{
  "resourceType" : "Bundle",
  "id" : "BundleHystoCytoLymphNode",
  "meta" : {
    "profile" : ["https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument"]
  },
  "identifier" : {
    "system" : "https://fhir.by/ValueSet/urn:ietf:rfc:3086",
    "value" : "urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a2c6t1"
  },
  "type" : "document",
  "timestamp" : "2023-05-18T14:00:00Z",
  "entry" : [{
    "fullUrl" : "Composition/CompositionHystoCyto",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "CompositionHystoCyto",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/CompDocument"]
      },
      "status" : "registered",
      "type" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/CompositionType",
          "code" : "general",
          "display" : "Общая медицинская информация"
        }]
      },
      "subject" : [{
        "reference" : "Patient/PatientMax"
      }],
      "encounter" : {
        "reference" : "Encounter/EncounterMax"
      },
      "date" : "2023-05-18T14:00:00Z",
      "author" : [{
        "reference" : "Practitioner/7cc066b9-7db5-4db6-8645-c6edd23ab896",
        "display" : "хирург"
      }],
      "title" : "CompDocument для наполненного Bundle",
      "custodian" : {
        "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
        "display" : "1 ГКБ"
      },
      "event" : [{
        "detail" : [{
          "reference" : {
            "reference" : "Condition/DiagnosisrMax"
          }
        }]
      },
      {
        "detail" : [{
          "reference" : {
            "reference" : "ServiceRequest/ExampleCytologyLymphNode"
          }
        }]
      },
      {
        "detail" : [{
          "reference" : {
            "reference" : "ServiceRequest/ExamplePathohystologyLymphNode"
          }
        }]
      },
      {
        "detail" : [{
          "reference" : {
            "reference" : "Procedure/ExampleBiopsy"
          }
        }]
      },
      {
        "detail" : [{
          "reference" : {
            "reference" : "Specimen/14784sf-42-kk-56467.2023"
          }
        }]
      },
      {
        "detail" : [{
          "reference" : {
            "reference" : "Specimen/88766-ddg.2023"
          }
        }]
      },
      {
        "detail" : [{
          "reference" : {
            "reference" : "Specimen/143134dg.2023"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "Patient/PatientMax",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "PatientMax",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/PatientWithIdentificationNumber"]
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/PersonalDocumentType",
            "code" : "INP"
          }]
        },
        "value" : "7001112A009PB3",
        "period" : {
          "start" : "2024-01-31"
        }
      },
      {
        "extension" : [{
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/PassportIssuedString",
            "valueString" : "Центральным РУВД г Минска, 11.08.2021"
          },
          {
            "url" : "https://fhir.by/StructureDefinition/PassportIssuedDate",
            "valueDate" : "2021-08-11"
          },
          {
            "url" : "https://fhir.by/StructureDefinition/PassportIssuedCode",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/OCAM",
                "code" : "106"
              }]
            }
          }],
          "url" : "https://fhir.by/StructureDefinition/PassportIssued"
        }],
        "use" : "usual",
        "type" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/PersonalDocumentType",
            "code" : "Passport-RB"
          }]
        },
        "value" : "MP1234579"
      }],
      "active" : true,
      "name" : [{
        "family" : "Иванов",
        "given" : ["Василий",
        "Васильевич"],
        "period" : {
          "start" : "2024-01-31"
        }
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "89001234567"
      }],
      "gender" : "male",
      "birthDate" : "1989-01-31",
      "deceasedBoolean" : false,
      "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"
      }]
    }
  },
  {
    "fullUrl" : "Encounter/EncounterMax",
    "resource" : {
      "resourceType" : "Encounter",
      "id" : "EncounterMax",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/EncounterGeneral"]
      },
      "status" : "completed",
      "class" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/VSTermsOfService",
          "code" : "1"
        }]
      }],
      "priority" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/HealthCareForms",
          "code" : "emergency"
        }]
      },
      "type" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/TypeOfHealthCare",
          "code" : "primary"
        }]
      }],
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванов Василий Васильевич"
      },
      "serviceProvider" : {
        "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
      },
      "participant" : [{
        "actor" : {
          "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
          "display" : "Филатов Олег Михайлович"
        }
      }],
      "actualPeriod" : {
        "start" : "2024-04-07T11:12:21Z",
        "end" : "2024-04-07T11:25:21Z"
      },
      "diagnosis" : [{
        "condition" : [{
          "reference" : {
            "reference" : "Condition/DiagnosisrMax"
          }
        }],
        "use" : [{
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/TypeOfDiagnosis",
            "code" : "mainDiagnosis"
          }]
        }]
      }]
    }
  },
  {
    "fullUrl" : "Condition/DiagnosisrMax",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "DiagnosisrMax",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/FinalDiagnosis"]
      },
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/KindOfDiagnosis",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/KindOfDiagnosisCode",
            "code" : "Final"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/AssertedDate",
        "valueDateTime" : "2024-04-07"
      }],
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "code" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
          "code" : "E11"
        }],
        "text" : "E11 - Сахарный диабет 2 типа"
      },
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванов Василий Васильевич"
      },
      "onsetDateTime" : "2024-04-07",
      "recordedDate" : "2024-04-07",
      "participant" : [{
        "actor" : {
          "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
          "display" : "Филатов Олег Михайлович"
        }
      }]
    }
  },
  {
    "fullUrl" : "ServiceRequest/ExampleCytologyLymphNode",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "ExampleCytologyLymphNode",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/ServiceRequestBioMatResearch"]
      },
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/SpecialtyCode",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ServiceSpecialtyBy",
            "code" : "C061",
            "display" : "Хирургия"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/FromOrganization",
        "valueReference" : {
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "1 ГКБ"
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/PurposeOfResearch",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/PurposeOfResearch",
            "code" : "primary-research",
            "display" : "первичное исследование"
          }]
        }
      }],
      "identifier" : [{
        "value" : "21386"
      }],
      "status" : "active",
      "intent" : "directive",
      "category" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
          "code" : "03",
          "display" : "Диагностика"
        }]
      }],
      "priority" : "routine",
      "code" : {
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ResearchMethods",
            "code" : "general-cytology",
            "display" : "Цитологическое исследование любого биологического материала"
          }]
        }
      },
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванова И.И."
