Guías de Implementación HL7 FHIR: CR Core, published by Ministerio de Salud de Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.1.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HIE-cr/core-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• JSON

Resource Profile: Encuentro Clínico

Perfil CORE de Encuentro Clínico (Encounter)

Usages:

• Refer to this Profile: Documento Clínico and Observación

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador(es) por los que se conoce este encuentro
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled Binding: EncounterStatus (required): Códigos requeridos por FHIR
class	Σ	0..1	CodeableConcept	Clasificación del encuentro con el paciente Binding: Encounter class (extensible)
type	Σ	0..1	CodeableConcept	Tipo específico de Encuentro Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..1	CodeableReference(HealthcareService)	Tipo de servicio que se realiza en el Encuentro Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	0..1	Reference(Paciente)	Referencia al paciente del encuentro
serviceProvider	S	0..1	Reference(Organizaciones)	La organización (instalación) responsable de este encuentro
participant	SΣC	0..*	BackboneElement	Participantes involucrados en el encuentro sin considerar al paciente Constraints: enc-1, enc-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣC	0..*	CodeableConcept	Rol del participante en el encuentro Binding: ParticipantType (extensible)
actor	SΣC	1..1	Reference(Profesional de Salud | Rol de Profesional de la Salud)	Referencia al participante
appointment	Σ	0..1	Reference(Appointment)	Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
actualPeriod	S	0..1	Period	La hora de inicio y finalización del encuentro
plannedStartDate	S	0..1	dateTime	Hora de inicio
plannedEndDate	S	0..1	dateTime	Hora de finalización
length	S	0..1	Duration	Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
reason	Σ	0..*	BackboneElement	Razón del Encuentro
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	Σ	0..*	CodeableReference(Condición | Observación)	Razón codificada por la que tiene lugar el Encuentro Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	Diagnóstico relevante para este encuentro
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	0..*	CodeableReference(Condición)	El diagnóstico o procedimiento relevante para el encuentro Binding: ConditionProblemDiagnosisCodes (example)
use		0..1	CodeableConcept	Papel que este diagnóstico tiene dentro del encuentro (p.ej. ingreso, facturación, alta…) Binding: DiagnosisRole (required): The type of diagnosis this condition represents.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.class	extensible	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason.value	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Encounter.diagnosis.use	required	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard

Constraints

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

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			Encounter
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este encuentro
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled Binding: EncounterStatus (required): Códigos requeridos por FHIR
class		0..1	CodeableConcept	Clasificación del encuentro con el paciente Binding: Encounter class (extensible)
type		0..1	CodeableConcept	Tipo específico de Encuentro
serviceType		0..1	CodeableReference(HealthcareService)	Tipo de servicio que se realiza en el Encuentro
subject	S	0..1	Reference(Paciente)	Referencia al paciente del encuentro
serviceProvider	S	0..1	Reference(Organizaciones)	La organización (instalación) responsable de este encuentro
participant	S	0..*	BackboneElement	Participantes involucrados en el encuentro sin considerar al paciente
type	S	0..*	CodeableConcept	Rol del participante en el encuentro Binding: ParticipantType (extensible)
actor	S	1..1	Reference(Profesional de Salud | Rol de Profesional de la Salud)	Referencia al participante
appointment		0..1	Reference(Appointment)	Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
actualPeriod	S	0..1	Period	La hora de inicio y finalización del encuentro
plannedStartDate	S	0..1	dateTime	Hora de inicio
plannedEndDate	S	0..1	dateTime	Hora de finalización
length	S	0..1	Duration	Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
reason		0..*	BackboneElement	Razón del Encuentro Binding: EncounterReasonCodes (required)
value		0..*	CodeableReference(Condición | Observación)	Razón codificada por la que tiene lugar el Encuentro
diagnosis		0..*	BackboneElement	Diagnóstico relevante para este encuentro
condition		0..*	CodeableReference(Condición)	El diagnóstico o procedimiento relevante para el encuentro
use		0..1	CodeableConcept	Papel que este diagnóstico tiene dentro del encuentro (p.ej. ingreso, facturación, alta…) Binding: DiagnosisRole (required): The type of diagnosis this condition represents.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.class	extensible	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason	required	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.use	required	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador(es) por los que se conoce este encuentro
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled Binding: EncounterStatus (required): Códigos requeridos por FHIR
class	Σ	0..1	CodeableConcept	Clasificación del encuentro con el paciente Binding: Encounter class (extensible)
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
type	Σ	0..1	CodeableConcept	Tipo específico de Encuentro Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..1	CodeableReference(HealthcareService)	Tipo de servicio que se realiza en el Encuentro Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	0..1	Reference(Paciente)	Referencia al paciente del encuentro
subjectStatus		0..1	CodeableConcept	The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request that initiated this encounter
careTeam		0..*	Reference(CareTeam)	The group(s) that are allocated to participate in this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
serviceProvider	S	0..1	Reference(Organizaciones)	La organización (instalación) responsable de este encuentro
participant	SΣC	0..*	BackboneElement	Participantes involucrados en el encuentro sin considerar al paciente Constraints: enc-1, enc-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣC	0..*	CodeableConcept	Rol del participante en el encuentro Binding: ParticipantType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
actor	SΣC	1..1	Reference(Profesional de Salud | Rol de Profesional de la Salud)	Referencia al participante
appointment	Σ	0..1	Reference(Appointment)	Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
actualPeriod	S	0..1	Period	La hora de inicio y finalización del encuentro
plannedStartDate	S	0..1	dateTime	Hora de inicio
plannedEndDate	S	0..1	dateTime	Hora de finalización
length	S	0..1	Duration	Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
reason	Σ	0..*	BackboneElement	Razón del Encuentro
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
use	Σ	0..*	CodeableConcept	What the reason value should be used for/as Binding: EncounterReasonUse (example)
value	Σ	0..*	CodeableReference(Condición | Observación)	Razón codificada por la que tiene lugar el Encuentro Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	Diagnóstico relevante para este encuentro
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	0..*	CodeableReference(Condición)	El diagnóstico o procedimiento relevante para el encuentro Binding: ConditionProblemDiagnosisCodes (example)
use		0..1	CodeableConcept	Papel que este diagnóstico tiene dentro del encuentro (p.ej. ingreso, facturación, alta…) Binding: DiagnosisRole (required): The type of diagnosis this condition represents.
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
form		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.class	extensible	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Encounter.subjectStatus	example	EncounterSubjectStatus http://hl7.org/fhir/ValueSet/encounter-subject-status From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason.use	example	EncounterReasonUse http://hl7.org/fhir/ValueSet/encounter-reason-use From the FHIR Standard
Encounter.reason.value	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Encounter.diagnosis.use	required	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard
Encounter.dietPreference	example	EncounterDiet http://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard
Encounter.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard
Encounter.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard
Encounter.admission.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard
Encounter.admission.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition From the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0 From the FHIR Standard
Encounter.location.form	example	LocationForm http://hl7.org/fhir/ValueSet/location-form From the FHIR Standard

