{
  "resourceType" : "Observation",
  "id" : "ExampleMicroorganismObservation",
  "meta" : {
    "lastUpdated" : "2025-05-05T10:30:00Z",
    "profile" : ["https://fhir.by/StructureDefinition/ObservationLabMicroorganism"]
  },
  "identifier" : [{
    "value" : "123",
    "assigner" : {
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/LocationReference",
        "valueReference" : {
          "reference" : "Location/LabUnit"
        }
      }],
      "reference" : "Organization/9ad86c36-0f29-428d-b476-c8603a7cdd1f"
    }
  }],
  "basedOn" : [{
    "reference" : "ExampleServiceRequestLab"
  }],
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/TypesOfLabTests",
      "code" : "6.1",
      "display" : "Идентификация микроорганизмов"
    }]
  },
  "subject" : {
    "reference" : "Patient/ExamplePatientWithIdentificationNumber"
  },
  "effectiveDateTime" : "2025-05-05T10:30:00Z",
  "performer" : [{
    "reference" : "PractitionerRole/ExampleTherapist"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "https://fhir.by/ValueSet/Microorganisms",
      "code" : "Selenomonas flueggei",
      "display" : "Selenomonas flueggei"
    }]
  },
  "specimen" : {
    "reference" : "ExampleSpecimenKdl"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/MicroorganismSpecs",
        "code" : "MicroorganismQuantity",
        "display" : "Количество"
      }]
    },
    "valueQuantity" : {
      "value" : 1000,
      "unit" : "КОЕ/мл",
      "system" : "https://fhir.by/ValueSet/OrganismCountUnits",
      "code" : "[CFU]/ml"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/MicroorganismSpecs",
        "code" : "BetaLactamase",
        "display" : "Beta-лактамаза"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/MicroorganismSpecs",
        "code" : "GramPositive",
        "display" : "Грамм-положительность"
      }]
    },
    "valueBoolean" : true
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/TestMethod",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/TestMethod",
            "code" : "DDM",
            "display" : "Диско-диффузионный метод"
          }]
        }
      },
      {
        "url" : "https://fhir.by/StructureDefinition/TestResultQuantity",
        "valueQuantity" : {
          "value" : 20,
          "unit" : "мм",
          "system" : "https://fhir.by/ValueSet/TestResultUnits",
          "code" : "mm"
        }
      }],
      "url" : "https://fhir.by/StructureDefinition/AntibioticTestDetails"
    }],
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/MicroorganismSpecs",
        "code" : "Antibiotic",
        "display" : "Антибиотик"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/Antimicrobials",
        "code" : "acyclovir",
        "display" : "ацикловир"
      }]
    },
    "interpretation" : [{
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/AntimicrobialSensitivityIndicator",
        "code" : "S",
        "display" : "S"
      }]
    }]
  },
  {
    "extension" : [{
      "extension" : [{
        "url" : "https://fhir.by/StructureDefinition/TestMethod",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://fhir.by/ValueSet/TestMethod",
            "code" : "DDM",
            "display" : "Диско-диффузионный метод"
          }]
        }
      }],
      "url" : "https://fhir.by/StructureDefinition/AntibioticTestDetails"
    }],
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/MicroorganismSpecs",
        "code" : "Antibiotic",
        "display" : "Антибиотик"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/Antimicrobials",
        "code" : "daptomycin",
        "display" : "даптомицин"
      }]
    },
    "interpretation" : [{
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/AntimicrobialSensitivityIndicator",
        "code" : "R",
        "display" : "R"
      }]
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/MicroorganismSpecs",
        "code" : "ESBL",
        "display" : "БЛРС (бета-лактамаза расширенного спектра)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.by/ValueSet/TestResult",
        "code" : "negative",
        "display" : "отрицательный"
      }]
    }
  }]
}