      },
      "encounter" : {
        "reference" : "Encounter/EncounterMax",
        "display" : "осмотр хирурга"
      },
      "authoredOn" : "2023-05-15T13:00:00Z",
      "requester" : {
        "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
        "display" : "хирург"
      },
      "performer" : [{
        "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
        "display" : "РНПЦ им.Александрова, цитологическая лаборатория"
      }],
      "location" : [{
        "reference" : {
          "reference" : "Location/TherapyUnit",
          "display" : "Терапевтическое отделение №1"
        }
      }],
      "reason" : [{
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
            "code" : "Z12.9",
            "display" : "Z12.9 - Специальное скрининговое обследование с целью выявления новообразования неуточненного"
          }]
        }
      }],
      "specimen" : [{
        "reference" : "Specimen/143134dg.2023"
      }]
    }
  },
  {
    "fullUrl" : "ServiceRequest/ExamplePathohystologyLymphNode",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "ExamplePathohystologyLymphNode",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/ServiceRequestBioMatResearch"]
      },
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/SpecialtyCode",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ServiceSpecialtyBy",
            "code" : "C061",
            "display" : "Хирургия"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/FromOrganization",
        "valueReference" : {
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "1 ГКБ"
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/PurposeOfResearch",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/PurposeOfResearch",
            "code" : "primary-research",
            "display" : "первичное исследование"
          }]
        }
      },
      {
        "extension" : [{
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/ShortClinicalData",
            "valueString" : "увеличение лимфоузлов в размере"
          }],
          "url" : "https://fhir.by/StructureDefinition/PathoHistology"
        }],
        "url" : "https://fhir.by/StructureDefinition/TypeOfResearch"
      }],
      "identifier" : [{
        "value" : "21386"
      }],
      "status" : "active",
      "intent" : "directive",
      "category" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
          "code" : "03",
          "display" : "Диагностика"
        }]
      }],
      "priority" : "routine",
      "code" : {
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ResearchMethods",
            "code" : "patho-histology",
            "display" : "Патогистологическое исследование"
          }]
        }
      },
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванова И.И."
      },
      "encounter" : {
        "reference" : "Encounter/EncounterMax",
        "display" : "осмотр хирурга"
      },
      "authoredOn" : "2023-05-15T13:00:00Z",
      "requester" : {
        "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
        "display" : "хирург"
      },
      "performer" : [{
        "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
        "display" : "РНПЦ им.Александрова, цитологическая лаборатория"
      }],
      "location" : [{
        "reference" : {
          "reference" : "Location/TherapyUnit",
          "display" : "Терапевтическое отделение №1"
        }
      }],
      "reason" : [{
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
            "code" : "Z12.9",
            "display" : "Z12.9 - Специальное скрининговое обследование с целью выявления новообразования неуточненного"
          }]
        }
      }],
      "specimen" : [{
        "reference" : "Specimen/88766-ddg.2023"
      },
      {
        "reference" : "Specimen/14784sf-42-kk-56467.2023"
      }]
    }
  },
  {
    "fullUrl" : "Procedure/ExampleBiopsy",
    "resource" : {
      "resourceType" : "Procedure",
      "id" : "ExampleBiopsy",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/ProcedureBioMatCollection"]
      },
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/FromOrganization",
        "valueReference" : {
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "1 ГКБ"
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/SpecialtyCode",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ServiceSpecialtyBy",
            "code" : "C018",
            "display" : "Лабораторная диагностика"
          }]
        }
      }],
      "identifier" : [{
        "value" : "46"
      }],
      "basedOn" : [{
        "reference" : "ServiceRequest/ExampleRequestBiopsy"
      }],
      "status" : "completed",
      "category" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
          "code" : "03/2",
          "display" : "Стационарная медицинская диагностика для взрослого населения"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/MethodOfObtaining",
          "code" : "needle-biopsy",
          "display" : "пункционная биопсия"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванов И.И."
