{ "resourceType": "Bundle", "id": "BundleSurgery1Test", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3086", "value": "{{$guid}}" }, "type": "document", "timestamp": "2025-11-18T16:00:00Z", "entry": [ { "fullUrl": "Composition/CompositionSurgery1Test", "resource": { "resourceType": "Composition", "id": "CompositionSurgery1Test", "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": "2025-11-18T16:00:00Z", "author": [ { "reference": "Practitioner/{{PractitionerId}}" } ], "title": "CompDocument для наполненного Bundle по оперативному вмешательству", "custodian": { "reference": "Organization/{{OrganizationId}}" }, "event": [ { "detail": [ { "reference": { "reference": "Condition/AcuteAppendicitisClinicalTest" } } ] }, { "detail": [ { "reference": { "reference": "EpisodeOfCare/ExampleHospitalisation2.2Test" } } ] }, { "detail": [ { "reference": { "reference": "Procedure/AppendectomyTest" } } ] } ] } }, { "fullUrl": "Patient/PatientTest", "resource": { "resourceType": "Patient", "id": "PatientTest", "meta": { "profile": [ "https://fhir.by/StructureDefinition/PatientWithIdentificationNumber" ] }, "extension": [ { "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": "7551029A009PB0" }, { "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": "MP2334556" } ], "active": true, "name": [ { "family": "Иванов", "given": [ "Петр", "Сидорович" ] } ], "telecom": [ { "system": "phone", "value": "375295748410" }, { "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/365de972-ed7f-453e-8515-865f4c4230c2", "identifier": { "value": "5526", "period": { "start": "2008-12-11" } } } ] } }, { "fullUrl": "EpisodeOfCare/ExampleHospitalisation2.2Test", "resource": { "resourceType": "EpisodeOfCare", "id": "ExampleHospitalisation2.2Test", "meta": { "profile": [ "https://fhir.by/StructureDefinition/Hospitalisation" ] }, "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/TreatmentOutcome", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/TreatmentOutcome", "code": "1", "display": "Перевод в другое отделение" } ] } }, { "url": "https://fhir.by/StructureDefinition/LocationUnitOfOrganization", "valueReference": { "reference": "Location/{{LocationId_surgeon}}" } }, { "url": "https://fhir.by/StructureDefinition/TreatmentPeriod", "valuePeriod": { "start": "2025-11-15", "end": "2025-11-16" } }, { "url": "https://fhir.by/StructureDefinition/TreatingPractitioner", "valueReference": { "reference": "PractitionerRole/{{PractitionerRole_surgeon}}" } }, { "url": "https://fhir.by/StructureDefinition/HeadOfUnit", "valueReference": { "reference": "PractitionerRole/{{PractitionerRole_surgeon}}" } }, { "url": "https://fhir.by/StructureDefinition/BedProfiles", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/BedProfile", "code": "short-surgical-adult", "display": "хирургические для взрослых" } ] } } ], "url": "https://fhir.by/StructureDefinition/TreatmentInUnit" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/TreatmentOutcome", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/TreatmentOutcome", "code": "1", "display": "Перевод в другое отделение" } ] } }, { "url": "https://fhir.by/StructureDefinition/LocationUnitOfOrganization", "valueReference": { "reference": "Location/{{LocationId_resuscitator}}" } }, { "url": "https://fhir.by/StructureDefinition/TreatmentPeriod", "valuePeriod": { "start": "2025-11-16", "end": "2025-11-18" } }, { "url": "https://fhir.by/StructureDefinition/TreatingPractitioner", "valueReference": { "reference": "PractitionerRole/{{PractitionerRole_resuscitator}}" } }, { "url": "https://fhir.by/StructureDefinition/HeadOfUnit", "valueReference": { "reference": "PractitionerRole/{{PractitionerRole_resuscitator}}" } }, { "url": "https://fhir.by/StructureDefinition/BedProfiles", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/BedProfile", "code": "short-intensive-adult", "display": "реанимационные для взрослых" } ] } } ], "url": "https://fhir.by/StructureDefinition/TreatmentInUnit" }, { "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/{{preliminaryCondition}}" } }, { "url": "https://fhir.by/StructureDefinition/SequenceNumbeHospitalisation", "valuePositiveInt": 1 }, { "url": "https://fhir.by/StructureDefinition/PreviusResourceHospitalisation", "valueReference": { "reference": "EpisodeOfCare/{{startEpisodeOfCareId}}" } } ], "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/{{preliminaryCondition}}" } } ], "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": "Clinical" } ] } }, { "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": "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_surgeon}}" }, "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_sister}}" }, "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_resuscitator}}" }, "period": { "start": "2025-11-16T12:00:00Z", "end": "2025-11-16T13:20:00Z" } } ], "location": { "reference": "Location/{{LocationId_resuscitator}}" }, "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." } ] } } ] }