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8.11 JSON Schema for Encounter

Patient Administration Work GroupMaturity Level: N/ABallot Status: Informative Compartments: Encounter, Patient, Practitioner, RelatedPerson

This is a representation of the json schema for Encounter, which is just a part of the full JSON Schema.

{
  "$schema": "http://json-schema.org/draft-06/schema#",
  "id": "http://hl7.org/fhir/json-schema/Encounter",
  "$ref": "#/definitions/Encounter",
  "description": "see http://hl7.org/fhir/json.html#schema for information about the FHIR Json Schemas",
  "definitions": {
    "Encounter": {
      "description": "Взаимодействие между пациентом и поставщиками медицинских услуг в целях предоставления медицинских услуг или оценки медицинского состояния пациента.",
      "properties": {
        "resourceType": {
          "description": "This is a Encounter resource",
          "const": "Encounter"
        },
        "id": {
          "description": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "$ref": "id.schema.json#/definitions/id"
        },
        "meta": {
          "description": "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
          "$ref": "Meta.schema.json#/definitions/Meta"
        },
        "implicitRules": {
          "description": "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "$ref": "#/definitions/uri"
        },
        "_implicitRules": {
          "description": "Extensions for implicitRules",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "language": {
          "description": "Основной язык, на котором написан ресурс.",
          "$ref": "#/definitions/code"
        },
        "_language": {
          "description": "Extensions for language",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "text": {
          "description": "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
          "$ref": "Narrative.schema.json#/definitions/Narrative"
        },
        "contained": {
          "description": "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
          "items": {
            "$ref": "ResourceList.schema.json#/definitions/ResourceList"
          },
          "type": "array"
        },
        "extension": {
          "description": "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "identifier": {
          "description": "Идентификаторы, присвоенные данному случаю обслуживания.",
          "items": {
            "$ref": "Identifier.schema.json#/definitions/Identifier"
          },
          "type": "array"
        },
        "status": {
          "description": "planned | arrived | triaged | in-progress | onleave | finished | cancelled +.",
          "enum": [
            "planned",
            "arrived",
            "triaged",
            "in-progress",
            "onleave",
            "finished",
            "cancelled",
            "entered-in-error",
            "unknown"
          ]
        },
        "_status": {
          "description": "Extensions for status",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "statusHistory": {
          "description": "Этот элемент позволяет ресурсу Encounter содержать в себе историю изменения статусов без необходимости чтения всех архивных версий ресурса и даже необходимости серверу хранить их.",
          "items": {
            "$ref": "#/definitions/Encounter_StatusHistory"
          },
          "type": "array"
        },
        "class": {
          "description": "Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.",
          "$ref": "Coding.schema.json#/definitions/Coding"
        },
        "classHistory": {
          "description": "The class history permits the tracking of the encounters transitions without needing to go  through the resource history.  This would be used for a case where an admission starts of as an emergency encounter, then transisions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kindof discharge from emergency to inpatient.",
          "items": {
            "$ref": "#/definitions/Encounter_ClassHistory"
          },
          "type": "array"
        },
        "type": {
          "description": "Конкретный тип случая обслуживания (например консультация по электронной почте, хирургический дневной стационар, квалифицированный уход, реабилитация).",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "serviceType": {
          "description": "Broad categorization of the service that is to be provided (e.g. cardiology).",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "priority": {
          "description": "Указывает срочность случая обслуживания.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "subject": {
          "description": "The patient or group present at the encounter.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "episodeOfCare": {
          "description": "Это поле следует использовать, если данный случай обслуживания следует отнести к некоторому эпизоду (или эпизодам) лечения. Указание этой связи облегчит группировку связанных случаев обслуживания, например для официальных отчётов, отслеживания проблемных вопросов, поиска связи с распространённой проблемой. Связь указывается в ресурсах Encounter, поскольку они обычно создаются после эпизода лечения, и группируются при вводе, а не редактируют эпизод лечения, добавляя к нему очередной случай обслуживания (эпизод лечения может длиться годами).",