      },
      "encounter" : {
        "reference" : "Encounter/EncounterMax",
        "display" : "приём хирурга"
      },
      "occurrenceDateTime" : "2023-05-15",
      "recorded" : "2023-05-15T12:00:00Z",
      "recorder" : {
        "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c",
        "display" : "хирург"
      },
      "performer" : [{
        "function" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/PerformerRoleObservation",
            "code" : "doctor",
            "display" : "Врач"
          }]
        },
        "actor" : {
          "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
        }
      }],
      "location" : {
        "reference" : "Location/SurgeryUnit"
      },
      "reason" : [{
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
            "code" : "Z12.9",
            "display" : "Z12.9 - Специальное скрининговое обследование с целью выявления новообразования неуточненного"
          }]
        }
      }],
      "bodySite" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
          "code" : "Superficial-anterior-cervical-nodes",
          "display" : "Поверхностные передние шейные узлы"
        }]
      },
      {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
          "code" : "Lateral-cervical-nodes",
          "display" : "Латеральные шейные узлы"
        }]
      },
      {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
          "code" : "Paratracheal-cervical-nodes",
          "display" : "Паратрахеальные шейные узлы"
        }]
      }],
      "outcome" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/ProcedureResult",
          "code" : "successful",
          "display" : "Успешно"
        }]
      },
      "complication" : [{
        "concept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
            "code" : "T81.0",
            "display" : "T81.0 - Кровотечение и гематома, осложняющие процедуру, не классифицированные в других рубриках"
          }],
          "text" : "кровотечение, лёгкой степени"
        }
      }]
    }
  },
  {
    "fullUrl" : "Specimen/ExampleSpecimenAntCervicalNodeHysto",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "14784sf-42-kk-56467.2023",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/BioMatSpecimen"]
      },
      "identifier" : [{
        "value" : "245664.2023",
        "assigner" : {
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "1 ГКБ"
        }
      }],
      "type" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/VSBiologicalMaterial",
          "code" : "12.5.6",
          "display" : "Аспират иной локализации"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванов И.И."
      },
      "collection" : {
        "procedure" : {
          "reference" : "Procedure/ExampleBiopsy"
        },
        "bodySite" : {
          "concept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
              "code" : "Superficial-anterior-cervical-nodes",
              "display" : "Поверхностные передние шейные узлы"
            }]
          }
        }
      },
      "processing" : [{
        "method" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ColoringMicropreparations",
            "code" : "Native",
            "display" : "Не окрашивался"
          }]
        }
      }],
      "condition" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/StateOfSpecimen",
          "code" : "COOL",
          "display" : "Охлажденный"
        }]
      }]
    }
  },
  {
    "fullUrl" : "Specimen/ExampleSpecimenParatrCervicalNodeHysto",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "88766-ddg.2023",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/BioMatSpecimen"]
      },
      "identifier" : [{
        "value" : "8267773.2023",
        "assigner" : {
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "1 ГКБ"
        }
      }],
      "type" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/VSBiologicalMaterial",
          "code" : "12.5.6",
          "display" : "Аспират иной локализации"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванов И.И."
      },
      "collection" : {
        "procedure" : {
          "reference" : "Procedure/ExampleBiopsy"
        },
        "bodySite" : {
          "concept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
              "code" : "Paratracheal-cervical-nodes",
              "display" : "Паратрахеальные шейные узлы"
            }]
          }
        }
      },
      "processing" : [{
        "method" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ColoringMicropreparations",
            "code" : "Native",
            "display" : "Не окрашивался"
          }]
        }
      }],
      "condition" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/StateOfSpecimen",
          "code" : "COOL",
          "display" : "Охлажденный"
        }]
      }]
    }
  },
  {
    "fullUrl" : "Specimen/ExampleSpecimenAntCervicalNodeCytology",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "143134dg.2023",
      "meta" : {
        "profile" : ["https://fhir.by/StructureDefinition/BioMatSpecimen"]
      },
      "identifier" : [{
        "value" : "11123.2023",
        "assigner" : {
          "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f",
          "display" : "1 ГКБ"
        }
      }],
      "type" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/VSBiologicalMaterial",
          "code" : "12.5.6",
          "display" : "Аспират иной локализации"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientMax",
        "display" : "Иванов И.И."
      },
      "collection" : {
        "procedure" : {
          "reference" : "Procedure/ExampleBiopsy"
        },
        "bodySite" : {
          "concept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
              "code" : "Superficial-anterior-cervical-nodes",
              "display" : "Поверхностные передние шейные узлы"
            }]
          }
        }
      },
      "processing" : [{
        "method" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/ColoringMicropreparations",
            "code" : "Native",
            "display" : "Не окрашивался"
          }]
        }
      }],
      "condition" : [{
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/StateOfSpecimen",
          "code" : "COOL",
          "display" : "Охлажденный"
        }]
      }]
    }
  }]
}