Core_Encounter — Профиль случая обслуживания

Принятые решения по профилированию

Описание профиля

Профиль Core_Encounter расширяет стандартный ресурс Encounter для поддержки российских требований:

• Для идентификаторов СЭМД определены необязательные срезы identifier[misEncounter], identifier[misInpatientRecord] и identifier[misAmbulatoryEncounter] кратностью 0..1 с типовыми узлами OID 15, 16 и 17
• Срезы распознаются по кодам mis-encounter, mis-inpatient-record и mis-ambulatory-encounter из Core_Cs_Semd_Identifier_Type; нарезка остается открытой для идентификаторов других типов
• Каждый Identifier.system строго соответствует формуле urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.{типовой узел}; дополнительные узлы после 15, 16 или 17 не допускаются
• Если subject ссылается на Patient, должен использоваться профиль Core_Patient, при этом тип Group из R5 сохраняется
• Эпизод лечения должен быть представлен профилем Core_EpisodeOfCare
• Исполняющая организация должна быть представлена профилем Core_Organization
• Диагноз случая передается в diagnosis.condition как CodeableReference(Condition): ссылкой на Condition и/или кодом и текстом внутри Encounter
• Ось diagnosis.use[diagnosisStructure] кодирует рубрику по справочнику НСИ «Виды нозологических единиц диагноза»; ось diagnosis.use[diagnosisStage] кодирует этапность по справочнику НСИ «Степень обоснованности диагноза». Обе оси необязательны
• Порядок диагнозов внутри рубрики передается расширением diagnosis.extension[rank]

Особенности использования

Профиль поддерживает два основных сценария использования:

1. Межорганизационные эпизоды - использование атрибута episodeOfCare для связывания случаев обслуживания в различных организациях в рамках одного медицинского эпизода
2. Внутриорганизационная иерархия - использование иерархии Encounter для моделирования учета медицинской помощи в одной организации (например: Амбулаторная карта → Случай амбулаторного обслуживания → Посещение врача)

Динамическая часть system не используется для распознавания среза: принадлежность определяется стабильным семантическим кодом в Identifier.type. Инварианты отдельно проверяют корень пространства ФРМО, фиксированный узел 100, номера МИС и экземпляра МИС и конечный типовой узел.

Core_Encounter остается гибким национальным профилем: допускаются несколько диагнозов одной рубрики и несколько основных заболеваний. Более строгие правила, например требование ровно одного основного диагноза, должны вводиться прикладным профилем СЭМД как сужение Core.

В стационарной практике предварительный диагноз соответствует диагнозу при поступлении, заключительный клинический — выписному. Эти соответствия относятся к применению справочника этапности и не добавляют отдельных кодов в RuCore.

FSH-код профиля

Profile: Core_Encounter
Parent: Encounter
Id: core-encounter
Title: "Core Encounter (Случай обслуживания)"
Description: "Базовый профиль случая обслуживания для российских FHIR-реализаций"

* identifier.type from Core_Vs_Identifier_Type (extensible)
* identifier ^slicing.discriminator.type = #pattern
* identifier ^slicing.discriminator.path = "type"
* identifier ^slicing.rules = #open
* identifier contains
  misEncounter 0..1 and
  misInpatientRecord 0..1 and
  misAmbulatoryEncounter 0..1

* identifier[misEncounter]
  * type 1..1
  * type = Core_Cs_Semd_Identifier_Type#mis-encounter
  * system 1..1
  * value 1..1
  * obeys core-encounter-mis-encounter-system

* identifier[misInpatientRecord]
  * type 1..1
  * type = Core_Cs_Semd_Identifier_Type#mis-inpatient-record
  * system 1..1
  * value 1..1
  * obeys core-encounter-mis-inpatient-system

* identifier[misAmbulatoryEncounter]
  * type 1..1
  * type = Core_Cs_Semd_Identifier_Type#mis-ambulatory-encounter
  * system 1..1
  * value 1..1
  * obeys core-encounter-mis-ambulatory-system

