Tiempos de Espera Interoperable, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/SIGTEv2-IG/ and changes regularly. See the Directory of published versions

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Resource Profile: Encounter Atender LE

Encounter Atender LE recurso que se utiliza para representar el encuentro médico, cuando se comienza a ejecutar la atención de la interconsulta.

Usage:

• Use this Resource Profile: Bundle Atender LE
• Refer to this Resource Profile: CarePlan Atender LE, Solicitud de Medicamento LE, MessageHeader LE, Observation Anamnesis LE... Show 4 more, Discapacidad LE, Indice Comorbilidad LE, Cuidador LE and Observation Resultado Examen
• Examples for this Resource Profile: Encounter/AtencionEjemplo

Formal Views of Profile Content

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

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

This structure is derived from EncounterCL

Name	Flags	Card.	Type	Description & Constraints
Encounter			EncounterCL
id	S	1..1	id	Id temporal necesario para identificar el recurso
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
PertinenciaAtencionBox	S	1..1	boolean	Pertinencia de la atención al ser evaluado por el profesional especialista URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
MotivoNoPertinencia	S	0..1	string	Indicar Motivo de la No Pertinecia en texto libre (PertinenciaAtencionBox = false) URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
ConsecuenciaAtencionCodigo	S	0..1	CodeableConcept	Código de la consecuencia de la atención URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo Binding: Consecuencia Atención Codigo (required)
identifier		1..1	Identifier	Id del registro de atención o encuentro del sistema clínico de origen
value	S	1..1	string	Valor de registro
status		1..1	code	Estado actual del encuentro Required Pattern: finished
class		1..1	Coding	Modalidad de Atención Binding: Modalidad Atencion Codigo (required)
type		0..1	CodeableConcept	Tipo de consulta Binding: Tipo Consulta (required)
subject		1..1	Reference(Patient LE)	Referencia al paciente que fue atendido en APS
basedOn	S	1..1	Reference(ServiceRequest LE)	Relación a service request que representa la interconsulta
participant
individual		1..1	Reference(PractitionerRole LE)	Referencia al participante
period		1..1	Period	Fechas de comienzo y término del encuentro atención de especialidad. El formato queda consignado como YYYY-MM-DDTHH:MMZ
start		1..1	dateTime	Fecha Comienzo del encuentro atención de especialidad
end		1..1	dateTime	Fecha de término del encuentro atención de especialidad
diagnosis		1..*	BackboneElement	Lista de diagnósticos relevantes a este encuentro médico
condition	S	1..1	Reference(Condition Diagnostico LE)	Referencia al diagnóstico, relevante para este encuentro médico
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	required	VSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo from this IG
Encounter.type	required	VSTipoConsulta (a valid code from Tipo Consulta) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta from this IG

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	EncounterCL	An interaction during which services are provided to the patient
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
PertinenciaAtencionBox	S	1..1	boolean	Pertinencia de la atención al ser evaluado por el profesional especialista URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
MotivoNoPertinencia	S	0..1	string	Indicar Motivo de la No Pertinecia en texto libre (PertinenciaAtencionBox = false) URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
ConsecuenciaAtencionCodigo	S	0..1	CodeableConcept	Código de la consecuencia de la atención URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo Binding: Consecuencia Atención Codigo (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Id del registro de atención o encuentro del sistema clínico de origen
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	Valor de registro Example General: 123456
status	?!SΣ	1..1	code	Estado actual del encuentro Binding: EncounterStatus (required): Códigos requeridos por FHIR Required Pattern: finished
class	SΣ	1..1	Coding	Modalidad de Atención Binding: Modalidad Atencion Codigo (required)
type	SΣ	0..1	CodeableConcept	Tipo de consulta Binding: Tipo Consulta (required)
serviceType	SΣ	0..1	CodeableConcept	Tipo de servicio que se realiza en el Encuentro Binding: Tipos de Servicios Remotos (example)
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente que fue atendido en APS
basedOn	S	1..1	Reference(ServiceRequest LE)	Relación a service request que representa la interconsulta
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(PractitionerRole LE)	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	1..1	Period	Fechas de comienzo y término del encuentro atención de especialidad. El formato queda consignado como YYYY-MM-DDTHH:MMZ
start	SΣC	1..1	dateTime	Fecha Comienzo del encuentro atención de especialidad
end	SΣC	1..1	dateTime	Fecha de término del encuentro atención de especialidad
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	1..*	BackboneElement	Lista de diagnósticos relevantes a este encuentro médico
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Condition Diagnostico LE)	Referencia al diagnóstico, relevante para este encuentro médico
serviceProvider	S	0..1	Reference(CL Organización)	La organización (instalación) responsable de este encuentro
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	Pattern: finished http://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard
Encounter.class	required	VSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo from this IG
Encounter.type	required	VSTipoConsulta (a valid code from Tipo Consulta) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta from this IG
Encounter.serviceType	example	VSTiposServicioCL https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	EncounterCL	An interaction during which services are provided to the patient
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
PertinenciaAtencionBox	S	1..1	boolean	Pertinencia de la atención al ser evaluado por el profesional especialista URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
MotivoNoPertinencia	S	0..1	string	Indicar Motivo de la No Pertinecia en texto libre (PertinenciaAtencionBox = false) URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
ConsecuenciaAtencionCodigo	S	0..1	CodeableConcept	Código de la consecuencia de la atención URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo Binding: Consecuencia Atención Codigo (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Id del registro de atención o encuentro del sistema clínico de origen
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Valor de registro Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Estado actual del encuentro 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
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	Modalidad de Atención Binding: Modalidad Atencion Codigo (required)
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..1	CodeableConcept	Tipo de consulta Binding: Tipo Consulta (required)
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	1..1	Reference(Patient LE)	Referencia al paciente que fue atendido en APS
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn	S	1..1	Reference(ServiceRequest LE)	Relación a service request que representa la interconsulta
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(PractitionerRole LE)	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	1..1	Period	Fechas de comienzo y término del encuentro atención de especialidad. El formato queda consignado como YYYY-MM-DDTHH:MMZ
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	1..1	dateTime	Fecha Comienzo del encuentro atención de especialidad
end	SΣC	1..1	dateTime	Fecha de término del encuentro atención de especialidad
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	1..*	BackboneElement	Lista de diagnósticos relevantes a este encuentro médico
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	SΣ	1..1	Reference(Condition Diagnostico LE)	Referencia al diagnóstico, relevante para este encuentro médico
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(CL Organización)	La organización (instalación) responsable de este encuentro
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	Pattern: finished http://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	VSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	VSTipoConsulta (a valid code from Tipo Consulta) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta from this IG
Encounter.serviceType	example	VSTiposServicioCL https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from EncounterCL

