{ "resourceType": "Bundle", "id": "BundleEndoscopyCase3", "meta": { "profile": [ "https://fhir.by/AbstractArea/StructureDefinition/Bundle/MedicationDocument" ] }, "identifier": { "system": "https://fhir.by/ValueSet/urn:ietf:rfc:3987", "value": "urn:uuid:6c3151bd-1cbf-4d64-b04d-cd9187a4c6t9" }, "type": "document", "timestamp": "2025-11-17T11:30:00Z", "entry": [ { "fullUrl": "Composition/CompositionEndoscopy3", "resource": { "resourceType": "Composition", "id": "CompositionEndoscopy3", "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": "2025-11-17T11:30:00Z", "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": "Procedure/pc-00000000-0000-0000-0000-000000000000" } } ] } ] } }, { "fullUrl": "Patient/pa-00000000-0000-0000-0000-000000000000", "resource": { "resourceType": "Patient", "id": "PatientEndoscopy", "meta": { "lastUpdated": "2025-11-17T11:30:00Z", "profile": [ "https://fhir.by/StructureDefinition/PatientWithIdentificationNumber" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/IncapacityExtension", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/DisabilityGroup", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/DisabilityGroup", "code": "3_group", "display": "III группа" } ] } }, { "url": "https://fhir.by/StructureDefinition/DisabilityReason", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/DisabilityReason", "code": "ch-general", "display": "вследствие общего заболевания" } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientJobProfession", "valueString": "Экономист" }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "ОАО Экономика" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2015-09-01" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": true } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientJobProfession", "valueString": "Экономист" }, { "url": "https://fhir.by/StructureDefinition/PatientJobPlace", "valueString": "ОАО СтройВозводи" }, { "url": "https://fhir.by/StructureDefinition/TermOFWork", "valuePeriod": { "start": "2015-09-01" } }, { "url": "https://fhir.by/StructureDefinition/MainJobPlace", "valueBoolean": false } ], "url": "https://fhir.by/StructureDefinition/PatientJob" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientStudyPlace", "valueString": "БГУ, экономический факультет" }, { "url": "https://fhir.by/StructureDefinition/PatientTermOfStudy", "valuePeriod": { "start": "2011-09-01", "end": "2015-07-01" } } ], "url": "https://fhir.by/StructureDefinition/PatientStudy" }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/PatientStudyPlace", "valueString": "ГБУ, факультет программирования" }, { "url": "https://fhir.by/StructureDefinition/PatientTermOfStudy", "valuePeriod": { "start": "2015-09-01", "end": "2018-07-01" } } ], "url": "https://fhir.by/StructureDefinition/PatientStudy" }, { "url": "https://fhir.by/StructureDefinition/PatientPreferences", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/VSPatientPreferences", "code": "6", "display": "Дети-инвалиды в возрасте до 18 лет и дети в возрасте до 3 лет." } ] } }, { "extension": [ { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataBoolean", "valueBoolean": true }, { "url": "https://fhir.by/StructureDefinition/ConsentPersonalDataPeriod", "valuePeriod": { "start": "2024-08-01" } } ], "url": "https://fhir.by/StructureDefinition/ConsentPersonalData" } ], "identifier": [ { "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "INP" } ] }, "value": "7001112A009PB3" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 21.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2022-08-21" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "Passport-RB" } ] }, "value": "MP1234560" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 22.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2022-08-21" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "temp", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "Resident-card" } ] }, "value": "MP3241533" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 22.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2022-08-21" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "RCN", "display": "Удостоверение беженца" } ] }, "value": "UB3241533" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 23.08.2021" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "2023-08-21" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "Identification-card-of-a-citizen-RB", "display": "Идентификационная карта гражданина Республики Беларусь" } ] }, "value": "BY1284120" }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "1985-12-31" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 31.12.1985" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "official", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "CDP", "display": "Удостоверение инвалида" } ] }, "value": "AB3333333", "period": { "start": "2024-01-31" }, "assigner": { "reference": "Organization/00000000-0000-0000-0000-000000000000" } }, { "extension": [ { "extension": [ { "url": "https://fhir.by/StructureDefinition/PassportIssuedString", "valueString": "Центральным РУВД г Минска, 31.12.1985" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedDate", "valueDate": "1985-12-31" }, { "url": "https://fhir.by/StructureDefinition/PassportIssuedCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/OCAM", "code": "106" } ] } } ], "url": "https://fhir.by/StructureDefinition/PassportIssued" } ], "use": "usual", "type": { "coding": [ { "system": "https://fhir.by/ValueSet/PersonalDocumentType", "code": "BC", "display": "Свидетельство о рождении" } ] }, "value": "АВ1234567" } ], "active": true, "name": [ { "family": "Алексеев", "given": [ "Василий", "Петрович" ] } ], "telecom": [ { "system": "phone", "value": "80290000000" }, { "system": "email", "value": "test_mail@mail.by" } ], "gender": "male", "birthDate": "1985-12-31", "deceasedBoolean": false, "address": [ { "use": "home", "text": "РБ, г. Минск, пр-т Независимости д.28, кв.101", "city": "Minsk city", "state": "Minskaya oblast", "country": "Belarus" }, { "use": "temp", "text": "РБ, г. Минск, пр-т Победителей д.28, кв.101", "city": "Minsk city", "state": "Minskaya