{
  "resourceType" : "Bundle",
  "id" : "ExampleBundleMedExamDecisionTest",
  "meta" : {
    "profile" : [
       "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument"
    ]
  },
  "identifier" : {
    "system" : "https://fhir.by/ValueSet/urn:ietf:rfc:3986",
    "value" : "{{$guid}}"
  },
  "type" : "document",
  "timestamp" : "2025-12-10T14:00:00Z",
  "entry" : [
    {
      "fullUrl" : "Composition/CompositionMedExamDecisionTest",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "CompositionMedExamDecisionTest",
        "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 направления на обязательный медицинский осмотр работающего",
        "custodian" : {
          "reference" : "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
        },
        "event" : [
          {
            "detail" : [
              {
                "reference" : {
                   "reference" : "CarePlan/ExampleMedExaminReportTest"
                }
              }
            ]
          },
          {
            "detail" : [
              {
                "reference" : {
                   "reference" : "ClinicalImpression/ExampleMedExamDecisionTest"
                }
              }
            ]
          },
          {
            "detail" : [
              {
                "reference" : {
                   "reference" : "Encounter/EncounterTest"
                }
              }
            ]
          },      
          {
            "detail" : [
              {
                "reference" : {
                   "reference" : "ServiceRequest/ExampleSRMedExamTest"
                }
              }
            ]
          },
          {
            "detail" : [
              {
                "reference" : {
                   "reference" : "Condition/ExampleDiagnosisHealthy"
                }
              }
            ]
          },
          {
            "detail" : [
              {
                "reference" : {
                   "reference" : "Observation/ExampleObservationUSDTest"
                }
              }
            ]
          },
          {
            "detail" : [
              {
                "reference" : {
                   "reference" : "DiagnosticReport/ExampleDiagnosticReportObsDR"
                }
              }
            ]
          }             
        ]
      }
    },
    {
      "fullUrl": "Encounter/EncounterTest",
      "resource": {
        "resourceType": "Encounter",
        "id": "EncounterTest",
        "meta": {
          "profile": [
            "https://fhir.by/StructureDefinition/EncounterGeneral"
                ]
            },
        "extension": [
                {
                    "url": "https://fhir.by/StructureDefinition/EncounterConclusion",
                    "valueString": "проведение медицинского осмотра"
                },
                {
                    "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": "primary",
                            "display": "Первичная медицинская помощь"
                        }
                    ]
                }
            ],
        "subject": {
                "reference": "Patient/PatientTest"
            },
        "serviceProvider": {
                "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
            },
        "participant": [
                {
                    "actor": {
                        "reference": "PractitionerRole/0699ca9f-b924-48b6-bd91-88233dde3155"
                    }
                }
            ],
        "actualPeriod": {
                "start": "2025-06-10T11:12:21Z",
                "end": "2025-06-10T11:25:21Z"
            },
        "reason": [
                {
                    "use": [
                        {
                            "coding": [
                                {
                                    "system": "https://fhir.by/ValueSet/EncounterReasons",
                                    "code": "medical-examination",
                                    "display": "Медицинский осмотр"
                                }
                            ]
                        }
                    ]
                }
            ],
        "diagnosis": [
                {
                    "condition": [
                        {
                            "reference": {
                                "reference": "Condition/ExampleDiagnosisHealthy"
                            }
                        }
                    ],
                    "use": [
                        {
                            "coding": [
                                {
                                    "system": "https://fhir.by/ValueSet/TypeOfDiagnosis",
                                    "code": "mainDiagnosis"
                                }
                            ]
                        }
                    ]
                }
            ]
        }
    },   
    {
      "fullUrl" : "Condition/ExampleDiagnosisHealthy",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "ExampleDiagnosisHealthy",
        "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" : "2025-06-10"
        }],
        "clinicalStatus" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code" : "active"
          }]
        },
        "code" : {
          "coding" : [{
          "system" : "https://fhir.by/ValueSet/InternClassificDiseases10",