Summary

Mandatory: 11 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• Patient LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PatientLE)
• ServiceRequest LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ServiceRequestLE)
• PractitionerRole LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PractitionerRoleLE)
• Condition Diagnostico LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ConditionDiagnosticoLE)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo

Maturity: 0

Differential View

This structure is derived from EncounterCL

Name	Flags	Card.	Type	Description & Constraints
Encounter			EncounterCL
id	S	1..1	id	Id temporal necesario para identificar el recurso
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
PertinenciaAtencionBox	S	1..1	boolean	Pertinencia de la atención al ser evaluado por el profesional especialista URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
MotivoNoPertinencia	S	0..1	string	Indicar Motivo de la No Pertinecia en texto libre (PertinenciaAtencionBox = false) URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
ConsecuenciaAtencionCodigo	S	0..1	CodeableConcept	Código de la consecuencia de la atención URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo Binding: Consecuencia Atención Codigo (required)
identifier		1..1	Identifier	Id del registro de atención o encuentro del sistema clínico de origen
value	S	1..1	string	Valor de registro
status		1..1	code	Estado actual del encuentro Required Pattern: finished
class		1..1	Coding	Modalidad de Atención Binding: Modalidad Atencion Codigo (required)
type		0..1	CodeableConcept	Tipo de consulta Binding: Tipo Consulta (required)
subject		1..1	Reference(Patient LE)	Referencia al paciente que fue atendido en APS
basedOn	S	1..1	Reference(ServiceRequest LE)	Relación a service request que representa la interconsulta
participant
individual		1..1	Reference(PractitionerRole LE)	Referencia al participante
period		1..1	Period	Fechas de comienzo y término del encuentro atención de especialidad. El formato queda consignado como YYYY-MM-DDTHH:MMZ
start		1..1	dateTime	Fecha Comienzo del encuentro atención de especialidad
end		1..1	dateTime	Fecha de término del encuentro atención de especialidad
diagnosis		1..*	BackboneElement	Lista de diagnósticos relevantes a este encuentro médico
condition	S	1..1	Reference(Condition Diagnostico LE)	Referencia al diagnóstico, relevante para este encuentro médico
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	required	VSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo from this IG
Encounter.type	required	VSTipoConsulta (a valid code from Tipo Consulta) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	EncounterCL	An interaction during which services are provided to the patient
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
PertinenciaAtencionBox	S	1..1	boolean	Pertinencia de la atención al ser evaluado por el profesional especialista URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
MotivoNoPertinencia	S	0..1	string	Indicar Motivo de la No Pertinecia en texto libre (PertinenciaAtencionBox = false) URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
ConsecuenciaAtencionCodigo	S	0..1	CodeableConcept	Código de la consecuencia de la atención URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo Binding: Consecuencia Atención Codigo (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Id del registro de atención o encuentro del sistema clínico de origen
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	Valor de registro Example General: 123456
status	?!SΣ	1..1	code	Estado actual del encuentro Binding: EncounterStatus (required): Códigos requeridos por FHIR Required Pattern: finished
class	SΣ	1..1	Coding	Modalidad de Atención Binding: Modalidad Atencion Codigo (required)
type	SΣ	0..1	CodeableConcept	Tipo de consulta Binding: Tipo Consulta (required)
serviceType	SΣ	0..1	CodeableConcept	Tipo de servicio que se realiza en el Encuentro Binding: Tipos de Servicios Remotos (example)
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente que fue atendido en APS
basedOn	S	1..1	Reference(ServiceRequest LE)	Relación a service request que representa la interconsulta
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(PractitionerRole LE)	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	1..1	Period	Fechas de comienzo y término del encuentro atención de especialidad. El formato queda consignado como YYYY-MM-DDTHH:MMZ
start	SΣC	1..1	dateTime	Fecha Comienzo del encuentro atención de especialidad
end	SΣC	1..1	dateTime	Fecha de término del encuentro atención de especialidad
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	1..*	BackboneElement	Lista de diagnósticos relevantes a este encuentro médico
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Condition Diagnostico LE)	Referencia al diagnóstico, relevante para este encuentro médico
serviceProvider	S	0..1	Reference(CL Organización)	La organización (instalación) responsable de este encuentro
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	Pattern: finished http://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard
Encounter.class	required	VSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo from this IG
Encounter.type	required	VSTipoConsulta (a valid code from Tipo Consulta) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta from this IG
