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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON

Resource Profile: CL Encuentro Clínico

Definición de encuentro clínico genérico para Chile

Usages:

• Refer to this Profile: CL Observación and CL Documento
• Examples for this Profile: Encounter/EjemploEncounterCL
• CapabilityStatements using this Profile: CapabilityStatement Cliente Cl Core and CapabilityStatement Servidor Cl Core

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
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
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
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	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.type	example	VSTiposEncuentroCL(a valid code from Tipos de Encuentro) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL From this IG
Encounter.serviceType	example	VSTiposServicioCL(a valid code from Tipos de Servicios Remotos) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio From this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason 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().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

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	S	1..1	Coding	Clasificación del encuentro con el paciente Binding: v3 Code System ActCode (extensible)
type	S	0..*	CodeableConcept	Tipo específico de Encuentro Binding: Tipos de Encuentro (example)
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
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	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.type	example	VSTiposEncuentroCL(a valid code from Tipos de Encuentro) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL From this IG
Encounter.serviceType	example	VSTiposServicioCL(a valid code from Tipos de Servicios Remotos) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio From this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type 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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.class	extensible	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	VSTiposEncuentroCL(a valid code from Tipos de Encuentro) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL From this IG
Encounter.serviceType	example	VSTiposServicioCL(a valid code from Tipos de Servicios Remotos) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio From this IG
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard
Encounter.hospitalization.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|4.0.1 From the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type 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().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

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• CL Paciente (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl)
• CL Prestador (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePrestadorCl)
• CL RolClinico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl)
• CL Condición-Diagnóstico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreDiagnosticoCl)
• CL Organización (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreOrganizacionCl)

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
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
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
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	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.type	example	VSTiposEncuentroCL(a valid code from Tipos de Encuentro) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL From this IG
Encounter.serviceType	example	VSTiposServicioCL(a valid code from Tipos de Servicios Remotos) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio From this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason 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().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

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	S	1..1	Coding	Clasificación del encuentro con el paciente Binding: v3 Code System ActCode (extensible)
type	S	0..*	CodeableConcept	Tipo específico de Encuentro Binding: Tipos de Encuentro (example)
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
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	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.type	example	VSTiposEncuentroCL(a valid code from Tipos de Encuentro) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL From this IG
Encounter.serviceType	example	VSTiposServicioCL(a valid code from Tipos de Servicios Remotos) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio From this IG
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type 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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status From the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 From the FHIR Standard
Encounter.class	extensible	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	example	VSTiposEncuentroCL(a valid code from Tipos de Encuentro) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL From this IG
Encounter.serviceType	example	VSTiposServicioCL(a valid code from Tipos de Servicios Remotos) https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio From this IG
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type From the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason From the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source From the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet From the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy From the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements From the FHIR Standard
Encounter.hospitalization.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|4.0.1 From the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type 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().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

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• CL Paciente (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl)
• CL Prestador (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePrestadorCl)
• CL RolClinico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl)
• CL Condición-Diagnóstico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreDiagnosticoCl)
• CL Organización (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreOrganizacionCl)

Other representations of profile: CSV, Excel, Schematron