Constraints

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

This structure is derived from Encounter

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Paciente (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/patient-cr-core)
• Organizaciones (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/organization-cr-core)
• Profesional de Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-cr-core)
• Rol de Profesional de la Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-role-cr-core)
• Condición (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/condition-cr-core)
• Observación (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/observation-cr-core)

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador(es) por los que se conoce este encuentro
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled Binding: EncounterStatus (required): Códigos requeridos por FHIR
class	Σ	0..1	CodeableConcept	Clasificación del encuentro con el paciente Binding: Encounter class (extensible)
type	Σ	0..1	CodeableConcept	Tipo específico de Encuentro Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..1	CodeableReference(HealthcareService)	Tipo de servicio que se realiza en el Encuentro Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	0..1	Reference(Paciente)	Referencia al paciente del encuentro
serviceProvider	S	0..1	Reference(Organizaciones)	La organización (instalación) responsable de este encuentro
participant	SΣC	0..*	BackboneElement	Participantes involucrados en el encuentro sin considerar al paciente Constraints: enc-1, enc-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣC	0..*	CodeableConcept	Rol del participante en el encuentro Binding: ParticipantType (extensible)
actor	SΣC	1..1	Reference(Profesional de Salud | Rol de Profesional de la Salud)	Referencia al participante
appointment	Σ	0..1	Reference(Appointment)	Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
actualPeriod	S	0..1	Period	La hora de inicio y finalización del encuentro
plannedStartDate	S	0..1	dateTime	Hora de inicio
plannedEndDate	S	0..1	dateTime	Hora de finalización
length	S	0..1	Duration	Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
reason	Σ	0..*	BackboneElement	Razón del Encuentro
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value	Σ	0..*	CodeableReference(Condición | Observación)	Razón codificada por la que tiene lugar el Encuentro Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	Diagnóstico relevante para este encuentro
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	0..*	CodeableReference(Condición)	El diagnóstico o procedimiento relevante para el encuentro Binding: ConditionProblemDiagnosisCodes (example)
use		0..1	CodeableConcept	Papel que este diagnóstico tiene dentro del encuentro (p.ej. ingreso, facturación, alta…) Binding: DiagnosisRole (required): The type of diagnosis this condition represents.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.class	extensible	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason.value	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Encounter.diagnosis.use	required	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard

Constraints

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

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter			Encounter
identifier	S	0..*	Identifier	Identificador(es) por los que se conoce este encuentro
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled Binding: EncounterStatus (required): Códigos requeridos por FHIR
class		0..1	CodeableConcept	Clasificación del encuentro con el paciente Binding: Encounter class (extensible)
type		0..1	CodeableConcept	Tipo específico de Encuentro
serviceType		0..1	CodeableReference(HealthcareService)	Tipo de servicio que se realiza en el Encuentro
subject	S	0..1	Reference(Paciente)	Referencia al paciente del encuentro
serviceProvider	S	0..1	Reference(Organizaciones)	La organización (instalación) responsable de este encuentro
participant	S	0..*	BackboneElement	Participantes involucrados en el encuentro sin considerar al paciente
type	S	0..*	CodeableConcept	Rol del participante en el encuentro Binding: ParticipantType (extensible)
actor	S	1..1	Reference(Profesional de Salud | Rol de Profesional de la Salud)	Referencia al participante
appointment		0..1	Reference(Appointment)	Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
actualPeriod	S	0..1	Period	La hora de inicio y finalización del encuentro
plannedStartDate	S	0..1	dateTime	Hora de inicio
plannedEndDate	S	0..1	dateTime	Hora de finalización
length	S	0..1	Duration	Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
reason		0..*	BackboneElement	Razón del Encuentro Binding: EncounterReasonCodes (required)
value		0..*	CodeableReference(Condición | Observación)	Razón codificada por la que tiene lugar el Encuentro
diagnosis		0..*	BackboneElement	Diagnóstico relevante para este encuentro
condition		0..*	CodeableReference(Condición)	El diagnóstico o procedimiento relevante para el encuentro
use		0..1	CodeableConcept	Papel que este diagnóstico tiene dentro del encuentro (p.ej. ingreso, facturación, alta…) Binding: DiagnosisRole (required): The type of diagnosis this condition represents.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.class	extensible	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason	required	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.use	required	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificador(es) por los que se conoce este encuentro
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled Binding: EncounterStatus (required): Códigos requeridos por FHIR
class	Σ	0..1	CodeableConcept	Clasificación del encuentro con el paciente Binding: Encounter class (extensible)
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
type	Σ	0..1	CodeableConcept	Tipo específico de Encuentro Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..1	CodeableReference(HealthcareService)	Tipo de servicio que se realiza en el Encuentro Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	SΣ	0..1	Reference(Paciente)	Referencia al paciente del encuentro
subjectStatus		0..1	CodeableConcept	The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request that initiated this encounter
careTeam		0..*	Reference(CareTeam)	The group(s) that are allocated to participate in this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
serviceProvider	S	0..1	Reference(Organizaciones)	La organización (instalación) responsable de este encuentro
participant	SΣC	0..*	BackboneElement	Participantes involucrados en el encuentro sin considerar al paciente Constraints: enc-1, enc-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣC	0..*	CodeableConcept	Rol del participante en el encuentro Binding: ParticipantType (extensible)
period		0..1	Period	Period of time during the encounter that the participant participated
actor	SΣC	1..1	Reference(Profesional de Salud | Rol de Profesional de la Salud)	Referencia al participante
appointment	Σ	0..1	Reference(Appointment)	Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
actualPeriod	S	0..1	Period	La hora de inicio y finalización del encuentro
plannedStartDate	S	0..1	dateTime	Hora de inicio
plannedEndDate	S	0..1	dateTime	Hora de finalización
length	S	0..1	Duration	Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
reason	Σ	0..*	BackboneElement	Razón del Encuentro
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
use	Σ	0..*	CodeableConcept	What the reason value should be used for/as Binding: EncounterReasonUse (example)
value	Σ	0..*	CodeableReference(Condición | Observación)	Razón codificada por la que tiene lugar el Encuentro Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	Diagnóstico relevante para este encuentro
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	0..*	CodeableReference(Condición)	El diagnóstico o procedimiento relevante para el encuentro Binding: ConditionProblemDiagnosisCodes (example)
use		0..1	CodeableConcept	Papel que este diagnóstico tiene dentro del encuentro (p.ej. ingreso, facturación, alta…) Binding: DiagnosisRole (required): The type of diagnosis this condition represents.
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
form		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 From the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.class	extensible	EncounterClass http://terminology.hl7.org/ValueSet/encounter-class
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.type	example	EncounterType http://hl7.org/fhir/ValueSet/encounter-type From the FHIR Standard
Encounter.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type From the FHIR Standard
Encounter.subjectStatus	example	EncounterSubjectStatus http://hl7.org/fhir/ValueSet/encounter-subject-status From the FHIR Standard
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reason.use	example	EncounterReasonUse http://hl7.org/fhir/ValueSet/encounter-reason-use From the FHIR Standard
Encounter.reason.value	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code From the FHIR Standard
Encounter.diagnosis.use	required	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard
Encounter.dietPreference	example	EncounterDiet http://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard
Encounter.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard
Encounter.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard
Encounter.admission.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard
Encounter.admission.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.admission.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition From the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0 From the FHIR Standard
Encounter.location.form	example	LocationForm http://hl7.org/fhir/ValueSet/location-form From the FHIR Standard

Constraints

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

This structure is derived from Encounter

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Paciente (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/patient-cr-core)
• Organizaciones (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/organization-cr-core)
• Profesional de Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-cr-core)
• Rol de Profesional de la Salud (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/practitioner-role-cr-core)
• Condición (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/condition-cr-core)
• Observación (https://ministeriodesalud.go.cr/fhir/core/StructureDefinition/observation-cr-core)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron