{
  "resourceType" : "Bundle",
  "id" : "screening-composition-document-example",
  "language" : "ru",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:9f1b6c30-5f4e-4d2a-9a1e-2f7c8d3b4a10"
  },
  "type" : "document",
  "timestamp" : "2025-12-17T12:00:00Z",
  "entry" : [{
    "fullUrl" : "https://dhp.uz/fhir/integrations/Composition/screening-composition-example",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "screening-composition-example",
      "meta" : {
        "source" : "https://dhp.uz/fhir/source/screening",
        "profile" : ["https://dhp.uz/fhir/integrations/StructureDefinition/screening-composition"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening",
        "value" : "128"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "171149006"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "268547008"
      }],
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "34133-9",
          "display" : "Summary of episode note"
        }]
      },
      "subject" : [{
        "reference" : "Patient/lola-oripova"
      }],
      "date" : "2025-12-17T12:00:00Z",
      "author" : [{
        "reference" : "PractitionerRole/practitioner-role-gynecologist"
      }],
      "title" : "Cervical and breast cancer screening summary",
      "custodian" : {
        "reference" : "Organization/xonobod-medical-association"
      },
      "event" : [{
        "detail" : [{
          "reference" : {
            "reference" : "ServiceRequest/screening-pathology-request-example"
          }
        }]
      }],
      "section" : [{
        "title" : "Questionnaires",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "74465-6",
            "display" : "Questionnaire response Document"
          }]
        },
        "entry" : [{
          "reference" : "QuestionnaireResponse/screening-breast-risk-response-example"
        },
        {
          "reference" : "QuestionnaireResponse/screening-cervical-risk-response-example"
        },
        {
          "reference" : "QuestionnaireResponse/screening-woman-exam-response-128"
        }]
      },
      {
        "title" : "Results",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "30954-2",
            "display" : "Relevant diagnostic tests/laboratory data note"
          }]
        },
        "entry" : [{
          "reference" : "Observation/cytology-result"
        },
        {
          "reference" : "Observation/screening-mammography-observation-example"
        },
        {
          "reference" : "Observation/screening-breast-ultrasound-observation-example"
        },
        {
          "reference" : "Observation/screening-cervical-histology-observation-example"
        }]
      },
      {
        "title" : "Final diagnosis",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "29308-4",
            "display" : "Diagnosis"
          }]
        },
        "entry" : [{
          "reference" : "Condition/final-diagnosis"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/Patient/lola-oripova",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "lola-oripova",
      "meta" : {
        "profile" : ["https://dhp.uz/fhir/integrations/StructureDefinition/screening-patient"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "extension" : [{
        "extension" : [{
          "url" : "code",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "https://terminology.dhp.uz/fhir/core/CodeSystem/nationality-cs",
              "code" : "44"
            }]
          }
        }],
        "url" : "https://dhp.uz/fhir/core/StructureDefinition/patient-nationality"
      }],
      "identifier" : [{
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NI"
          }]
        },
        "system" : "https://dhp.uz/fhir/core/sid/pid/uz/ni",
        "value" : "515050500505"
      },
      {
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PPN"
          }]
        },
        "system" : "https://dhp.uz/fhir/core/sid/pid/uz/ppn/local",
        "value" : "AC1234567"
      },
      {
        "use" : "usual",
        "system" : "https://dhp.uz/fhir/core/sid/pid/uz/screening",
        "value" : "45"
      }],
      "name" : [{
        "text" : "Lola Oripova Shakhzodovna",
        "family" : "Oripova",
        "given" : ["Lola",
        "Shakhzodovna"]
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "998-99-999-99-99",
        "use" : "mobile"
      }],
      "gender" : "female",
      "birthDate" : "1995-03-18",
      "address" : [{
        "use" : "temp",
        "type" : "physical",
        "text" : "Iltifot MFY, 58 Harbiy Shaharcha Area, House 53, Apartment 104",
        "city" : "Buyuk Ipak Yuli MFY",
        "district" : "Mirzo Ulugbek District",
        "state" : "Tashkent City"
      }]
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/PractitionerRole/practitioner-role-gynecologist",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "practitioner-role-gynecologist",
      "meta" : {
        "profile" : ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-practitioner-role"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening",
        "value" : "457"
      }],
      "active" : true,
      "practitioner" : {
        "reference" : "Practitioner/lyuba-dadaeva"
      },
      "organization" : {
        "reference" : "Organization/xonobod-medical-association"
      },
      "code" : [{
        "coding" : [{
          "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-roles-cs",
          "code" : "his_centre_obgyn_obstetrician_gynecologist"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/Organization/xonobod-medical-association",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "xonobod-medical-association",
      "meta" : {
        "profile" : ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-organization"]
      },
      "language" : "ru",
      "text" : {
        "status" : "extensions"
      },
      "extension" : [{
        "url" : "https://dhp.uz/fhir/core/StructureDefinition/coverage-area",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "https://terminology.dhp.uz/fhir/core/CodeSystem/states-cs",
            "code" : "1703"
          }]
        }
      }],
      "identifier" : [{
        "use" : "official",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "TAX",
            "display" : "Tax ID number"
          }]
        },
        "system" : "https://dhp.uz/fhir/core/sid/org/uz/soliq",
        "value" : "200248215"
      }],
      "active" : true,
      "type" : [{
        "coding" : [{
          "system" : "https://terminology.dhp.uz/fhir/core/CodeSystem/organizational-subordination-group-cs",
          "code" : "I_3"
        },
        {
          "system" : "https://terminology.dhp.uz/fhir/core/CodeSystem/organizational-structure-cs",
          "code" : "148"
        },
        {
          "system" : "https://terminology.dhp.uz/fhir/core/CodeSystem/organizational-service-group-cs",
          "code" : "III_100"
        },
        {
          "system" : "https://terminology.dhp.uz/fhir/core/CodeSystem/organizational-service-group-cs",
          "code" : "III_500"
        }]
      }],
      "name" : "Xonobod City Medical Association",
      "contact" : [{
        "telecom" : [{
          "system" : "phone",
          "value" : "1341353613"
        },
        {
          "system" : "email",
          "value" : "health@example.uz"
        }],
        "address" : {
          "line" : ["1 A. Fitrat Street"],
          "district" : "1703408",
          "state" : "1703",
          "country" : "UZ"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/Condition/final-diagnosis",
    "resource" : {
      "resourceType" : "Condition",
      "id" : "final-diagnosis",
      "meta" : {
        "profile" : ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-condition"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "use" : "usual",
        "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening",
        "value" : "33"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "171149006"
      }],
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active"
        }]
      },
      "category" : [{
        "text" : "Primary diagnosis"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/sid/icd-10",
          "code" : "N87.1",
          "display" : "Moderate cervical dysplasia"
        }]
      },
      "subject" : {
        "reference" : "Patient/lola-oripova"
      },
      "recordedDate" : "2025-12-17T11:50:00Z",
      "participant" : [{
        "actor" : {
          "reference" : "PractitionerRole/practitioner-role-gynecologist"
        }
      }],
      "note" : [{
        "text" : "Moderate cervical dysplasia (CIN II) confirmed on colposcopic biopsy; referred for treatment."
