Uzbekistan Digital Health Platform
0.5.0 - ci-build Uzbekistan flag

Uzbekistan Digital Health Platform, published by Ministry of Health of the Republic of Uzbekistan. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/uzinfocom-org/digital-health-ig/ and changes regularly. See the Directory of published versions

Resource Profile: UZ Core Encounter ( Experimental )

Official URL: https://dhp.uz/fhir/core/StructureDefinition/uz-core-encounter Version: 0.5.0
Active as of 2025-08-01 Computable Name: UZCoreEncounter

Uzbekistan Core Encounter profile, used to represent clinical encounters

UZ Core Encounter represents a single interaction between a patient and the health system - a visit - on the Digital Health Platform. It is the pivot of the patient journey: Observations, Procedures, Conditions, MedicationRequests, and clinical documents all reference the Encounter they belong to. It records where the visit took place, who provided it, and the diagnoses assigned during it (each pointing at a Condition), and may be grouped under an EpisodeOfCare.

Mandatory and Must Support data elements

The elements below must always be present (mandatory) or must be supported when the data is available (Must Support) - not all are required, but your system must populate each Must Support element when it has the data and process it on receipt. This is the human-readable summary; the formal views below give the exact cardinalities, types, and terminology bindings.

Each UZ Core Encounter Must Have

This profile's only mandatory elements are a status (planned | in-progress | completed | cancelled …), inherited as mandatory from the base resource under a required binding, and - when a location is recorded - its location reference (location.location 1..1), since you cannot list a location entry without saying which place it is.

Each UZ Core Encounter Must Support

  • an identifier (0..1);
  • the status, class, priority, and type (each a required binding);
  • a serviceType (referencing a HealthcareService);
  • the subject (the patient) and the subjectStatus (required binding);
  • episodeOfCare, basedOn, careTeam, and partOf links;
  • the serviceProvider organization;
  • participant entries with their actor, type (extensible binding), and period;
  • the appointment that scheduled the encounter;
  • the reason - with a use (preferred binding) and a value referencing a Condition, DiagnosticReport, Procedure, or Observation;
  • the virtualService (telemedicine) detail;
  • the actualPeriod, plannedStartDate, plannedEndDate, and length;
  • the diagnosis list, each with its condition (a Condition reference) and use;
  • the account for billing;
  • admission detail - origin, admitSource, reAdmission, destination, dischargeDisposition (each coded value is a required binding);
  • the location where the encounter takes place.

An Encounter cannot be set to completed while its period end is earlier than its start - check actualPeriod before closing the visit.

Building the JSON, step by step

The examples below build up a single visit - an emergency inpatient encounter - from the bare minimum to the full admission record. The complete instance is the example Encounter. Copy a stage and adapt it; every value shown validates against this profile.

The smallest Encounter you should send

status is the only strictly mandatory element, but an Encounter is only useful with a class (how the contact happened - inpatient, ambulatory, emergency) and the subject it concerns. Note that class is a list of CodeableConcept:

{
  "resourceType": "Encounter",
  "meta": { "profile": ["https://dhp.uz/fhir/core/StructureDefinition/uz-core-encounter"] },
  "status": "completed",
  "class": [
    { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "IMP", "display": "Inpatient encounter" }] }
  ],
  "subject": { "reference": "Patient/example-patient" }
}

status, class, priority, type and subjectStatus each use a required binding - the value must come from the bound value set (the Snapshot view below lists each one).

A realistic visit

Fill in when it happened (actualPeriod), what kind of service it was (type), the patient's state during it (subjectStatus), who took part (participant, whose actor references a practitioner or PractitionerRole), and why (reason - pointing at a Condition, DiagnosticReport, Procedure or Observation):

{
  "resourceType": "Encounter",
  "meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-encounter" ] },
  "status": "completed",
  "class": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IMP",
          "display": "Inpatient encounter"
        }
      ]
    }
  ],
  "priority": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActPriority",
        "code": "EM",
        "display": "Emergency"
      }
    ]
  },
  "type": [
    {
      "coding": [
        {
          "system": "https://terminology.dhp.uz/fhir/core/CodeSystem/encounter-type-cs",
          "code": "mserv-0001-00004",
          "display": "Treatment services"
        }
      ]
    }
  ],
  "subject": { "reference": "Patient/example-patient" },
  "subjectStatus": {
    "coding": [
      {
        "system": "https://terminology.dhp.uz/fhir/core/CodeSystem/encounter-subject-status-cs",
        "code": "gencl-0003-00001",
        "display": "Awake"
      }
    ]
  },
  "actualPeriod": { "start": "2024-01-01T10:00:00Z", "end": "2024-01-01T11:00:00Z" },
  "participant": [
    {
      "type": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "ATND",
              "display": "attender"
            }
          ]
        }
      ],
      "actor": { "reference": "PractitionerRole/example-practitionerrole" },
      "period": { "start": "2024-01-01T10:00:00Z", "end": "2024-01-01T11:00:00Z" }
    }
  ],
  "reason": [
    {
      "use": [
        {
          "coding": [
            {
              "system": "https://terminology.dhp.uz/fhir/core/CodeSystem/encounter-reason-use-cs",
              "code": "mserv-0002-00001",
              "display": "Disease"
            }
          ]
        }
      ],
      "value": [ { "reference": { "reference": "Condition/example-headache" } } ]
    }
  ]
}

