{ "resourceType": "Bundle", "id": "BundleHystologyAppendixToLabTest", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3086", "value": "{{$guid}}" }, "type": "document", "timestamp": "2025-10-10T14:00:00Z", "entry": [ { "fullUrl": "Composition/CompositionHystoAppendixTest", "resource": { "resourceType": "Composition", "id": "CompositionHystoAppendixTest", "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": "2025-10-10T14:00:00Z", "author": [ { "reference": "Practitioner/{{PractitionerId}}" } ], "title": "CompDocument для наполненного Bundle для гистологии", "custodian": { "reference": "Organization/{{OrganizationId}}" }, "event": [ { "detail": [ { "reference": { "reference": "Condition/AcuteAppendicitisClinicalTest" } } ] }, { "detail": [ { "reference": { "reference": "ServiceRequest/ExampleSRPathohistologyAppendixTest" } } ] }, { "detail": [ { "reference": { "reference": "Specimen/ExampleSpecimeAppendixBiopsyTest" } } ] }, { "detail": [ { "reference": { "reference": "EpisodeOfCare/ExampleHospitalisation2.2Test" } } ] }, { "detail": [ { "reference": { "reference": "Procedure/AppendectomyTest" } } ] } ] } }, { "fullUrl": "Patient/PatientTest", "resource": { "resourceType": "Patient", "id": "PatientEndoscopy", "meta": { "lastUpdated": "2025-11-17T11:30:00Z", "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": "3_group", "display": "III группа" } ] } }, { "url": "https://fhir.by/StructureDefinition/DisabilityReason", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/DisabilityReason", "code": "ch-general", "display": "вследствие общего заболевания" } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientJobProfession", "valueString": "Экономист" }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "ОАО Экономика" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2015-09-01" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": true } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientJobProfession", "valueString": "Экономист" }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "ОАО СтройВозводи" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2015-09-01" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": false } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientStudyPlace", "valueString": "БГУ, экономический факультет" }, { "url": "https://fhir.by/StructureDefinition/PatientTermOfStudy", "valuePeriod": { "start": "2011-09-01", "end": "2015-07-01" } } ], "url": "https://fhir.by/StructureDefinition/PatientStudy" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientStudyPlace", "valueString": "ГБУ, факультет программирования" }, { "url": "https://fhir.by/StructureDefinition/PatientTermOfStudy", "valuePeriod": { "start": "2015-09-01", "end": "2018-07-01" } } ], "url": "https://fhir.by/StructureDefinition/PatientStudy" }, { "url": "https://fhir.by/StructureDefinition/PatientPreferences", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/VSPatientPreferences", "code": "6", "display": "Дети-инвалиды в возрасте до 18 лет и дети в возрасте до 3 лет." } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataBoolean", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataPeriod", "valuePeriod": { "start": "2024-08-01" } } ], "url": "https://fhir.by/StructureDefinition/ConsentPersonalData" } ], "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "INP" } ] }, "value": "7551317A009PB4" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "1985-12-31" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 31.12.1985" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "official", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "CDP", "display": "Удостоверение инвалида" } ] }, "value": "AB77708", "period": { "start": "2024-01-31" }, "assigner": { "reference": "Organization/{{OrganizationId}}" } } ], "active": true, "name": [ { "family": "Алексеев", "given": [ "Василий", "Петрович" ] } ], "telecom": [ { "system": "phone", "value": "80290000000" }, { "system": "email", "value": "test_mail@mail.by" } ], "gender": "male", "birthDate": "1985-12-31", "deceasedBoolean": false, "address": [ { "use": "home", "text": "РБ, г. Минск, пр-т Независимости д.28, кв.101", "city": "Minsk city", "state": "Minskaya oblast", "country": "Belarus" }, { "use": "temp", "text": "РБ, г. Минск, пр-т Победителей д.28, кв.101", "city": "Minsk city", "state": "Minskaya oblast", "country": "Belarus" } ], "maritalStatus": { "coding": [ { "system": "https://fhir.by/ValueSet/MaritalStatus", "code": "married" } ] } } }, { "fullUrl": "EpisodeOfCare/ExampleHospitalisation2.2Test", "resource": { "resourceType": "EpisodeOfCare", "id": "ExampleHospitalisation2.2Test", "meta": { "profile": [ "https://fhir.by/StructureDefinition/Hospitalisation" ] }, "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/HospitalisationPaidType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/HospitalisationPaidType", "code": "govern", "display": "за счет бюджетных средств" } ] } } ], "url": "https://fhir.by/StructureDefinition/HospitalisationPaid" }, { "url": "https://fhir.by/StructureDefinition/EmergencyHospitalisationTerm", "valuePositiveInt": 6 }, { "url": "https://fhir.by/StructureDefinition/HepatitisBool", "valueBoolean": false }, { "url": "https://fhir.by/StructureDefinition/DiagnosisOfSendingOrganisation", "valueReference": { "reference": "Condition/AcuteAppendicitisClinicalTest" } }, { "url": "https://fhir.by/StructureDefinition/SequenceNumbeHospitalisation", "valuePositiveInt": 1 } ], "identifier": [ { "value": "12/1", "assigner": { "reference": "Organization/{{OrganizationId}}" } } ], "status": "active", "type": [ { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfHealthCare", "code": "hightechnology", "display": "Высокотехнологичная медицинская помощь" } ] } ], "reason": [ { "use": { "coding": [ { "system": "https://fhir.by/ValueSet/HospitalisationReasonUse", "code": "2", "display": "Экстренная госпитализация" } ] }, "value": [ { "concept": { "text": "Для уточнения диагноза и лечения" } } ] } ], "diagnosis": [ { "condition": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/TypeOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfDiagnosis", "code": "mainDiagnosis", "display": "Основной диагноз" } ] } } ], "reference": { "reference": "Condition/AcuteAppendicitisClinicalTest" } } ], "use": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Preliminary", "display": "Предварительный диагноз" } ] } }, { "condition": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/TypeOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/TypeOfDiagnosis", "code": "mainDiagnosis", "display": "Основной диагноз" } ] } } ], "reference": { "reference": "Condition/AcuteAppendicitisClinicalTest" } } ], "use": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Clinical", "display": "Клинический диагноз" } ] } } ], "patient": { "reference": "Patient/PatientTest" }, "managingOrganization": { "reference": "Organization/{{OrganizationId}}" }, "period": { "start": "2025-11-15" }, "careManager": { "reference": "PractitionerRole/{{PractitionerRole}}" } } }, { "fullUrl": "Condition/AcuteAppendicitisClinicalTest", "resource": { "resourceType": "Condition", "id": "AcuteAppendicitisClinicalTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FinalDiagnosis" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/KindOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Final" } ] } }, { "url": "https://fhir.by/StructureDefinition/AssertedDate", "valueDateTime": "2025-11-16T15:15:00Z" }, { "url": "https://fhir.by/StructureDefinition/CourseOfDisease", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfDisease", "code": "acute" } ] } }, { "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": "K35.3", "display": "K35.3 - Острый аппендицит с ограниченным перитонитом" } ] }, "subject": { "reference": "Patient/PatientTest" }, "onsetDateTime": "2025-11-16", "recordedDate": "2025-11-16", "participant": [ { "actor": { "reference": "PractitionerRole/{{PractitionerRole}}" } } ], "note": [ { "text": "Клинический диагноз. Острый флегмонозный аппендицин. Местный серозно-фибринозный перитонит." } ] } }, { "fullUrl": "ServiceRequest/ExampleSRPathohistologyAppendixTest", "resource": { "resourceType": "ServiceRequest", "id": "ExampleSRPathohistologyAppendixTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/ServiceRequestBioMatResearch" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/FromOrganization", "valueReference": { "reference": "Organization/{{OrganizationId}}" } }, { "url": "https://fhir.by/StructureDefinition/SpecialtyCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ServiceSpecialtyBy", "code": "C018", "display": "Лабораторная диагностика" } ] } }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/ShortClinicalData", "valueString": "Острый флегмонозный аппендицит, проведена аппендэктомия" } ], "url": "https://fhir.by/StructureDefinition/PathoHistology" } ], "url": "https://fhir.by/StructureDefinition/TypeOfResearch" }, { "url": "https://fhir.by/StructureDefinition/PurposeOfResearch", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/PurposeOfResearch", "code": "primary-research", "display": "первичное исследование" } ] } } ], "identifier": [ { "value": "75862" } ], "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": "patho-histology", "display": "Патогистологическое