      }]
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/ServiceRequest/screening-pathology-request-example",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "screening-pathology-request-example",
      "meta" : {
        "source" : "https://dhp.uz/fhir/source/screening",
        "profile" : ["https://dhp.uz/fhir/integrations/StructureDefinition/screening-pathology-service-request"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening",
        "value" : "PATH-REQ-1001"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "268547008"
      }],
      "basedOn" : [{
        "reference" : "ServiceRequest/screening-breast-biopsy-request-example"
      }],
      "status" : "active",
      "intent" : "order",
      "code" : {
        "concept" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "714797009",
            "display" : "Histologic test"
          }]
        }
      },
      "orderDetail" : [{
        "parameter" : [{
          "code" : {
            "coding" : [{
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-histology-order-parameter-cs",
              "code" : "scrn-0069-00001"
            }]
          },
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "258415003"
            }]
          }
        },
        {
          "code" : {
            "coding" : [{
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-histology-order-parameter-cs",
              "code" : "scrn-0069-00002"
            }]
          },
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "277667006"
            }]
          }
        }]
      }],
      "subject" : {
        "reference" : "Patient/lola-oripova"
      },
      "authoredOn" : "2026-07-17T12:10:00+05:00",
      "requester" : {
        "reference" : "PractitionerRole/practitioner-role-surgeon"
      }
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/QuestionnaireResponse/screening-breast-risk-response-example",
    "resource" : {
      "resourceType" : "QuestionnaireResponse",
      "id" : "screening-breast-risk-response-example",
      "meta" : {
        "source" : "https://dhp.uz/fhir/source/screening",
        "profile" : ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-questionnaire-response"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "use" : "usual",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PHC",
            "display" : "Public Health Case Identifier"
          }]
        },
        "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening-case",
        "value" : "136-RMJ"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "268547008"
      }],
      "questionnaire" : "https://dhp.uz/fhir/integrations/Questionnaire/screening-breast-risk|1.1.0",
      "status" : "completed",
      "subject" : {
        "reference" : "Patient/lola-oripova",
        "display" : "Lola Oripova Shakhzodovna"
      },
      "authored" : "2025-11-17T09:18:00+05:00",
      "author" : {
        "reference" : "PractitionerRole/practitioner-role-nurse"
      },
      "source" : {
        "reference" : "Patient/lola-oripova"
      },
      "item" : [{
        "linkId" : "118",
        "answer" : [{
          "valueBoolean" : true
        }]
      },
      {
        "linkId" : "119",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-breast-questionnaire-answer-cs",
            "code" : "scrn-0070-00003",
            "display" : "12-13 лет"
          }
        }]
      },
      {
        "linkId" : "34",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-breast-questionnaire-answer-cs",
            "code" : "scrn-0070-00005",
            "display" : "Средняя"
          }
        }]
      },
      {
        "linkId" : "117",
        "answer" : [{
          "valueBoolean" : false
        }]
      },
      {
        "linkId" : "120",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-breast-questionnaire-answer-cs",
            "code" : "scrn-0070-00007",
            "display" : "Нет (менопаузы не было)"
          }
        }]
      },
      {
        "linkId" : "121",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-breast-questionnaire-answer-cs",
            "code" : "scrn-0070-00011",
            "display" : "До 30 лет"
          }
        }]
      },
      {
        "linkId" : "122",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-breast-questionnaire-answer-cs",
            "code" : "scrn-0070-00014",
            "display" : "Свыше 12 месяца"
          }
        }]
      },
      {
        "linkId" : "123",
        "answer" : [{
          "valueBoolean" : false
        }]
      },
      {
        "linkId" : "124",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-breast-questionnaire-answer-cs",
            "code" : "scrn-0070-00017",
            "display" : "Нет"
          }
        }]
      },
      {
        "linkId" : "125",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-breast-questionnaire-answer-cs",
            "code" : "scrn-0070-00020",
            "display" : "Нет"
          }
        }]
      },
      {
        "linkId" : "126",
        "answer" : [{
          "valueBoolean" : false
        }]
      },
      {
        "linkId" : "statusRisk",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-risk-level-cs",
            "code" : "scrn-0081-00002",
            "display" : "Средний риск"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/QuestionnaireResponse/screening-cervical-risk-response-example",
    "resource" : {
      "resourceType" : "QuestionnaireResponse",
      "id" : "screening-cervical-risk-response-example",
      "meta" : {
        "source" : "https://dhp.uz/fhir/source/screening",
        "profile" : ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-questionnaire-response"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "use" : "usual",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PHC",
            "display" : "Public Health Case Identifier"
          }]
        },
        "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening-case",
        "value" : "136-RSHM"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "171149006"
      }],
      "questionnaire" : "https://dhp.uz/fhir/integrations/Questionnaire/screening-cervical-risk|1.1.0",
      "status" : "completed",
      "subject" : {
        "reference" : "Patient/lola-oripova",
        "display" : "Lola Oripova Shakhzodovna"
      },
      "authored" : "2025-11-17T09:18:00+05:00",
      "author" : {
        "reference" : "PractitionerRole/practitioner-role-nurse"
      },
      "source" : {
        "reference" : "Patient/lola-oripova"
      },
      "item" : [{
        "linkId" : "35",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00001",
            "display" : "Не было операций"
          }
        }]
      },
      {
        "linkId" : "103",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00008",
            "display" : "Отрицательный"
          }
        }]
      },
      {
        "linkId" : "104",
        "answer" : [{
          "valueBoolean" : false
        }]
      },
      {
        "linkId" : "105",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00010",
            "display" : "В браке"
          }
        }]
      },
      {
        "linkId" : "106",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00015",
            "display" : "После 18 лет"
          }
