{
  "resourceType" : "Procedure",
  "id" : "06ef3105-f9ce-4a7a-8db1-de79f896d4f3",
  "meta" : {
    "profile" : ["https://fhir.by/StructureDefinition/SurgicalProcedure"]
  },
  "extension" : [{
    "url" : "https://fhir.by/StructureDefinition/FromOrganization",
    "valueReference" : {
      "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
    }
  },
  {
    "url" : "https://fhir.by/StructureDefinition/EncounterTypeOfService",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/EncounterTypeOfService",
        "code" : "free",
        "display" : "Бесплатные услуги"
      }]
    }
  },
  {
    "url" : "https://fhir.by/StructureDefinition/TermsOfService",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/VSTermsOfService",
        "code" : "2",
        "display" : "стационарные"
      }]
    }
  },
  {
    "url" : "https://fhir.by/StructureDefinition/InpatientMedicalRecord",
    "valueReference" : {
      "reference" : "EpisodeOfCare/ExampleHospitalisationUrg"
    }
  },
  {
    "url" : "https://fhir.by/StructureDefinition/AnesthesiaType",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/AnesthesiaType",
        "code" : "endotracheal",
        "display" : "Эндотрахеальный наркоз"
      }]
    }
  },
  {
    "url" : "https://fhir.by/StructureDefinition/ProcedureUrgency",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/ProcedureUrgency",
        "code" : "emergency",
        "display" : "Экстренное"
      }]
    }
  }],
  "identifier" : [{
    "value" : "13579",
    "assigner" : {
      "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
    }
  }],
  "status" : "completed",
  "category" : [{
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/ProcedureType",
      "code" : "postoperative-complications",
      "display" : "По поводу послеоперационных осложнений"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/SurgicalInterventions",
      "code" : "JASH20",
      "display" : "Релапаротомия / Программированная релапаротомия"
    }],
    "text" : "Релапаротомия, остановка кровотечения с дренированием брюшной полости"
  },
  "subject" : {
    "reference" : "Patient/ExamplePatientWithIdentificationNumber"
  },
  "occurrencePeriod" : {
    "start" : "2025-02-03T21:00:00Z",
    "end" : "2025-02-03T13:22:30Z"
  },
  "performer" : [{
    "function" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/OperatingTeam",
        "code" : "operator",
        "display" : "врач-хирург оперирующий"
      }]
    },
    "actor" : {
      "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
    }
  },
  {
    "function" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/OperatingTeam",
        "code" : "assistant",
        "display" : "врач-хирург ассистирующий"
      }]
    },
    "actor" : {
      "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
    }
  },
  {
    "function" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/OperatingTeam",
        "code" : "surgical-sister",
        "display" : "медицинская сестра операционная"
      }]
    },
    "actor" : {
      "reference" : "PractitionerRole/ExampleNurseRole"
    }
  },
  {
    "function" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/OperatingTeam",
        "code" : "anesthetist",
        "display" : "врач-анестезиолог-реаниматолог"
      }]
    },
    "actor" : {
      "reference" : "PractitionerRole/c05ded81-1ebe-11f0-8257-f1172741d6fc"
    }
  }],
  "location" : {
    "reference" : "Location/SurgeryUnit"
  },
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis",
        "code" : "preoperative",
        "display" : "Диагноз до вмешательства"
      }]
    },
    "reference" : {
      "reference" : "Condition/762cc6c8-7c3c-4241-b9d9-e89ec7afedc9"
    }
  },
  {
    "concept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis",
        "code" : "postoperative",
        "display" : "Диагноз после вмешательства"
      }]
    },
    "reference" : {
      "reference" : "Condition/7465e01e-6818-4d4c-99f9-143c3c5ff03b"
    }
  }],
  "note" : [{
    "text" : "Средне-срединная лапаротомия. В брюшной полости до 1.5 литров крови со сгустками. Гемостаз прошивнием и использованием гемостатической губки. Дренирование брюшной полости"
  }],
  "focalDevice" : [{
    "manipulated" : {
      "reference" : "Device/45db8eba-1940-4a46-8372-974e4e8d7be7"
    }
  }]
}