Diagnosis, admission and location

For an admission, add the diagnosis list (each condition is a CodeableReference to a Condition), the admission detail (admit source, re-admission flag, discharge disposition - all required bindings), and where it took place. If you include a location entry you must name the place - location.location is mandatory:

{
  "diagnosis": [
    { "condition": [ { "reference": { "reference": "Condition/example-headache" } } ] }
  ],
  "admission": {
    "admitSource": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/admit-source",
          "code": "psych",
          "display": "From psychiatric hospital"
        }
      ]
    },
    "reAdmission": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0092",
          "code": "R",
          "display": "Re-admission"
        }
      ]
    },
    "dischargeDisposition": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/discharge-disposition",
          "code": "home",
          "display": "Home"
        }
      ]
    }
  },
  "location": [
    { "location": { "reference": "Location/example-location" }, "status": "completed" }
  ]
}

These keys slot into the same resource as the realistic visit above. To group a visit under a longer course of care, reference an EpisodeOfCare through episodeOfCare.

For example API calls and a sample payload, see the Quick Start at the bottom of this page.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter(5.0.0) 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
Constraints: ext-1
... identifier SΣ 0..1 Identifier Идентификатор, по которым известна эта встреча
... status ?!SΣ 1..1 code Текущее состояние встречи
Binding: EncounterStatusVS (0.5.0) (required)
... class SΣ 0..* CodeableConcept Классификация встречи с пациентом
Binding: EncounterClassVS (0.5.0) (required)
... priority S 0..1 CodeableConcept Указывает срочность встречи
Binding: EncounterPriorityVS (0.5.0) (required)
... type SΣ 0..* CodeableConcept Конкретный тип встречи
Binding: EncounterTypeVS (0.5.0) (required)
... serviceType SΣ 0..* CodeableReference(UZ Core HealthcareService(0.5.0)) Широкая категоризация услуг, которые должны быть предоставлены
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject SΣ 0..1 Reference(UZ Core Patient(0.5.0)) Пациент, связанный с этой встречей
... subjectStatus S 0..1 CodeableConcept Отслеживание статуса пациента в ходе встречи
Binding: EncounterSubjectStatusVS (0.5.0) (required)
... episodeOfCare SΣ 0..* Reference(EpisodeOfCare) Эпизод(ы) ухода, в отношении которого следует записать эту встречу
... basedOn S 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) Запрос, который инициировал эту встречу
... careTeam S 0..* Reference(CareTeam) Группа(ы), выделенная для участия в этой встрече
... partOf S 0..1 Reference(Encounter) Другая встреча, частью которой является данная встреча
... serviceProvider S 0..1 Reference(Organization) Организация (учреждение), ответственная за данную встречу
... participant SΣC 0..* BackboneElement Роль участника встречи
Constraints: enc-1, enc-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type SΣC 0..* CodeableConcept Role of participant in encounter
Binding: EncounterParticipantTypeVS (0.5.0) (extensible)
.... period S 0..1 Period Период времени во время встречи, в котором участвовал участник
.... actor SΣC 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) Лицо, устройство или служба, участвующее во встрече
... appointment SΣ 0..* Reference(Appointment) Appointment, на котором была запланирована эта встреча
... virtualService S 0..* VirtualServiceDetail Телемедицина
... actualPeriod S 0..1 Period Фактическое время начала и окончания встречи
... plannedStartDate S 0..1 dateTime Планируемая дата/время начала (или дата приема) встречи
... plannedEndDate S 0..1 dateTime Планируемая дата/время окончания (или дата выписки) встречи
... length S 0..1 Duration Фактическое количество времени, в течение которого длилась встреча (за вычетом времени отсутствия)
... reason SΣ 0..* BackboneElement Перечень медицинских показаний, которые, как ожидается, будут рассмотрены в ходе оказания помощи
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... use SΣ 0..* CodeableConcept Для чего/как следует использовать значение причины
Binding: EncounterReasonUseVS (0.5.0) (preferred)
.... value SΣ 0..* CodeableReference(UZ Core Condition(0.5.0) | DiagnosticReport | Procedure | UZ Core Observation(0.5.0)) Медицинская причина, требующая рассмотрения
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement Список диагнозов, имеющих отношение к данному случаю
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... condition SΣ 0..* CodeableReference(UZ Core Condition(0.5.0)) Диагноз, относящийся к встрече
Binding: ConditionProblemDiagnosisCodes (example)
.... use S 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 S 0..* Reference(Account) Набор счетов, которые могут быть использованы для выставления счетов за эту встречу
... admission S 0..1 BackboneElement Подробности о пребывании, во время которого предоставляется медицинская услуга
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... origin S 0..1 Reference(UZ Core Location(0.5.0) | UZ Core Organization(0.5.0)) Место/организация, из которой пациент прибыл до поступления
.... admitSource S 0..1 CodeableConcept Откуда пациент был принят
Binding: EncounterAdmitSourceVS (0.5.0) (required)
.... reAdmission S 0..1 CodeableConcept Указывает, что пациент повторно госпитализирован
Binding: EncounterReAdmissionVS (0.5.0) (required)
.... destination S 0..1 Reference(Location | Organization) Место/организация, в которую выписывается пациент
.... dischargeDisposition S 0..1 CodeableConcept Категория или вид местоположения после выписки
Binding: EncounterDischargeDispositionVS (0.5.0) (required)
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... location S 1..1 Reference(Location) Место, где происходит встреча

