Room 1.1.9 · Gastroenterologist's/ endocrinologist's consulting room
Industry analytical passport of room type Medical consulting room. Full profile of architectural TEP, medical equipment specification (CapEx), MEP engineering loads (HVAC, electrical, water supply and drainage), resort price benchmarks and unit economics financial model.
🏛 1. Architectural and planning parameters and zoning
Total area: 20.0 m²Building requirements and finishing materials (SanPiN)
Functional zone schedule (3 zones)
| Functional zone | Area | Purpose and technological equipment |
|---|---|---|
| Specialist's consultation and work area | 6.0 m² | Physician/nursing workstation, documentation and MIS |
| Procedure and treatment zone | 11.0 m² | Procedure and device treatment zone for 1 station |
| Preparation and disinfection area | 3.0 m² | Storage of sterile consumables and disinfectants |
⚡ 2. Engineering and technology profile (MEP)
Electrical 22.35 kW · HVAC +3.0/-3.0Electrical (power supply)
- Installed power:
- 22.35 kW
- Design power (Kd=0.72):
- 16.09 kW
- Cable lines:
- 2 beams
- Distribution board:
- 230V / 50Hz (dedicated medical distribution board)
- Residual current protection (RCD):
- Individual medical type 'A' RCDs 10 mA / 30 mA
- Medical UPS:
- Not required
HVAC (ventilation & SanPiN)
- SanPiN cleanliness class:
- Class V
- Supply air exchange:
- +3.0 ACH
- Exhaust air exchange:
- -3.0 ACH
- Temperature:
- 20-22°C
- Humidity:
- 45-55%
- Gas destruction:
- General ventilation filtration
Water supply & drainage and safety
- Cold/hot water points:
- 1 stations (elbow-operated)
- Floor drains:
- 1 pcs (dry trap)
- Water treatment:
- Standard cold water filtration
- Clinical and technological rationale for synergy
- Automatic fire alarm, type 2-3 warning and evacuation system, powder/gas fire extinguishers
- Nurse call system:
- Installed at stations
🔬 3. Medical and spa equipment specification (CapEx)
569 222 ₽| № | Equipment name | Brand / Manufacturer | Country | Ministry of Health registration certificate | Qty | Unit price | Amount (CapEx) |
|---|---|---|---|---|---|---|---|
| 1 |
Physician's workstation
Ergonomic furniture set for a specialist physician (desk, chair with lumbar support, patient chair, document cabinet) for consultations. |
— | — | Registration certificate not stated | 1 | 80 000 ₽ | 80 000 ₽ |
| 2 |
Nurse workstation
Modular nurse station for keeping the prescription log, recording medicines, storing consumables and coordinating procedures promptly. |
— | — | Registration certificate not stated | 1 | 80 000 ₽ | 80 000 ₽ |
| 3 |
Mirror
Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations. |
— | — | Registration certificate not stated | 1 | 5 000 ₽ | 5 000 ₽ |
| 4 |
Medical screen
A sectional medical screen on wheels with washable panels for zoning the treatment room and ensuring patient privacy. |
— | — | FSR 2010/09569 dated 03.02.2012 | 1 | 6 300 ₽ | 6 300 ₽ |
| 5 |
Electric functional medical bed
Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations. |
— | — | FSZ 2011/08955 dated 31.01.2011 | 1 | 100 000 ₽ | 100 000 ₽ |
| 6 |
X-ray film viewer
High-brightness LED negatoscope with uniform light distribution for expert visual review of X-rays, MRI and CT scans. |
— | — | FSZ 2012/11999 dated 04.05.2012 | 1 | 4 000 ₽ | 4 000 ₽ |
| 7 |
Mechanical sphygmomanometer without stethoscope
Precision device for non-invasive blood pressure measurement by the Korotkoff method with a high-accuracy anatomical cuff for cardiovascular screening. |
— | — | FSZ 2009/04071 dated 30.09.2019 | 1 | 1 500 ₽ | 1 500 ₽ |
| 8 |
Non-automated stethophonendoscope
Medical double-head stethophonendoscope for highly sensitive auscultation of heart sounds, breath sounds, vascular bruits and peristalsis. |
— | — | FSZ 2009/04072 dated 21.03.2024 | 1 | 1 000 ₽ | 1 000 ₽ |
| 9 |
Electronic column-type medical scales with height rod
A medical stadiometer for accurate measurement of patients' standing height as part of anthropometric profiling. |
— | — | FSZ 2010/07363 dated 16.02.2017 | 1 | 75 000 ₽ | 75 000 ₽ |
