Atención de Urgencia Interoperable
0.1.2-qa-preview - qa-preview
Atención de Urgencia Interoperable
0.1.2-qa-preview - qa-preview
Atención de Urgencia Interoperable, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.1.2-qa-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/IG_Urgencia/ and changes regularly. See the Directory of published versions
| Official URL: https://interoperabilidad.minsal.cl/fhir/ig/urgencia/StructureDefinition/EncounterAtencion | Version: 0.1.2-qa-preview | |||
| Standards status: Draft | Maturity Level: 0 | Computable Name: EncounterAtencion | ||
Recurso que representa los diferentes encuentros clínicos durante su estancia en el servicio de urgencia de un paciente en un establecimiento de salud.
Este perfil se deberá emplear en caso que el sistema de origen tenga la capacidad de trazar cada una de las diferentes atenciones que ocurren una vez que el proceso de atención de urgencia pasa a un estado de atención. Esto permite asociar cada uno de los elementos clínicos generados al recurso Encounter correspondiente. Utilizando el recurso EncounterUrg como trazador, y cada uno de los encuentros de atención se relacionan mediante el campo partOf hacia el recurso EncounterUrg.
Si el sistema solo tiene un registro global de la atención de urgencia, se recomienda utilizar el recurso EncounterUrg sin necesidad de trazar cada una de las atenciones en este recurso.
Este perfil es utilizado solo a aquellas interacciones que se realizan en el contexto de atención de urgencia, y no debe ser empleado para registrar la interacción que ocurre durante la admisión, categorización y egreso del paciente.
El status de cada una de las atenciones debe ir como finished y deben registrar la fecha y hora de inicio y fin de la atención en el campo period, siendo obligatorio registrar al menos la fecha de inicio.
Se deben indicar los participantes del encuentro, en el campo participant, indicando el rol que desempeñan en la atención de urgencia. Los roles permitidos en este tipo de atención son los siguientes:
Atendedor
Persona que atiende al paciente en el contexto de atención de urgencia. Se registra en el campo participant del recurso EncounterUrg con type igual a ATND.
Atendedor Secundario
Persona que asiste al atendedor en la atención del paciente en el contexto de atención de urgencia. Se registra en el campo participant del recurso EncounterUrg con type igual a SPRF.
Especialista
Persona especializada en una rama de la medicina, encargada de brindar atención médica al paciente en el contexto de atención de urgencia. Se registra en el campo participant del recurso EncounterUrg con type igual a CON.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Encounter |
0..* | EncounterCL(1.9.4) | 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 Constraints: ext-1 |
 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 Required Pattern: finished |
 class |
SΣ | 1..1 | Coding | Tipo de encuentro de urgencia Binding: ActCode (3.0.0) (extensible) Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: EMER | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| type |
SΣ | 0..* | CodeableConcept | Tipo específico de Encuentro Binding: VSTiposEncuentroCL (1.9.4) (example) |
| serviceType |
SΣ | 0..1 | CodeableConcept | Tipo de servicio que se realiza en el Encuentro Binding: VSTiposServicioCL (1.9.4) (example) |
 subject |
SΣ | 1..1 | Reference(Paciente Urgencia(0.1.2-qa-preview)) | Paciente |
 Slices for participant |
SΣ | 0..* | BackboneElement | Participantes involucrados en el encuentro sin considerar al paciente Slice: Unordered, Open by value:type |
  participant:All Slices |
Content/Rules for all slices | |||
  modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
SΣ | 0..* | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) |
 individual |
SΣ | 1..1 | Reference(CL Prestador(1.9.4) | CL RolClinico(1.9.4) | RelatedPerson) | Referencia al participante |
 participant:Atendedor |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
 type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención |
 individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende |
| participant:AtendedorSecundario |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente pero no es el principal |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SPRF | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención |
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende |
 participant:Especialista |
SΣ | 0..* | BackboneElement | Profesional especialista que atiende al paciente |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: CON | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención |
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional especialista que atiende |
| 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 | 1..1 | Period | La hora de inicio y finalización del encuentro |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de que se realiza la admisión de urgencia |
| end |
SΣC | 0..1 | dateTime | Fecha y hora de que se cierra el dato de urgencia |
| 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 Constraints: ext-1 |
| condition |
Σ | 1..1 | Reference(CL Condición-Diagnóstico(1.9.4)) | El diagnóstico o procedimiento relevante para el encuentro |
| serviceProvider |
S | 1..1 | Reference(Establecimiento Urgencia(0.1.2-qa-preview)) | Establecimiento de salud |