        }]
      },
      {
        "linkId" : "36",
        "answer" : [{
          "valueBoolean" : false
        }]
      },
      {
        "linkId" : "37",
        "answer" : [{
          "valueBoolean" : false
        }]
      },
      {
        "linkId" : "107",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00016",
            "display" : "1-3"
          }
        }]
      },
      {
        "linkId" : "41",
        "answer" : [{
          "valueBoolean" : true
        }]
      },
      {
        "linkId" : "108",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00019",
            "display" : "Да без выкидышей и абортов"
          }
        }]
      },
      {
        "linkId" : "109",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00021",
            "display" : "0"
          }
        }]
      },
      {
        "linkId" : "110",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00026",
            "display" : "Нет"
          }
        }]
      },
      {
        "linkId" : "111",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00031",
            "display" : "Презервативы"
          }
        }]
      },
      {
        "linkId" : "112",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00034",
            "display" : "Нет"
          }
        }]
      },
      {
        "linkId" : "113",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00037",
            "display" : "Нет"
          }
        }]
      },
      {
        "linkId" : "114",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-questionnaire-answer-cs",
            "code" : "scrn-0071-00040",
            "display" : "Нет"
          }
        }]
      },
      {
        "linkId" : "115",
        "answer" : [{
          "valueBoolean" : true
        }]
      },
      {
        "linkId" : "116",
        "answer" : [{
          "valueBoolean" : true
        }]
      },
      {
        "linkId" : "statusRisk",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-risk-level-cs",
            "code" : "scrn-0081-00001",
            "display" : "Низкий риск"
          }
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://dhp.uz/fhir/integrations/QuestionnaireResponse/screening-woman-exam-response-128",
    "resource" : {
      "resourceType" : "QuestionnaireResponse",
      "id" : "screening-woman-exam-response-128",
      "meta" : {
        "profile" : ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-questionnaire-response"]
      },
      "language" : "ru",
      "text" : {
        "status" : "generated"
      },
      "identifier" : [{
        "use" : "usual",
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PHC",
            "display" : "Public Health Case Identifier"
          }]
        },
        "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening-case",
        "value" : "128"
      },
      {
        "system" : "https://dhp.uz/fhir/integrations/sid/screening/form025-id",
        "value" : "117"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "268547008"
      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
        "value" : "171149006"
      }],
      "questionnaire" : "https://dhp.uz/fhir/integrations/Questionnaire/screening-woman-exam",
      "status" : "completed",
      "authored" : "2026-01-21T05:07:15.806Z",
      "author" : {
        "identifier" : {
          "system" : "https://dhp.uz/fhir/core/sid/pid/uz/ni",
          "value" : "31705584220029"
        },
        "display" : "ABDUMALIK KHASHIMOV MUYDINOVICH"
      },
      "item" : [{
        "linkId" : "complaints",
        "text" : "Жалобы",
        "item" : [{
          "linkId" : "cervical-complaints",
          "text" : "Жалобы по шейке матки",
          "item" : [{
            "linkId" : "cervical-postcoital-bleeding",
            "text" : "Кровянистые выделения после полового контакта",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "cervical-acyclic-bleeding",
            "text" : "Кровянистые выделения вне зависимости от менструального цикла (ациклические)",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "cervical-watery-discharge",
            "text" : "Водянистые выделения из половых путей",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "cervical-leg-edema",
            "text" : "Отеки нижних конечностей",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "cervical-menstrual-dysfunction",
            "text" : "Нарушение менструальной функции",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "cervical-menopausal-bleeding",
            "text" : "Кровянистые выделения из половых путей во время менопаузы",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "cervical-lower-abdominal-back-pain",
            "text" : "Боли внизу живота, в пояснице",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "cervical-complaints-onset",
            "text" : "Когда начали беспокоить вышеуказанные жалобы?",
            "answer" : [{
              "valueCoding" : {
                "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-medical-exam-complaint-onset-cs",
                "code" : "scrn-0001-00001",
                "display" : "До 3-х месяцев"
              }
            }]
          }]
        },
        {
          "linkId" : "breast-complaints",
          "text" : "Жалобы по молочной железе",
          "item" : [{
            "linkId" : "breast-lump-or-axillary-mass",
            "text" : "Уплотнение или наличие образования в молочной железе, в подмышечной области",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-skin-retraction-or-peau-dorange",
            "text" : "Изменения в кожном покрове: втяжение кожи, припухлость, кожа в виде «лимонной корки»",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-skin-color-thickening-edema",
            "text" : "Изменения цвета кожи: покраснение, утолщение и нагрубание кожи, появление отёка",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-nipple-retraction-flattening",
            "text" : "Изменения соска: втяжение или уплощение соска",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-nipple-crust",
            "text" : "Появление корочки на коже соска",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-serous-or-bloody-discharge",
            "text" : "Выделения из соска сукровичного или кровянистого характера",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-shape-change",
            "text" : "Изменения формы молочной железы: деформация, увеличение молочной железы",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-pain",
            "text" : "Боль в груди",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-complaints-onset",
            "text" : "Когда начали беспокоить вышеуказанные жалобы?",
            "answer" : [{
              "valueCoding" : {
                "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-medical-exam-complaint-onset-cs",
                "code" : "scrn-0001-00001",
                "display" : "До 3-х месяцев"
              }
            }]
          }]
        }]
      },
      {
        "linkId" : "vitae-anamnesis",
        "text" : "Анамнез Vitae",
        "item" : [{
          "linkId" : "childhood-infections",
          "text" : "Перенесённые инфекции в детстве",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "14189004",
