{ "resourceType": "Bundle", "id": "BundleThyroidToLabTest", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3086", "value": "{{$guid}}" }, "type": "document", "timestamp": "2025-12-10T14:00:00Z", "entry": [ { "fullUrl": "Composition/CompositionThyroidTest", "resource": { "resourceType": "Composition", "id": "CompositionThyroidTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/CompDocument" ] }, "status": "final", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/CompositionType", "code": "general", "display": "Общая медицинская информация" } ] }, "subject": [ { "reference": "Patient/PatientTest" } ], "encounter": { "reference": "Encounter/EncounterSurgeonTest" }, "date": "2025-12-10T14:00:00Z", "author": [ { "reference": "Practitioner/1b8ecfd0-4a91-11f0-b91a-8110b3c97a9d" } ], "title": "CompDocument для наполненного Bundle для жидкостной цитологии", "custodian": { "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9" }, "event": [ { "detail": [ { "reference": { "reference": "Condition/ThyroidNoduleDiagnosisTest" } } ] }, { "detail": [ { "reference": { "reference": "ServiceRequest/ExampleThyroidCytologyTest" } } ] }, { "detail": [ { "reference": { "reference": "Specimen/ExampleSpecimenBiopsyThyroidTest" } } ] }, { "detail": [ { "reference": { "reference": "Procedure/ThyroidPunctureTest" } } ] } ] } }, { "fullUrl": "Patient/PatientTest", "resource": { "resourceType": "Patient", "id": "PatientTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/PatientWithIdentificationNumber" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/IncapacityExtension", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/DisabilityGroup", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/DisabilityGroup", "code": "2_group", "display": "II группа" } ] } }, { "url": "https://fhir.by/StructureDefinition/DisabilityReason", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/DisabilityReason", "code": "general", "display": "общее заболевание" } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientJobProfession", "valueString": "Инспектор по контролю за содержанием и охране зеленых насаждений" }, { "url": "https://fhir.by/StructureDefinition/PatientJobProfessionCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/SpecialtyProfPerson", "code": "3119-007", "display": "Инспектор по контролю за содержанием и охране зеленых насаждений" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "УП «Зеленстрой»" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2020-11-07" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": true } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataBoolean", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataPeriod", "valuePeriod": { "start": "2025-01-01" } } ], "url": "https://fhir.by/StructureDefinition/ConsentPersonalData" } ], "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "INP", "display": "Уникальный идентификационный номер" } ] }, "value": "7551027A009PB6" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 21.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2021-08-21" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "710" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "Passport-RB", "display": "Паспорт гражданина Республики Беларусь" } ] }, "value": "MP2334561" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2024-03-01" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным МРЭК г Минска, 31.01.2024" } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "official", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "CDP", "display": "Удостоверение инвалида" } ] }, "value": "Серия 09 №1234562", "period": { "start": "2024-02-15" }, "assigner": { "reference": "Organization/af69999d-3e5c-49b9-a9e9-38e7687785f3" } }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "1990-12-31" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Октябрьское РУВД г.Минска" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "705", "display": "Октябрьское РУВД г.Минска" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "BC", "display": "Свидетельство о рождении" } ] }, "value": "АВ7654322" } ], "active": true, "name": [ { "family": "Иванов", "given": [ "Петр", "Сидорович" ] } ], "telecom": [ { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientNotificationType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PatientNotificationType", "code": "SMS", "display": "SMS" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientNotificationType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PatientNotificationType", "code": "messenger-tel", "display": "Telegram" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientNotificationType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PatientNotificationType", "code": "e-mail", "display": "e-mail" } ] } }, { "url": "https://fhir.by/StructureDefinition/PatientConsentForNotification", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/PatientAccountPoint", "valueBoolean": true } ], "url": "https://fhir.by/StructureDefinition/PatientTelecomPurpose" } ], "system": "phone", "value": "295748410" }, { "system": "email", "value": "test_mail@gmail.by" } ], "gender": "male", "birthDate": "1990-12-31", "deceasedBoolean": false, "address": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/CoutryForAddresses", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CitizenshipCode", "code": "BY", "display": "Беларусь" } ] } }, { "url": "https://fhir.by/StructureDefinition/StreetGeoRegistry", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/StreetGeoRegistry", "code": "5170309411", "display": "Улица Золотая Горка" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 29" } ], "use": "home", "text": "г.