* subject only Reference(Core_Patient or Group)
* episodeOfCare only Reference(Core_EpisodeOfCare)
* serviceProvider only Reference(Core_Organization)

* diagnosis.extension contains DiagnosisRank named rank 0..1
* diagnosis.condition 1..*
* diagnosis.condition only CodeableReference(Condition)
* diagnosis.use 0..*
* diagnosis.use contains
  diagnosisStructure 0..1 and
  diagnosisStage 0..1
* diagnosis.use[diagnosisStructure] from Core_Vs_Nsi_Diagnosis_Nosology_Kind (required)
* diagnosis.use[diagnosisStage] from Core_Vs_Nsi_Diagnosis_Justification_Degree (extensible)

Invariant: core-encounter-mis-encounter-system
Description: "Система идентификатора общего случая в МИС должна соответствовать структуре с корнем ФРМО и типовым узлом 15"
Severity: #error
Expression: "system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]15$')"

Invariant: core-encounter-mis-inpatient-system
Description: "Система номера стационарной карты в МИС должна соответствовать структуре с корнем ФРМО и типовым узлом 16"
Severity: #error
Expression: "system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]16$')"

Invariant: core-encounter-mis-ambulatory-system
Description: "Система идентификатора амбулаторного случая или посещения в МИС должна соответствовать структуре с корнем ФРМО и типовым узлом 17"
Severity: #error
Expression: "system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]17$')"