oblast", "country": "Belarus" } ], "maritalStatus": { "coding": [ { "system": "https://fhir.by/ValueSet/MaritalStatus", "code": "married" } ] } } }, { "fullUrl": "Condition/ExampleDiagnosisrEndoscopy3", "resource": { "resourceType": "Condition", "id": "ExampleDiagnosisrEndoscopy3", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FinalDiagnosis" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/KindOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Final", "display": "Заключительный диагноз" } ] } }, { "url": "https://fhir.by/StructureDefinition/AssertedDate", "valueDateTime": "2025-11-17" }, { "url": "https://fhir.by/StructureDefinition/CourseOfDisease", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfDisease", "code": "acute", "display": "Острое течение заболевания" } ] } }, { "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": "K63.5" } ], "text": "K63.5 - Полип ободочной кишки" }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "onsetDateTime": "2025-11-17", "recordedDate": "2025-11-17", "participant": [ { "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } } ], "note": [ { "text": "Полип ободочной кишки" } ] } }, { "fullUrl": "Condition/ExampleDiagnosisStopBleeding", "resource": { "resourceType": "Condition", "id": "ExampleDiagnosisStopBleeding", "meta": { "profile": [ "https://fhir.by/StructureDefinition/FinalDiagnosis" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/KindOfDiagnosis", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/KindOfDiagnosisCode", "code": "Final", "display": "Заключительный диагноз" } ] } }, { "url": "https://fhir.by/StructureDefinition/AssertedDate", "valueDateTime": "2025-11-17" }, { "url": "https://fhir.by/StructureDefinition/CourseOfDisease", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/CourseOfDisease", "code": "acute", "display": "Острое течение заболевания" } ] } }, { "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": "K92.2" } ], "text": "K92.2 — Желудочно-кишечное кровотечение неуточненное" }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "onsetDateTime": "2025-11-17", "recordedDate": "2025-11-17", "participant": [ { "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" } } ], "note": [ { "text": "Желудочно-кишечное кровотечение неуточненное" } ] } }, { "fullUrl": "Procedure/ExampleEndoscopyColonoscopy", "resource": { "resourceType": "Procedure", "id": "ExampleEndoscopyColonoscopy", "meta": { "profile": [ "https://fhir.by/StructureDefinition/SurgicalProcedure" ] }, "extension": [ { "url": "https://fhir.by/StructureDefinition/FromOrganization", "valueReference": { "reference": "Organization/00000000-0000-0000-0000-000000000000" } }, { "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/ha-00000000-0000-0000-0000-000000000000" } }, { "url": "https://fhir.by/StructureDefinition/AnesthesiaType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/AnesthesiaType", "code": "general", "display": "общая анестезия" } ] } }, { "url": "https://fhir.by/StructureDefinition/ProcedureUrgency", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureUrgency", "code": "planned", "display": "Плановое" } ] } } ], "identifier": [ { "value": "12469", "assigner": { "reference": "Organization/00000000-0000-0000-0000-000000000000" } } ], "status": "completed", "category": [ { "coding": [ { "system": "https://fhir.by/ValueSet/ProcedureType", "code": "non-oncological-diseases", "display": "По поводу неонкологических заболеваний" } ] } ], "code": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventions", "code": "JFSA15", "display": "Эндоскопическая полипэктомия в толстой кишке" } ], "text": "Эндоскопическая полипэктомия в толстой кишке" }, "subject": { "reference": "Patient/pa-00000000-0000-0000-0000-000000000000" }, "occurrencePeriod": { "start": "2025-11-17T10:00:00Z", "end": "2025-11-17T10:30:00Z" }, "performer": [ { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "endo", "display": "врач-эндоскопист" } ] }, "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "period": { "start": "2025-11-17T10:00:00Z", "end": "2025-11-17T10:30:00Z" } }, { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "surgical-sister", "display": "медицинская сестра операционная" } ] }, "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "period": { "start": "2025-11-17T10:00:00Z", "end": "2025-11-17T10:30:00Z" } }, { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "anesthetist", "display": "врач-анестезиолог-реаниматолог" } ] }, "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "period": { "start": "2025-11-17T10:00:00Z", "end": "2025-11-17T10:30:00Z" } }, { "function": { "coding": [ { "system": "https://fhir.by/ValueSet/OperatingTeam", "code": "anesthetist-sister", "display": "медицинская сестра-анестезист" } ] }, "actor": { "reference": "PractitionerRole/00000000-0000-0000-0000-000000000000" }, "period": { "start": "2025-11-17T10:00:00Z", "end": "2025-11-17T10:30:00Z" } } ], "location": { "reference": "Location/00000000-0000-0000-0000-000000000000" }, "reason": [ { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis", "code": "preoperative", "display": "Диагноз до вмешательства" } ] }, "reference": { "reference": "Condition/ea-00000000-0000-0000-0000-000000000000" } }, { "concept": { "coding": [ { "system": "https://fhir.by/ValueSet/SurgicalInterventionDiagnosis", "code": "postoperative", "display": "Диагноз после вмешательства" } ] }, "reference": { "reference": "Condition/ea-00000000-0000-0000-0000-000000000000" } } ], "complication": [ { "concept": { "text": "Развитие осложнения в виде кровотечения из ложа резекции полипа. Проведён эндоскопический гемостаз, кровотечение остановлено." } } ], "note": [ { "text": "Колоноскоп введен до купола слепой кишки, осмотр выполнен по ходу вывода аппарата.\n В нисходящей ободочной кишке визуализирован полип на ножке, выполнена его эндоскопическая \n резекция с помощью диатермической петли. После удаления полипа отмечено развитие кровотечения \n из ложа резекции. Проведены эндоскопические гемостатические мероприятия. Кровотечение купировано. \n Слизистая остальных отделов толстой кишки без выраженной патологии." } ] } } ] }