Минск, Улица Золотая Горка, д.5, кв.29", "postalCode": "220022" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/CoutryForAddresses", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CitizenshipCode", "code": "BY", "display": "Беларусь" } ] } }, { "url": "https://fhir.by/StructureDefinition/StreetGeoRegistry", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/StreetGeoRegistry", "code": "51703019678", "display": "Проспект Рокоссовского" } ] } }, { "url": "https://fhir.by/StructureDefinition/ApartmentRoom", "valueString": "кв. 2" } ], "use": "temp", "text": "г.Минск, Проспект Рокоссовского, д.20, кв.2", "postalCode": "220011" } ], "maritalStatus": { "coding": [ { "system": "https://fhir.by/ValueSet/MaritalStatus", "code": "married" } ] }, "contact": [ { "relationship": [ { "coding": [ { "system": "https://fhir.by/ValueSet/RelatedPersonType", "code": "wife" } ] } ], "name": { "family": "Иванова", "given": [ "Лариса", "Ивановна" ] }, "telecom": [ { "system": "phone", "value": "802990990908" } ] } ], "generalPractitioner": [ { "reference": "Organization/97e05a7d-b923-4b34-bf76-e4b19e248f83", "identifier": { "value": "123156789012", "period": { "start": "2002-12-11" } } } ] } }, { "fullUrl": "Condition/ThyroidNoduleDiagnosisTest", "resource": { "resourceType": "Condition", "id": "ThyroidNoduleDiagnosisTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FinalDiagnosis" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/KindOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Clinical" } ] } }, { "url": "https://fhir.by/StructureDefinition/AssertedDate", "valueDateTime": "2025-12-10T14:15:00Z" }, { "url": "https://fhir.by/StructureDefinition/CourseOfDisease", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfDisease", "code": "chronic" } ] } }, { "url": "https://fhir.by/StructureDefinition/FirstTimeRevealed", "valueBoolean": true } ], "clinicalStatus": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" } ] }, "code": { "coding": [ { "system": "https://fhir.by/ValueSet/InternClassificDiseases10", "code": "E04.1", "display": "E04.1 - Нетоксический одноузловой зоб" } ] }, "subject": { "reference": "Patient/PatientTest" }, "onsetDateTime": "2025-12-10", "recordedDate": "2025-12-10", "participant": [ { "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } ] } }, { "fullUrl": "Encounter/EncounterSurgeonTest", "resource": { "resourceType": "Encounter", "id": "EncounterSurgeonTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/EncounterGeneral" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/EncounterConclusion", "valueString": "Нетоксический одноузловой зоб, выполнена биопсия, образец направлен на цитологическое исследование" }, { "url": "https://fhir.by/StructureDefinition/EncounterTypeOfVisit", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/EncounterTypeOfVisit", "code": "primary", "display": "первичное обращение" } ] } }, { "url": "https://fhir.by/StructureDefinition/EncounterTypeOfService", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/EncounterTypeOfService", "code": "free", "display": "Бесплатные услуги" } ] } } ], "status": "completed", "class": [ { "coding": [ { "system": "https://fhir.by/ValueSet/VSTermsOfService", "code": "1", "display": "амбулаторные" } ] } ], "priority": { "coding": [ { "system": "https://fhir.by/ValueSet/HealthCareForms", "code": "planned", "display": "Плановая медицинская помощь" } ] }, "type": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfHealthCare", "code": "special", "display": "Специализированная медицинская помощь" } ] } ], "subject": { "reference": "Patient/PatientTest" }, "serviceProvider": { "reference": "Organization/c0506d77-eb71-48e0-968e-833c0ca3dd51" }, "participant": [ { "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } ], "actualPeriod": { "start": "2025-12-10T14:00:21Z", "end": "2025-12-10T14:25:21Z" }, "reason": [ { "use": [ { "coding": [ { "system": "https://fhir.by/ValueSet/EncounterReasons", "code": "consult", "display": "врачебная консультация" } ] } ] } ], "diagnosis": [ { "condition": [ { "reference": { "reference": "Condition/ThyroidNoduleDiagnosisTest" } } ], "use": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfDiagnosis", "code": "mainDiagnosis" } ] } ] } ] } }, { "fullUrl": "ServiceRequest/ExampleThyroidCytologyTest", "resource": { "resourceType": "ServiceRequest", "id": "ExampleThyroidCytologyTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/ServiceRequestBioMatResearch" ] }, "extension": [ { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/UltrasoundResult", "valueString": "Солидно-кистозный узел 19*20*22 мм, перешейка щитовидной железы" }, { "url": "https://fhir.by/StructureDefinition/TiradsScore", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/TiradsScore", "code": "tirads-2", "display": "доброкачественные изменения щитовидной железы" } ] } }, { "url": "https://fhir.by/StructureDefinition/LastHormoneValue", "valueString": "Т3своб. - 5 пг/мл от 