{
  "resourceType" : "ClinicalImpression",
  "id" : "ExampleConclusionMRECNoDisability",
  "meta" : {
    "profile" : ["https://fhir.by/StructureDefinition/ConclusionMREC"]
  },
  "extension" : [{
    "extension" : [{
      "url" : "https://fhir.by/StructureDefinition/CodesReasonForMREC",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/ReasonForMREC",
          "code" : "definition-disability",
          "display" : "освидетельствование  пациента"
        }]
      }
    },
    {
      "url" : "https://fhir.by/StructureDefinition/StringReasonForMREC",
      "valueString" : "Дополнительно: освидетельствование  пациента"
    }],
    "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/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" : "noipra"
      }]
    }
  },
  {
    "extension" : [{
      "url" : "https://fhir.by/StructureDefinition/ContraindicatedFactors",
      "valueString" : "Исключены работы на высоте, подъемы тяжестей"
    }],
    "url" : "https://fhir.by/StructureDefinition/RequirementsForWorking"
  }],
  "identifier" : [{
    "value" : "04-123456789-2025000000000002",
    "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 №131, 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"
  }
}