:21Z",
      "location" : {
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/ExtStringValue",
          "valueString" : "667"
        }],
        "reference" : "Location/b122e513-9361-4b5c-b2d6-0e9b4685477e",
        "display" : "Межрайонная МРЭК №1"
      },
      "authorization" : [{
        "reference" : {
          "reference" : "ClinicalImpression/ExampleConclusionMREC"
        }
      }],
      "patient" : {
        "reference" : "Patient/PatientEDConclusionMRECDisability"
      },
      "agent" : [{
        "type" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
            "code" : "organization"
          }]
        },
        "who" : {
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/ExtStringValue",
            "valueString" : "665"
          }],
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "АГСМ"
        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
            "code" : "practitioner"
          }]
        },
        "who" : {
          "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
          "display" : "Филатов Олег Михайлович"
        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/AgentTypeProvenance",
            "code" : "practitionerRole"
          }]
        },
        "who" : {
          "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
          "display" : "Председатель комиссии"
        }
      }]
    }
  }]
}