исследование" } ] } }, "subject": { "reference": "Patient/PatientTest" }, "authoredOn": "2025-11-15T14:00:00Z", "requester": { "reference": "PractitionerRole/{{PractitionerRole}}" }, "performer": [ { "reference": "Organization/{{OrganizationId}}" } ], "location": [ { "reference": { "reference": "Location/{{LocationId}}" } } ], "reason": [ { "reference": { "reference": "Condition/AcuteAppendicitisClinicalTest" } } ], "specimen": [ { "reference": "Specimen/ExampleSpecimeAppendixBiopsyTest" } ] } }, { "fullUrl": "Specimen/ExampleSpecimeAppendixBiopsyTest", "resource": { "resourceType": "Specimen", "id": "ExampleSpecimeAppendixBiopsyTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/BioMatSpecimen" ] }, "identifier": [ { "value": "2456.2025", "assigner": { "reference": "Organization/{{OrganizationId}}" } } ], "type": { "coding": [ { "system": "https://fhir.by/ValueSet/VSBiologicalMaterial", "code": "12.12.15", "display": "Иной материал" } ] }, "subject": { "reference": "Patient/PatientTest" }, "collection": { "procedure": { "reference": "Procedure/AppendectomyTest" }, "bodySite": { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/AnatomicalTerminology", "code": "Vermiform-appendix", "display": "Червеобразный отросток" } ] } } }, "processing": [ { "method": { "coding": [ { "system": "https://fhir.by/ValueSet/ColoringMicropreparations", "code": "Native", "display": "Не окрашивался" } ] } } ], "condition": [ { "coding": [ { "system": "https://fhir.by/ValueSet/StateOfSpecimen", "code": "COOL", "display": "Охлажденный" } ] } ] } }, { "fullUrl": "Procedure/AppendectomyTest", "resource": { "resourceType": "Procedure", "id": "AppendectomyTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/SurgicalProcedure" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/FromOrganization", "valueReference": { "reference": "Organization/{{OrganizationId}}" } }, { "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/ExampleHospitalisation2.2Test" } }, { "url": "https://fhir.by/StructureDefinition/AnesthesiaType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/AnesthesiaType", "code": "endotracheal", "display": "Эндотрахеальный наркоз" } ] } }, { "url": "https://fhir.by/StructureDefinition/ProcedureComplexity", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureComplexity", "code": "complex", "display": "Сложное" } ] } }, { "url": "https://fhir.by/StructureDefinition/ProcedureUrgency", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureUrgency", "code": "emergency", "display": "Экстренное" } ] } } ], "identifier": [ { "value": "13582", "assigner": { "reference": "Organization/{{OrganizationId}}" } } ], "status": "completed", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureType", "code": "radical", "display": "Радикальная" } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventions", "code": "JESA10", "display": "Аппендэктомия с дренированием брюшной полости" } ], "text": "Аппендэктомия с дренированием брюшной полости" }, "subject": { "reference": "Patient/PatientTest" }, "occurrencePeriod": { "start": "2025-11-16T12:00:00Z", "end": "2025-11-16T13:20:00Z" }, "performer": [ { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "operator", "display": "врач-хирург оперирующий" } ] }, "actor": { "reference": "PractitionerRole/{{PractitionerRole}}" }, "period": { "start": "2025-11-16T12:00:00Z", "end": "2025-11-16T13:20:00Z" } }, { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "surgical-sister", "display": "медицинская сестра операционная" } ] }, "actor": { "reference": "PractitionerRole/{{PractitionerRole}}" }, "period": { "start": "2025-11-16T12:00:00Z", "end": "2025-11-16T13:20:00Z" } }, { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "anesthetist", "display": "врач-анестезиолог-реаниматолог" } ] }, "actor": { "reference": "PractitionerRole/{{PractitionerRole}}" }, "period": { "start": "2025-11-16T12:00:00Z", "end": "2025-11-16T13:20:00Z" } } ], "location": { "reference": "Location/{{LocationId}}" }, "reason": [ { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis", "code": "postoperative", "display": "Диагноз после вмешательства" } ] }, "reference": { "reference": "Condition/AcuteAppendicitisClinicalTest" } } ], "note": [ { "text": "После обработки операционного поля выполнен срединный лапаротомный доступ. В брюшной полости - мутный экссудат, фибринозные наложения. Выделен и удалён деструктивно изменённый червеобразный отросток. Культя обработана. Произведена санация брюшной полости теплым антисептическим раствором. Отросток направлен на гистологическое исследование. В брюшную полость установлен дренаж (№ DR-111) для контроля экссудата. Рана послойно ушита. Асептическая повязка. Кровопотеря - около 100 мл. Осложнений во время операции не отмечено." } ] } } ] }