              "display" : "Measles"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "3738000",
              "display" : "Viral hepatitis"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "195677001",
              "display" : "Recurrent acute tonsillitis"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "54398005",
              "display" : "Acute upper respiratory infection"
            }
          }]
        },
        {
          "linkId" : "childhood-infections-comment",
          "text" : "Перенесённые инфекции в детстве (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "previous-diseases",
          "text" : "Перенесённые болезни",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "previous-operations",
          "text" : "Перенесённые операции",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "80146002",
              "display" : "Appendectomy"
            }
          }]
        },
        {
          "linkId" : "previous-operations-comment",
          "text" : "Перенесённые операции (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "hereditary-diseases",
          "text" : "Наследственные болезни",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "hereditary-diseases-comment",
          "text" : "Наследственные болезни (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "blood-transfusion",
          "text" : "Переливание крови",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "blood-transfusion-comment",
          "text" : "Переливание крови (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "allergic-reactions",
          "text" : "Аллергические реакции",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "allergic-reactions-comment",
          "text" : "Аллергические реакции (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "menarche-age",
          "text" : "Возраст начала менструаций",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "menstruation-regular",
          "text" : "Регулярная менструация",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "menstrual-cycle-duration",
          "text" : "Длительность цикла (дней)",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "menstruation-painfulness",
          "text" : "Болезненность менструаций",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-menstruation-painfulness-cs",
              "code" : "scrn-0004-00002",
              "display" : "Безболезненный"
            }
          }]
        },
        {
          "linkId" : "menstruation-abundance",
          "text" : "Обильность менструаций",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "308550003",
              "display" : "Normal menstrual blood loss"
            }
          }]
        },
        {
          "linkId" : "menstruation-onset-after-days",
          "text" : "После скольких дней наступает менструация",
          "answer" : [{
            "valueInteger" : 0
          }]
        }]
      },
      {
        "linkId" : "breast-exam",
        "text" : "Осмотр молочных желез",
        "item" : [{
          "linkId" : "breast-pain-group",
          "text" : "Болевые ощущения (мастодиния/масталгия)",
          "item" : [{
            "linkId" : "breast-aching-pulling-burning-pain",
            "text" : "Ноющая, тянущая или жгучая боль",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-cyclic-or-constant-pain",
            "text" : "Циклическая (усиливается перед менструацией) или постоянная",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-local-or-diffuse-pain",
            "text" : "Локальная или разлитая",
            "answer" : [{
              "valueBoolean" : true
            }]
          }]
        },
        {
          "linkId" : "breast-changes",
          "text" : "Изменения в молочных железах",
          "item" : [{
            "linkId" : "breast-palpable-lump",
            "text" : "Уплотнение или «шарик» при пальпации",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-unilateral-enlargement-asymmetry",
            "text" : "Увеличение или асимметрия одной железы",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-swelling",
            "text" : "Отёчность",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-heaviness",
            "text" : "Ощущение тяжести",
            "answer" : [{
              "valueBoolean" : true
            }]
          }]
        },
        {
          "linkId" : "breast-skin-nipple-changes",
          "text" : "Изменения кожи и соска",
          "item" : [{
            "linkId" : "breast-skin-or-nipple-retraction",
            "text" : "Втяжение кожи или соска",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-redness",
            "text" : "Покраснение",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-induration-peau-dorange",
            "text" : "Уплотнение, «лимонная корка»",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-desquamation-ulceration",
            "text" : "Шелушение, язвочки",
            "answer" : [{
              "valueBoolean" : true
            }]
          }]
        },
        {
          "linkId" : "nipple-discharge-type",
          "text" : "Выделения из сосков",
          "item" : [{
            "linkId" : "nipple-discharge-transparent",
            "text" : "Прозрачные",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "nipple-discharge-milky",
            "text" : "Молочные",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "nipple-discharge-yellowish",
            "text" : "Желтоватые",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "nipple-discharge-greenish",
            "text" : "Зеленоватые",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "nipple-discharge-bloody",
            "text" : "Кровянистые",
            "answer" : [{
              "valueBoolean" : true
            }]
          }]
        },
        {
          "linkId" : "breast-inflammatory",
          "text" : "Воспалительные проявления",
          "item" : [{
            "linkId" : "breast-inflammatory-redness",
            "text" : "Покраснение",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-local-or-general-fever",
            "text" : "Повышение температуры местно и/или общего тела",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-engorgement-or-abscess",
            "text" : "Нагрубание, абсцесс (гнойные выделения)",
            "answer" : [{
              "valueBoolean" : true
            }]
          }]
        },
        {
          "linkId" : "breast-subjective-sensations",
          "text" : "Субъективные ощущения",
          "item" : [{
            "linkId" : "breast-tension-sensation",
            "text" : "Чувство напряжения",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-distension-sensation",
            "text" : "Чувство распирания",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "nipple-hypersensitivity",
            "text" : "Повышенная чувствительность сосков",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "breast-foreign-body-sensation",
            "text" : "Ощущение «инородного тела»",
            "answer" : [{
              "valueBoolean" : true
            }]
          }]
        },
        {
          "linkId" : "breast-lymph-nodes",
          "text" : "Состояние лимфатических узлов",
          "item" : [{
            "linkId" : "axillary-nodes-bilateral-palpable",