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter status translations 📍0.5.0 This IG
Encounter.class Base required Encounter class translations 📍0.5.0 This IG
Encounter.priority Base required Encounter priority translations 📍0.5.0 This IG
Encounter.type Base required Encounter type translations 📍0.5.0 This IG
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.
Encounter.subjectStatus Base required Encounter subject status translations 📍0.5.0 This IG
Encounter.participant.​type Base extensible Encounter participant type translations 📍0.5.0 This IG
Encounter.reason.use Base preferred Encounter Reason Use Codes 📍0.5.0 This IG
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.admission.​admitSource Base required Encounter admit source translations 📍0.5.0 This IG
Encounter.admission.​reAdmission Base required Encounter admission translations 📍0.5.0 This IG
Encounter.admission.​dischargeDisposition Base required Encounter discharge disposition translations 📍0.5.0 This IG

Constraints

Id Grade Path(s) Description Expression
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 Encounter.implicitRules, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.class, Encounter.priority, Encounter.type, Encounter.serviceType, Encounter.subject, Encounter.subjectStatus, Encounter.episodeOfCare, Encounter.basedOn, Encounter.careTeam, Encounter.partOf, Encounter.serviceProvider, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.actor, Encounter.appointment, Encounter.virtualService, Encounter.actualPeriod, Encounter.plannedStartDate, Encounter.plannedEndDate, Encounter.length, Encounter.reason, Encounter.reason.modifierExtension, Encounter.reason.use, Encounter.reason.value, Encounter.diagnosis, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.account, Encounter.admission, Encounter.admission.modifierExtension, Encounter.admission.origin, Encounter.admission.admitSource, Encounter.admission.reAdmission, Encounter.admission.destination, Encounter.admission.dischargeDisposition, Encounter.location, Encounter.location.modifierExtension, Encounter.location.location 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 Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.reason.modifierExtension, Encounter.diagnosis.modifierExtension, Encounter.admission.modifierExtension, Encounter.location.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter(5.0.0) An interaction during which services are provided to the patient
... identifier S 0..1 Identifier Идентификатор, по которым известна эта встреча
... status S 1..1 code Текущее состояние встречи
Binding: EncounterStatusVS (0.5.0) (required)
... class S 0..* CodeableConcept Классификация встречи с пациентом
Binding: EncounterClassVS (0.5.0) (required)
... type S 0..* CodeableConcept Конкретный тип встречи
Binding: EncounterTypeVS (0.5.0) (required)
... serviceType S 0..* CodeableReference(UZ Core HealthcareService(0.5.0)) Широкая категоризация услуг, которые должны быть предоставлены
... subject S 0..1 Reference(UZ Core Patient(0.5.0)) Пациент, связанный с этой встречей
... subjectStatus S 0..1 CodeableConcept Отслеживание статуса пациента в ходе встречи
Binding: EncounterSubjectStatusVS (0.5.0) (required)
... episodeOfCare S 0..* Reference(EpisodeOfCare) Эпизод(ы) ухода, в отношении которого следует записать эту встречу
... basedOn S 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) Запрос, который инициировал эту встречу
... careTeam S 0..* Reference(CareTeam) Группа(ы), выделенная для участия в этой встрече
... partOf S 0..1 Reference(Encounter) Другая встреча, частью которой является данная встреча
... serviceProvider S 0..1 Reference(Organization) Организация (учреждение), ответственная за данную встречу
... participant S 0..* BackboneElement Роль участника встречи
.... type S 0..* CodeableConcept Role of participant in encounter
Binding: EncounterParticipantTypeVS (0.5.0) (extensible)
.... period S 0..1 Period Период времени во время встречи, в котором участвовал участник
.... actor S 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) Лицо, устройство или служба, участвующее во встрече
... appointment S 0..* Reference(Appointment) Appointment, на котором была запланирована эта встреча
... virtualService S 0..* VirtualServiceDetail Телемедицина
... actualPeriod S 0..1 Period Фактическое время начала и окончания встречи
... plannedStartDate S 0..1 dateTime Планируемая дата/время начала (или дата приема) встречи
... plannedEndDate S 0..1 dateTime Планируемая дата/время окончания (или дата выписки) встречи
... length S 0..1 Duration Фактическое количество времени, в течение которого длилась встреча (за вычетом времени отсутствия)
... reason S 0..* BackboneElement Перечень медицинских показаний, которые, как ожидается, будут рассмотрены в ходе оказания помощи
.... use S 0..* CodeableConcept Для чего/как следует использовать значение причины
Binding: EncounterReasonUseVS (0.5.0) (preferred)
.... value S 0..* CodeableReference(UZ Core Condition(0.5.0) | DiagnosticReport | Procedure | UZ Core Observation(0.5.0)) Медицинская причина, требующая рассмотрения
... diagnosis S 0..* BackboneElement Список диагнозов, имеющих отношение к данному случаю
.... condition S 0..* CodeableReference(UZ Core Condition(0.5.0)) Диагноз, относящийся к встрече
.... use S 0..* CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
... account S 0..* Reference(Account) Набор счетов, которые могут быть использованы для выставления счетов за эту встречу
... admission S 0..1 BackboneElement Подробности о пребывании, во время которого предоставляется медицинская услуга
.... origin S 0..1 Reference(UZ Core Location(0.5.0) | UZ Core Organization(0.5.0)) Место/организация, из которой пациент прибыл до поступления
.... admitSource S 0..1 CodeableConcept Откуда пациент был принят
Binding: EncounterAdmitSourceVS (0.5.0) (required)
.... reAdmission S 0..1 CodeableConcept Указывает, что пациент повторно госпитализирован
Binding: EncounterReAdmissionVS (0.5.0) (required)
.... destination S 0..1 Reference(Location | Organization) Место/организация, в которую выписывается пациент
.... dischargeDisposition S 0..1 CodeableConcept Категория или вид местоположения после выписки
Binding: EncounterDischargeDispositionVS (0.5.0) (required)
... location S 0..* BackboneElement List of locations where the patient has been
.... location S 1..1 Reference(Location) Место, где происходит встреча