| partOf |
S | 1..1 | Reference(Encuentro Urgencia(0.1.2-qa-preview)) | Encuentro de urgencia al que pertenece el encuentro de atención |
| Documentation for this format | ||||
| 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 | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.serviceType | Base | example | Tipos de Servicios Remotos | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.participant.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Atendedor.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:AtendedorSecundario.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Especialista.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | FHIR Std. |
| 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 | Encounter.implicitRules, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.class, Encounter.type, Encounter.serviceType, Encounter.subject, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.individual, Encounter.participant:Atendedor, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:Atendedor.type, Encounter.participant:Atendedor.period, Encounter.participant:Atendedor.period.start, Encounter.participant:Atendedor.individual, Encounter.participant:AtendedorSecundario, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:AtendedorSecundario.type, Encounter.participant:AtendedorSecundario.period, Encounter.participant:AtendedorSecundario.period.start, Encounter.participant:AtendedorSecundario.individual, Encounter.participant:Especialista, Encounter.participant:Especialista.modifierExtension, Encounter.participant:Especialista.type, Encounter.participant:Especialista.period, Encounter.participant:Especialista.period.start, Encounter.participant:Especialista.individual, Encounter.appointment, Encounter.period, Encounter.period.start, Encounter.period.end, Encounter.length, Encounter.reasonCode, Encounter.diagnosis, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:Especialista.modifierExtension, Encounter.diagnosis.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from EncounterCL
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
EncounterCL(1.9.4) | |||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Required Pattern: finished | |
| class |
1..1 | Coding | Tipo de encuentro de urgencia Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: EMER | |
| subject |
1..1 | Reference(Paciente Urgencia(0.1.2-qa-preview)) | Paciente | |
| Slices for participant |
0..* | BackboneElement | Participantes involucrados en el encuentro sin considerar al paciente Slice: Unordered, Open by value:type | |
| participant:All Slices |
Content/Rules for all slices | |||
| type |
0..* | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) | |
| participant:Atendedor |
S | 0..* | BackboneElement | Profesional que atiende al paciente |
| type |
1..1 | CodeableConcept | Rol del participante en el encuentro Required Pattern: At least the following | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
S | 1..1 | dateTime | Fecha y hora de atención |
| individual |
1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | |
| participant:AtendedorSecundario |
S | 0..* | BackboneElement | Profesional que atiende al paciente pero no es el principal |
| type |
1..1 | CodeableConcept | Rol del participante en el encuentro Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SPRF | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
S | 1..1 | dateTime | Fecha y hora de atención |
| individual |
1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | |
| participant:Especialista |
S | 0..* | BackboneElement | Profesional especialista que atiende al paciente |
| type |
1..1 | CodeableConcept | Rol del participante en el encuentro Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: CON | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
S | 1..1 | dateTime | Fecha y hora de atención |
| individual |
1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional especialista que atiende | |
| period |
1..1 | Period | La hora de inicio y finalización del encuentro | |
| start |
1..1 | dateTime | Fecha y hora de que se realiza la admisión de urgencia | |
| end |
0..1 | dateTime | Fecha y hora de que se cierra el dato de urgencia | |
| serviceProvider |
1..1 | Reference(Establecimiento Urgencia(0.1.2-qa-preview)) | Establecimiento de salud | |
| partOf |
S | 1..1 | Reference(Encuentro Urgencia(0.1.2-qa-preview)) | Encuentro de urgencia al que pertenece el encuentro de atención |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.participant.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | EncounterCL(1.9.4) | 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 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 Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| 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 Required Pattern: finished | ||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 | Tipo de encuentro de urgencia Binding: ActCode (3.0.0) (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: EMER | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| class |
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (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: VSTiposEncuentroCL (1.9.4) (example) | ||||
| serviceType |