          "code" : "Z00.0",
          "display" : "Z00.0 - Общий медицинский осмотр"
        }]
      },
        "subject" : {
          "reference" : "Patient/PatientTest"
        },
        "onsetDateTime" : "2024-01-05",
        "recordedDate" : "2024-01-05",
        "participant" : [{
        "actor" : {
          "reference" : "PractitionerRole/0699ca9f-b924-48b6-bd91-88233dde3155"
          }
        }]
      }
    },
    {
      "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" : "CarePlan/ExampleMedExaminReportTest",
      "resource" : {
        "resourceType" : "CarePlan",
        "id" : "ExampleMedExaminReportTest",
        "meta" : {
          "profile" : [
             "https://fhir.by/StructureDefinition/MedExaminReport"
          ]
        },
        "extension" : [{
          "extension" : [{
            "url" : "https://fhir.by/StructureDefinition/HarmfulFactors",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/HarmfulFactors",
                "code" : "1.1.1",
                "display" : "азота неорганические соединения (аммиак, азотная кислота и другие)"
              }]
            } 
          },
          {
            "url" : "https://fhir.by/StructureDefinition/TypesOfWork",
            "valueCodeableConcept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/TypesOfWork",
                "code" : "6",
                "display" : "Работы в нефтяной и газовой промышленности, производство геолого-разведческих и топографо-геодезических работ"
              }]
            } 
          }],
          "url" : "https://fhir.by/StructureDefinition/FactorsAndTypesOfWork"
        }],
        "basedOn" : [{
            "reference" : "ServiceRequest/{{serviceRequestId}}"
        }],
        "status" : "completed",
        "intent" : "plan",
        "category" : [{
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/MedicalExaminationEmployees",
            "code" : "mandatory-preliminary",
            "display" : "обязательный предварительный"
          }]
        }],
        "title" : "Протокол медицинского осмотра (предварительного, периодического или внеочередного) работающих",
        "subject" : {
           "reference" : "Patient/PatientTest"
        },
        "encounter" : {
          "reference" : "Encounter/EncounterTest"
        },
        "custodian" : {
          "reference" : "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
        },
        "contributor" : [{
          "reference" : "PractitionerRole/0699ca9f-b924-48b6-bd91-88233dde3155"
        }],
        "addresses" : [{
          "reference" : {
            "reference" : "Condition/ExampleDiagnosisHealthy"
          }
        }],
        "supportingInfo" : [{
          "reference" : "ClinicalImpression/ExampleMedExamDecisionTest"
        }],
        "activity" : [{
          "performedActivity" : [{
            "reference" : {
              "reference" : "DiagnosticReport/ExampleDiagnosticReportObsDR"
            }
          }]
        }]
      }
    },
    {
      "fullUrl" : "ClinicalImpression/ExampleMedExamDecisionTest",
      "resource" : {
        "resourceType" : "ClinicalImpression",
        "id" : "ExampleMedExamDecisionTest",
        "meta" : {
          "profile" : [
             "https://fhir.by/StructureDefinition/MedicalExaminDecision"]
        },
        "extension" : [{
          "url" : "https://fhir.by/StructureDefinition/MedicalExaminationEmployees",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/MedicalExaminationEmployees",
              "code" : "mandatory-preliminary",
              "display" : "обязательный предварительный"
            }]
          }
        }],
        "identifier" : [{
          "value" : "23456",
          "assigner" : {
            "reference" : "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
          }
        }],
        "status" : "completed",
        "description" : "Решение комиссии о состоянии здоровья при проведении обязательного периодического осмотра Иванова Ивана, 31.12.1990 года рождения",
        "subject" : {
          "reference" : "Patient/PatientTest"
        },
        "effectiveDateTime" : "2026-06-10",
        "date" : "2025-06-10",
        "performer" : {
          "reference" : "PractitionerRole/0699ca9f-b924-48b6-bd91-88233dde3155"
        },
        "finding" : [{
          "item" : {
            "extension" : [{
              "extension" : [{
                "url" : "https://fhir.by/StructureDefinition/HarmfulFactors",
                "valueCodeableConcept" : {
                  "coding" : [{
                    "system" : "https://fhir.by/ValueSet/HarmfulFactors",
                    "code" : "1.1.39",
                    "display" : "амино- и нитросоединения алифатических, ациклических углеводородов и их производные (метиламин, этиленимин, гексаметилендиамин, циклогексиламин и другие)"
                  }]
                }
              }],
              "url" : "https://fhir.by/StructureDefinition/FactorsAndTypesOfWork"
            }],
            "concept" : {
              "coding" : [{
                "system" : "https://fhir.by/ValueSet/MedicalExaminationDecision",
                "code" : "fit",
                "display" : "Годен к работе"
              }]
            }
          }
        },
        {
          "item" : {
            "extension" : [{
              "extension" : [{
                "url" : "https://fhir.by/StructureDefinition/HarmfulFactors",