          "items": {
            "$ref": "Reference.schema.json#/definitions/Reference"
          },
          "type": "array"
        },
        "basedOn": {
          "description": "The request this encounter satisfies (e.g. incoming referral or procedure request).",
          "items": {
            "$ref": "Reference.schema.json#/definitions/Reference"
          },
          "type": "array"
        },
        "participant": {
          "description": "The list of people responsible for providing the service.",
          "items": {
            "$ref": "#/definitions/Encounter_Participant"
          },
          "type": "array"
        },
        "appointment": {
          "description": "Запись на приём, по которой был запланирован этот случай обслуживания.",
          "items": {
            "$ref": "Reference.schema.json#/definitions/Reference"
          },
          "type": "array"
        },
        "period": {
          "description": "Время начала и время окончания случая обслуживания.",
          "$ref": "Period.schema.json#/definitions/Period"
        },
        "length": {
          "description": "Количество времени, которое длился случай обслуживания. Сюда не входит время отсутствия.",
          "$ref": "Duration.schema.json#/definitions/Duration"
        },
        "reasonCode": {
          "description": "Основание проведения случая обслуживания, выраженное в виде кода. Для госпитализации может использоваться в качестве кодированного диагноза при поступлении.",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "reasonReference": {
          "description": "Основание проведения случая обслуживания, выраженное в виде кода. Для госпитализации может использоваться в качестве кодированного диагноза при поступлении.",
          "items": {
            "$ref": "Reference.schema.json#/definitions/Reference"
          },
          "type": "array"
        },
        "diagnosis": {
          "description": "The list of diagnosis relevant to this encounter.",
          "items": {
            "$ref": "#/definitions/Encounter_Diagnosis"
          },
          "type": "array"
        },
        "account": {
          "description": "The set of accounts that may be used for billing for this Encounter.",
          "items": {
            "$ref": "Reference.schema.json#/definitions/Reference"
          },
          "type": "array"
        },
        "hospitalization": {
          "description": "Сведения о госпитализации в медицинском учреждении.",
          "$ref": "#/definitions/Encounter_Hospitalization"
        },
        "location": {
          "description": "Список мест, где находился пациент во время случая обслуживания.",
          "items": {
            "$ref": "#/definitions/Encounter_Location"
          },
          "type": "array"
        },
        "serviceProvider": {
          "description": "The organization that is primarily responsible for this Encounter\u0027s services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation.  Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "partOf": {
          "description": "Другой Encounter, частью которого является данный случай обслуживания (административно или по времени).",
          "$ref": "Reference.schema.json#/definitions/Reference"
        }
      },
      "additionalProperties": false,
      "required": [
        "class",
        "resourceType"
      ]
    },
    "Encounter_StatusHistory": {
      "description": "Взаимодействие между пациентом и поставщиками медицинских услуг в целях предоставления медицинских услуг или оценки медицинского состояния пациента.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "status": {
          "description": "planned | arrived | triaged | in-progress | onleave | finished | cancelled +.",
          "enum": [
            "planned",
            "arrived",
            "triaged",
            "in-progress",
            "onleave",
            "finished",
            "cancelled",
            "entered-in-error",
            "unknown"
          ]
        },
        "_status": {
          "description": "Extensions for status",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "period": {
          "description": "Время, когда эпизод имел указанный статус.",
          "$ref": "Period.schema.json#/definitions/Period"
        }
      },
      "additionalProperties": false,
      "required": [
        "period"
      ]
    },
    "Encounter_ClassHistory": {
      "description": "Взаимодействие между пациентом и поставщиками медицинских услуг в целях предоставления медицинских услуг или оценки медицинского состояния пациента.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "class": {
          "description": "inpatient | outpatient | ambulatory | emergency +.",
          "$ref": "Coding.schema.json#/definitions/Coding"
        },
        "period": {
          "description": "The time that the episode was in the specified class.",
          "$ref": "Period.schema.json#/definitions/Period"
        }
      },
      "additionalProperties": false,
      "required": [
        "period",
        "class"
      ]
    },
    "Encounter_Participant": {
      "description": "Взаимодействие между пациентом и поставщиками медицинских услуг в целях предоставления медицинских услуг или оценки медицинского состояния пациента.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "type": {
