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: Пример найденного микроорганизма в ходе бактериологического исследования - JSON Representation

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{
  "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"
          }
        ]
      }
    }
  ]
}