{
    "resourceType": "Bundle",
    "id": "BundleUltrasound3",
    "meta": {
        "profile": [
            "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument"
        ]
    },
    "identifier": {
        "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3987",
        "value": "urn:uuid:7c4151bd-1cbf-4d64-b04d-cd9187a4c6t9"
    },
    "type": "document",
    "timestamp": "2025-11-25T11:30:00",
    "entry": [
        {
            "fullUrl": "Composition/CompositionUltrasound3",
            "resource": {
                "resourceType": "Composition",
                "id": "CompositionUltrasound3",
                "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/pa-00000000-0000-0000-0000-000000000000"
                    }
                ],
                "date": "2025-11-25T11:30:00Z",
                "author": [
                    {
                        "reference": "Practitioner/00000000-0000-0000-0000-000000000000"
                    }
                ],
                "title": "CompDocument для наполненного Bundle",
                "custodian": {
                    "reference": "Organization/00000000-0000-0000-0000-000000000000"
                },
                "event": [
                    {
                        "detail": [
                            {
                                "reference": {
                                    "reference": "Condition/ea-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ]
                    },
                    {
                        "detail": [
                            {
                                "reference": {
                                    "reference": "Condition/ea-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ]
                    },
                    {
                        "detail": [
                            {
                                "reference": {
                                    "reference": "Condition/ea-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ]
                    },
                    {
                        "detail": [
                            {
                                "reference": {
                                    "reference": "EpisodeOfCare/ha-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ]
                    },
                    {
                        "detail": [
                            {
                                "reference": {
                                    "reference": "Observation/wv-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ]
                    },
                    {
                        "detail": [
                            {
                                "reference": {
                                    "reference": "DiagnosticReport/wv-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ]
                    },
                    {
                        "detail": [
                            {
                                "reference": {
                                    "reference": "ServiceRequest/sr-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "Patient/pa-00000000-0000-0000-0000-000000000000",
            "resource": {
                "resourceType": "Patient",
                "id": "PatientTest3",
                "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/00000000-0000-0000-0000-000000000000"
                        }
                    },
                    {
                        "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/00000000-0000-0000-0000-000000000000",
                        "identifier": {
                            "value": "123156789012",
                            "period": {
                                "start": "2002-12-11"
                            }
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "EpisodeOfCare/ExampleHospitalisationUrg1",
            "resource": {
                "resourceType": "EpisodeOfCare",
                "id": "ExampleHospitalisationUrg1",
                "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": 3
                    },
                    {
                        "url": "https://fhir.by/StructureDefinition/HepatitisBool",
                        "valueBoolean": false
                    },
                    {
                        "url": "https://fhir.by/StructureDefinition/DiagnosisOfSendingOrganisation",
                        "valueReference": {
                            "reference": "Condition/ea-00000000-0000-0000-0000-000000000000"
                        }
                    },
                    {
                        "url": "https://fhir.by/StructureDefinition/SequenceNumbeHospitalisation",
                        "valuePositiveInt": 1
                    }
                ],
                "identifier": [
                    {
                        "value": "1245/1",
                        "assigner": {
                            "reference": "Organization/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "status": "waitlist",
                "type": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.by/ValueSet/TypeOfHealthCare",
                                "code": "special",
                                "display": "Специализированная 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/ea-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ],
                        "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/ea-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ],
                        "use": {
                            "coding": [
                                {
                                    "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode",
                                    "code": "Clinical",
                                    "display": "Клинический 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/ea-00000000-0000-0000-0000-000000000000"
                                }
                            }
                        ],
                        "use": {
                            "coding": [
                                {
                                    "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode",
                                    "code": "Final",
                                    "display": "Заключительный диагноз"
                                }
                            ]
                        }
                    }
                ],
                "patient": {
                    "reference": "Patient/pa-00000000-0000-0000-0000-000000000000"
                },
				 "referralRequest": [
                    {
                        "reference": "ServiceRequest/sr-00000000-0000-0000-0000-000000000000"
                    }
                ],
                "managingOrganization": {
                    "reference": "Organization/00000000-0000-0000-0000-000000000000"
                },
                "period": {
                    "start": "2025-11-25",
                    "end": "2025-11-26"
                },
                "careManager": {
                    "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000"
                }
            }
        },
        {
            "fullUrl": "Condition/AcuteAppendicitisClinicalTest3",
            "resource": {
                "resourceType": "Condition",
                "id": "AcuteAppendicitisClinicalTest3",
                "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": "2025-11-25T10:12:00Z"
                    },
                    {
                        "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/pa-00000000-0000-0000-0000-000000000000"
                },
                "onsetDateTime": "2025-11-25",
                "recordedDate": "2025-11-25",
                "participant": [
                    {
                        "actor": {
                            "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "note": [
                    {
                        "text": "Клинический диагноз. Острый флегмонозный аппендицин. Местный серозно-фибринозный перитонит."
