Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
1.9.1 - draft
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 1.9.1 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
Official URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/EncounterCL | Version: 1.9.1 | |||
Active as of 2024-10-01 | 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
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Path | Conformance | ValueSet | URI |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard | |
Encounter.class | extensible | ActCodehttp://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 | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Path | Conformance | ValueSet | URI |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard | |
Encounter.class | extensible | ActCodehttp://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 | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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 |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://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 | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
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:
Differential View
This structure is derived from Encounter
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Path | Conformance | ValueSet | URI |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard | |
Encounter.class | extensible | ActCodehttp://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 | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Path | Conformance | ValueSet | URI |
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard | |
Encounter.class | extensible | ActCodehttp://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 | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | |
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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 |
Path | Conformance | ValueSet | URI | |||
Encounter.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Encounter.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard | ||||
Encounter.statusHistory.status | required | EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard | ||||
Encounter.class | extensible | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Encounter.classHistory.class | extensible | ActEncounterCodehttp://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 | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | ||||
Encounter.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard | ||||
Encounter.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard | ||||
Encounter.diagnosis.use | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard | ||||
Encounter.hospitalization.admitSource | preferred | AdmitSourcehttp://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard | ||||
Encounter.hospitalization.reAdmission | example | Hl7VSReAdmissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092 | ||||
Encounter.hospitalization.dietPreference | example | Diethttp://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard | ||||
Encounter.hospitalization.specialCourtesy | preferred | SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard | ||||
Encounter.hospitalization.specialArrangement | preferred | SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard | ||||
Encounter.hospitalization.dischargeDisposition | example | DischargeDispositionhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard | ||||
Encounter.location.status | required | EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard | ||||
Encounter.location.physicalType | example | LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard |
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:
Other representations of profile: CSV, Excel, Schematron