{
  "resourceType" : "Observation",
  "id" : "ExampleUSKidneys",
  "meta" : {
    "profile" : ["https://fhir.by/StructureDefinition/ObservationUltrasound"]
  },
  "extension" : [{
    "url" : "https://fhir.by/StructureDefinition/LocationReference",
    "valueReference" : {
      "reference" : "Location/SurgeryUnit"
    }
  }],
  "identifier" : [{
    "value" : "KID2025-001",
    "assigner" : {
      "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
    }
  }],
  "status" : "final",
  "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/UltrasoundTypes",
      "code" : "A04-28-002",
      "display" : "УЗИ мочевыводящих путей (почек, надпочечников и мочевого пузыря)"
    }]
  },
  "subject" : {
    "reference" : "Patient/ExampleFullPatient"
  },
  "encounter" : {
    "reference" : "Encounter/ExampleEncounter"
  },
  "effectivePeriod" : {
    "start" : "2025-04-04T12:05:00Z",
    "end" : "2025-04-04T12:15:00Z"
  },
  "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/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
  },
  {
    "extension" : [{
      "url" : "https://fhir.by/StructureDefinition/PerformerTypeObservation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://fhir.by/ValueSet/PerformerType",
          "code" : "practitionerRole-per",
          "display" : "роль медработника"
        }]
      }
    }],
    "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
  }],
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-location",
        "display" : "Расположение правой почки"
      }]
    },
    "valueString" : "Обычное"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-borders",
        "display" : "Контуры правой почки"
      }]
    },
    "valueString" : "Ровные, четкие"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-length",
        "display" : "Длина правой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 105,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-thickness",
        "display" : "Толщина правой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 45,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-width",
        "display" : "Ширина правой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 52,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-parenchyma-width",
        "display" : "Толщина паренхимы правой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 18,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-parenchyma-echogenicity",
        "display" : "Эхогенность паренхимы правой почки"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
        "code" : "normal",
        "display" : "Норма"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-parenchyma-structure",
        "display" : "Структура паренхимы правой почки"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
        "code" : "homogeneous",
        "display" : "Однородная"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-pelvicalyceal-system",
        "display" : "Чашечно-лоханочная система правой почки"
      }]
    },
    "valueString" : "Не расширена"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-lesions",
        "display" : "Очаговые образования (правая почка)"
      }]
    },
    "valueBoolean" : false
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-R-stones",
        "display" : "Конкременты (правая почка)"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-location",
        "display" : "Расположение левой почки"
      }]
    },
    "valueString" : "Обычное"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-borders",
        "display" : "Контуры левой почки"
      }]
    },
    "valueString" : "Ровные, четкие"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-length",
        "display" : "Длина левой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 108,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-width",
        "display" : "Толщина левой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 42,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-width",
        "display" : "Ширина левой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 49,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-parenchyma-width",
        "display" : "Толщина паренхимы левой почки"
      }]
    },
    "valueQuantity" : {
      "value" : 22,
      "unit" : "мм",
      "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
      "code" : "mm"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-parenchyma-echogenicity",
        "display" : "Эхогенность паренхимы левой почки"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
        "code" : "normal",
        "display" : "Норма"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-parenchyma-structure",
        "display" : "Структура паренхимы левой почки"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
        "code" : "homogeneous",
        "display" : "Однородная"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-pelvicalyceal-system",
        "display" : "Чашечно-лоханочная система левой почки"
      }]
    },
    "valueString" : "Не расширена"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-lesions",
        "display" : "Очаговые образования (левая почка)"
      }]
    },
    "valueBoolean" : false
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "kidney-L-stones",
        "display" : "Конкременты (левая почка)"
      }]
    },
    "valueBoolean" : false
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/UltrasoundParametres",
        "code" : "additional-info",
        "display" : "Дополнительная информация"
      }]
    },
    "valueString" : "УЗ-признаков гидронефроза не выявлено. Обнаружен конкремент: 6 мм в средней трети ЧЛС правой почки  с акустической тенью."
  }]
}