                    }
                ]
            }
        },
        {
            "fullUrl": "Condition/AcuteAppendicitisFinalTest3",
            "resource": {
                "resourceType": "Condition",
                "id": "AcuteAppendicitisFinalTest3",
                "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": "2025-11-26T10:12:00Z"
                    },
                    {
                        "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/pa-00000000-0000-0000-0000-000000000000"
                },
                "onsetDateTime": "2025-11-26",
                "recordedDate": "2025-11-26",
                "participant": [
                    {
                        "actor": {
                            "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "note": [
                    {
                        "text": "Острый флегмонозный аппендицин. Местный серозно-фибринозный перитонит."
                    }
                ]
            }
        },
        {
            "fullUrl": "Observation/ExampleUltrasoundObs",
            "resource": {
                "resourceType": "Observation",
                "id": "ExampleUltrasoundObs",
                "meta": {
                    "profile": [
                        "https://fhir.by/StructureDefinition/ObservationUltrasound"
                    ]
                },
                "extension": [
                    {
                        "url": "https://fhir.by/StructureDefinition/UltrasoundProtocolDescription",
                        "valueString": "Тонкий кишечник: Стенка тонкой кишки не утолщена, структура слоистая, перистальтика сохранена. Просвет равномерный, жидкости в просвете немного, патологических образований не выявлено.\n   Толстый кишечник: Слепая кишка визуализируется, стенка утолщена до 8 мм, с потерей нормальной слоистой структуры. Аппендикс увеличен, диаметр 9 мм, стенка гипоэхогенна, с утолщением и жидкостным окружением (периаппендикулярная жидкость).\n  В прилежащей клетчатке определяется гиперэхогенный инфильтрат, характерный для воспаления. Просвет остальных отделов толстой кишки без особенностей."
                    },
                    {
                        "url": "https://fhir.by/StructureDefinition/LocationReference",
                        "valueReference": {
                            "reference": "Location/00000000-0000-0000-0000-000000000000"
                        }
                    },
                    {
                        "url": "https://fhir.by/StructureDefinition/HospitalisationReference",
                        "valueReference": {
                            "reference": "EpisodeOfCare/ha-00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "identifier": [
                    {
                        "value": "2025-002",
                        "assigner": {
                            "reference": "Organization/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "status": "final",
                "category": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.by/ValueSet/HealthcareServiceCategory",
                                "code": "03/2",
                                "display": "Стационарная медицинская диагностика для взрослого населения"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding": [
                        {
                            "system": "https://fhir.by/ValueSet/UltrasoundTypes",
                            "code": "A04-18-001-001-add",
                            "display": "УЗИ тонкого и толстого кишечника"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/pa-00000000-0000-0000-0000-000000000000"
                },
                "effectivePeriod": {
                    "start": "2025-11-25T12:05:00Z",
                    "end": "2025-11-25T12:15:00Z"
                },
                "issued": "2025-11-25T12:20:00Z",
                "performer": [
                    {
                        "extension": [
                            {
                                "url": "https://fhir.by/StructureDefinition/PerformerTypeObservation",
                                "valueCodeableConcept": {
                                    "coding": [
                                        {
                                            "system": "https://fhir.by/ValueSet/PerformerType",
                                            "code": "organization-per",
                                            "display": "организация"
                                        }
                                    ]
                                }
                            }
                        ],
                        "reference": "Organization/00000000-0000-0000-0000-000000000000"
                    },
                    {
                        "extension": [
                            {
                                "url": "https://fhir.by/StructureDefinition/PerformerTypeObservation",
                                "valueCodeableConcept": {
                                    "coding": [
                                        {
                                            "system": "https://fhir.by/ValueSet/PerformerType",
                                            "code": "practitionerRole-per",
                                            "display": "роль медработника"
                                        }
                                    ]
                                }
                            }
                        ],
                        "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000"
                    }
                ]
            }
        },
        {
            "fullUrl": "DiagnosticReport/ExampleDiagnosticReportDR",
            "resource": {
                "resourceType": "DiagnosticReport",
                "id": "ExampleDiagnosticReportDR",
                "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/RecomendationForFuncDiagConclusion",
                        "valueString": "Рекомендуется консультация хирурга"
                    },
                    {
                        "url": "https://fhir.by/StructureDefinition/ExaminationPriority",
                        "valueCodeableConcept": {
                            "coding": [
                                {
                                    "system": "https://fhir.by/ValueSet/ExaminationPriority",
                                    "code": "urgent",
                                    "display": "экстренно"
                                }
                            ]
                        }
                    }
                ],
                "identifier": [
                    {
                        "value": "2025-002",
                        "assigner": {
                            "reference": "Organization/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "status": "final",
                "category": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.by/ValueSet/HealthcareServiceCategory",
                                "code": "03/2",
                                "display": "Стационарная медицинская диагностика для взрослого населения"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding": [
                        {
                            "system": "https://fhir.by/ValueSet/UltrasoundTypes",
                            "code": "A04-18-001-001-add",
                            "display": "УЗИ тонкого и толстого кишечника"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/pa-00000000-0000-0000-0000-000000000000"
                },
                "effectivePeriod": {
                    "start": "2025-11-25T12:20:00Z",
                    "end": "2025-11-25T12:20:00Z"
                },
                "issued": "2025-11-25T12:20:00Z",
                "performer": [
                    {
                        "reference": "Organization/00000000-0000-0000-0000-000000000000"
                    }
                ],
                "resultsInterpreter": [
                    {
                        "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000"
                    }
                ],
                "result": [
                    {
                        "reference": "Observation/wv-00000000-0000-0000-0000-000000000000"
                    }
                ],
                "conclusion": "УЗ-признаки острого аппендицита: увеличенный, гипоэхогенный аппендикс с периаппендикулярным инфильтратом. Тонкий кишечник патологий не выявлено"
            }
        },
        {
            "fullUrl": "ServiceRequest/ExampleSRBundleUS3",
            "resource": {
                "resourceType": "ServiceRequest",
                "id": "ExampleSRBundleUS3",
                "meta": {
                    "profile": [
                        "https://fhir.by/StructureDefinition/ServiceRequestUltrasound"
                    ]
                },
                "extension": [
                    {
                        "url": "https://fhir.by/StructureDefinition/SpecialtyCode",
                        "valueCodeableConcept": {
                            "coding": [
                                {
                                    "system": "https://fhir.by/ValueSet/ServiceSpecialtyBy",
                                    "code": "C056",
                                    "display": "Ультразвуковая диагностика"
                                }
                            ]
                        }
                    },
                    {
                        "url": "https://fhir.by/StructureDefinition/RequestFromOrganization",
                        "valueReference": {
                            "reference": "Organization/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "identifier": [
                    {
                        "value": "A0134",
                        "assigner": {
                            "reference": "Organization/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "status": "active",
                "intent": "directive",
                "category": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.by/ValueSet/HealthcareServiceCategory",
                                "code": "03/1",
                                "display": "Амбулаторно-поликлиническая диагностика для взрослого населения"
                            }
                        ]
                    }
                ],
                "priority": "routine",
                "code": {
                    "concept": {
                        "coding": [
                            {
                                "system": "https://fhir.by/ValueSet/VSHealthcareServiceTypeBUltrasound",
                                "code": "B01-049-002.vs",
                                "display": "Прием (осмотр, консультация) врача ультразвуковой диагностики повторный"
                            }
                        ]
                    }
                },
                "orderDetail": [
                    {
                        "parameter": [
                            {
                                "code": {
                                    "coding": [
                                        {
                                            "system": "https://fhir.by/ValueSet/UltrasoundTypes",
                                            "code": "A04-18-001-001-add",
                                            "display": "УЗИ тонкого и толстого кишечника"
                                        }
                                    ]
                                },
                                "valueString": "Ограничений для проведения исследования нет"
                            }
                        ]
                    }
                ],
                "subject": {
                    "reference": "Patient/pa-00000000-0000-0000-0000-000000000000"
                },
                "occurrenceDateTime": "2025-11-26T13:00:00Z",
                "authoredOn": "2025-11-26T13:00:00Z",
                "requester": {
                    "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000"
                },
                "performer": [
                    {
                        "reference": "Organization/00000000-0000-0000-0000-000000000000"
                    }
                ],
                "location": [
                    {
                        "reference": {
                            "reference": "Location/00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "reason": [
                    {
                        "concept": {
                            "text": "Для оценки состояния толстого и тонкого кишечника и исключения патологии"
                        },
                        "reference": {
                            "reference": "Condition/ea-00000000-0000-0000-0000-000000000000"
                        }
                    }
                ],
                "note": [
                    {
                        "text": "Контроль УЗИ тонкого и толстого кишечника через 3 месяца"
                    }
                ],
                "patientInstruction": [
                    {
                        "instructionMarkdown": "Воздержаться от приема пищи за 6-8 часов до проведения УЗИ, исключить из рациона жирные и жареные блюда"
                    }
                ]
            }
        }
    ]
}