{
  "resourceType" : "Observation",
  "id" : "ExampleUSFirstTrimester",
  "meta" : {
    "profile" : ["https://fhir.by/StructureDefinition/ObservationUltrasound"]
  },
  "identifier" : [{
    "value" : "PREG2025-001",
    "assigner" : {
      "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
    }
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/HealthcareServiceCategory",
      "code" : "03/1",
      "display" : "Амбулаторно-поликлиническая диагностика для взрослого населения"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/UltrasoundTypes",
      "code" : "A04-30-001-002",
      "display" : "УЗИ плода в I триместре беременности (скрининговое)"
    }]
  },
  "subject" : {
    "reference" : "Patient/015ff696-b586-4195-ad60-a6e75c26fa93"
  },
  "encounter" : {
    "reference" : "Encounter/ExampleEncounter"
  },
  "effectivePeriod" : {
    "start" : "2025-04-04T12:05:00Z",
    "end" : "2025-04-04T12:25:00Z"
  },
  "issued" : "2025-04-04T12:20:00Z",
  "performer" : [{
    "extension" : [{
      "url" : "https://fhir.by/StructureDefinition/PerformerTypeObservation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/PerformerType",
          "code" : "organization-per",
          "display" : "организация"
        }]
      }
    }],
    "reference" : "Organization/f2c35e52-c0da-49d6-830b-c8980b14aae6"
  },
  {
    "extension" : [{
      "url" : "https://fhir.by/StructureDefinition/PerformerTypeObservation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/PerformerType",
          "code" : "practitionerRole-per",
          "display" : "роль медработника"
        }]
      }
    }],
    "reference" : "PractitionerRole/dc2a7174-42d9-49af-9dca-f09c2e47aada"
  }],
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "last-menstruation",
        "display" : "Первый день последней менструации"
      }]
    },
    "valueDateTime" : "2024-12-01"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "pregnancy-gestational-age",
        "display" : "Предполагаемый срок беременности (в днях)"
      }]
    },
    "valueInteger" : 84
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "pregnancy-number-of-fetuses",
        "display" : "Количество плодов"
      }]
    },
    "valueInteger" : 1
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-gestational-sac-size",
        "display" : "Размеры плодного яйца (диаметр)"
      }]
    },
    "valueQuantity" : {
      "value" : 42,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-gestational-sac-borders",
        "display" : "Контуры плодного яйца"
      }]
    },
    "valueString" : "Ровные, четкие"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-crown-rump-length",
        "display" : "Копчико-теменной размер плода"
      }]
    },
    "valueQuantity" : {
      "value" : 63,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-fetal-heartbeat",
        "display" : "Наличие сердцебиения плода"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-nuchal-translucency",
        "display" : "Толщина воротникового пространства"
      }]
    },
    "valueQuantity" : {
      "value" : 1.8,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-nasal-bone",
        "display" : "Визуализация носовой кости"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-skull",
        "display" : "Визуализация свода черепа"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-choroid-plexus",
        "display" : "Визуализация сосудистых сплетений"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-spine",
        "display" : "Визуализация позвоночника"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-abdominal-wall",
        "display" : "Визуализация передней брюшной стенки"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-stomach",
        "display" : "Визуализация желудка"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-bladder",
        "display" : "Визуализация мочевого пузыря"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-upper-limb-R",
        "display" : "Визуализация правой верхней конечности"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-upper-limb-L",
        "display" : "Визуализация левой верхней конечности"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-lower-limb-R",
        "display" : "Визуализация правой нижней конечности"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-lower-limb-L",
        "display" : "Визуализация левой нижней конечности"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-fetal-anatomy-details",
        "display" : "Особенности анатомии плода"
      }]
    },
    "valueString" : "Аномалий не выявлено"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-chorion-location",
        "display" : "Локализация хориона"
      }]
    },
    "valueString" : "По задней стенке матки"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-uterine-wall-details",
        "display" : "Стенки матки"
      }]
    },
    "valueString" : "Однородные"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "first-trimester-adnexa-details",
        "display" : "Придатки"
      }]
    },
    "valueString" : "Без особенностей"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "additional-info",
        "display" : "Дополнительная информация"
      }]
    },
    "valueString" : "Ход беременности соответствует сроку"
  }]
}