            "text" : "Подмышечные лимфатические узлы пальпируются с обеих сторон",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "axillary-nodes-unilateral-palpable",
            "text" : "Подмышечные лимфатические узлы пальпируются с одной стороны",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "supraclavicular-nodes-palpable",
            "text" : "Пальпируются надключичные лимфатические узлы",
            "answer" : [{
              "valueBoolean" : true
            }]
          },
          {
            "linkId" : "infraclavicular-nodes-palpable",
            "text" : "Пальпируются подключичные лимфатические узлы",
            "answer" : [{
              "valueBoolean" : true
            }]
          }]
        }]
      },
      {
        "linkId" : "menstruation-exam",
        "text" : "Менструации во время обследования",
        "item" : [{
          "linkId" : "regular-menstruation",
          "text" : "Характер при обследовании (регулярные)",
          "item" : [{
            "linkId" : "regular-menstruation-start-age",
            "text" : "Возраст начала менструаций (регулярные)",
            "answer" : [{
              "valueInteger" : 0
            }]
          },
          {
            "linkId" : "regular-menstruation-regularity",
            "text" : "Менструации регулярные",
            "answer" : [{
              "valueBoolean" : false
            }]
          },
          {
            "linkId" : "regular-cycle-duration",
            "text" : "Длительность цикла (дней)",
            "answer" : [{
              "valueInteger" : 1
            }]
          },
          {
            "linkId" : "regular-menstruation-painfulness",
            "text" : "Болезненность менструаций",
            "answer" : [{
              "valueCoding" : {
                "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-menstruation-painfulness-cs",
                "code" : "scrn-0004-00001",
                "display" : "Болезненный"
              }
            }]
          },
          {
            "linkId" : "regular-menstruation-abundance",
            "text" : "Обильность менструаций",
            "answer" : [{
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "386692008"
              }
            }]
          },
          {
            "linkId" : "regular-menstruation-onset-after-days",
            "text" : "После скольких дней наступает менструация",
            "answer" : [{
              "valueInteger" : 1
            }]
          }]
        },
        {
          "linkId" : "irregular-menstruation",
          "text" : "Характер при обследовании (нерегулярные)",
          "item" : [{
            "linkId" : "irregular-menstruation-start-age",
            "text" : "Возраст начала менструаций (нерегулярные)",
            "answer" : [{
              "valueInteger" : 0
            }]
          },
          {
            "linkId" : "irregular-menstruation-regularity",
            "text" : "Менструации регулярные",
            "answer" : [{
              "valueBoolean" : false
            }]
          },
          {
            "linkId" : "irregular-cycle-duration",
            "text" : "Длительность цикла (дней)",
            "answer" : [{
              "valueInteger" : 1
            }]
          },
          {
            "linkId" : "irregular-menstruation-painfulness",
            "text" : "Болезненность менструаций",
            "answer" : [{
              "valueCoding" : {
                "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-menstruation-painfulness-cs",
                "code" : "scrn-0004-00002",
                "display" : "Безболезненный"
              }
            }]
          },
          {
            "linkId" : "irregular-menstruation-abundance",
            "text" : "Обильность менструаций",
            "answer" : [{
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "308550003"
              }
            }]
          },
          {
            "linkId" : "irregular-menstruation-onset-after-days",
            "text" : "После скольких дней наступает менструация",
            "answer" : [{
              "valueInteger" : 1
            }]
          }]
        },
        {
          "linkId" : "marital-status",
          "text" : "Статус брака",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-marital-status-cs",
              "code" : "scrn-0035-00001",
              "display" : "I"
            }
          }]
        },
        {
          "linkId" : "marriage-registration-status",
          "text" : "Статус регистрации брака",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-marriage-registration-status-cs",
              "code" : "scrn-0036-00001",
              "display" : "Зарегистрирован"
            }
          }]
        },
        {
          "linkId" : "sexual-debut-age",
          "text" : "Возраст начала половой жизни",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "last-menstrual-period-date",
          "text" : "Дата последней менструации",
          "answer" : [{
            "valueDate" : "2026-01-21"
          }]
        },
        {
          "linkId" : "cycle-day-at-exam",
          "text" : "День менструального цикла на момент осмотра",
          "answer" : [{
            "valueInteger" : 1
          }]
        }]
      },
      {
        "linkId" : "reproductive-function",
        "text" : "Репродуктивная функция",
        "item" : [{
          "linkId" : "total-pregnancies",
          "text" : "Общее количество беременностей",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "pregnancy-outcome-types",
          "text" : "Типы исходов беременностей",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "6383007",
              "display" : "Premature labor"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "34801009",
              "display" : "Ectopic pregnancy"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "17369002",
              "display" : "Miscarriage"
            }
          }]
        },
        {
          "linkId" : "living-children-count",
          "text" : "Количество живых детей",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "deceased-children-count",
          "text" : "Количество погибших детей",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "pregnancy-abortion-complications",
          "text" : "Осложнения после беременности/абортов",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "285409006",
              "display" : "Medical termination of pregnancy"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "17369002",
              "display" : "Miscarriage"
            }
          }]
        },
        {
          "linkId" : "gynecological-diseases-history",
          "text" : "Гинекологические заболевания в анамнезе",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "78623009",
              "display" : "Endometritis"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "95315005",
              "display" : "Uterine leiomyoma"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "386804004",
              "display" : "Disorder of menstruation"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "30800001",
              "display" : "Vaginitis"
            }
          }]
        }]
      },
      {
        "linkId" : "surgical-procedure",
        "text" : "Гинекологические операции",
        "item" : [{