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	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	0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
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	0..1	CodeableConcept	Description of identifier Binding: Core ValueSet Типы идентификаторов (extensible)
identifier:misEncounter	ΣC	0..1	Identifier	Идентификатор случая оказания медицинской помощи в экземпляре МИС Constraints: core-encounter-mis-encounter-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:misInpatientRecord	ΣC	0..1	Identifier	Номер стационарной медицинской карты в экземпляре МИС Constraints: core-encounter-mis-inpatient-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-inpatient-record
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:misAmbulatoryEncounter	ΣC	0..1	Identifier	Идентификатор амбулаторного случая или посещения в экземпляре МИС Constraints: core-encounter-mis-ambulatory-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-ambulatory-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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.
subject	Σ	0..1	Reference(Core Patient (Пациент) | Group)	Пациент
episodeOfCare	Σ	0..*	Reference(Core EpisodeOfCare (Эпизод медицинской помощи))	Эпизод медицинской помощи
serviceProvider		0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
diagnosis	Σ	0..*	BackboneElement	Диагноз случая оказания медицинской помощи
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:rank		0..1	positiveInt	Порядок диагноза в авторской последовательности врача URL: https://fhir.ru/ig/core/StructureDefinition/diagnosis-rank
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	ΣC	1..*	CodeableReference(Condition)	Диагноз как код/текст и/или ссылка на Condition Binding: ConditionProblemDiagnosisCodes (example) Constraints: core-encounter-diagnosis-condition
Slices for use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Slice: Unordered, Open by value:coding.system Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
use:diagnosisStructure		0..1	CodeableConcept	Структура диагноза (рубрика) Binding: Core ValueSet Виды нозологических единиц диагноза (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-nosology-kind
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Виды нозологических единиц диагноза (required)
use:diagnosisStage		0..1	CodeableConcept	Этапность установления диагноза Binding: Core ValueSet Степень обоснованности диагноза (extensible)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-justification-degree
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Степень обоснованности диагноза (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misInpatientRecord.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misInpatientRecord.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misAmbulatoryEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misAmbulatoryEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.status	Base	required	Encounter Status	📍5.0.0	FHIR Std.
Encounter.diagnosis.​condition	Base	example	Condition/Problem/Diagnosis Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	Encounter Diagnosis Use	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use:diagnosisStructure	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure.​coding.code	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage.coding.​code	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
core-encounter-diagnosis-condition	error	Encounter.diagnosis.condition	В диагнозе случая должен быть указан код и/или текст и/или ссылка на ресурс Condition	concept.exists() or reference.exists()
core-encounter-mis-ambulatory-system	error	Encounter.identifier:misAmbulatoryEncounter	Система идентификатора амбулаторного случая или посещения в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.17	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]17$')
core-encounter-mis-encounter-system	error	Encounter.identifier:misEncounter	Система идентификатора общего случая в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.15	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]15$')
core-encounter-mis-inpatient-system	error	Encounter.identifier:misInpatientRecord	Система номера стационарной медицинской карты в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.16	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]16$')
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 Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Slices for identifier		0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Description of identifier Binding: Core ValueSet Типы идентификаторов (extensible)
identifier:misEncounter	C	0..1	Identifier	Идентификатор случая оказания медицинской помощи в экземпляре МИС Constraints: core-encounter-mis-encounter-system
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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-encounter
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
identifier:misInpatientRecord	C	0..1	Identifier	Номер стационарной медицинской карты в экземпляре МИС Constraints: core-encounter-mis-inpatient-system
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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-inpatient-record
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
identifier:misAmbulatoryEncounter	C	0..1	Identifier	Идентификатор амбулаторного случая или посещения в экземпляре МИС Constraints: core-encounter-mis-ambulatory-system
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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-ambulatory-encounter
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
subject		0..1	Reference(Core Patient (Пациент) | Group)	Пациент
episodeOfCare		0..*	Reference(Core EpisodeOfCare (Эпизод медицинской помощи))	Эпизод медицинской помощи
serviceProvider		0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
diagnosis		0..*	BackboneElement	Диагноз случая оказания медицинской помощи
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:rank		0..1	positiveInt	Порядок диагноза в авторской последовательности врача URL: https://fhir.ru/ig/core/StructureDefinition/diagnosis-rank
