EMA Core Implementation Guide
0.1.0 - ci-build Chile flag

EMA Core Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: EMA Encounter

Official URL: https://emahealth.io/fhir/core/StructureDefinition/ema-encounter Version: 0.1.0
Draft as of 2026-03-15 Computable Name: EmaEncounter

Encuentro clínico (consulta, atención diagnóstica, etc.) para EMA Clinic, basado en CLCore EncounterCL.

Descripción

EmaEncounter modela encuentros clínicos (consultas, atenciones, controles) en EMA Clinic. Extiende el perfil EncounterCL de CLCore, heredando las referencias a perfiles chilenos (paciente, prestador, diagnóstico).

Herencia CLCore

Este perfil hereda de EncounterCL de la guía CLCore v1.9.3. CLCore ya define referencias tipadas a CorePacienteCl en subject, CorePrestadorCl en participant, y CoreDiagnosticoCl en diagnosis. EMA refina estas referencias para apuntar a los perfiles EMA específicos.

Clasificación

  • class: Obligatorio. Clase del encuentro según HL7 v3 ActCode: AMB (ambulatorio) o VR (virtual/telemedicina).
  • type: Obligatorio. Tipo de encuentro que combina códigos EMA (consulta-medica, atencion-diagnostica, control-enfermeria, procedimiento-ambulatorio) con los códigos MINSAL/DEIS (Programada, Espontánea, Comité).

Referencias

  • subject: Paciente atendido (EmaPatient).
  • participant.individual: Profesional o rol clínico (EmaPractitioner o EmaPractitionerRole).
  • serviceProvider: Organización prestadora (EmaOrganization).
  • location.location: Ubicación de la atención (EmaLocation).

Conformidad DEIS

Los tipos de encuentro incluyen los códigos del DEIS para reportes estadísticos al Ministerio de Salud.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterCL 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: Clase de Encuentro (required)
... type SΣ 1..1 CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro EMA (required)
... 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(EMA Patient) 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(EMA Practitioner | EMA PractitionerRole) 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 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
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(EMA Location) Location the encounter takes place
... serviceProvider S 0..1 Reference(EMA Organization) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base required Clase de Encuentro 📦0.1.0 This IG
Encounter.type Base required Tipos de Encuentro EMA 📦0.1.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦1.9.4 Guía de Implementación ''cl core'' FHIR R4, v1.9
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterCL An interaction during which services are provided to the patient
... class 1..1 Coding Clasificación del encuentro con el paciente
Binding: Clase de Encuentro (required)
... type 1..1 CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro EMA (required)
... subject 0..1 Reference(EMA Patient) Referencia al paciente del encuentro
.... individual 1..1 Reference(EMA Practitioner | EMA PractitionerRole) Referencia al participante
... period 1..1 Period La hora de inicio y finalización del encuentro
... location S 0..* BackboneElement List of locations where the patient has been
.... location 1..1 Reference(EMA Location) Location the encounter takes place
... serviceProvider 0..1 Reference(EMA Organization) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.class Base required Clase de Encuentro 📦0.1.0 This IG
Encounter.type Base required Tipos de Encuentro EMA 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterCL 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... 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: Clase de Encuentro (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 1..1 CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro EMA (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 0..1 Reference(EMA Patient) 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(EMA Practitioner | EMA PractitionerRole) 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 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 S 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(EMA 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(EMA Organization) 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

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required Clase de Encuentro 📦0.1.0 This IG
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.1
Encounter.type Base required Tipos de Encuentro EMA 📦0.1.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦1.9.4 Guía de Implementación ''cl core'' FHIR R4, v1.9
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.1
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦3.0.0 THO v7.1
Encounter.hospitalization.​dietPreference Base example Diet 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📦4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📦4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterCL 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: Clase de Encuentro (required)
... type SΣ 1..1 CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro EMA (required)
... 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(EMA Patient) 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(EMA Practitioner | EMA PractitionerRole) 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 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
... location S 0..* BackboneElement List of locations where the patient has been
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... location 1..1 Reference(EMA Location) Location the encounter takes place
... serviceProvider S 0..1 Reference(EMA Organization) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.class Base required Clase de Encuentro 📦0.1.0 This IG
Encounter.type Base required Tipos de Encuentro EMA 📦0.1.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦1.9.4 Guía de Implementación ''cl core'' FHIR R4, v1.9
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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()

Differential View

This structure is derived from EncounterCL

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterCL An interaction during which services are provided to the patient
... class 1..1 Coding Clasificación del encuentro con el paciente
Binding: Clase de Encuentro (required)
... type 1..1 CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro EMA (required)
... subject 0..1 Reference(EMA Patient) Referencia al paciente del encuentro
.... individual 1..1 Reference(EMA Practitioner | EMA PractitionerRole) Referencia al participante
... period 1..1 Period La hora de inicio y finalización del encuentro
... location S 0..* BackboneElement List of locations where the patient has been
.... location 1..1 Reference(EMA Location) Location the encounter takes place
... serviceProvider 0..1 Reference(EMA Organization) La organización (instalación) responsable de este encuentro

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Encounter.class Base required Clase de Encuentro 📦0.1.0 This IG
Encounter.type Base required Tipos de Encuentro EMA 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Encounter 0..* EncounterCL 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... 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: Clase de Encuentro (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 1..1 CodeableConcept Tipo específico de Encuentro
Binding: Tipos de Encuentro EMA (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 0..1 Reference(EMA Patient) 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(EMA Practitioner | EMA PractitionerRole) 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 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 S 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(EMA 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(EMA Organization) 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

Path Status Usage ValueSet Version Source
Encounter.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Encounter.status Base required EncounterStatus 📦4.0.1 FHIR Std.
Encounter.statusHistory.​status Base required EncounterStatus 📍4.0.1 FHIR Std.
Encounter.class Base required Clase de Encuentro 📦0.1.0 This IG
Encounter.classHistory.​class Base extensible ActEncounterCode 📦3.0.0 THO v7.1
Encounter.type Base required Tipos de Encuentro EMA 📦0.1.0 This IG
Encounter.serviceType Base example Tipos de Servicios Remotos 📦1.9.4 Guía de Implementación ''cl core'' FHIR R4, v1.9
Encounter.priority Base example ActPriority 📦3.0.0 THO v7.1
Encounter.participant.​type Base extensible Participant type 📦4.0.1 FHIR Std.
Encounter.reasonCode Base preferred Encounter Reason Codes 📦4.0.1 FHIR Std.
Encounter.diagnosis.​use Base preferred DiagnosisRole 📦4.0.1 FHIR Std.
Encounter.hospitalization.​admitSource Base preferred Admit source 📦4.0.1 FHIR Std.
Encounter.hospitalization.​reAdmission Base example hl7VS-re-admissionIndicator 📦3.0.0 THO v7.1
Encounter.hospitalization.​dietPreference Base example Diet 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialCourtesy Base preferred Special courtesy 📦4.0.1 FHIR Std.
Encounter.hospitalization.​specialArrangement Base preferred Special arrangements 📦4.0.1 FHIR Std.
Encounter.hospitalization.​dischargeDisposition Base example Discharge disposition 📦4.0.1 FHIR Std.
Encounter.location.status Base required EncounterLocationStatus 📍4.0.1 FHIR Std.
Encounter.location.physicalType Base example Location type 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Encounter If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Encounter If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Encounter If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Encounter If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Encounter A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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()

 

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