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter status translations 📍0.5.0 This IG
Encounter.class Base required Encounter class translations 📍0.5.0 This IG
Encounter.priority Base required Encounter priority translations 📍0.5.0 This IG
Encounter.type Base required Encounter type translations 📍0.5.0 This IG
Encounter.subjectStatus Base required Encounter subject status translations 📍0.5.0 This IG
Encounter.participant.​type Base extensible Encounter participant type translations 📍0.5.0 This IG
Encounter.reason.use Base preferred Encounter Reason Use Codes 📍0.5.0 This IG
Encounter.admission.​admitSource Base required Encounter admit source translations 📍0.5.0 This IG
Encounter.admission.​reAdmission Base required Encounter admission translations 📍0.5.0 This IG
Encounter.admission.​dischargeDisposition Base required Encounter discharge disposition translations 📍0.5.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter(5.0.0) 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 BindingsPurpose
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
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..1 Identifier Идентификатор, по которым известна эта встреча
... status ?!SΣ 1..1 code Текущее состояние встречи
Binding: EncounterStatusVS (0.5.0) (required)
... class SΣ 0..* CodeableConcept Классификация встречи с пациентом
Binding: EncounterClassVS (0.5.0) (required)
... priority S 0..1 CodeableConcept Указывает срочность встречи
Binding: EncounterPriorityVS (0.5.0) (required)
... type SΣ 0..* CodeableConcept Конкретный тип встречи
Binding: EncounterTypeVS (0.5.0) (required)
... serviceType SΣ 0..* CodeableReference(UZ Core HealthcareService(0.5.0)) Широкая категоризация услуг, которые должны быть предоставлены
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject SΣ 0..1 Reference(UZ Core Patient(0.5.0)) Пациент, связанный с этой встречей
... subjectStatus S 0..1 CodeableConcept Отслеживание статуса пациента в ходе встречи
Binding: EncounterSubjectStatusVS (0.5.0) (required)
... episodeOfCare SΣ 0..* Reference(EpisodeOfCare) Эпизод(ы) ухода, в отношении которого следует записать эту встречу
... basedOn S 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) Запрос, который инициировал эту встречу
... careTeam S 0..* Reference(CareTeam) Группа(ы), выделенная для участия в этой встрече
... partOf S 0..1 Reference(Encounter) Другая встреча, частью которой является данная встреча
... serviceProvider S 0..1 Reference(Organization) Организация (учреждение), ответственная за данную встречу
... participant SΣC 0..* BackboneElement Роль участника встречи
Constraints: enc-1, enc-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type SΣC 0..* CodeableConcept Role of participant in encounter
Binding: EncounterParticipantTypeVS (0.5.0) (extensible)
.... period S 0..1 Period Период времени во время встречи, в котором участвовал участник
.... actor SΣC 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) Лицо, устройство или служба, участвующее во встрече
... appointment SΣ 0..* Reference(Appointment) Appointment, на котором была запланирована эта встреча
... virtualService S 0..* VirtualServiceDetail Телемедицина
... actualPeriod S 0..1 Period Фактическое время начала и окончания встречи
... plannedStartDate S 0..1 dateTime Планируемая дата/время начала (или дата приема) встречи
... plannedEndDate S 0..1 dateTime Планируемая дата/время окончания (или дата выписки) встречи
... length S 0..1 Duration Фактическое количество времени, в течение которого длилась встреча (за вычетом времени отсутствия)
... reason SΣ 0..* BackboneElement Перечень медицинских показаний, которые, как ожидается, будут рассмотрены в ходе оказания помощи
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... use SΣ 0..* CodeableConcept Для чего/как следует использовать значение причины
Binding: EncounterReasonUseVS (0.5.0) (preferred)
.... value SΣ 0..* CodeableReference(UZ Core Condition(0.5.0) | DiagnosticReport | Procedure | UZ Core Observation(0.5.0)) Медицинская причина, требующая рассмотрения
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement Список диагнозов, имеющих отношение к данному случаю
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... condition SΣ 0..* CodeableReference(UZ Core Condition(0.5.0)) Диагноз, относящийся к встрече
Binding: ConditionProblemDiagnosisCodes (example)
.... use S 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 S 0..* Reference(Account) Набор счетов, которые могут быть использованы для выставления счетов за эту встречу
... 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 S 0..1 BackboneElement Подробности о пребывании, во время которого предоставляется медицинская услуга
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin S 0..1 Reference(UZ Core Location(0.5.0) | UZ Core Organization(0.5.0)) Место/организация, из которой пациент прибыл до поступления
.... admitSource S 0..1 CodeableConcept Откуда пациент был принят
Binding: EncounterAdmitSourceVS (0.5.0) (required)
.... reAdmission S 0..1 CodeableConcept Указывает, что пациент повторно госпитализирован
Binding: EncounterReAdmissionVS (0.5.0) (required)
.... destination S 0..1 Reference(Location | Organization) Место/организация, в которую выписывается пациент
.... dischargeDisposition S 0..1 CodeableConcept Категория или вид местоположения после выписки
Binding: EncounterDischargeDispositionVS (0.5.0) (required)
... location S 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... location S 1..1 Reference(Location) Место, где происходит встреча
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base required All Languages 📍5.0.0 FHIR Std.
Encounter.status Base required Encounter status translations 📍0.5.0 This IG
Encounter.class Base required Encounter class translations 📍0.5.0 This IG
Encounter.priority Base required Encounter priority translations 📍0.5.0 This IG
Encounter.type Base required Encounter type translations 📍0.5.0 This IG
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.
Encounter.subjectStatus Base required Encounter subject status translations 📍0.5.0 This IG
Encounter.participant.​type Base extensible Encounter participant type translations 📍0.5.0 This IG
Encounter.reason.use Base preferred Encounter Reason Use Codes 📍0.5.0 This IG
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.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 required Encounter admit source translations 📍0.5.0 This IG
