Tiempos de Espera Interoperable
0.2.1 - draft Chile flag

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

Resource Profile: Encounter Atender LE

Official URL: https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/EncounterAtenderLE Version: 0.2.1
Standards status: Draft Maturity Level: 0 Computable Name: EncounterAtenderLE

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

Usage:

Formal Views of Profile Content

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

This structure is derived from EncounterCL

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.classrequiredVSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo
from this IG
Encounter.typerequiredVSTipoConsulta (a valid code from Tipo Consulta)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredPattern: finished
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classrequiredVSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo
from this IG
Encounter.typerequiredVSTipoConsulta (a valid code from Tipo Consulta)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredPattern: finished
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredVSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typerequiredVSTipoConsulta (a valid code from Tipo Consulta)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from EncounterCL

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.classrequiredVSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo
from this IG
Encounter.typerequiredVSTipoConsulta (a valid code from Tipo Consulta)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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)
... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredPattern: finished
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classrequiredVSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo
from this IG
Encounter.typerequiredVSTipoConsulta (a valid code from Tipo Consulta)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Encounter.statusrequiredPattern: finished
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.statusHistory.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classrequiredVSModalidadAtencionCodigo (a valid code from Modalidad Atencion Codigo)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSModalidadAtencionCodigo
from this IG
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typerequiredVSTipoConsulta (a valid code from Tipo Consulta)
https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTipoConsulta
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
Encounter.priorityexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.diagnosis.usepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
Encounter.hospitalization.admitSourcepreferredAdmitSource
http://hl7.org/fhir/ValueSet/encounter-admit-source
from the FHIR Standard
Encounter.hospitalization.reAdmissionexampleHl7VSReAdmissionIndicator
http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreferenceexampleDiet
http://hl7.org/fhir/ValueSet/encounter-diet
from the FHIR Standard
Encounter.hospitalization.specialCourtesypreferredSpecialCourtesy
http://hl7.org/fhir/ValueSet/encounter-special-courtesy
from the FHIR Standard
Encounter.hospitalization.specialArrangementpreferredSpecialArrangements
http://hl7.org/fhir/ValueSet/encounter-special-arrangements
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionexampleDischargeDisposition
http://hl7.org/fhir/ValueSet/encounter-discharge-disposition
from the FHIR Standard
Encounter.location.statusrequiredEncounterLocationStatus
http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
from the FHIR Standard
Encounter.location.physicalTypeexampleLocationType
http://hl7.org/fhir/ValueSet/location-physical-type
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEncounterIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEncounterIf 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-4errorEncounterIf 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-5errorEncounterIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEncounterA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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