SΣ | 0..1 | CodeableConcept | Tipo de servicio que se realiza en el Encuentro Binding: VSTiposServicioCL (1.9.4) (example) | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter. | |||||
| subject |
SΣ | 1..1 | Reference(Paciente Urgencia(0.1.2-qa-preview)) | Paciente | ||||
| 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 | |||||
| Slices for participant |
SΣ | 0..* | BackboneElement | Participantes involucrados en el encuentro sin considerar al paciente Slice: Unordered, Open by value:type | ||||
| participant:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 0..* | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) | ||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
SΣ | 1..1 | Reference(CL Prestador(1.9.4) | CL RolClinico(1.9.4) | RelatedPerson) | Referencia al participante | ||||
| participant:Atendedor |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | ||||
| participant:AtendedorSecundario |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente pero no es el principal | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SPRF | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | ||||
| participant:Especialista |
SΣ | 0..* | BackboneElement | Profesional especialista que atiende al paciente | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: CON | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional especialista que atiende | ||||
| 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 | 1..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 Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de que se realiza la admisión de urgencia | ||||
| end |
SΣC | 0..1 | dateTime | Fecha y hora de que se cierra el dato de urgencia | ||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| condition |
Σ | 1..1 | Reference(CL Condición-Diagnóstico(1.9.4)) | 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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: Hl7VSReAdmissionIndicator (2.0.0) (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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 | 1..1 | Reference(Establecimiento Urgencia(0.1.2-qa-preview)) | Establecimiento de salud | ||||
| partOf |
S | 1..1 | Reference(Encuentro Urgencia(0.1.2-qa-preview)) | Encuentro de urgencia al que pertenece el encuentro de atención | ||||
| Documentation for this format | ||||||||
| 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 | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.serviceType | Base | example | Tipos de Servicios Remotos | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.priority | Base | example | ActPriority | 📍3.0.0 | THO v6.5 |
| Encounter.participant.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Atendedor.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:AtendedorSecundario.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Especialista.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| 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. |
| 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 | Encounter.meta, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.participant:Atendedor, Encounter.participant:Atendedor.extension, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:Atendedor.type, Encounter.participant:Atendedor.period, Encounter.participant:Atendedor.period.extension, Encounter.participant:Atendedor.period.start, Encounter.participant:Atendedor.period.end, Encounter.participant:Atendedor.individual, Encounter.participant:AtendedorSecundario, Encounter.participant:AtendedorSecundario.extension, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:AtendedorSecundario.type, Encounter.participant:AtendedorSecundario.period, Encounter.participant:AtendedorSecundario.period.extension, Encounter.participant:AtendedorSecundario.period.start, Encounter.participant:AtendedorSecundario.period.end, Encounter.participant:AtendedorSecundario.individual, Encounter.participant:Especialista, Encounter.participant:Especialista.extension, Encounter.participant:Especialista.modifierExtension, Encounter.participant:Especialista.type, Encounter.participant:Especialista.period, Encounter.participant:Especialista.period.extension, Encounter.participant:Especialista.period.start, Encounter.participant:Especialista.period.end, Encounter.participant:Especialista.individual, Encounter.appointment, Encounter.period, Encounter.period.extension, Encounter.period.start, Encounter.period.end, Encounter.length, Encounter.reasonCode, Encounter.reasonReference, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Encounter.extension, Encounter.modifierExtension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant:Atendedor.extension, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:Atendedor.period.extension, Encounter.participant:AtendedorSecundario.extension, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:AtendedorSecundario.period.extension, Encounter.participant:Especialista.extension, Encounter.participant:Especialista.modifierExtension, Encounter.participant:Especialista.period.extension, Encounter.period.extension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.location.extension, Encounter.location.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from EncounterCL
Summary
Mandatory: 5 elements(9 nested mandatory elements)
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
0..* | EncounterCL(1.9.4) | 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 Constraints: ext-1 |