                "valueCodeableConcept" : {
                  "coding" : [{
                  "system" : "https://fhir.by/ValueSet/HarmfulFactors",
                  "code" : "1.1.32",
                  "display" : "амино- и нитросоединения ароматических углеводородов и их производные: аминобензол (анилин) (К), м-, п-толуидин, N-метиламинобензол (метил-аланин), аминонитро-бензолы; нитрохлорбензолы, нитро-, аминофенолы, 2-метил-1,3,5-тринитробензол (тринитротолуол), диамино-бензолы (фенилендиамины), 1-амино-3-хлорбензолол, 1-амино-4-хлорбензол (хлоранилины), аминодиметилбензол (ксилидин), анизидины, бензидин (К), нафтиламины"
                  }]
                }
              }],
            "url" : "https://fhir.by/StructureDefinition/FactorsAndTypesOfWork"
          }],
          "concept" : {
            "coding" : [{
              "system" : "https://fhir.by/ValueSet/MedicalExaminationDecision",
              "code" : "unfit-health-condition",
              "display" : "Не годен по состоянию здоровья"
              }]
            }
          }
        }]
      }   
    },
    {
          "fullUrl": "DiagnosticReport/ExampleDiagnosticReportObsDR",
          "resource": {
            "resourceType": "DiagnosticReport",
            "id": "ExampleDiagnosticReportObsDR",
            "meta": {
            "profile": [
            "https://fhir.by/StructureDefinition/UltrasoundDiagnosticReport"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.by/StructureDefinition/LocationReference",
            "valueReference": {
              "reference": "Location/00000000-0000-0000-0000-000000000000"
            }
          },
          {
            "url": "https://fhir.by/StructureDefinition/ExaminationPriority",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/ExaminationPriority",
                  "code": "routine",
                  "display": "планово"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "value": "43664362",
            "assigner": {
              "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
            }
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.by/ValueSet/HealthcareServiceCategory",
                "code": "06/1-add",
                "display": "Медицинская экспертиза, освидетельствования и осмотры взрослого населения"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.by/ValueSet/UltrasoundTypes",
              "code": "A04-28-001",
              "display": "УЗИ почек"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientTest"
        },
        "encounter": {
          "reference": "Encounter/EncounterTest"
        },
        "effectivePeriod": {
          "start": "2025-05-12T12:05:00Z",
          "end": "2025-05-12T12:15:00Z"
        },
        "issued": "2025-05-12T12:30:00Z",
        "performer": [
          {
            "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
          }
        ],
        "resultsInterpreter": [
          {
            "reference": "PractitionerRole/0699ca9f-b924-48b6-bd91-88233dde3155"
          }
        ],
        "result": [
          {
            "reference": "Observation/ExampleObservationUSDTest"
          }
        ],
        "conclusion": "норма"
      }
    },
    {
      "fullUrl": "Observation/ExampleObservationUSDTest",
      "resource": {
        "resourceType": "Observation",
        "id": "ExampleObservationUSDTest",
        "meta": {
          "profile": [
            "https://fhir.by/StructureDefinition/ObservationUltrasound"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.by/StructureDefinition/LocationReference",
            "valueReference": {
              "reference": "Location/00000000-0000-0000-0000-000000000000"
            }
          }
        ],
        "identifier": [
          {
            "value": "43664362",
            "assigner": {
              "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
            }
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.by/ValueSet/HealthcareServiceCategory",
                "code": "06/1-add",
                "display": "Медицинская экспертиза, освидетельствования и осмотры взрослого населения"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.by/ValueSet/UltrasoundTypes",
              "code": "A04-28-001",
              "display": "УЗИ почек"
            }
          ]
        },
        "subject": {
          "reference": "Patient/PatientTest"
        },
        "encounter": {
          "reference": "Encounter/EncounterTest"
        },
        "effectivePeriod": {
          "start": "2025-05-12T12:05:00Z",
          "end": "2025-05-12T12:15:00Z"
        },
        "issued": "2025-05-12T12:20:00Z",
        "performer": [
          {
            "extension": [
              {
                "url": "https://fhir.by/StructureDefinition/PerformerTypeObservation",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.by/ValueSet/PerformerType",
                      "code": "organization-per",
                      "display": "организация"
                    }
                  ]
                }
              }
            ],
            "reference": "Organization/d472b8d6-5c80-4dfb-ad09-c5ce8596d5e9"
          },
          {
            "extension": [
              {
                "url": "https://fhir.by/StructureDefinition/PerformerTypeObservation",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.by/ValueSet/PerformerType",