condition	C	1..*	CodeableReference(Condition)	Диагноз как код/текст и/или ссылка на Condition Constraints: core-encounter-diagnosis-condition
Slices for use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Slice: Unordered, Open by value:coding.system
use:diagnosisStructure		0..1	CodeableConcept	Структура диагноза (рубрика) Binding: Core ValueSet Виды нозологических единиц диагноза (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-nosology-kind
code		1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Виды нозологических единиц диагноза (required)
use:diagnosisStage		0..1	CodeableConcept	Этапность установления диагноза Binding: Core ValueSet Степень обоснованности диагноза (extensible)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-justification-degree
code		1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Степень обоснованности диагноза (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure.​coding.code	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage.coding.​code	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
core-encounter-diagnosis-condition	error	Encounter.diagnosis.condition	В диагнозе случая должен быть указан код и/или текст и/или ссылка на ресурс Condition	concept.exists() or reference.exists()
core-encounter-mis-ambulatory-system	error	Encounter.identifier:misAmbulatoryEncounter	Система идентификатора амбулаторного случая или посещения в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.17	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]17$')
core-encounter-mis-encounter-system	error	Encounter.identifier:misEncounter	Система идентификатора общего случая в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.15	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]15$')
core-encounter-mis-inpatient-system	error	Encounter.identifier:misInpatientRecord	Система номера стационарной медицинской карты в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.16	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]16$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	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	0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
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	0..1	CodeableConcept	Description of identifier Binding: Core ValueSet Типы идентификаторов (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
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:misEncounter	ΣC	0..1	Identifier	Идентификатор случая оказания медицинской помощи в экземпляре МИС Constraints: core-encounter-mis-encounter-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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)
identifier:misInpatientRecord	ΣC	0..1	Identifier	Номер стационарной медицинской карты в экземпляре МИС Constraints: core-encounter-mis-inpatient-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-inpatient-record
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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)
identifier:misAmbulatoryEncounter	ΣC	0..1	Identifier	Идентификатор амбулаторного случая или посещения в экземпляре МИС Constraints: core-encounter-mis-ambulatory-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-ambulatory-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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.
type	Σ	0..*	CodeableConcept	Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	Σ	0..1	Reference(Core Patient (Пациент) | Group)	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(Core EpisodeOfCare (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		0..1	Reference(Encounter)	Another Encounter this encounter is part of
serviceProvider		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	Диагноз случая оказания медицинской помощи
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:rank		0..1	positiveInt	Порядок диагноза в авторской последовательности врача URL: https://fhir.ru/ig/core/StructureDefinition/diagnosis-rank
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	ΣC	1..*	CodeableReference(Condition)	Диагноз как код/текст и/или ссылка на Condition Binding: ConditionProblemDiagnosisCodes (example) Constraints: core-encounter-diagnosis-condition
Slices for use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Slice: Unordered, Open by value:coding.system Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
use:diagnosisStructure		0..1	CodeableConcept	Структура диагноза (рубрика) Binding: Core ValueSet Виды нозологических единиц диагноза (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
coding	Σ	1..1	Coding	Code defined by a terminology system
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	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-nosology-kind
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Виды нозологических единиц диагноза (required)
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
use:diagnosisStage		0..1	CodeableConcept	Этапность установления диагноза Binding: Core ValueSet Степень обоснованности диагноза (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
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	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-justification-degree
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Степень обоснованности диагноза (extensible)
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Encounter.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misInpatientRecord.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misInpatientRecord.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misAmbulatoryEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misAmbulatoryEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.status	Base	required	Encounter Status	📍5.0.0	FHIR Std.
Encounter.class	Base	preferred	Encounter class	📦2.0.1	THO v7.3
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.3
Encounter.type	Base	example	Encounter Type	📍5.0.0	FHIR Std.
Encounter.serviceType	Base	example	Service Type	📍5.0.0	FHIR Std.
Encounter.subjectStatus	Base	example	Encounter Subject Status	📍5.0.0	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Encounter.reason.use	Base	example	Encounter Reason Use	📍5.0.0	FHIR Std.