| 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 Required Pattern: finished |
| class |
SΣ | 1..1 | Coding | Tipo de encuentro de urgencia Binding: ActCode (3.0.0) (extensible) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: EMER | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| type |
SΣ | 0..* | CodeableConcept | Tipo específico de Encuentro Binding: VSTiposEncuentroCL (1.9.4) (example) |
| serviceType |
SΣ | 0..1 | CodeableConcept | Tipo de servicio que se realiza en el Encuentro Binding: VSTiposServicioCL (1.9.4) (example) |
| subject |
SΣ | 1..1 | Reference(Paciente Urgencia(0.1.2-qa-preview)) | Paciente |
| Slices for participant |
SΣ | 0..* | BackboneElement | Participantes involucrados en el encuentro sin considerar al paciente Slice: Unordered, Open by value:type |
| participant:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
SΣ | 0..* | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) |
| individual |
SΣ | 1..1 | Reference(CL Prestador(1.9.4) | CL RolClinico(1.9.4) | RelatedPerson) | Referencia al participante |
| participant:Atendedor |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención |
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende |
| participant:AtendedorSecundario |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente pero no es el principal |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SPRF | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención |
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende |
| participant:Especialista |
SΣ | 0..* | BackboneElement | Profesional especialista que atiende al paciente |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: CON | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención |
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional especialista que atiende |
| 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 | 1..1 | Period | La hora de inicio y finalización del encuentro |
| start |
SΣC | 1..1 | dateTime | Fecha y hora de que se realiza la admisión de urgencia |
| end |
SΣC | 0..1 | dateTime | Fecha y hora de que se cierra el dato de urgencia |
| 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 Constraints: ext-1 |
| condition |
Σ | 1..1 | Reference(CL Condición-Diagnóstico(1.9.4)) | El diagnóstico o procedimiento relevante para el encuentro |
| serviceProvider |
S | 1..1 | Reference(Establecimiento Urgencia(0.1.2-qa-preview)) | Establecimiento de salud |
| partOf |
S | 1..1 | Reference(Encuentro Urgencia(0.1.2-qa-preview)) | Encuentro de urgencia al que pertenece el encuentro de atención |
| Documentation for this format | ||||
| 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 | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.serviceType | Base | example | Tipos de Servicios Remotos | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.participant.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Atendedor.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:AtendedorSecundario.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Especialista.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | FHIR Std. |
| 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 | Encounter.implicitRules, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.class, Encounter.type, Encounter.serviceType, Encounter.subject, Encounter.participant, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.individual, Encounter.participant:Atendedor, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:Atendedor.type, Encounter.participant:Atendedor.period, Encounter.participant:Atendedor.period.start, Encounter.participant:Atendedor.individual, Encounter.participant:AtendedorSecundario, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:AtendedorSecundario.type, Encounter.participant:AtendedorSecundario.period, Encounter.participant:AtendedorSecundario.period.start, Encounter.participant:AtendedorSecundario.individual, Encounter.participant:Especialista, Encounter.participant:Especialista.modifierExtension, Encounter.participant:Especialista.type, Encounter.participant:Especialista.period, Encounter.participant:Especialista.period.start, Encounter.participant:Especialista.individual, Encounter.appointment, Encounter.period, Encounter.period.start, Encounter.period.end, Encounter.length, Encounter.reasonCode, Encounter.diagnosis, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Encounter.modifierExtension, Encounter.participant.modifierExtension, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:Especialista.modifierExtension, Encounter.diagnosis.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from EncounterCL
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Encounter |
EncounterCL(1.9.4) | |||
| status |
1..1 | code | planned | arrived | triaged | in-progress | onleave | finished | cancelled + Required Pattern: finished | |
| class |
1..1 | Coding | Tipo de encuentro de urgencia Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: EMER | |
| subject |
1..1 | Reference(Paciente Urgencia(0.1.2-qa-preview)) | Paciente | |
| Slices for participant |
0..* | BackboneElement | Participantes involucrados en el encuentro sin considerar al paciente Slice: Unordered, Open by value:type | |
| participant:All Slices |
Content/Rules for all slices | |||
| type |
0..* | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) | |
