{
  "resourceType" : "Procedure",
  "id" : "ContactRadiotherapyProcedureRectalCancer02",
  "meta" : {
    "profile" : ["https://fhir.by/StructureDefinition/RadiotherapyProcedure"]
  },
  "extension" : [{
    "url" : "https://fhir.by/StructureDefinition/ProcedureNumber",
    "valueUnsignedInt" : 1
  }],
  "identifier" : [{
    "value" : "1357"
  }],
  "basedOn" : [{
    "reference" : "ServiceRequest/SRRadiotherapyRectumCancer"
  }],
  "status" : "completed",
  "category" : [{
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/RadiationTherapyType",
      "code" : "radical",
      "display" : "Самостоятельная радикальная"
    }]
  }],
  "code" : {
    "coding" : [{
      "extension" : [{
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/RadiotherapyModifiers",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/RadiationModifiers",
              "code" : "not-used",
              "display" : "Радиомодификаторы не использовались"
            }]
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/ImpactZone",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/RadiationTherapyTarget",
              "code" : "main-focus",
              "display" : "Основной очаг"
            }]
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/SingleDose",
          "valueQuantity" : {
            "value" : 5,
            "unit" : "Гр",
            "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
            "code" : "Gy"
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/TotalDose",
          "valueQuantity" : {
            "value" : 5,
            "unit" : "Гр",
            "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
            "code" : "Gy"
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/EquivalentDose",
          "valueQuantity" : {
            "value" : 5,
            "unit" : "Гр",
            "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
            "code" : "Gy"
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/FractionationMode",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/RadiationTherapyFractionation",
              "code" : "hypofractionation",
              "display" : "Гипофракционирование"
            }]
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/DoseRate",
          "valueQuantity" : {
            "value" : 10,
            "unit" : "Гр",
            "system" : "https://fhir.by/ValueSet/UnitsOfMeasureBy",
            "code" : "Gy/h"
          }
        },
        {
          "url" : "https://fhir.by/StructureDefinition/FixingDevice",
          "valueString" : "Персонализированный аппликатор"
        }],
        "url" : "https://fhir.by/StructureDefinition/ParameterRadiotherapy"
      }],
      "system" : "https://fhir.by/ValueSet/RadiationTherapyMethods",
      "code" : "intracavitary-RT",
      "display" : "Контактная внутриполостная лучевая терапия"
    }]
  },
  "subject" : {
    "reference" : "Patient/PatientForDemo"
  },
  "encounter" : {
    "reference" : "Encounter/EncounterRadiotherapistRectumCancer01"
  },
  "occurrencePeriod" : {
    "start" : "2025-05-14T12:00:00Z",
    "end" : "2025-05-14T13:20:00Z"
  },
  "recorded" : "2025-03-24",
  "recorder" : {
    "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
  },
  "performer" : [{
    "function" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/PerformerRoleProcedure",
        "code" : "radiation-oncologist",
        "display" : "Врач-радиационный онколог"
      }]
    },
    "actor" : {
      "reference" : "PractitionerRole/3c057f8d-4369-4c5e-86be-f710dff3a91c"
    }
  },
  {
    "function" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/PerformerRoleProcedure",
        "code" : "nurse",
        "display" : "Медицинская сестра"
      }]
    },
    "actor" : {
      "reference" : "PractitionerRole/ExampleNurseRole"
    }
  },
  {
    "function" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/PerformerRoleProcedure",
        "code" : "medical-dosimetrist",
        "display" : "Техник-дозиметрист"
      }]
    },
    "actor" : {
      "reference" : "PractitionerRole/PractitionerRoleForHospitalisation"
    }
  }],
  "location" : {
    "reference" : "Location/TherapyUnit"
  },
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
        "code" : "C20",
        "display" : "C20 - ЗЗлокачественной новообразование прямой кишки"
      }]
    },
    "reference" : {
      "reference" : "Condition/DiagnosisRectumCancer"
    }
  }],
  "bodySite" : [{
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
      "code" : "Rectum",
      "display" : "Прямая кишка"
    }]
  },
  {
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/AnatomicalTerminology",
      "code" : "Pararectal-nodes",
      "display" : "Околопрямокишечные (аноректальные) узлы"
    }]
  }]
}