Encounter.reason.value	Base	preferred	Encounter Reason Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.​condition	Base	example	Condition/Problem/Diagnosis Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	Encounter Diagnosis Use	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use:diagnosisStructure	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure.​coding.code	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage.coding.​code	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.dietPreference	Base	example	Diet	📍5.0.0	FHIR Std.
Encounter.specialArrangement	Base	preferred	Special Arrangements	📍5.0.0	FHIR Std.
Encounter.specialCourtesy	Base	preferred	Special Courtesy	📍5.0.0	FHIR Std.
Encounter.admission.​admitSource	Base	preferred	Admit Source	📍5.0.0	FHIR Std.
Encounter.admission.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦3.0.0	THO v7.3
Encounter.admission.​dischargeDisposition	Base	example	Discharge Disposition	📍5.0.0	FHIR Std.
Encounter.location.status	Base	required	Encounter Location Status	📍5.0.0	FHIR Std.
Encounter.location.form	Base	example	Location Form	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
core-encounter-diagnosis-condition	error	Encounter.diagnosis.condition	В диагнозе случая должен быть указан код и/или текст и/или ссылка на ресурс Condition	concept.exists() or reference.exists()
core-encounter-mis-ambulatory-system	error	Encounter.identifier:misAmbulatoryEncounter	Система идентификатора амбулаторного случая или посещения в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.17	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]17$')
core-encounter-mis-encounter-system	error	Encounter.identifier:misEncounter	Система идентификатора общего случая в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.15	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]15$')
core-encounter-mis-inpatient-system	error	Encounter.identifier:misInpatientRecord	Система номера стационарной медицинской карты в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.16	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]16$')
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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	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	0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
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	0..1	CodeableConcept	Description of identifier Binding: Core ValueSet Типы идентификаторов (extensible)
identifier:misEncounter	ΣC	0..1	Identifier	Идентификатор случая оказания медицинской помощи в экземпляре МИС Constraints: core-encounter-mis-encounter-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:misInpatientRecord	ΣC	0..1	Identifier	Номер стационарной медицинской карты в экземпляре МИС Constraints: core-encounter-mis-inpatient-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-inpatient-record
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	1..1	string	The value that is unique Example General: 123456
identifier:misAmbulatoryEncounter	ΣC	0..1	Identifier	Идентификатор амбулаторного случая или посещения в экземпляре МИС Constraints: core-encounter-mis-ambulatory-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-ambulatory-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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.
subject	Σ	0..1	Reference(Core Patient (Пациент) | Group)	Пациент
episodeOfCare	Σ	0..*	Reference(Core EpisodeOfCare (Эпизод медицинской помощи))	Эпизод медицинской помощи
serviceProvider		0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
diagnosis	Σ	0..*	BackboneElement	Диагноз случая оказания медицинской помощи
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:rank		0..1	positiveInt	Порядок диагноза в авторской последовательности врача URL: https://fhir.ru/ig/core/StructureDefinition/diagnosis-rank
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	ΣC	1..*	CodeableReference(Condition)	Диагноз как код/текст и/или ссылка на Condition Binding: ConditionProblemDiagnosisCodes (example) Constraints: core-encounter-diagnosis-condition
Slices for use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Slice: Unordered, Open by value:coding.system Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
use:diagnosisStructure		0..1	CodeableConcept	Структура диагноза (рубрика) Binding: Core ValueSet Виды нозологических единиц диагноза (required)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-nosology-kind
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Виды нозологических единиц диагноза (required)
use:diagnosisStage		0..1	CodeableConcept	Этапность установления диагноза Binding: Core ValueSet Степень обоснованности диагноза (extensible)
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-justification-degree
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Степень обоснованности диагноза (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misInpatientRecord.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misInpatientRecord.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misAmbulatoryEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misAmbulatoryEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.status	Base	required	Encounter Status	📍5.0.0	FHIR Std.
Encounter.diagnosis.​condition	Base	example	Condition/Problem/Diagnosis Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	Encounter Diagnosis Use	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use:diagnosisStructure	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure.​coding.code	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage.coding.​code	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
core-encounter-diagnosis-condition	error	Encounter.diagnosis.condition	В диагнозе случая должен быть указан код и/или текст и/или ссылка на ресурс Condition	concept.exists() or reference.exists()
core-encounter-mis-ambulatory-system	error	Encounter.identifier:misAmbulatoryEncounter	Система идентификатора амбулаторного случая или посещения в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.17	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]17$')