| participant:Atendedor |
S | 0..* | BackboneElement | Profesional que atiende al paciente |
| type |
1..1 | CodeableConcept | Rol del participante en el encuentro Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
S | 1..1 | dateTime | Fecha y hora de atención |
| individual |
1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | |
| participant:AtendedorSecundario |
S | 0..* | BackboneElement | Profesional que atiende al paciente pero no es el principal |
| type |
1..1 | CodeableConcept | Rol del participante en el encuentro Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SPRF | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
S | 1..1 | dateTime | Fecha y hora de atención |
| individual |
1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | |
| participant:Especialista |
S | 0..* | BackboneElement | Profesional especialista que atiende al paciente |
| type |
1..1 | CodeableConcept | Rol del participante en el encuentro Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: CON | |
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated |
| start |
S | 1..1 | dateTime | Fecha y hora de atención |
| individual |
1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional especialista que atiende | |
| period |
1..1 | Period | La hora de inicio y finalización del encuentro | |
| start |
1..1 | dateTime | Fecha y hora de que se realiza la admisión de urgencia | |
| end |
0..1 | dateTime | Fecha y hora de que se cierra el dato de urgencia | |
| serviceProvider |
1..1 | Reference(Establecimiento Urgencia(0.1.2-qa-preview)) | Establecimiento de salud | |
| partOf |
S | 1..1 | Reference(Encuentro Urgencia(0.1.2-qa-preview)) | Encuentro de urgencia al que pertenece el encuentro de atención |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Encounter.participant.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Encounter |
0..* | EncounterCL(1.9.4) | 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 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 Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| 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 Required Pattern: finished | ||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 | Tipo de encuentro de urgencia Binding: ActCode (3.0.0) (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: EMER | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| class |
1..1 | Coding | inpatient | outpatient | ambulatory | emergency + Binding: ActEncounterCode (3.0.0) (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: VSTiposEncuentroCL (1.9.4) (example) | ||||
| serviceType |
SΣ | 0..1 | CodeableConcept | Tipo de servicio que se realiza en el Encuentro Binding: VSTiposServicioCL (1.9.4) (example) | ||||
| priority |
0..1 | CodeableConcept | Indicates the urgency of the encounter Binding: ActPriority (3.0.0) (example): Indicates the urgency of the encounter. | |||||
| subject |
SΣ | 1..1 | Reference(Paciente Urgencia(0.1.2-qa-preview)) | Paciente | ||||
| 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 | |||||
| Slices for participant |
SΣ | 0..* | BackboneElement | Participantes involucrados en el encuentro sin considerar al paciente Slice: Unordered, Open by value:type | ||||
| participant:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 0..* | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) | ||||
| period |
0..1 | Period | Period of time during the encounter that the participant participated | |||||
| individual |
SΣ | 1..1 | Reference(CL Prestador(1.9.4) | CL RolClinico(1.9.4) | RelatedPerson) | Referencia al participante | ||||
| participant:Atendedor |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ATND | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | ||||
| participant:AtendedorSecundario |
SΣ | 0..* | BackboneElement | Profesional que atiende al paciente pero no es el principal | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: SPRF | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional que atiende | ||||
| participant:Especialista |
SΣ | 0..* | BackboneElement | Profesional especialista que atiende al paciente | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
SΣ | 1..1 | CodeableConcept | Rol del participante en el encuentro Binding: VSTipoParticipanteEncuentroUrgencia (0.1.2-qa-preview) (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: CON | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
S | 1..1 | Period | Period of time during the encounter that the participant participated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de atención | ||||
| end |
ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
| individual |
SΣ | 1..1 | Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) | Referencia al profesional especialista que atiende | ||||
| 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 | 1..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 Constraints: ext-1 | |||||
| start |
SΣC | 1..1 | dateTime | Fecha y hora de que se realiza la admisión de urgencia | ||||
| end |
SΣC | 0..1 | dateTime | Fecha y hora de que se cierra el dato de urgencia | ||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| condition |
