Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
1.9.1 - draft Chile flag

This page is part of the Chile Core (v1.9.1: STU2 Draft) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: CL Encuentro Clínico

Official URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/EncounterCL Version: 1.9.1
Active as of 2024-09-26 Computable Name: EncounterCL

Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Definición de encuentro clínico genérico para Chile

Usage:

Formal Views of Profile Content

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

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter Encounter
... identifier S 0..* Identifier Identificador(es) por los que se conoce este encuentro
... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled
Binding: EncounterStatus (required): Códigos requeridos por FHIR

... class S 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... serviceType S 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject S 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... participant S 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... type S 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... individual S 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment S 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start S 0..1 dateTime Hora de inicio
.... end S 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode S 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
... diagnosis S 0..* BackboneElement Diagnóstico relevante para este encuentro
.... condition 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.typeexampleVSTiposEncuentroCL (a valid code from Tipos de Encuentro)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL (a valid code from Tipos de Servicios Remotos)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
from this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador(es) por los que se conoce este encuentro
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis SΣ 0..* BackboneElement Diagnóstico relevante para este encuentro
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.typeexampleVSTiposEncuentroCL (a valid code from Tipos de Encuentro)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL (a valid code from Tipos de Servicios Remotos)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
from this IG
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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador(es) por los que se conoce este encuentro
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled
Binding: EncounterStatus (required): Códigos requeridos por FHIR

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 0..* BackboneElement Diagnóstico relevante para este encuentro
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
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.classextensibleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleVSTiposEncuentroCL (a valid code from Tipos de Encuentro)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL (a valid code from Tipos de Servicios Remotos)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
from this IG
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

Differential View

This structure is derived from Encounter

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter Encounter
... identifier S 0..* Identifier Identificador(es) por los que se conoce este encuentro
... status S 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled
Binding: EncounterStatus (required): Códigos requeridos por FHIR

... class S 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... serviceType S 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject S 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... participant S 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... type S 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... individual S 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment S 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start S 0..1 dateTime Hora de inicio
.... end S 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode S 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
... diagnosis S 0..* BackboneElement Diagnóstico relevante para este encuentro
.... condition 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.typeexampleVSTiposEncuentroCL (a valid code from Tipos de Encuentro)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL (a valid code from Tipos de Servicios Remotos)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
from this IG
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador(es) por los que se conoce este encuentro
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... diagnosis SΣ 0..* BackboneElement Diagnóstico relevante para este encuentro
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status
from the FHIR Standard
Encounter.classextensibleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.typeexampleVSTiposEncuentroCL (a valid code from Tipos de Encuentro)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL (a valid code from Tipos de Servicios Remotos)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
from this IG
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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* Encounter An interaction during which services are provided to the patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Identificador(es) por los que se conoce este encuentro
... status ?!SΣ 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled
Binding: EncounterStatus (required): Códigos requeridos por FHIR

... statusHistory 0..* BackboneElement List of past encounter statuses
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.

.... period 1..1 Period The time that the episode was in the specified status
... class SΣ 1..1 Coding Clasificación del encuentro con el paciente
Binding: v3 Code System ActCode (extensible)
... classHistory 0..* BackboneElement List of past encounter classes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... class 1..1 Coding inpatient | outpatient | ambulatory | emergency +
Binding: ActEncounterCode (extensible): Classification of the encounter.

.... period 1..1 Period The time that the episode was in the specified class
... type SΣ 0..* CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro (example)
... serviceType SΣ 0..1 CodeableConcept Tipo de servicio que se realiza en el Encuentro
Binding: Tipos de Servicios Remotos (example)
... priority 0..1 CodeableConcept Indicates the urgency of the encounter
Binding: ActPriority (example): Indicates the urgency of the encounter.

... subject SΣ 0..1 Reference(CL Paciente | Group) Referencia al paciente del encuentro
... episodeOfCare Σ 0..* Reference(EpisodeOfCare) Episode(s) of care that this encounter should be recorded against
... basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
... participant SΣ 0..* BackboneElement Participantes involucrados en el encuentro sin considerar al paciente
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..* CodeableConcept Rol del participante en el encuentro
Binding: ParticipantType (extensible)
.... period 0..1 Period Period of time during the encounter that the participant participated
.... individual SΣ 1..1 Reference(CL Prestador | CL RolClinico | RelatedPerson) Referencia al participante
... appointment SΣ 0..1 Reference(Appointment) Reserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
... period S 0..1 Period La hora de inicio y finalización del encuentro
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 0..1 dateTime Hora de inicio
.... end SΣC 0..1 dateTime Hora de finalización
... length S 0..1 Duration Cantidad de tiempo que duró el encuentro (menos tiempo ausente)
... reasonCode SΣ 0..* CodeableConcept Razón codificada por la que tiene lugar el Encuentro
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


... reasonReference Σ 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the encounter takes place (reference)
... diagnosis SΣ 0..* BackboneElement Diagnóstico relevante para este encuentro
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(CL Condición-Diagnóstico) El diagnóstico o procedimiento relevante para el encuentro
.... use 0..1 CodeableConcept Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank 0..1 positiveInt Ranking of the diagnosis (for each role type)
... account 0..* Reference(Account) The set of accounts that may be used for billing for this Encounter
... hospitalization 0..1 BackboneElement Details about the admission to a healthcare service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... preAdmissionIdentifier 0..1 Identifier Pre-admission identifier
.... origin 0..1 Reference(Location | Organization) The location/organization from which the patient came before admission
.... admitSource 0..1 CodeableConcept From where patient was admitted (physician referral, transfer)
Binding: AdmitSource (preferred): From where the patient was admitted.

.... reAdmission 0..1 CodeableConcept The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this hospitalization encounter.

.... dietPreference 0..* CodeableConcept Diet preferences reported by the patient
Binding: Diet (example): Medical, cultural or ethical food preferences to help with catering requirements.


.... specialCourtesy 0..* CodeableConcept Special courtesies (VIP, board member)
Binding: SpecialCourtesy (preferred): Special courtesies.


.... specialArrangement 0..* CodeableConcept Wheelchair, translator, stretcher, etc.
Binding: SpecialArrangements (preferred): Special arrangements.


.... destination 0..1 Reference(Location | Organization) Location/organization to which the patient is discharged
.... dischargeDisposition 0..1 CodeableConcept Category or kind of location after discharge
Binding: DischargeDisposition (example): Discharge Disposition.

... location 0..* BackboneElement List of locations where the patient has been
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(Location) Location the encounter takes place
.... status 0..1 code planned | active | reserved | completed
Binding: EncounterLocationStatus (required): The status of the location.

.... physicalType 0..1 CodeableConcept The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Binding: LocationType (example): Physical form of the location.

.... period 0..1 Period Time period during which the patient was present at the location
... serviceProvider S 0..1 Reference(CL Organización) La organización (instalación) responsable de este encuentro
... partOf 0..1 Reference(Encounter) Another Encounter this encounter is part of

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Encounter.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
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.classextensibleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Encounter.classHistory.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeexampleVSTiposEncuentroCL (a valid code from Tipos de Encuentro)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL
from this IG
Encounter.serviceTypeexampleVSTiposServicioCL (a valid code from Tipos de Servicios Remotos)
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio
from this IG
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

 

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