{ "resourceType": "Bundle", "id": "BundleCytologyPleuralToLabTest", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3086", "value": "{{$guid}}" }, "type": "document", "timestamp": "2025-12-10T14:00:00Z", "entry": [ { "fullUrl": "Composition/CompositionCytologyPleuralTest", "resource": { "resourceType": "Composition", "id": "{{$guid}}", "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" } ], "date": "2025-12-10T14:00:00Z", "author": [ { "reference": "Practitioner/1b8ecfd0-4a91-11f0-b91a-8110b3c97a9d" } ], "title": "CompDocument для наполненного Bundle для отделяемого плевральной полости", "custodian": { "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9" }, "event": [ { "detail": [ { "reference": { "reference": "Condition/EmphysemaDiagnosisTest" } } ] }, { "detail": [ { "reference": { "reference": "ServiceRequest/ExampleCytologyPleuralFluidTest" } } ] }, { "detail": [ { "reference": { "reference": "Specimen/ExampleSpecimenPleuralFluidTest" } } ] } ] } }, { "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/EmphysemaDiagnosisTest", "resource": { "resourceType": "Condition", "id": "EmphysemaDiagnosisTest", "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": "J43.1", "display": "J43.1 - Панлобулярная эмфизема" } ] }, "subject": { "reference": "Patient/PatientTest" }, "onsetDateTime": "2025-12-10", "recordedDate": "2025-12-10", "participant": [ { "actor": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" } } ], "note": [ { "text": "Буллёзная трансформация левого лёгкого. Операция от 09.12.2025, торакоскопическая лобэктомия с применением аппаратного шва и современных методов гемостаза. Хилоторакс?" } ] } }, { "fullUrl": "ServiceRequest/ExampleCytologyPleuralFluidTest", "resource": { "resourceType": "ServiceRequest", "id": "ExampleCytologyPleuralFluidTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/ServiceRequestBioMatResearch" ] }, "extension": [ { "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": "C042", "display": "Пульмонология" } ] } }, { "url": "https://fhir.by/StructureDefinition/PurposeOfResearch", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PurposeOfResearch", "code": "primary-research", "display": "первичное исследование" } ] } } ], "identifier": [ { "value": "142", "assigner": { "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9" } } ], "status": "active", "intent": "directive", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/HealthcareServiceCategory", "code": "03/2", "display": "Стационарная медицинская диагностика для взрослого населения" } ] } ], "priority": "routine", "code": { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/ResearchMethods", "code": "general-cytology", "display": "Цитологическое исследование любого биологического материала" } ] } }, "subject": { "reference": "Patient/PatientTest" }, "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/EmphysemaDiagnosisTest" } } ], "specimen": [ { "reference": "Specimen/ExampleSpecimenPleuralFluidTest" } ] } }, { "fullUrl": "Specimen/ExampleSpecimenPleuralFluidTest", "resource": { "resourceType": "Specimen", "id": "ExampleSpecimenPleuralFluidTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/BioMatSpecimen" ] }, "identifier": [ { "value": "245611.2025", "assigner": { "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9" } } ], "type": { "coding": [ { "system": "https://fhir.by/ValueSet/VSBiologicalMaterial", "code": "12.6.9", "display": "Плевральная жидкость" } ] }, "subject": { "reference": "Patient/PatientTest" }, "collection": { "collector": { "reference": "PractitionerRole/bee18426-9548-11f0-b31c-51c138b8dbec" }, "collectedDateTime": "2025-12-10T13:20:00Z", "quantity": { "value": 8, "unit": "мл" }, "method": { "coding": [ { "system": "https://fhir.by/ValueSet/MethodOfObtaining", "code": "other", "display": "иное" } ], "text": "отделяемое из левого плеврального дренажа" }, "bodySite": { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/AnatomicalTerminology", "code": "Pleural-cavity", "display": "Плевральная полость" } ] } } }, "processing": [ { "method": { "coding": [ { "system": "https://fhir.by/ValueSet/ColoringMicropreparations", "code": "Native", "display": "Не окрашивался" } ] } } ], "condition": [ { "coding": [ { "system": "https://fhir.by/ValueSet/StateOfSpecimen", "code": "CFU", "display": "Центрифугирован" } ] } ] } } ] }