Encounter.admission.​reAdmission Base required Encounter admission translations 📍0.5.0 This IG
Encounter.admission.​dischargeDisposition Base required Encounter discharge disposition translations 📍0.5.0 This IG
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
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 Encounter.meta, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.class, Encounter.priority, Encounter.type, Encounter.serviceType, Encounter.subject, Encounter.subjectStatus, Encounter.episodeOfCare, Encounter.basedOn, Encounter.careTeam, Encounter.partOf, Encounter.serviceProvider, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.actor, Encounter.appointment, Encounter.virtualService, Encounter.actualPeriod, Encounter.plannedStartDate, Encounter.plannedEndDate, Encounter.length, Encounter.reason, Encounter.reason.extension, Encounter.reason.modifierExtension, Encounter.reason.use, Encounter.reason.value, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.account, Encounter.dietPreference, Encounter.specialArrangement, Encounter.specialCourtesy, Encounter.admission, Encounter.admission.extension, Encounter.admission.modifierExtension, Encounter.admission.preAdmissionIdentifier, Encounter.admission.origin, Encounter.admission.admitSource, Encounter.admission.reAdmission, Encounter.admission.destination, Encounter.admission.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.form, Encounter.location.period 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 Encounter.extension, Encounter.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.reason.extension, Encounter.reason.modifierExtension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.admission.extension, Encounter.admission.modifierExtension, Encounter.location.extension, Encounter.location.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter(5.0.0) 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
Constraints: ext-1
... identifier SΣ 0..1 Identifier Идентификатор, по которым известна эта встреча
... status ?!SΣ 1..1 code Текущее состояние встречи
Binding: EncounterStatusVS (0.5.0) (required)
... class SΣ 0..* CodeableConcept Классификация встречи с пациентом
Binding: EncounterClassVS (0.5.0) (required)
... priority S 0..1 CodeableConcept Указывает срочность встречи
Binding: EncounterPriorityVS (0.5.0) (required)
... type SΣ 0..* CodeableConcept Конкретный тип встречи
Binding: EncounterTypeVS (0.5.0) (required)
... serviceType SΣ 0..* CodeableReference(UZ Core HealthcareService(0.5.0)) Широкая категоризация услуг, которые должны быть предоставлены
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject SΣ 0..1 Reference(UZ Core Patient(0.5.0)) Пациент, связанный с этой встречей
... subjectStatus S 0..1 CodeableConcept Отслеживание статуса пациента в ходе встречи
Binding: EncounterSubjectStatusVS (0.5.0) (required)
... episodeOfCare SΣ 0..* Reference(EpisodeOfCare) Эпизод(ы) ухода, в отношении которого следует записать эту встречу
... basedOn S 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) Запрос, который инициировал эту встречу
... careTeam S 0..* Reference(CareTeam) Группа(ы), выделенная для участия в этой встрече
... partOf S 0..1 Reference(Encounter) Другая встреча, частью которой является данная встреча
... serviceProvider S 0..1 Reference(Organization) Организация (учреждение), ответственная за данную встречу
... participant SΣC 0..* BackboneElement Роль участника встречи
Constraints: enc-1, enc-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type SΣC 0..* CodeableConcept Role of participant in encounter
Binding: EncounterParticipantTypeVS (0.5.0) (extensible)
.... period S 0..1 Period Период времени во время встречи, в котором участвовал участник
.... actor SΣC 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) Лицо, устройство или служба, участвующее во встрече
... appointment SΣ 0..* Reference(Appointment) Appointment, на котором была запланирована эта встреча
... virtualService S 0..* VirtualServiceDetail Телемедицина
... actualPeriod S 0..1 Period Фактическое время начала и окончания встречи
... plannedStartDate S 0..1 dateTime Планируемая дата/время начала (или дата приема) встречи
... plannedEndDate S 0..1 dateTime Планируемая дата/время окончания (или дата выписки) встречи
... length S 0..1 Duration Фактическое количество времени, в течение которого длилась встреча (за вычетом времени отсутствия)
... reason SΣ 0..* BackboneElement Перечень медицинских показаний, которые, как ожидается, будут рассмотрены в ходе оказания помощи
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... use SΣ 0..* CodeableConcept Для чего/как следует использовать значение причины
Binding: EncounterReasonUseVS (0.5.0) (preferred)
.... value SΣ 0..* CodeableReference(UZ Core Condition(0.5.0) | DiagnosticReport | Procedure | UZ Core Observation(0.5.0)) Медицинская причина, требующая рассмотрения
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement Список диагнозов, имеющих отношение к данному случаю
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... condition SΣ 0..* CodeableReference(UZ Core Condition(0.5.0)) Диагноз, относящийся к встрече
Binding: ConditionProblemDiagnosisCodes (example)
.... use S 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 S 0..* Reference(Account) Набор счетов, которые могут быть использованы для выставления счетов за эту встречу
... admission S 0..1 BackboneElement Подробности о пребывании, во время которого предоставляется медицинская услуга
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... origin S 0..1 Reference(UZ Core Location(0.5.0) | UZ Core Organization(0.5.0)) Место/организация, из которой пациент прибыл до поступления
.... admitSource S 0..1 CodeableConcept Откуда пациент был принят
Binding: EncounterAdmitSourceVS (0.5.0) (required)
.... reAdmission S 0..1 CodeableConcept Указывает, что пациент повторно госпитализирован
Binding: EncounterReAdmissionVS (0.5.0) (required)
.... destination S 0..1 Reference(Location | Organization) Место/организация, в которую выписывается пациент
.... dischargeDisposition S 0..1 CodeableConcept Категория или вид местоположения после выписки
Binding: EncounterDischargeDispositionVS (0.5.0) (required)
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... location S 1..1 Reference(Location) Место, где происходит встреча