Encounter.serviceType	example	VSTiposServicioCL https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	EncounterCL	An interaction during which services are provided to the patient
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
PertinenciaAtencionBox	S	1..1	boolean	Pertinencia de la atención al ser evaluado por el profesional especialista URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
MotivoNoPertinencia	S	0..1	string	Indicar Motivo de la No Pertinecia en texto libre (PertinenciaAtencionBox = false) URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
ConsecuenciaAtencionCodigo	S	0..1	CodeableConcept	Código de la consecuencia de la atención URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo Binding: Consecuencia Atención Codigo (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Id del registro de atención o encuentro del sistema clínico de origen
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Valor de registro Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Estado actual del encuentro 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
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	Modalidad de Atención Binding: Modalidad Atencion Codigo (required)
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..1	CodeableConcept	Tipo de consulta Binding: Tipo Consulta (required)
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	1..1	Reference(Patient LE)	Referencia al paciente que fue atendido en APS
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn	S	1..1	Reference(ServiceRequest LE)	Relación a service request que representa la interconsulta
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(PractitionerRole LE)	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	1..1	Period	Fechas de comienzo y término del encuentro atención de especialidad. El formato queda consignado como YYYY-MM-DDTHH:MMZ
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	1..1	dateTime	Fecha Comienzo del encuentro atención de especialidad
end	SΣC	1..1	dateTime	Fecha de término del encuentro atención de especialidad
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	1..*	BackboneElement	Lista de diagnósticos relevantes a este encuentro médico
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	SΣ	1..1	Reference(Condition Diagnostico LE)	Referencia al diagnóstico, relevante para este encuentro médico
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
hospitalization		0..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
preAdmissionIdentifier		0..1	Identifier	Pre-admission identifier
origin		0..1	Reference(Location | Organization)	The location/organization from which the patient came before admission
admitSource		0..1	CodeableConcept	From where patient was admitted (physician referral, transfer) Binding: AdmitSource (preferred): From where the patient was admitted.
reAdmission		0..1	CodeableConcept	The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc. Binding: SpecialArrangements (preferred): Special arrangements.
destination		0..1	Reference(Location | Organization)	Location/organization to which the patient is discharged
dischargeDisposition		0..1	CodeableConcept	Category or kind of location after discharge Binding: DischargeDisposition (example): Discharge Disposition.
location		0..*	BackboneElement	List of locations where the patient has been
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location		1..1	Reference(Location)	Location the encounter takes place
status		0..1	code	planned | active | reserved | completed Binding: EncounterLocationStatus (required): The status of the location.
physicalType		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierachy - bed room ward etc.) Binding: LocationType (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
serviceProvider	S	0..1	Reference(CL Organización)	La organización (instalación) responsable de este encuentro
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	Pattern: finished http://hl7.org/fhir/ValueSet/encounter-status from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	VSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	VSTipoConsulta (a valid code from Tipo Consulta) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta from this IG
Encounter.serviceType	example	VSTiposServicioCL https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Encounter	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Encounter	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Encounter	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Encounter	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from EncounterCL

Summary

Mandatory: 11 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• Patient LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PatientLE)
• ServiceRequest LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ServiceRequestLE)
• PractitionerRole LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PractitionerRoleLE)
• Condition Diagnostico LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ConditionDiagnosticoLE)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionPertinenciaAtencionBox
• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionMotivoNoPertinencia
• https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/ExtensionConsecuenciaAtencionCodigo

Maturity: 0

Other representations of profile: CSV, Excel, Schematron