core-encounter-mis-encounter-system	error	Encounter.identifier:misEncounter	Система идентификатора общего случая в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.15	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]15$')
core-encounter-mis-inpatient-system	error	Encounter.identifier:misInpatientRecord	Система номера стационарной медицинской карты в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.16	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]16$')
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 Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
Slices for identifier		0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
type		0..1	CodeableConcept	Description of identifier Binding: Core ValueSet Типы идентификаторов (extensible)
identifier:misEncounter	C	0..1	Identifier	Идентификатор случая оказания медицинской помощи в экземпляре МИС Constraints: core-encounter-mis-encounter-system
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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-encounter
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
identifier:misInpatientRecord	C	0..1	Identifier	Номер стационарной медицинской карты в экземпляре МИС Constraints: core-encounter-mis-inpatient-system
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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-inpatient-record
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
identifier:misAmbulatoryEncounter	C	0..1	Identifier	Идентификатор амбулаторного случая или посещения в экземпляре МИС Constraints: core-encounter-mis-ambulatory-system
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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-ambulatory-encounter
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
subject		0..1	Reference(Core Patient (Пациент) | Group)	Пациент
episodeOfCare		0..*	Reference(Core EpisodeOfCare (Эпизод медицинской помощи))	Эпизод медицинской помощи
serviceProvider		0..1	Reference(Core Organization (Организация))	Поставщик медицинских услуг
diagnosis		0..*	BackboneElement	Диагноз случая оказания медицинской помощи
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:rank		0..1	positiveInt	Порядок диагноза в авторской последовательности врача URL: https://fhir.ru/ig/core/StructureDefinition/diagnosis-rank
condition	C	1..*	CodeableReference(Condition)	Диагноз как код/текст и/или ссылка на Condition Constraints: core-encounter-diagnosis-condition
Slices for use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Slice: Unordered, Open by value:coding.system
use:diagnosisStructure		0..1	CodeableConcept	Структура диагноза (рубрика) Binding: Core ValueSet Виды нозологических единиц диагноза (required)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-nosology-kind
code		1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Виды нозологических единиц диагноза (required)
use:diagnosisStage		0..1	CodeableConcept	Этапность установления диагноза Binding: Core ValueSet Степень обоснованности диагноза (extensible)
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-justification-degree
code		1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Степень обоснованности диагноза (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Encounter.identifier.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure.​coding.code	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage.coding.​code	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
core-encounter-diagnosis-condition	error	Encounter.diagnosis.condition	В диагнозе случая должен быть указан код и/или текст и/или ссылка на ресурс Condition	concept.exists() or reference.exists()
core-encounter-mis-ambulatory-system	error	Encounter.identifier:misAmbulatoryEncounter	Система идентификатора амбулаторного случая или посещения в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.17	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]17$')
core-encounter-mis-encounter-system	error	Encounter.identifier:misEncounter	Система идентификатора общего случая в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.15	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]15$')
core-encounter-mis-inpatient-system	error	Encounter.identifier:misInpatientRecord	Система номера стационарной медицинской карты в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.16	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]16$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	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	0..*	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by pattern:type
identifier:All Slices				Content/Rules for all slices
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	0..1	CodeableConcept	Description of identifier Binding: Core ValueSet Типы идентификаторов (extensible)
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
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:misEncounter	ΣC	0..1	Identifier	Идентификатор случая оказания медицинской помощи в экземпляре МИС Constraints: core-encounter-mis-encounter-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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)
identifier:misInpatientRecord	ΣC	0..1	Identifier	Номер стационарной медицинской карты в экземпляре МИС Constraints: core-encounter-mis-inpatient-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-inpatient-record
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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)
identifier:misAmbulatoryEncounter	ΣC	0..1	Identifier	Идентификатор амбулаторного случая или посещения в экземпляре МИС Constraints: core-encounter-mis-ambulatory-system
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: Core ValueSet Типы идентификаторов (extensible) 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: https://fhir.ru/ig/core/CodeSystem/core-cs-semd-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: mis-ambulatory-encounter
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 Example General: http://www.acme.com/identifiers/patient
value	ΣC	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.