2025-03-03" } ], "url": "https://fhir.by/StructureDefinition/ThyroidGlandCytology" } ], "url": "https://fhir.by/StructureDefinition/TypeOfResearch" }, { "url": "https://fhir.by/StructureDefinition/FromOrganization", "valueReference": { "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9" } }, { "url": "https://fhir.by/StructureDefinition/SpecialtyCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ServiceSpecialtyBy", "code": "C063", "display": "Эндокринология" } ] } }, { "url": "https://fhir.by/StructureDefinition/PurposeOfResearch", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PurposeOfResearch", "code": "primary-research", "display": "первичное исследование" } ] } } ], "identifier": [ { "value": "13", "assigner": { "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9" } } ], "status": "active", "intent": "directive", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/HealthcareServiceCategory", "code": "03/1", "display": "Амбулаторно-поликлиническая диагностика для взрослого населения" } ] } ], "priority": "routine", "code": { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/ResearchMethods", "code": "thyroid-cytology", "display": "Цитологическое исследование материала из щитовидной железы" } ] } }, "subject": { "reference": "Patient/PatientTest" }, "encounter": { "reference": "Encounter/EncounterSurgeonTest" }, "authoredOn": "2025-12-10T14:00:00Z", "requester": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" }, "performer": [ { "reference": "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f" } ], "location": [ { "reference": { "reference": "Location/3dca489e-20b3-40d5-9833-e9353716d3b8" } } ], "reason": [ { "reference": { "reference": "Condition/ThyroidNoduleDiagnosisTest" } } ], "supportingInfo": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/HormoneTherapy", "valueBoolean": true }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/HormonalDrugName", "valueString": "Эутирокс" }, { "url": "https://fhir.by/StructureDefinition/HormonePeriod", "valuePeriod": { "start": "2022-05-01" } } ], "url": "https://fhir.by/StructureDefinition/HormonotherapyDetails" }, { "url": "https://fhir.by/StructureDefinition/EndocrinologistObservation", "valuePeriod": { "start": "2022-05-01" } } ] } ], "specimen": [ { "reference": "Specimen/ExampleSpecimenBiopsyThyroidTest" } ] } }, { "fullUrl": "Specimen/ExampleSpecimenBiopsyThyroidTest", "resource": { "resourceType": "Specimen", "id": "ExampleSpecimenBiopsyThyroidTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/BioMatSpecimen" ] }, "identifier": [ { "value": "245638.2025", "assigner": { "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9" } } ], "type": { "coding": [ { "system": "https://fhir.by/ValueSet/VSBiologicalMaterial", "code": "12.5.6", "display": "Аспират иной локализации" } ] }, "subject": { "reference": "Patient/PatientTest" }, "collection": { "procedure": { "reference": "Procedure/ThyroidPunctureTest" }, "bodySite": { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/AnatomicalTerminology", "code": "Superior-segment-of-right-lobe", "display": "Верхний сегмент (полюс) правой доли щитовидной железы" } ] } } } } }, { "fullUrl": "Procedure/ThyroidPunctureTest", "resource": { "resourceType": "Procedure", "id": "ThyroidPunctureTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/SurgicalProcedure" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/FromOrganization", "valueReference": { "reference": "Organization/c0506d77-eb71-48e0-968e-833c0ca3dd51" } }, { "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": "1", "display": "амбулаторные" } ] } }, { "url": "https://fhir.by/StructureDefinition/AnesthesiaType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/AnesthesiaType", "code": "local", "display": "местная анестезия" } ] } }, { "url": "https://fhir.by/StructureDefinition/ProcedureUrgency", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureUrgency", "code": "planned", "display": "Плановое" } ] } } ], "identifier": [ { "value": "13588", "assigner": { "reference": "Organization/c0506d77-eb71-48e0-968e-833c0ca3dd51" } } ], "status": "completed", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureType", "code": "diagnostic", "display": "Диагностическая" } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventions", "code": "BAA00K", "display": "Пункционная биопсия щитовидной железы" } ], "text": "Пункционная биопсия щитовидной железы" }, "subject": { "reference": "Patient/PatientTest" }, "encounter": { "reference": "Encounter/EncounterSurgeonTest" }, "occurrencePeriod": { "start": "2025-12-10T14:05:00Z", "end": "2025-12-10T14:15:00Z" }, "performer": [ { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "operator", "display": "врач-хирург оперирующий" } ] }, "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" }, "period": { "start": "2025-12-10T14:05:00Z", "end": "2025-12-10T14:15:00Z" } } ], "location": { "reference": "Location/3dca489e-20b3-40d5-9833-e9353716d3b8" }, "reason": [ { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis", "code": "postoperative", "display": "Диагноз после вмешательства" } ] }, "reference": { "reference": "Condition/ThyroidNoduleDiagnosisTest" } } ], "note": [ { "text": "После обработки операционного поля выполнено местное обезболивание. Под УЗИ-контролем выполнена тонкоигольная пункция щитовидной железы. \nАсептическая повязка. Образец биоиатериале направлен на цитологическое исследование. Осложнений во время операции не было" } ] } } ] }