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter status translations 📍0.5.0 This IG
Encounter.class Base required Encounter class translations 📍0.5.0 This IG
Encounter.priority Base required Encounter priority translations 📍0.5.0 This IG
Encounter.type Base required Encounter type translations 📍0.5.0 This IG
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.
Encounter.subjectStatus Base required Encounter subject status translations 📍0.5.0 This IG
Encounter.participant.​type Base extensible Encounter participant type translations 📍0.5.0 This IG
Encounter.reason.use Base preferred Encounter Reason Use Codes 📍0.5.0 This IG
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.admission.​admitSource Base required Encounter admit source translations 📍0.5.0 This IG
Encounter.admission.​reAdmission Base required Encounter admission translations 📍0.5.0 This IG
Encounter.admission.​dischargeDisposition Base required Encounter discharge disposition translations 📍0.5.0 This IG

Constraints

Id Grade Path(s) Description Expression
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 Encounter.implicitRules, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.class, Encounter.priority, Encounter.type, Encounter.serviceType, Encounter.subject, Encounter.subjectStatus, Encounter.episodeOfCare, Encounter.basedOn, Encounter.careTeam, Encounter.partOf, Encounter.serviceProvider, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.actor, Encounter.appointment, Encounter.virtualService, Encounter.actualPeriod, Encounter.plannedStartDate, Encounter.plannedEndDate, Encounter.length, Encounter.reason, Encounter.reason.modifierExtension, Encounter.reason.use, Encounter.reason.value, Encounter.diagnosis, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.account, Encounter.admission, Encounter.admission.modifierExtension, Encounter.admission.origin, Encounter.admission.admitSource, Encounter.admission.reAdmission, Encounter.admission.destination, Encounter.admission.dischargeDisposition, Encounter.location, Encounter.location.modifierExtension, Encounter.location.location 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 Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.reason.modifierExtension, Encounter.diagnosis.modifierExtension, Encounter.admission.modifierExtension, Encounter.location.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter(5.0.0) An interaction during which services are provided to the patient
... identifier S 0..1 Identifier Идентификатор, по которым известна эта встреча
... status S 1..1 code Текущее состояние встречи
Binding: EncounterStatusVS (0.5.0) (required)
... class S 0..* CodeableConcept Классификация встречи с пациентом
Binding: EncounterClassVS (0.5.0) (required)
... type S 0..* CodeableConcept Конкретный тип встречи
Binding: EncounterTypeVS (0.5.0) (required)
... serviceType S 0..* CodeableReference(UZ Core HealthcareService(0.5.0)) Широкая категоризация услуг, которые должны быть предоставлены
... subject S 0..1 Reference(UZ Core Patient(0.5.0)) Пациент, связанный с этой встречей
... subjectStatus S 0..1 CodeableConcept Отслеживание статуса пациента в ходе встречи
Binding: EncounterSubjectStatusVS (0.5.0) (required)
... episodeOfCare S 0..* Reference(EpisodeOfCare) Эпизод(ы) ухода, в отношении которого следует записать эту встречу
... basedOn S 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) Запрос, который инициировал эту встречу
... careTeam S 0..* Reference(CareTeam) Группа(ы), выделенная для участия в этой встрече
... partOf S 0..1 Reference(Encounter) Другая встреча, частью которой является данная встреча
... serviceProvider S 0..1 Reference(Organization) Организация (учреждение), ответственная за данную встречу
... participant S 0..* BackboneElement Роль участника встречи
.... type S 0..* CodeableConcept Role of participant in encounter
Binding: EncounterParticipantTypeVS (0.5.0) (extensible)
.... period S 0..1 Period Период времени во время встречи, в котором участвовал участник
.... actor S 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) Лицо, устройство или служба, участвующее во встрече
... appointment S 0..* Reference(Appointment) Appointment, на котором была запланирована эта встреча
... virtualService S 0..* VirtualServiceDetail Телемедицина
... actualPeriod S 0..1 Period Фактическое время начала и окончания встречи
... plannedStartDate S 0..1 dateTime Планируемая дата/время начала (или дата приема) встречи
... plannedEndDate S 0..1 dateTime Планируемая дата/время окончания (или дата выписки) встречи
... length S 0..1 Duration Фактическое количество времени, в течение которого длилась встреча (за вычетом времени отсутствия)
... reason S 0..* BackboneElement Перечень медицинских показаний, которые, как ожидается, будут рассмотрены в ходе оказания помощи
.... use S 0..* CodeableConcept Для чего/как следует использовать значение причины
Binding: EncounterReasonUseVS (0.5.0) (preferred)
.... value S 0..* CodeableReference(UZ Core Condition(0.5.0) | DiagnosticReport | Procedure | UZ Core Observation(0.5.0)) Медицинская причина, требующая рассмотрения
... diagnosis S 0..* BackboneElement Список диагнозов, имеющих отношение к данному случаю
.... condition S 0..* CodeableReference(UZ Core Condition(0.5.0)) Диагноз, относящийся к встрече
.... use S 0..* CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
... account S 0..* Reference(Account) Набор счетов, которые могут быть использованы для выставления счетов за эту встречу
... admission S 0..1 BackboneElement Подробности о пребывании, во время которого предоставляется медицинская услуга
.... origin S 0..1 Reference(UZ Core Location(0.5.0) | UZ Core Organization(0.5.0)) Место/организация, из которой пациент прибыл до поступления
.... admitSource S 0..1 CodeableConcept Откуда пациент был принят
Binding: EncounterAdmitSourceVS (0.5.0) (required)
.... reAdmission S 0..1 CodeableConcept Указывает, что пациент повторно госпитализирован
Binding: EncounterReAdmissionVS (0.5.0) (required)
.... destination S 0..1 Reference(Location | Organization) Место/организация, в которую выписывается пациент
.... dischargeDisposition S 0..1 CodeableConcept Категория или вид местоположения после выписки
Binding: EncounterDischargeDispositionVS (0.5.0) (required)
... location S 0..* BackboneElement List of locations where the patient has been
.... location S 1..1 Reference(Location) Место, где происходит встреча