| 10 |
Personal computer with printer / MFP
Workstation connected to the MIS, the secure EGISZ network and peripherals for maintaining electronic records and generating reports and prescriptions. |
— | — | Registration certificate not stated | 1 | 150 000 ₽ | 150 000 ₽ |
| 11 |
Tape measure
Medical measuring tape for anthropometric measurements of waist, hip, chest and joint circumferences when assessing metabolic syndrome. |
— | — | FSR 2010/08890 dated 31.07.2019 | 1 | 700 ₽ | 700 ₽ |
| 12 |
Emergency care kit: Medplant, Russia
Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations. |
— | — | RZN 2015/2746 dated 31.05.2021 | 1 | 2 500 ₽ | 2 500 ₽ |
| 13 |
Mechanical sphygmomanometer (blood pressure meter) with adult cuff and aneroid gauge, manufacturer: Adyutor, Russia
Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations. |
— | — | RZN 2020/12919 dated 07.11.2023 | 1 | 2 445 ₽ | 2 445 ₽ |
| 14 |
Medical thermometer in a case
Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations. |
— | — | RZN 2013/1314 dated 15.07.2019 | 1 | 371 ₽ | 371 ₽ |
| 15 |
SF-01 stethophonendoscope
Medical double-head stethophonendoscope for highly sensitive auscultation of heart sounds, breath sounds, vascular bruits and peristalsis. |
— | — | RZN 2014/1813 dated 09.11.2017 | 1 | 306 ₽ | 306 ₽ |
| 16 |
Medical scales
High-precision electronic medical scales for monitoring patients' body weight during follow-up and calculating drug dosages. |
— | — | FSR 2008/02905 dated 04.05.2022 | 1 | 20 000 ₽ | 20 000 ₽ |
| 17 |
Medical metal stadiometer
A medical stadiometer for accurate measurement of patients' standing height as part of anthropometric profiling. |
— | — | FSR 2012/13888 dated 11.09.2017 | 1 | 5 700 ₽ | 5 700 ₽ |
| 18 |
Non-automated stethophonendoscope
Medical double-head stethophonendoscope for highly sensitive auscultation of heart sounds, breath sounds, vascular bruits and peristalsis. |
— | — | FSZ 2009/04073 dated 21.03.2024 | 1 | 1 200 ₽ | 1 200 ₽ |
| 19 |
Portable electric blood pressure monitor
Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations. |
— | — | RZN 2016/4964 dated 20.08.2024 | 1 | 3 200 ₽ | 3 200 ₽ |
| 20 |
Graduated tuning fork
Graduated medical tuning fork for differential assessment of bone and air hearing conduction, as well as pallesthesia (vibratory proprioceptive sensitivity). |
— | — | RZN 2022/18824 dated 18.11.2022 | 1 | 11 600 ₽ | 11 600 ₽ |
| 21 |
Medical examination couch
Medical examination couch with adjustable headrest and seamless washable upholstery for positioning the patient during initial examination and physical procedures. |
— | — | FSR 2010/09508 dated 30.04.2023 | 1 | 8 000 ₽ | 8 000 ₽ |
| 22 |
Elbow-operated medical dispenser
Wall-mounted elbow-operated contactless dispenser for hygienic and surgical antiseptic hand treatment of medical staff with liquid disinfectant. |
— | — | FSR2011/12142 dated 30.04.2019 | 2 | 3 200 ₽ | 6 400 ₽ |
| 23 |
OBN-150 Azov bactericidal medical irradiator
Closed-type ozone-free bactericidal ultraviolet recirculator for continuous air disinfection in the presence of people in accordance with SanPiN 2.1.3678-20. |
— | — | FSR 2009/05399 dated 13.04.2020 | 1 | 4 000 ₽ | 4 000 ₽ |
| Equipment specification total: | 569 222 ₽ | ||||||
📋 4. Medical services nomenclature and clinical protocols
11 services| Code | Unified directory service | Market median | Facilities | Procedure passport |
|---|---|---|---|---|
| B01.058.001 | Endocrinologist consultation, initial | 5 000 ₽ | 7 | — |
| B01.058.002 | Endocrinologist consultation, follow-up | 4 000 ₽ | 7 | — |
| — | Tubage | 3 300 ₽ | 6 | — |
| B01.004.001 | Initial gastroenterologist consultation | 5 150 ₽ | 4 | — |
| B01.004.002 | Follow-up gastroenterologist consultation | 4 525 ₽ | 4 | — |
| — | Hydrogen breath test (lactose, fructose, SIBO) | 5 500 ₽ | 2 | — |
| — | Glycated haemoglobin (HbA1c) | 2 208 ₽ | 2 | — |
| — | Blood glucose | 325 ₽ | 2 | — |
| — | TSH (thyroid-stimulating hormone) | 2 355 ₽ | 2 | — |
| A09.16.004 | pH-metry (intraoesophageal, intragastric) | 1 000 ₽ | 1 | — |
| — | Gut microbiome test with consultation | 68 600 ₽ | 1 | — |
📊 5. Comparative price benchmarking of leading resorts in Russia
Price analytics in the Knowledge BaseSummary price statistics by service category (10 resorts in Russia)
| Category | Min | P25 | Median P50 | P75 | Max | Segment leader | MEDISPA rec. |
|---|---|---|---|---|---|---|---|
| High-resolution endoscopy | 1 000 ₽ | 2 900 ₽ | 4 800 ₽ | 6 700 ₽ | 13 800 ₽ | Medical Spa / Premium segment | 6 875 ₽ |
💰 6. Unit economics financial model and payback scenario analysis
Payback 2.2 mo| Model scenario | OCC occupancy | Visits/year | Revenue per year | Gross profit (60%) | CapEx payback |
|---|---|---|---|---|---|
| Conservative | 35% | 1 453 | 17 630 702 ₽ | 10 578 421 ₽ | 3.8 mo |
| Base (MEDISPA.PRO plan) | 60% | 2 491 | 30 225 794 ₽ | 18 135 476 ₽ | 2.2 mo |
| Optimistic | 75% | 3 114 | 37 785 276 ₽ | 22 671 166 ₽ | 1.8 mo |
Calculated from the room's procedures: average ticket 12 134 ₽ is the mean of the market medians of 8 of 11 profile procedures; average slot 52 min including service time (norm 30 / 60 min, special procedures by duration); capacity 1 station × 10 h × 360 days (300 h per month = 100 % utilisation) = 4 153 sessions per year. Session duration and margin are planning assumptions.
📚 7. International evidence base (PubMed Evidence Base)
1 studies🔄 8. End-to-end patient pathway and interdisciplinary synergy
4 stages| Pathway stage | Linked treatment room | Fire safety: |
|---|---|---|
| Admission diagnostics | 1.2.1 Ultrasound and functional diagnostics room | Screening of baseline morphofunctional status, exclusion of contraindications and mapping of treatment areas. |
| Medical case conference | 1.1.1 Integrative preventive medicine physician's office | Development of a personalised rehabilitation programme and prescription of treatment courses. |
| Metabolic synergy | 1.3.1 Treatment room for infusion and ozone therapy (IV-Therapy) | Support of the cellular antioxidant pool and mitochondrial energy metabolism to enhance response to the treatment. |
| Effectiveness monitoring | 3.1.1 Comprehensive check-up monitoring and bioimpedance room | Assessment of changes in phase angle, extracellular water balance and autonomic tone after completing the course. |
📜 9. Regulatory and licensing status and medical staff requirements
2 staff rolesRussian Ministry of Health regulatory framework
Russian Ministry of Health licensing: primary specialised pre-medical and medical primary healthcare in the following specialities: General Medicine, Neurology, Orthopaedics, Outpatient Care.
SanPiN: SanPiN 2.1.3678-20 "Sanitary and epidemiological requirements for the operation of premises, buildings and structures in the course of medical activity", Section IV.
5P medicine & integrative concept profile:
- M1: Gastroenterology, microbiome & leaky gut syndrome — Correction of dysbiosis, SIBO/SIFO, inflammatory intestinal disor...
- M3: Endogenous biotransformation & phases of metabolic detoxification — Support for phase I and II hepatic biotransformation (cytochromes ...
Staffing and qualification requirements
Higher medical education, a valid specialist certificate and certification in integrative preventive 5P medicine
Secondary vocational medical education, 'Nursing' certificate, authorisation to perform specialised procedures
💡 10. Frequently Asked Questions & Engineering Specifications
2 verified answersQ1 What are the space programme and MEP requirements for room Gastroenterologist's / endocrinologist's consulting room?
The planned net usable area for room 1.1.9 (Gastroenterologist's / endocrinologist's consulting room) is 20.0 sqm (Class V). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 22.35 kW.
Q2 What is the CapEx budget and estimated payback for room Gastroenterologist's / endocrinologist's consulting room?
Equipment CapEx is estimated at 569 222 ₽, fitout at 2 800 000 ₽, with an estimated payback of 2.2 mo across 1 treatment station(s).