{
  "resourceType" : "ClinicalImpression",
  "id" : "ExampleConclusionMRECDisabilityStoppedStatus",
  "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"
      }]
    }
  },
  {
    "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" : "04-123456789-2025000000000005",
    "period" : {
      "start" : "2023-03-30",
      "end" : "2025-03-01"
    },
    "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" : "stopped",
  "description" : "Заключение МРЭК №135, Иванов Петр Сидорович, 31.12.1990",
  "subject" : {
    "reference" : "Patient/ExamplePatientWithIdentificationNumber"
  },
  "encounter" : {
    "reference" : "Encounter/ExampleEncounterForMREC"
  },
  "effectiveDateTime" : "2025-09-01",
  "date" : "2025-09-01",
  "performer" : {
    "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
  },
  "problem" : [{
    "reference" : "Condition/ExampleDiagnosisMREC"
  }]
}