Σ | 1..1 | Reference(CL Condición-Diagnóstico(1.9.4)) | 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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: Hl7VSReAdmissionIndicator (2.0.0) (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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 | 1..1 | Reference(Establecimiento Urgencia(0.1.2-qa-preview)) | Establecimiento de salud | ||||
| partOf |
S | 1..1 | Reference(Encuentro Urgencia(0.1.2-qa-preview)) | Encuentro de urgencia al que pertenece el encuentro de atención | ||||
| Documentation for this format | ||||||||
| 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 | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.serviceType | Base | example | Tipos de Servicios Remotos | 📍1.9.4 | Guía de Implementación ''cl core'' FHIR R4, v1.9 |
| Encounter.priority | Base | example | ActPriority | 📍3.0.0 | THO v6.5 |
| Encounter.participant.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Atendedor.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:AtendedorSecundario.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| Encounter.participant:Especialista.type | Base | required | Tipo Participante Encuentro Urgencia | 📍0.1.2-qa-preview | This IG |
| 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. |
| 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 | Encounter.meta, Encounter.implicitRules, Encounter.language, Encounter.text, Encounter.extension, Encounter.modifierExtension, Encounter.identifier, Encounter.status, Encounter.statusHistory, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.statusHistory.status, Encounter.statusHistory.period, Encounter.class, Encounter.classHistory, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.classHistory.class, Encounter.classHistory.period, Encounter.type, Encounter.serviceType, Encounter.priority, Encounter.subject, Encounter.episodeOfCare, Encounter.basedOn, Encounter.participant, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant.type, Encounter.participant.period, Encounter.participant.individual, Encounter.participant:Atendedor, Encounter.participant:Atendedor.extension, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:Atendedor.type, Encounter.participant:Atendedor.period, Encounter.participant:Atendedor.period.extension, Encounter.participant:Atendedor.period.start, Encounter.participant:Atendedor.period.end, Encounter.participant:Atendedor.individual, Encounter.participant:AtendedorSecundario, Encounter.participant:AtendedorSecundario.extension, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:AtendedorSecundario.type, Encounter.participant:AtendedorSecundario.period, Encounter.participant:AtendedorSecundario.period.extension, Encounter.participant:AtendedorSecundario.period.start, Encounter.participant:AtendedorSecundario.period.end, Encounter.participant:AtendedorSecundario.individual, Encounter.participant:Especialista, Encounter.participant:Especialista.extension, Encounter.participant:Especialista.modifierExtension, Encounter.participant:Especialista.type, Encounter.participant:Especialista.period, Encounter.participant:Especialista.period.extension, Encounter.participant:Especialista.period.start, Encounter.participant:Especialista.period.end, Encounter.participant:Especialista.individual, Encounter.appointment, Encounter.period, Encounter.period.extension, Encounter.period.start, Encounter.period.end, Encounter.length, Encounter.reasonCode, Encounter.reasonReference, Encounter.diagnosis, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.diagnosis.condition, Encounter.diagnosis.use, Encounter.diagnosis.rank, Encounter.account, Encounter.hospitalization, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.hospitalization.preAdmissionIdentifier, Encounter.hospitalization.origin, Encounter.hospitalization.admitSource, Encounter.hospitalization.reAdmission, Encounter.hospitalization.dietPreference, Encounter.hospitalization.specialCourtesy, Encounter.hospitalization.specialArrangement, Encounter.hospitalization.destination, Encounter.hospitalization.dischargeDisposition, Encounter.location, Encounter.location.extension, Encounter.location.modifierExtension, Encounter.location.location, Encounter.location.status, Encounter.location.physicalType, Encounter.location.period, Encounter.serviceProvider, Encounter.partOf | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Encounter.extension, Encounter.modifierExtension, Encounter.statusHistory.extension, Encounter.statusHistory.modifierExtension, Encounter.classHistory.extension, Encounter.classHistory.modifierExtension, Encounter.participant.extension, Encounter.participant.modifierExtension, Encounter.participant:Atendedor.extension, Encounter.participant:Atendedor.modifierExtension, Encounter.participant:Atendedor.period.extension, Encounter.participant:AtendedorSecundario.extension, Encounter.participant:AtendedorSecundario.modifierExtension, Encounter.participant:AtendedorSecundario.period.extension, Encounter.participant:Especialista.extension, Encounter.participant:Especialista.modifierExtension, Encounter.participant:Especialista.period.extension, Encounter.period.extension, Encounter.diagnosis.extension, Encounter.diagnosis.modifierExtension, Encounter.hospitalization.extension, Encounter.hospitalization.modifierExtension, Encounter.location.extension, Encounter.location.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from EncounterCL
Summary
Mandatory: 5 elements(9 nested mandatory elements)
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron