Guía de Implementación cl core FHIR R4, (Versión Evolutiva)
2.0.0 - ci-build Chile flag

Guía de Implementación cl core FHIR R4, (Versión Evolutiva), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/clcore_ig/ and changes regularly. See the Directory of published versions

Resource Profile: CL Encuentro Clínico

Official URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/EncounterCL Version: 2.0.0
Draft as of 2025-10-02 Computable Name: EncounterCL

Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Definición de encuentro clínico genérico para Chile

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador(es) por los que se conoce este encuentro
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement Diagnóstico relevante para este encuentro
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible v3 Code System ActCode 📦3.0.0 THO v6.5
Encounter.type Base example Tipos de Encuentro 📦2.0.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦2.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... 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 S 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... serviceType S 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject S 0..1 Reference(CL Paciente | Group) Referencia al paciente del 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)
.... individual S 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment S 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start S 0..1 dateTime Hora de inicio
.... end S 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode S 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
... diagnosis S 0..* BackboneElement Diagnóstico relevante para este encuentro
.... condition 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible v3 Code System ActCode 📦3.0.0 THO v6.5
Encounter.type Base example Tipos de Encuentro 📦2.0.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦2.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 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
... statusHistory 0..* BackboneElement List of past encounter statuses
.... 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
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... classHistory 0..* BackboneElement List of past encounter classes
.... 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
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... 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 SΣ 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
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 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 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 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 The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... 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.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible v3 Code System ActCode 📦3.0.0 THO v6.5
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v6.5
Encounter.type Base example Tipos de Encuentro 📦2.0.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦2.0.0 This IG
Encounter.priority Base example ActPriority 📦3.0.0 THO v6.5
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador(es) por los que se conoce este encuentro
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... diagnosis SΣ 0..* BackboneElement Diagnóstico relevante para este encuentro
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible v3 Code System ActCode 📦3.0.0 THO v6.5
Encounter.type Base example Tipos de Encuentro 📦2.0.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦2.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... 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 S 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... serviceType S 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject S 0..1 Reference(CL Paciente | Group) Referencia al paciente del 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)
.... individual S 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment S 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start S 0..1 dateTime Hora de inicio
.... end S 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode S 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
... diagnosis S 0..* BackboneElement Diagnóstico relevante para este encuentro
.... condition 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base extensible v3 Code System ActCode 📦3.0.0 THO v6.5
Encounter.type Base example Tipos de Encuentro 📦2.0.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦2.0.0 This IG
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 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
... statusHistory 0..* BackboneElement List of past encounter statuses
.... 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
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.
.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... classHistory 0..* BackboneElement List of past encounter classes
.... 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
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.
.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.
... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... 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 SΣ 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
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 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 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 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 The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.
.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.
.... 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.
.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.
.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base extensible v3 Code System ActCode 📦3.0.0 THO v6.5
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v6.5
Encounter.type Base example Tipos de Encuentro 📦2.0.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦2.0.0 This IG
Encounter.priority Base example ActPriority 📦3.0.0 THO v6.5
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📍4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📍4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📍4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦2.0.0 THO v6.5
Encounter.hospitalization.​dietPreference Base example Diet 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📍4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📍4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📍4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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