RuSEMD, published by HL7 FHIR Россия. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-ru/Ru-SEMD/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: SEMD Encounter (Случай оказания медицинской помощи СЭМД)

Профиль Encounter для структурированных электронных медицинских документов

Usages:

• Refer to this Profile: SEMD DiagnosticReport (Диагностический отчет СЭМД) and SEMD ServiceRequest (Запрос/направление на оказание услуги СЭМД)
• Examples for this Profile: Encounter/encounter-outpatient

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Core_Encounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:misEncounterId	SΣ	1..1	Identifier	Номер случая обслуживания в МИС
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-encounter-id
identifier:medicalRecordId	SΣ	0..1	Identifier	Номер истории болезни
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/inpatient-case-number
identifier:ambulatoryCardId	SΣ	0..1	Identifier	Номер амбулаторной карты
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medicalCardType	SΣ	1..1	Coding	Code defined by a terminology system Binding: Типы медицинских карт (required)
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: 1
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Амбулаторная карта
text	SΣ	0..1	string	Plain text representation of the concept Required Pattern: Номер амбулаторной карты
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/ambulatory-card-number
value	SΣC	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
Slices for type	SΣ	0..*	CodeableConcept	Тип случая (форма, вид, условия оказания помощи) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): A specific code indicating type of service provided
type:form	SΣ	0..1	CodeableConcept	Форма оказания медицинской помощи Binding: Формы оказания медицинской помощи (required)
type:type	SΣ	0..1	CodeableConcept	Вид медицинской помощи Binding: Виды медицинской помощи (required)
type:condition	SΣ	0..1	CodeableConcept	Условия оказания медицинской помощи Binding: Условия оказания медицинской помощи (required)
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
partOf	S	0..1	Reference(Encounter)	Ссылка на вышестоящий случай оказания медицинской помощи
serviceProvider	S	0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.identifier:misEncounterId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:misEncounterId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:medicalRecordId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:medicalRecordId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type.coding:medicalCardType	required	SEMD_Vs_Nsi_Types_Medical_Cards(a valid code from Типы медицинских карт) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-cards From this IG
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0 From the FHIR Standard
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.type:form	required	SEMD_Vs_Nsi_Service_Form(a valid code from Формы оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-form From this IG
Encounter.type:type	required	SEMD_Vs_Nsi_Service_Types(a valid code from Виды медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-types From this IG
Encounter.type:condition	required	SEMD_Vs_Nsi_Service_Setting(a valid code from Условия оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-setting From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Core_Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			Core_Encounter
Slices for identifier		1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:misEncounterId	S	1..1	Identifier	Номер случая обслуживания в МИС
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-encounter-id
identifier:medicalRecordId	S	0..1	Identifier	Номер истории болезни
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/inpatient-case-number
identifier:ambulatoryCardId	S	0..1	Identifier	Номер амбулаторной карты
type	S	1..1	CodeableConcept	Description of identifier
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medicalCardType	S	1..1	Coding	Code defined by a terminology system Binding: Типы медицинских карт (required)
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 1
display		0..1	string	Representation defined by the system Required Pattern: Амбулаторная карта
text	S	0..1	string	Plain text representation of the concept Required Pattern: Номер амбулаторной карты
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/ambulatory-card-number
value	S	1..1	string	The value that is unique
Slices for type	S	0..*	CodeableConcept	Тип случая (форма, вид, условия оказания помощи) Slice: Unordered, Open by value:coding.system
type:form	S	0..1	CodeableConcept	Форма оказания медицинской помощи Binding: Формы оказания медицинской помощи (required)
type:type	S	0..1	CodeableConcept	Вид медицинской помощи Binding: Виды медицинской помощи (required)
type:condition	S	0..1	CodeableConcept	Условия оказания медицинской помощи Binding: Условия оказания медицинской помощи (required)
subject	S	1..1	Reference(Core Patient (Пациент))	Пациент
partOf	S	0..1	Reference(Encounter)	Ссылка на вышестоящий случай оказания медицинской помощи
serviceProvider	S	0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.identifier:ambulatoryCardId.type.coding:medicalCardType	required	SEMD_Vs_Nsi_Types_Medical_Cards(a valid code from Типы медицинских карт) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-cards From this IG
Encounter.type:form	required	SEMD_Vs_Nsi_Service_Form(a valid code from Формы оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-form From this IG
Encounter.type:type	required	SEMD_Vs_Nsi_Service_Types(a valid code from Виды медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-types From this IG
Encounter.type:condition	required	SEMD_Vs_Nsi_Service_Setting(a valid code from Условия оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-setting From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Core_Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:misEncounterId	SΣ	1..1	Identifier	Номер случая обслуживания в МИС
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-encounter-id
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:medicalRecordId	SΣ	0..1	Identifier	Номер истории болезни
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/inpatient-case-number
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:ambulatoryCardId	SΣ	0..1	Identifier	Номер амбулаторной карты
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medicalCardType	SΣ	1..1	Coding	Code defined by a terminology system Binding: Типы медицинских карт (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: 1
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Амбулаторная карта
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept Required Pattern: Номер амбулаторной карты
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/ambulatory-card-number
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	0..*	CodeableConcept	Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter class (preferred): Classification of the encounter.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
Slices for type	SΣ	0..*	CodeableConcept	Тип случая (форма, вид, условия оказания помощи) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): A specific code indicating type of service provided
type:form	SΣ	0..1	CodeableConcept	Форма оказания медицинской помощи Binding: Формы оказания медицинской помощи (required)
type:type	SΣ	0..1	CodeableConcept	Вид медицинской помощи Binding: Виды медицинской помощи (required)
type:condition	SΣ	0..1	CodeableConcept	Условия оказания медицинской помощи Binding: Условия оказания медицинской помощи (required)
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
subjectStatus		0..1	CodeableConcept	The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare	Σ	0..*	Reference(Эпизод медицинской помощи)	Эпизод медицинской помощи
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request that initiated this encounter
careTeam		0..*	Reference(CareTeam)	The group(s) that are allocated to participate in this encounter
partOf	S	0..1	Reference(Encounter)	Ссылка на вышестоящий случай оказания медицинской помощи
serviceProvider	S	0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
participant	ΣC	0..*	BackboneElement	List of participants involved in the encounter Constraints: enc-1, enc-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
actor	ΣC	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)	The individual, device, or service participating in the encounter
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
actualPeriod		0..1	Period	The actual start and end time of the encounter
plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter
plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter
length		0..1	Duration	Actual quantity of time the encounter lasted (less time absent)
reason	Σ	0..*	BackboneElement	The list of medical reasons that are expected to be addressed during the episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
use	Σ	0..*	CodeableConcept	What the reason value should be used for/as Binding: EncounterReasonUse (example)
value	Σ	0..*	CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)	Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	0..*	CodeableReference(Condition)	The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example)
use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
form		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Encounter.identifier:misEncounterId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:misEncounterId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:medicalRecordId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:medicalRecordId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type.coding:medicalCardType	required	SEMD_Vs_Nsi_Types_Medical_Cards(a valid code from Типы медицинских карт) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-cards From this IG
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0 From the FHIR Standard
Encounter.class	preferred	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.type:form	required	SEMD_Vs_Nsi_Service_Form(a valid code from Формы оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-form From this IG
Encounter.type:type	required	SEMD_Vs_Nsi_Service_Types(a valid code from Виды медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-types From this IG
Encounter.type:condition	required	SEMD_Vs_Nsi_Service_Setting(a valid code from Условия оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-setting From this IG
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Encounter.subjectStatus	example	EncounterSubjectStatus http://hl7.org/fhir/ValueSet/encounter-subject-status From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason.use	example	EncounterReasonUse http://hl7.org/fhir/ValueSet/encounter-reason-use From the FHIR Standard
Encounter.reason.value	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Encounter.diagnosis.use	preferred	EncounterDiagnosisUse http://hl7.org/fhir/ValueSet/encounter-diagnosis-use From the FHIR Standard
Encounter.dietPreference	example	EncounterDiet http://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard
Encounter.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard
Encounter.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard
Encounter.admission.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard
Encounter.admission.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition From the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0 From the FHIR Standard
Encounter.location.form	example	LocationForm http://hl7.org/fhir/ValueSet/location-form From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
enc-1	error	Encounter.participant	A type must be provided when no explicit actor is specified : actor.exists() or type.exists()
enc-2	error	Encounter.participant	A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Core_Encounter

Summary

Mandatory: 5 elements(7 nested mandatory elements)
Must-Support: 16 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.identifier
• The element 1 is sliced based on the value of Encounter.identifier.type.coding
• The element 1 is sliced based on the value of Encounter.type