          "description": "Роль участника случая обслуживания.",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "period": {
          "description": "The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter\u0027s period.",
          "$ref": "Period.schema.json#/definitions/Period"
        },
        "individual": {
          "description": "Лица, участвующие в случае обслуживания, кроме пациента.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        }
      },
      "additionalProperties": false
    },
    "Encounter_Diagnosis": {
      "description": "Взаимодействие между пациентом и поставщиками медицинских услуг в целях предоставления медицинских услуг или оценки медицинского состояния пациента.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "condition": {
          "description": "Основание для проведения случая обслуживания, указанное с помощью ссылки на другой ресурс. Для госпитализации это будет диагноз при поступлении.\nКак правило, это будет ссылка на ресурс Condition (со ссылками на другие ресурсы в поле evidence.detail) или Procedure.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "use": {
          "description": "Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "rank": {
          "description": "Ranking of the diagnosis (for each role type).",
          "$ref": "#/definitions/positiveInt"
        },
        "_rank": {
          "description": "Extensions for rank",
          "$ref": "Element.schema.json#/definitions/Element"
        }
      },
      "additionalProperties": false,
      "required": [
        "condition"
      ]
    },
    "Encounter_Hospitalization": {
      "description": "Взаимодействие между пациентом и поставщиками медицинских услуг в целях предоставления медицинских услуг или оценки медицинского состояния пациента.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "preAdmissionIdentifier": {
          "description": "Догоспитальный идентификатор.",
          "$ref": "Identifier.schema.json#/definitions/Identifier"
        },
        "origin": {
          "description": "The location/organization from which the patient came before admission.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "admitSource": {
          "description": "Откуда пациент был принят (направление врача, перевод).",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "reAdmission": {
          "description": "Является ли данная госпитализация повторным приемом (регоспитализацией) и почему, если известно.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "dietPreference": {
          "description": "Предпочтения по питанию, о которых сообщил пациент.",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "specialCourtesy": {
          "description": "Особые знаки внимания (VIP, член совета директоров).",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "specialArrangement": {
          "description": "Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.",
          "items": {
            "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
          },
          "type": "array"
        },
        "destination": {
          "description": "Location/organization to which the patient is discharged.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "dischargeDisposition": {
          "description": "Категория или вид места размещения после выписки.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        }
      },
      "additionalProperties": false
    },
    "Encounter_Location": {
      "description": "Взаимодействие между пациентом и поставщиками медицинских услуг в целях предоставления медицинских услуг или оценки медицинского состояния пациента.",
      "properties": {
        "id": {
          "description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "$ref": "string.schema.json#/definitions/string"
        },
        "extension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "modifierExtension": {
          "description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "items": {
            "$ref": "Extension.schema.json#/definitions/Extension"
          },
          "type": "array"
        },
        "location": {
          "description": "Место проведения случая обслуживания.",
          "$ref": "Reference.schema.json#/definitions/Reference"
        },
        "status": {
          "description": "Статус присутствия участника в указанном месте в указанный период времени. Если участник больше не находится в этом месте, тогда период будет иметь дату/время окончания.",
          "enum": [
            "planned",
            "active",
            "reserved",
            "completed"
          ]
        },
        "_status": {
          "description": "Extensions for status",
          "$ref": "Element.schema.json#/definitions/Element"
        },
        "physicalType": {
          "description": "This will be used to specifiy the required levels (bed/ward/room/etc) desired to be recorded to simplify either messaging or query.",
          "$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
        },
        "period": {
          "description": "Период времени, в течение которого пациент присутствовал в этом месте.",
          "$ref": "Period.schema.json#/definitions/Period"
        }
      },
      "additionalProperties": false,
      "required": [
        "location"
      ]
    }
  }
}