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.status Base required Encounter status translations 📍0.5.0 This IG
Encounter.class Base required Encounter class translations 📍0.5.0 This IG
Encounter.priority Base required Encounter priority translations 📍0.5.0 This IG
Encounter.type Base required Encounter type translations 📍0.5.0 This IG
Encounter.subjectStatus Base required Encounter subject status translations 📍0.5.0 This IG
Encounter.participant.​type Base extensible Encounter participant type translations 📍0.5.0 This IG
Encounter.reason.use Base preferred Encounter Reason Use Codes 📍0.5.0 This IG
Encounter.admission.​admitSource Base required Encounter admit source translations 📍0.5.0 This IG
Encounter.admission.​reAdmission Base required Encounter admission translations 📍0.5.0 This IG
Encounter.admission.​dischargeDisposition Base required Encounter discharge disposition translations 📍0.5.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter(5.0.0) 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 BindingsPurpose
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
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..1 Identifier Идентификатор, по которым известна эта встреча
... status ?!SΣ 1..1 code Текущее состояние встречи
Binding: EncounterStatusVS (0.5.0) (required)
... class SΣ 0..* CodeableConcept Классификация встречи с пациентом
Binding: EncounterClassVS (0.5.0) (required)
... priority S 0..1 CodeableConcept Указывает срочность встречи
Binding: EncounterPriorityVS (0.5.0) (required)
... type SΣ 0..* CodeableConcept Конкретный тип встречи
Binding: EncounterTypeVS (0.5.0) (required)
... serviceType SΣ 0..* CodeableReference(UZ Core HealthcareService(0.5.0)) Широкая категоризация услуг, которые должны быть предоставлены
Binding: ServiceType (example): Broad categorization of the service that is to be provided.
... subject SΣ 0..1 Reference(UZ Core Patient(0.5.0)) Пациент, связанный с этой встречей
... subjectStatus S 0..1 CodeableConcept Отслеживание статуса пациента в ходе встречи
Binding: EncounterSubjectStatusVS (0.5.0) (required)
... episodeOfCare SΣ 0..* Reference(EpisodeOfCare) Эпизод(ы) ухода, в отношении которого следует записать эту встречу
... basedOn S 0..* Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest) Запрос, который инициировал эту встречу
... careTeam S 0..* Reference(CareTeam) Группа(ы), выделенная для участия в этой встрече
... partOf S 0..1 Reference(Encounter) Другая встреча, частью которой является данная встреча
... serviceProvider S 0..1 Reference(Organization) Организация (учреждение), ответственная за данную встречу
... participant SΣC 0..* BackboneElement Роль участника встречи
Constraints: enc-1, enc-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type SΣC 0..* CodeableConcept Role of participant in encounter
Binding: EncounterParticipantTypeVS (0.5.0) (extensible)
.... period S 0..1 Period Период времени во время встречи, в котором участвовал участник
.... actor SΣC 0..1 Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService) Лицо, устройство или служба, участвующее во встрече
... appointment SΣ 0..* Reference(Appointment) Appointment, на котором была запланирована эта встреча
... virtualService S 0..* VirtualServiceDetail Телемедицина
... actualPeriod S 0..1 Period Фактическое время начала и окончания встречи
... plannedStartDate S 0..1 dateTime Планируемая дата/время начала (или дата приема) встречи
... plannedEndDate S 0..1 dateTime Планируемая дата/время окончания (или дата выписки) встречи
... length S 0..1 Duration Фактическое количество времени, в течение которого длилась встреча (за вычетом времени отсутствия)
... reason SΣ 0..* BackboneElement Перечень медицинских показаний, которые, как ожидается, будут рассмотрены в ходе оказания помощи
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... use SΣ 0..* CodeableConcept Для чего/как следует использовать значение причины
Binding: EncounterReasonUseVS (0.5.0) (preferred)
.... value SΣ 0..* CodeableReference(UZ Core Condition(0.5.0) | DiagnosticReport | Procedure | UZ Core Observation(0.5.0)) Медицинская причина, требующая рассмотрения
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement Список диагнозов, имеющих отношение к данному случаю
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... condition SΣ 0..* CodeableReference(UZ Core Condition(0.5.0)) Диагноз, относящийся к встрече
Binding: ConditionProblemDiagnosisCodes (example)
.... use S 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 S 0..* Reference(Account) Набор счетов, которые могут быть использованы для выставления счетов за эту встречу
... 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 S 0..1 BackboneElement Подробности о пребывании, во время которого предоставляется медицинская услуга
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin S 0..1 Reference(UZ Core Location(0.5.0) | UZ Core Organization(0.5.0)) Место/организация, из которой пациент прибыл до поступления
.... admitSource S 0..1 CodeableConcept Откуда пациент был принят
Binding: EncounterAdmitSourceVS (0.5.0) (required)
.... reAdmission S 0..1 CodeableConcept Указывает, что пациент повторно госпитализирован
Binding: EncounterReAdmissionVS (0.5.0) (required)
.... destination S 0..1 Reference(Location | Organization) Место/организация, в которую выписывается пациент
.... dischargeDisposition S 0..1 CodeableConcept Категория или вид местоположения после выписки
Binding: EncounterDischargeDispositionVS (0.5.0) (required)
... location S 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... location S 1..1 Reference(Location) Место, где происходит встреча
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base required All Languages 📍5.0.0 FHIR Std.
Encounter.status Base required Encounter status translations 📍0.5.0 This IG
Encounter.class Base required Encounter class translations 📍0.5.0 This IG
Encounter.priority Base required Encounter priority translations 📍0.5.0 This IG
Encounter.type Base required Encounter type translations 📍0.5.0 This IG
Encounter.serviceType Base example Service Type 📍5.0.0 FHIR Std.
Encounter.subjectStatus Base required Encounter subject status translations 📍0.5.0 This IG
Encounter.participant.​type Base extensible Encounter participant type translations 📍0.5.0 This IG
Encounter.reason.use Base preferred Encounter Reason Use Codes 📍0.5.0 This IG
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.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 required Encounter admit source translations 📍0.5.0 This IG
Encounter.admission.​reAdmission Base required Encounter admission translations 📍0.5.0 This IG
Encounter.admission.​dischargeDisposition Base required Encounter discharge disposition translations 📍0.5.0 This IG
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
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 Encounter.meta, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.class, Encounter.priority, Encounter.type, Encounter.serviceType, Encounter.subject, Encounter.subjectStatus, Encounter.episodeOfCare, Encounter.basedOn, Encounter.careTeam, Encounter.partOf, Encounter.serviceProvider, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.actor, Encounter.appointment, Encounter.virtualService, Encounter.actualPeriod, Encounter.plannedStartDate, Encounter.plannedEndDate, Encounter.length, Encounter.reason, Encounter.reason.extension, Encounter.reason.modifierExtension, Encounter.reason.use, Encounter.reason.value, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.account, Encounter.dietPreference, Encounter.specialArrangement, Encounter.specialCourtesy, Encounter.admission, Encounter.admission.extension, Encounter.admission.modifierExtension, Encounter.admission.preAdmissionIdentifier, Encounter.admission.origin, Encounter.admission.admitSource, Encounter.admission.reAdmission, Encounter.admission.destination, Encounter.admission.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.form, Encounter.location.period 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 Encounter.extension, Encounter.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.reason.extension, Encounter.reason.modifierExtension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.admission.extension, Encounter.admission.modifierExtension, Encounter.location.extension, Encounter.location.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron

Quick Start

Common API interactions for this profile. Requests require a JWT access token - see Security and authentication. [base] is the FHIR server base URL; | separates system from value and must be URL-encoded as %7C.

Read by server id

GET [base]/Encounter/[id]

Find encounters

GET [base]/Encounter?patient=Patient/[id]
GET [base]/Encounter?patient=Patient/[id]&status=in-progress
GET [base]/Encounter?patient=Patient/[id]&class=IMP
GET [base]/Encounter?patient=Patient/[id]&date=ge2025-01-01
GET [base]/Encounter?patient=Patient/[id]&type=http://terminology.dhp.uz/...%7C...
GET [base]/Encounter?episode-of-care=EpisodeOfCare/[id]
GET [base]/Encounter?service-provider=Organization/[id]
GET [base]/Encounter?practitioner=Practitioner/[id]
GET [base]/Encounter?location=Location/[id]

Create

POST [base]/Encounter
{
  "resourceType": "Encounter",
  "meta": { "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-encounter" ] },
  "status": "in-progress",
  "class": [ { "coding": [ { "code": "IMP" } ] } ],
  "subject": { "reference": "Patient/[id]" },
  ...
}

Update (e.g. close the visit by setting status to completed and filling actualPeriod.end) - PUT the full resource back:

PUT [base]/Encounter/[id]
If-Match: W/"3"   # the ETag from your last read; 412 if it changed since

See the CapabilityStatement for all supported search parameters.