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Core_Encounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:misEncounterId	SΣ	1..1	Identifier	Номер случая обслуживания в МИС
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-encounter-id
identifier:medicalRecordId	SΣ	0..1	Identifier	Номер истории болезни
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/inpatient-case-number
identifier:ambulatoryCardId	SΣ	0..1	Identifier	Номер амбулаторной карты
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medicalCardType	SΣ	1..1	Coding	Code defined by a terminology system Binding: Типы медицинских карт (required)
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: 1
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Амбулаторная карта
text	SΣ	0..1	string	Plain text representation of the concept Required Pattern: Номер амбулаторной карты
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/ambulatory-card-number
value	SΣC	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
Slices for type	SΣ	0..*	CodeableConcept	Тип случая (форма, вид, условия оказания помощи) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): A specific code indicating type of service provided
type:form	SΣ	0..1	CodeableConcept	Форма оказания медицинской помощи Binding: Формы оказания медицинской помощи (required)
type:type	SΣ	0..1	CodeableConcept	Вид медицинской помощи Binding: Виды медицинской помощи (required)
type:condition	SΣ	0..1	CodeableConcept	Условия оказания медицинской помощи Binding: Условия оказания медицинской помощи (required)
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
partOf	S	0..1	Reference(Encounter)	Ссылка на вышестоящий случай оказания медицинской помощи
serviceProvider	S	0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.identifier:misEncounterId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:misEncounterId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:medicalRecordId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:medicalRecordId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type.coding:medicalCardType	required	SEMD_Vs_Nsi_Types_Medical_Cards(a valid code from Типы медицинских карт) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-cards From this IG
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0 From the FHIR Standard
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.type:form	required	SEMD_Vs_Nsi_Service_Form(a valid code from Формы оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-form From this IG
Encounter.type:type	required	SEMD_Vs_Nsi_Service_Types(a valid code from Виды медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-types From this IG
Encounter.type:condition	required	SEMD_Vs_Nsi_Service_Setting(a valid code from Условия оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-setting From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Core_Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			Core_Encounter
Slices for identifier		1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:misEncounterId	S	1..1	Identifier	Номер случая обслуживания в МИС
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-encounter-id
identifier:medicalRecordId	S	0..1	Identifier	Номер истории болезни
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
system		1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/inpatient-case-number
identifier:ambulatoryCardId	S	0..1	Identifier	Номер амбулаторной карты
type	S	1..1	CodeableConcept	Description of identifier
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medicalCardType	S	1..1	Coding	Code defined by a terminology system Binding: Типы медицинских карт (required)
code		0..1	code	Symbol in syntax defined by the system Required Pattern: 1
display		0..1	string	Representation defined by the system Required Pattern: Амбулаторная карта
text	S	0..1	string	Plain text representation of the concept Required Pattern: Номер амбулаторной карты
system	S	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/ambulatory-card-number
value	S	1..1	string	The value that is unique
Slices for type	S	0..*	CodeableConcept	Тип случая (форма, вид, условия оказания помощи) Slice: Unordered, Open by value:coding.system
type:form	S	0..1	CodeableConcept	Форма оказания медицинской помощи Binding: Формы оказания медицинской помощи (required)
type:type	S	0..1	CodeableConcept	Вид медицинской помощи Binding: Виды медицинской помощи (required)
type:condition	S	0..1	CodeableConcept	Условия оказания медицинской помощи Binding: Условия оказания медицинской помощи (required)
subject	S	1..1	Reference(Core Patient (Пациент))	Пациент
partOf	S	0..1	Reference(Encounter)	Ссылка на вышестоящий случай оказания медицинской помощи
serviceProvider	S	0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.identifier:ambulatoryCardId.type.coding:medicalCardType	required	SEMD_Vs_Nsi_Types_Medical_Cards(a valid code from Типы медицинских карт) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-cards From this IG
Encounter.type:form	required	SEMD_Vs_Nsi_Service_Form(a valid code from Формы оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-form From this IG
Encounter.type:type	required	SEMD_Vs_Nsi_Service_Types(a valid code from Виды медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-types From this IG
Encounter.type:condition	required	SEMD_Vs_Nsi_Service_Setting(a valid code from Условия оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-setting From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Core_Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:system
identifier:misEncounterId	SΣ	1..1	Identifier	Номер случая обслуживания в МИС
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/mis-encounter-id
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:medicalRecordId	SΣ	0..1	Identifier	Номер истории болезни
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/inpatient-case-number
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:ambulatoryCardId	SΣ	0..1	Identifier	Номер амбулаторной карты
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:medicalCardType	SΣ	1..1	Coding	Code defined by a terminology system Binding: Типы медицинских карт (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system Required Pattern: 1