          "linkId" : "hysterosalpingography-1",
          "text" : "Гистеросальпингография",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "hysterosalpingography-1-comment",
          "text" : "Гистеросальпингография (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "diagnostic-curettage",
          "text" : "Диагностическое выскабливание",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "diagnostic-curettage-comment",
          "text" : "Диагностическое выскабливание (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "cervical-biopsy-history",
          "text" : "Биопсия шейки матки",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "cervical-biopsy-history-comment",
          "text" : "Биопсия шейки матки (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "cervical-conization-history",
          "text" : "Конизация шейки матки",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "cervical-conization-history-comment",
          "text" : "Конизация шейки матки (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "cervical-amputation-history",
          "text" : "Ампутация шейки матки",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "cervical-amputation-history-comment",
          "text" : "Ампутация шейки матки (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "cervical-polyp-removal",
          "text" : "Удаление полипа шейки матки",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "cervical-polyp-removal-comment",
          "text" : "Удаление полипа шейки матки (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "endometrial-polyp-removal",
          "text" : "Удаление полипа эндометрия (тела матки)",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "endometrial-polyp-removal-comment",
          "text" : "Удаление полипа эндометрия (тела матки) (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "vaginal-plastic-surgery",
          "text" : "Пластика влагалища",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "vaginal-plastic-surgery-comment",
          "text" : "Пластика влагалища (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "laparotomy",
          "text" : "Лапаротомия (разрез брюшной стенки)",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "laparotomy-comment",
          "text" : "Лапаротомия (разрез брюшной стенки) (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "midline-laparotomy",
          "text" : "Срединная лапаротомия (пояснение к пункту выше)",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "midline-laparotomy-comment",
          "text" : "Срединная лапаротомия (пояснение к пункту выше) (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "pfannenstiel-incision",
          "text" : "Разрез по Пфанненштилю",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "pfannenstiel-incision-comment",
          "text" : "Разрез по Пфанненштилю (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "joel-cohen-incision",
          "text" : "Разрез по Джоэлю-Кохену",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "joel-cohen-incision-comment",
          "text" : "Разрез по Джоэлю-Кохену (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "laparoscopy",
          "text" : "Лапароскопия",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "laparoscopy-comment",
          "text" : "Лапароскопия (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "myomectomy",
          "text" : "Миомэктомия (удаление миомы матки)",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "myomectomy-comment",
          "text" : "Миомэктомия (удаление миомы матки) (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "salpingectomy",
          "text" : "Удаление маточной трубы",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "salpingectomy-comment",
          "text" : "Удаление маточной трубы (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "salpingotomy",
          "text" : "Вскрытие маточной трубы",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "salpingotomy-comment",
          "text" : "Вскрытие маточной трубы (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "cyst-removal",
          "text" : "Удаление кисты",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "cyst-removal-comment",
          "text" : "Удаление кисты (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "oophorectomy",
          "text" : "Резекция яичника",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "oophorectomy-comment",
          "text" : "Резекция яичника (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "adnexectomy",
          "text" : "Удаление придатков матки",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "adnexectomy-comment",
          "text" : "Удаление придатков матки (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "subtotal-hysterectomy",
          "text" : "Субтотальная гистерэктомия",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "subtotal-hysterectomy-comment",
          "text" : "Субтотальная гистерэктомия (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "total-hysterectomy",
          "text" : "Тотальная (полная) гистерэктомия",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "total-hysterectomy-comment",
          "text" : "Тотальная (полная) гистерэктомия (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "with-adnexa",
          "text" : "С придатками",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "with-adnexa-comment",
          "text" : "С придатками (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "without-adnexa",
          "text" : "Без придатков",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "without-adnexa-comment",
          "text" : "Без придатков (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        }]
      },
      {
        "linkId" : "contraception",
        "text" : "Методы контрацепции",
        "item" : [{
          "linkId" : "contraception-condom",
          "text" : "Презерватив",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-coc",
          "text" : "Комбинированные оральные контрацептивы (КОК)",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-iud-spiral",
          "text" : "Внутриматочная контрацепция (спираль)",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-vaginal-suppositories",
          "text" : "Свечи (вагинальные суппозитории)",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-withdrawal",
          "text" : "Прерванный половой акт",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-surgical-sterilization",
          "text" : "Добровольная хирургическая стерилизация",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-intrauterine",
          "text" : "Внутриматочные контрацептивы",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-natural",
          "text" : "Естественные методы",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-other",
          "text" : "Другое",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "contraception-other-comment",
          "text" : "Другие (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        }]
      },
      {
        "linkId" : "general-obesity",
        "text" : "Общее состояние и степень ожирения",
        "item" : [{
          "linkId" : "general-condition",
          "text" : "Общее состояние",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "6736007",
