Uzbekistan Digital Health Platform - Integrations
0.10.0 - draft Uzbekistan флаг

This page is part of the Uzbekistan Digital Health Platform - Integrations (v0.10.0: Releases Draft) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

: Screening Summary Document

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{
  "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"
                    }
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "https://dhp.uz/fhir/integrations/Observation/cytology-result",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "cytology-result",
        "meta" : {
          "source" : "https://dhp.uz/fhir/source/screening",
          "profile" : [
            🔗 "https://dhp.uz/fhir/integrations/StructureDefinition/screening-observation"
          ]
        },
        "language" : "ru",
        "text" : {
          "status" : "generated"
        },
        "identifier" : [
          {
            "use" : "usual",
            "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening",
            "value" : "333"
          },
          {
            "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
            "value" : "171149006"
          }
        ],
        "basedOn" : [
          {
            🔗 "reference" : "ServiceRequest/ServiceRequest-cytology"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "18500-9",
              "display" : "Microscopic observation [Identifier] in Cervix by Cyto stain.thin prep"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/lola-oripova",
          "display" : "Lola Oripova Shakhzodovna"
        },
        "effectiveDateTime" : "2025-11-17T13:28:17+02:00",
        "issued" : "2025-11-17T13:28:17.239+02:00",
        "performer" : [
          {
            🔗 "reference" : "PractitionerRole/practitioner-role-laborant"
          }
        ],
        "valueCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-cervical-cytology-cs",
              "code" : "scr-cyt-3",
              "display" : "LSIL"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "https://dhp.uz/fhir/integrations/Observation/screening-mammography-observation-example",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "screening-mammography-observation-example",
        "meta" : {
          "source" : "https://dhp.uz/fhir/source/screening",
          "profile" : [
            🔗 "https://dhp.uz/fhir/integrations/StructureDefinition/screening-mammography-observation"
          ]
        },
        "language" : "ru",
        "text" : {
          "status" : "generated"
        },
        "identifier" : [
          {
            "system" : "https://dhp.uz/fhir/core/sid/doc/uz/screening",
            "value" : "MAMMO-1001"
          },
          {
            "system" : "https://dhp.uz/fhir/core/sid/prg/uz/program",
            "value" : "268547008"
          }
        ],
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "71651007",
              "display" : "Mammography"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/lola-oripova"
        },
        "effectiveDateTime" : "2026-07-17T10:00:00+05:00",
        "performer" : [
          {
            🔗 "reference" : "PractitionerRole/practitioner-role-radiologist"
          }
        ],
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "1348266008",
                  "display" : "Breast Imaging and Reporting and Data System"
                }
              ]
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-birads-cs",
                  "code" : "src-birads-2"
                }
              ]
            }
          },
          {
            "code" : {
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