display	ΣC	0..1	string	Representation defined by the system Required Pattern: Амбулаторная карта
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept Required Pattern: Номер амбулаторной карты
system	SΣ	1..1	uri	The namespace for the identifier value Required Pattern: https://fhir.ru/ig/semd/systems/ambulatory-card-number
value	SΣC	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter.
class	Σ	0..*	CodeableConcept	Classification of patient encounter context - e.g. Inpatient, outpatient Binding: Encounter class (preferred): Classification of the encounter.
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
Slices for type	SΣ	0..*	CodeableConcept	Тип случая (форма, вид, условия оказания помощи) Slice: Unordered, Open by value:coding.system Binding: EncounterType (example): A specific code indicating type of service provided
type:form	SΣ	0..1	CodeableConcept	Форма оказания медицинской помощи Binding: Формы оказания медицинской помощи (required)
type:type	SΣ	0..1	CodeableConcept	Вид медицинской помощи Binding: Виды медицинской помощи (required)
type:condition	SΣ	0..1	CodeableConcept	Условия оказания медицинской помощи Binding: Условия оказания медицинской помощи (required)
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	1..1	Reference(Core Patient (Пациент))	Пациент
subjectStatus		0..1	CodeableConcept	The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare	Σ	0..*	Reference(Эпизод медицинской помощи)	Эпизод медицинской помощи
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request that initiated this encounter
careTeam		0..*	Reference(CareTeam)	The group(s) that are allocated to participate in this encounter
partOf	S	0..1	Reference(Encounter)	Ссылка на вышестоящий случай оказания медицинской помощи
serviceProvider	S	0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
participant	ΣC	0..*	BackboneElement	List of participants involved in the encounter Constraints: enc-1, enc-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	ΣC	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
actor	ΣC	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)	The individual, device, or service participating in the encounter
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
actualPeriod		0..1	Period	The actual start and end time of the encounter
plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter
plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter
length		0..1	Duration	Actual quantity of time the encounter lasted (less time absent)
reason	Σ	0..*	BackboneElement	The list of medical reasons that are expected to be addressed during the episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
use	Σ	0..*	CodeableConcept	What the reason value should be used for/as Binding: EncounterReasonUse (example)
value	Σ	0..*	CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)	Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	0..*	CodeableReference(Condition)	The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example)
use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
form		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Encounter.identifier:misEncounterId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:misEncounterId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:medicalRecordId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:medicalRecordId.type	extensible	Pattern Value: MR http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Encounter.identifier:ambulatoryCardId.type.coding:medicalCardType	required	SEMD_Vs_Nsi_Types_Medical_Cards(a valid code from Типы медицинских карт) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-types-medical-cards From this IG
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|5.0.0 From the FHIR Standard
Encounter.class	preferred	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.type:form	required	SEMD_Vs_Nsi_Service_Form(a valid code from Формы оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-form From this IG
Encounter.type:type	required	SEMD_Vs_Nsi_Service_Types(a valid code from Виды медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-types From this IG
Encounter.type:condition	required	SEMD_Vs_Nsi_Service_Setting(a valid code from Условия оказания медицинской помощи) https://fhir.ru/ig/semd/ValueSet/semd-vs-nsi-service-setting From this IG
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Encounter.subjectStatus	example	EncounterSubjectStatus http://hl7.org/fhir/ValueSet/encounter-subject-status From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason.use	example	EncounterReasonUse http://hl7.org/fhir/ValueSet/encounter-reason-use From the FHIR Standard
Encounter.reason.value	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Encounter.diagnosis.use	preferred	EncounterDiagnosisUse http://hl7.org/fhir/ValueSet/encounter-diagnosis-use From the FHIR Standard
Encounter.dietPreference	example	EncounterDiet http://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard
Encounter.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard
Encounter.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard
Encounter.admission.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard
Encounter.admission.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition From the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0 From the FHIR Standard
Encounter.location.form	example	LocationForm http://hl7.org/fhir/ValueSet/location-form From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
enc-1	error	Encounter.participant	A type must be provided when no explicit actor is specified : actor.exists() or type.exists()
enc-2	error	Encounter.participant	A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Core_Encounter

Summary

Mandatory: 5 elements(7 nested mandatory elements)
Must-Support: 16 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.identifier
• The element 1 is sliced based on the value of Encounter.identifier.type.coding
• The element 1 is sliced based on the value of Encounter.type