              "display" : "Moderate severity"
            }
          }]
        },
        {
          "linkId" : "obesity-degree",
          "text" : "Степень ожирения",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "443371000124107",
              "display" : "Obese class I"
            }
          }]
        }]
      },
      {
        "linkId" : "hirsutism-general-exam",
        "text" : "Степень гирсутизма и дополнительные данные общего осмотра",
        "item" : [{
          "linkId" : "hirsutism-face",
          "text" : "На лице",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-hirsutism-face-cs",
              "code" : "scrn-0010-00002",
              "display" : "Пушковые волосы"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-hirsutism-face-cs",
              "code" : "scrn-0010-00001",
              "display" : "Редкие волосы на лице"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-hirsutism-face-cs",
              "code" : "scrn-0010-00004",
              "display" : "Акне на лице"
            }
          }]
        },
        {
          "linkId" : "hirsutism-thighs",
          "text" : "На бедрах",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-hirsutism-thigh-cs",
              "code" : "scrn-0011-00001",
              "display" : "Редкие волосы на бедрах"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-hirsutism-thigh-cs",
              "code" : "scrn-0011-00002",
              "display" : "Обильный рост волос на бедрах"
            }
          }]
        },
        {
          "linkId" : "hirsutism-abdomen",
          "text" : "Другое / на животе",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "251823004",
              "display" : "Hair spread to linea alba"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "201066002",
              "display" : "Skin striae"
            }
          }]
        },
        {
          "linkId" : "stretch-marks-color",
          "text" : "Цвет растяжек",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "stretch-marks-count",
          "text" : "Кол-во растяжек",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "stretch-marks-location",
          "text" : "Локализация растяжек",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "thyroid-assessment",
          "text" : "Оценка щитовидной железы",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "thyroid-enlargement-degree",
          "text" : "Степень увеличения",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-thyroid-enlargement-degree-cs",
              "code" : "scrn-0013-00001",
              "display" : "Диффузное увеличение"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-thyroid-enlargement-degree-cs",
              "code" : "scrn-0013-00002",
              "display" : "Увеличение I степени"
            }
          }]
        },
        {
          "linkId" : "breast-assessment",
          "text" : "Оценка молочных желез",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "6703006",
              "display" : "Breast lobule hyperplasia"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "20897003",
              "display" : "Atrophy of breast"
            }
          }]
        },
        {
          "linkId" : "breast-palpation-assessment",
          "text" : "При пальпации",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "299976000",
              "display" : "Breast comfortable"
            }
          },
          {
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "53430007",
              "display" : "Pain of breast"
            }
          }]
        },
        {
          "linkId" : "axillary-nodes-palpable",
          "text" : "Подмышечные лимфатические узлы определяются при пальпации",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "nipple-hair",
          "text" : "Оволосение сосков молочных желез",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "nipple-discharge-present",
          "text" : "Выделения из сосков",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "nipple-discharge-comment",
          "text" : "Выделения из сосков (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "liver-spleen-palpable",
          "text" : "Печень/селезенка пальпируются?",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "urination",
          "text" : "Мочеиспускание",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "49650001",
              "display" : "Dysuria"
            }
          }]
        },
        {
          "linkId" : "urination-times-per-day",
          "text" : "Кол-во раз в сутки",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "defecation-times-per-day",
          "text" : "Дефекация (кол-во раз в сутки)",
          "answer" : [{
            "valueInteger" : 1
          }]
        },
        {
          "linkId" : "constipation-tendency",
          "text" : "Склонность к запорам",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "leg-varicose-veins",
          "text" : "Варикозное расширение вен ног",
          "answer" : [{
            "valueBoolean" : true
          }]
        }]
      },
      {
        "linkId" : "gynecological-status",
        "text" : "Гинекологическое состояние",
        "item" : [{
          "linkId" : "external-genitalia-normal",
          "text" : "Развитие наружных половых органов",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-external-genitalia-development-cs",
              "code" : "scrn-0062-00001",
              "display" : "Нормальное развитие"
            }
          }]
        },
        {
          "linkId" : "genital-slit-closed",
          "text" : "Состояние половой щели",
          "answer" : [{
            "valueCoding" : {
              "system" : "http://snomed.info/sct",
              "code" : "434851000124108",
              "display" : "Open"
            }
          }]
        },
        {
          "linkId" : "vaginal-mucosa-pink",
          "text" : "Состояние слизистой оболочки влагалища",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-mucosa-condition-cs",
              "code" : "scrn-0064-00002",
              "display" : "Покрасневшая"
            }
          }]
        },
        {
          "linkId" : "vaginal-os-punctate",
          "text" : "Форма зева влагалища",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-os-shape-cs",
              "code" : "scrn-0065-00002",
              "display" : "Щелевидный"
            }
          }]
        },
        {
          "linkId" : "vagina-parous",
          "text" : "Состояние влагалища с учётом паритета",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-parity-status-cs",
              "code" : "scrn-0066-00001",
              "display" : "Влагалище нерожавшей женщины"
            }
          }]
        },
        {
          "linkId" : "external-cervical-os-closed",
          "text" : "Состояние наружного зева шейки матки",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-external-cervical-os-state-cs",
              "code" : "scrn-0067-00001",
              "display" : "Закрыт"
            }
          }]
        },
        {
          "linkId" : "cervicitis-absent",
          "text" : "Наличие признаков цервицита",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervicitis-status-cs",
              "code" : "scrn-0068-00001",