type	Σ	0..*	CodeableConcept	Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	Σ	0..1	Reference(Core Patient (Пациент) | Group)	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(Core EpisodeOfCare (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		0..1	Reference(Encounter)	Another Encounter this encounter is part of
serviceProvider		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	Диагноз случая оказания медицинской помощи
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:rank		0..1	positiveInt	Порядок диагноза в авторской последовательности врача URL: https://fhir.ru/ig/core/StructureDefinition/diagnosis-rank
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	ΣC	1..*	CodeableReference(Condition)	Диагноз как код/текст и/или ссылка на Condition Binding: ConditionProblemDiagnosisCodes (example) Constraints: core-encounter-diagnosis-condition
Slices for use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Slice: Unordered, Open by value:coding.system Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
use:diagnosisStructure		0..1	CodeableConcept	Структура диагноза (рубрика) Binding: Core ValueSet Виды нозологических единиц диагноза (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
coding	Σ	1..1	Coding	Code defined by a terminology system
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	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-nosology-kind
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Виды нозологических единиц диагноза (required)
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
use:diagnosisStage		0..1	CodeableConcept	Этапность установления диагноза Binding: Core ValueSet Степень обоснованности диагноза (extensible)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
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	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ru/ig/core/CodeSystem/core-cs-nsi-diagnosis-justification-degree
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Binding: Core ValueSet Степень обоснованности диагноза (extensible)
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	Status	Usage	ValueSet	Version	Source
Encounter.language	Base	required	All Languages	📍5.0.0	FHIR Std.
Encounter.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misInpatientRecord.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misInpatientRecord.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.identifier:misAmbulatoryEncounter.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
Encounter.identifier:misAmbulatoryEncounter.​type	Base	extensible	Core ValueSet Типы идентификаторов	📦0.18.0	This IG
Encounter.status	Base	required	Encounter Status	📍5.0.0	FHIR Std.
Encounter.class	Base	preferred	Encounter class	📦2.0.1	THO v7.3
Encounter.priority	Base	example	ActPriority	📦3.0.0	THO v7.3
Encounter.type	Base	example	Encounter Type	📍5.0.0	FHIR Std.
Encounter.serviceType	Base	example	Service Type	📍5.0.0	FHIR Std.
Encounter.subjectStatus	Base	example	Encounter Subject Status	📍5.0.0	FHIR Std.
Encounter.participant.​type	Base	extensible	Participant Type	📍5.0.0	FHIR Std.
Encounter.reason.use	Base	example	Encounter Reason Use	📍5.0.0	FHIR Std.
Encounter.reason.value	Base	preferred	Encounter Reason Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.​condition	Base	example	Condition/Problem/Diagnosis Codes	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use	Base	preferred	Encounter Diagnosis Use	📍5.0.0	FHIR Std.
Encounter.diagnosis.​use:diagnosisStructure	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStructure.​coding.code	Base	required	Core ValueSet Виды нозологических единиц диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.diagnosis.​use:diagnosisStage.coding.​code	Base	extensible	Core ValueSet Степень обоснованности диагноза	📦0.18.0	This IG
Encounter.dietPreference	Base	example	Diet	📍5.0.0	FHIR Std.
Encounter.specialArrangement	Base	preferred	Special Arrangements	📍5.0.0	FHIR Std.
Encounter.specialCourtesy	Base	preferred	Special Courtesy	📍5.0.0	FHIR Std.
Encounter.admission.​admitSource	Base	preferred	Admit Source	📍5.0.0	FHIR Std.
Encounter.admission.​reAdmission	Base	example	hl7VS-re-admissionIndicator	📦3.0.0	THO v7.3
Encounter.admission.​dischargeDisposition	Base	example	Discharge Disposition	📍5.0.0	FHIR Std.
Encounter.location.status	Base	required	Encounter Location Status	📍5.0.0	FHIR Std.
Encounter.location.form	Base	example	Location Form	📍5.0.0	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
core-encounter-diagnosis-condition	error	Encounter.diagnosis.condition	В диагнозе случая должен быть указан код и/или текст и/или ссылка на ресурс Condition	concept.exists() or reference.exists()
core-encounter-mis-ambulatory-system	error	Encounter.identifier:misAmbulatoryEncounter	Система идентификатора амбулаторного случая или посещения в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.17	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]17$')
core-encounter-mis-encounter-system	error	Encounter.identifier:misEncounter	Система идентификатора общего случая в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.15	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]15$')
core-encounter-mis-inpatient-system	error	Encounter.identifier:misInpatientRecord	Система номера стационарной медицинской карты в МИС должна соответствовать структуре urn:oid:1.2.643.5.1.13.13.12.2.{субъект РФ}.{медицинская организация ФРМО}.100.{МИС}.{экземпляр МИС}.16	system.matches('^urn:oid:1[.]2[.]643[.]5[.]1[.]13[.]13[.]12[.]2[.](0|[1-9][0-9]*)[.][1-9][0-9]*[.]100[.][1-9][0-9]*[.][1-9][0-9]*[.]16$')
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 Encounter

Summary

Mandatory: 0 element(16 nested mandatory elements)

Structures

This structure refers to these other structures:

• Core Patient (Пациент) (https://fhir.ru/ig/core/StructureDefinition/core-patient)
• Core EpisodeOfCare (Эпизод медицинской помощи) (https://fhir.ru/ig/core/StructureDefinition/core-episodeofcare)
• Core Organization (Организация) (https://fhir.ru/ig/core/StructureDefinition/core-organization)

Extensions

This structure refers to these extensions:

• https://fhir.ru/ig/core/StructureDefinition/diagnosis-rank

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.diagnosis.use