                      "code": "practitionerRole-per",
                      "display": "роль медработника"
                    }
                  ]
                }
              }
            ],
            "reference": "PractitionerRole/0699ca9f-b924-48b6-bd91-88233dde3155"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-location",
                  "display": "Расположение правой почки"
                }
              ]
            },
            "valueString": "Обычное"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-borders",
                  "display": "Контуры правой почки"
                }
              ]
            },
            "valueString": "Ровные, четкие"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-length",
                  "display": "Длина правой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 105,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-thickness",
                  "display": "Толщина правой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 45,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-width",
                  "display": "Ширина правой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 52,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-parenchyma-width",
                  "display": "Толщина паренхимы правой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 18,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-parenchyma-echogenicity",
                  "display": "Эхогенность паренхимы правой почки"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
                  "code": "normal",
                  "display": "Норма"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-parenchyma-structure",
                  "display": "Структура паренхимы правой почки"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
                  "code": "homogeneous",
                  "display": "Однородная"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-pelvicalyceal-system",
                  "display": "Чашечно-лоханочная система правой почки"
                }
              ]
            },
            "valueString": "Не расширена"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-lesions",
                  "display": "Очаговые образования (правая почка)"
                }
              ]
            },
            "valueBoolean": false
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-R-stones",
                  "display": "Конкременты (правая почка)"
                }
              ]
            },
            "valueBoolean": false
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-location",
                  "display": "Расположение левой почки"
                }
              ]
            },
            "valueString": "Обычное"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-borders",
                  "display": "Контуры левой почки"
                }
              ]
            },
            "valueString": "Ровные, четкие"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-length",
                  "display": "Длина левой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 108,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-width",
                  "display": "Толщина левой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 42,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-width",
                  "display": "Ширина левой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 49,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-parenchyma-width",
                  "display": "Толщина паренхимы левой почки"
                }
              ]
            },
            "valueQuantity": {
              "value": 22,
              "unit": "мм",
              "system": "https://fhir.by/ValueSet/UnitsOfMeasureBy",
              "code": "mm"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-parenchyma-echogenicity",
                  "display": "Эхогенность паренхимы левой почки"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
                  "code": "normal",
                  "display": "Норма"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-parenchyma-structure",
                  "display": "Структура паренхимы левой почки"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltraSoundQualitativeParameters",
                  "code": "homogeneous",
                  "display": "Однородная"
                }
              ]
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-pelvicalyceal-system",
                  "display": "Чашечно-лоханочная система левой почки"
                }
              ]
            },
            "valueString": "Не расширена"
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-lesions",
                  "display": "Очаговые образования (левая почка)"
                }
              ]
            },
            "valueBoolean": false
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "kidney-L-stones",
                  "display": "Конкременты (левая почка)"
                }
              ]
            },
            "valueBoolean": false
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.by/ValueSet/UltrasoundParametres",
                  "code": "additional-info",
                  "display": "Дополнительная информация"
                }
              ]
            },
            "valueString": "норма"
          }
        ]
      }
    }

  ]
}