{ "resourceType": "Bundle", "id": "BundleSurgery4Test", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3086", "value": "{{$guid}}" }, "type": "document", "timestamp": "2025-11-15T21:00:00Z", "entry": [ { "fullUrl": "Composition/CompositionSurgery4Test", "resource": { "resourceType": "Composition", "id": "CompositionSurgery4Test", "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": "2025-11-17T21:00:00Z", "author": [ { "reference": "Practitioner/{{PractitionerId}}" } ], "title": "CompDocument для наполненного Bundle по оперативному вмешательству", "custodian": { "reference": "Organization/{{OrganizationId}}" }, "event": [ { "detail": [ { "reference": { "reference": "Condition/ComplicationbleedingTest" } } ] }, { "detail": [ { "reference": { "reference": "AdverseEvent/ComplicationAppendectomyTest4" } } ] }, { "detail": [ { "reference": { "reference": "Procedure/SurgicalHemostasisTest" } } ] } ] } }, { "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": "7551374A009PB9" }, { "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": "MP2334555" } ], "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": "Condition/ComplicationbleedingTest", "resource": { "resourceType": "Condition", "id": "ComplicationbleedingTest", "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": "2025-11-17T23:00:00Z" }, { "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": "T81.0", "display": "T81.0 - Кровотечение и гематома, осложняющие процедуру, не классифицированные в других рубриках" } ] }, "subject": { "reference": "Patient/PatientTest" }, "onsetDateTime": "2025-11-17", "recordedDate": "2025-11-17", "participant": [ { "actor": { "reference": "PractitionerRole/{{PractitionerRole_surgeon}}" } } ] } }, { "fullUrl": "Procedure/SurgicalHemostasisTest", "resource": { "resourceType": "Procedure", "id": "SurgicalHemostasisTest", "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/{{activeEpisodeOfCareId}}" } }, { "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": "13542", "assigner": { "reference": "Organization/{{OrganizationId}}" } } ], "status": "completed", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureType", "code": "postoperative-complications", "display": "По поводу послеоперационных осложнений" } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventions", "code": "JASH20", "display": "Релапаротомия / Программированная релапаротомия" } ], "text": "Релапаротомия, остановка кровотечения с дренированием брюшной полости" }, "subject": { "reference": "Patient/PatientTest" }, "occurrencePeriod": { "start": "2025-11-17T23:15:00Z", "end": "2025-12-18T00:20:00Z" }, "performer": [ { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "operator", "display": "врач-хирург оперирующий" } ] }, "actor": { "reference": "PractitionerRole/{{PractitionerRole_surgeon}}" }, "period": { "start": "2025-11-17T23:15:00Z", "end": "2025-11-18T00:20:00Z" } }, { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "surgical-sister", "display": "медицинская сестра операционная" } ] }, "actor": { "reference": "PractitionerRole/{{PractitionerRole_nurse}}" }, "period": { "start": "2025-11-17T23:15:00Z", "end": "2025-11-18T00:20:00Z" } }, { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "anesthetist", "display": "врач-анестезиолог-реаниматолог" } ] }, "actor": { "reference": "PractitionerRole/{{PractitionerRole_resuscitator}}" }, "period": { "start": "2025-11-17T23:15:00Z", "end": "2025-11-18T00:20:00Z" } } ], "location": { "reference": "Location/{{LocationId_resuscitator}}" }, "reason": [ { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis", "code": "postoperative", "display": "Диагноз после вмешательства" } ] }, "reference": { "reference": "Condition/ComplicationbleedingTest" } } ], "note": [ { "text": "Средне-срединная лапаротомия. В брюшной полости до 1.5 литров крови со сгустками. Гемостаз прошивнием и использованием гемостатической губки. Дренирование брюшной полости" } ] } }, { "fullUrl": "AdverseEvent/ComplicationAppendectomyTest4", "resource": { "resourceType": "AdverseEvent", "id": "ComplicationAppendectomyTest4", "meta": { "profile": [ "https://fhir.by/StructureDefinition/SurgeryComplication" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/InpatientMedicalRecord", "valueReference": { "reference": "EpisodeOfCare/{{activeEpisodeOfCareId}}" } }, { "url": "https://fhir.by/StructureDefinition/RequestFromOrganization", "valueReference": { "reference": "Organization/{{OrganizationId}}" } } ], "status": "completed", "actuality": "actual", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ClassificComplicByTime", "code": "early-complic", "display": "Ранние осложнения" } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/ComplicationPrevalence", "code": "regional-hemorrhagic", "display": "Регионарные геморрагические" } ] }, "subject": { "reference": "Patient/PatientTest" }, "occurrenceDateTime": "2025-11-17T23:00:00Z", "detected": "2025-11-17T23:00:00Z", "resultingEffect": [ { "reference": "Condition/ComplicationbleedingTest" } ], "location": { "reference": "Location/{{LocationId_surgeon}}" }, "seriousness": { "coding": [ { "system": "https://fhir.by/ValueSet/ComplicationSeriousness", "code": "surgical-treatment", "display": "хирургическая коррекция" } ] }, "recorder": { "reference": "PractitionerRole/{{PractitionerRole_surgeon}}" }, "suspectEntity": [ { "instanceReference": { "reference": "Procedure/{{ProcedureId}}" } } ], "mitigatingAction": [ { "itemReference": { "reference": "Procedure/SurgicalHemostasisTest" } } ] } } ] }