              "display" : "Признаков цервицита нет"
            }
          }]
        },
        {
          "linkId" : "hair-growth",
          "text" : "Оволосение",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-pubic-hair-pattern-cs",
              "code" : "scrn-0017-00001",
              "display" : "По женскому типу"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-pubic-hair-pattern-cs",
              "code" : "scrn-0017-00002",
              "display" : "По смешанному типу"
            }
          }]
        },
        {
          "linkId" : "tvme",
          "text" : "ТВМЕ / опущение стенок влагалища",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-wall-prolapse-cs",
              "code" : "scrn-0018-00001",
              "display" : "Опущение стенок влагалища"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-wall-prolapse-cs",
              "code" : "scrn-0018-00002",
              "display" : "Цистоцеле (опущение мочевого пузыря во влагалище)"
            }
          }]
        },
        {
          "linkId" : "uterus-vagina-visual-condition",
          "text" : "Состояние матки и влагалища (осмотр)",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-uterus-vagina-visual-condition-cs",
              "code" : "scrn-0026-00003",
              "display" : "Признаки недоразвития половых органов"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-uterus-vagina-visual-condition-cs",
              "code" : "scrn-0026-00002",
              "display" : "Полное выпадение матки"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-uterus-vagina-visual-condition-cs",
              "code" : "scrn-0026-00007",
              "display" : "Удлинение шейки матки"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-uterus-vagina-visual-condition-cs",
              "code" : "scrn-0026-00005",
              "display" : "Старые разрывы половых органов"
            }
          }]
        },
        {
          "linkId" : "vaginal-discharge",
          "text" : "Выделения из влагалища",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-discharge-type-cs",
              "code" : "scrn-0019-00009",
              "display" : "Другое"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-discharge-type-cs",
              "code" : "scrn-0019-00002",
              "display" : "Мутные"
            }
          },
          {
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-discharge-type-cs",
              "code" : "scrn-0019-00004",
              "display" : "Желтая жидкость с кровью"
            }
          }]
        },
        {
          "linkId" : "vaginal-discharge-comment",
          "text" : "Выделения из влагалища (комментарий)",
          "answer" : [{
            "valueString" : "1"
          }]
        },
        {
          "linkId" : "vaginal-discharge-quantity",
          "text" : "Кол-во",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-discharge-amount-cs",
              "code" : "scrn-0020-00003",
              "display" : "Норма"
            }
          }]
        },
        {
          "linkId" : "vaginal-discharge-odor",
          "text" : "Запах",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-vaginal-discharge-odor-cs",
              "code" : "scrn-0021-00001",
              "display" : "Запах рыбы"
            }
          }]
        },
        {
          "linkId" : "cervix-condition",
          "text" : "Шейка матки",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervix-condition-cs",
              "code" : "scrn-0022-00001",
              "display" : "С наличием старых разрывов Деформированная шейка"
            }
          }]
        },
        {
          "linkId" : "cervix-size",
          "text" : "Размер шейки матки",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervix-size-cs",
              "code" : "scrn-0023-00002",
              "display" : "Увеличенный размер"
            }
          }]
        },
        {
          "linkId" : "pupil-sign-present",
          "text" : "Симптом «зрачка» присутствует",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "cervical-mucus-stretchability",
          "text" : "Симптом растяжимости слизистой шейки",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "cervix-length",
          "text" : "Длина шейки матки",
          "answer" : [{
            "valueDecimal" : 1
          }]
        }]
      },
      {
        "linkId" : "uterine-body",
        "text" : "Тело матки и придатки",
        "item" : [{
          "linkId" : "uterus-size-normal",
          "text" : "Размер матки нормальный",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "uterus-size-enlarged",
          "text" : "Увеличенный размер",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "uterus-size-below-normal",
          "text" : "Меньше нормы",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "uterus-painful",
          "text" : "Болезненная",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "uterus-dense",
          "text" : "Плотная",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "left-adnexa-enlarged",
          "text" : "Левый придаток увеличен",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "left-adnexa-size-cm",
          "text" : "Размер левого придатка в см.",
          "answer" : [{
            "valueDecimal" : 1
          }]
        },
        {
          "linkId" : "right-adnexa-defined",
          "text" : "Правый придаток определяется",
          "answer" : [{
            "valueBoolean" : true
          }]
        },
        {
          "linkId" : "right-adnexa-size-cm",
          "text" : "Размер правого придатка в см.",
          "answer" : [{
            "valueDecimal" : 0
          }]
        },
        {
          "linkId" : "uterine-vaults",
          "text" : "Своды матки",
          "answer" : [{
            "valueCoding" : {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-uterine-vault-status-cs",
              "code" : "scrn-0024-00001",
              "display" : "Своды матки симметричные"
            }
          }]
        }]
      }]
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  },
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      "resourceType" : "Observation",
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        "profile" : ["https://dhp.uz/fhir/integrations/StructureDefinition/screening-observation"]
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      },
      {
        "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
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      "basedOn" : [{
        "reference" : "ServiceRequest/ServiceRequest-cytology"
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      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18500-9",
          "display" : "Microscopic observation [Identifier] in Cervix by Cyto stain.thin prep"
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      },
      "subject" : {
        "reference" : "Patient/lola-oripova",
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      "effectiveDateTime" : "2025-11-17T13:28:17+02:00",
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      "performer" : [{
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      "bodySite" : {
        "coding" : [{
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