Guía de Implementación Hackathon HLF 2023 - Local Development build (v1.0.1). See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Registro de Episodios de Hospitalización

Perfil del recurso Encounter para el registro de episodios hospitalizaciones de paciente

Usage:

• Examples for this Resource Profile: Encounter/HospitalizacionHack

Formal Views of Profile Content

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

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

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
status	S	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Required Pattern: completed
class	S	1..1	CodeableConcept	Clasificación del encuentro Binding: Códigos para tipos de atención (required)
coding	S	1..1	Coding	Code defined by a terminology system
system		1..1	uri	uri de la terminología Required Pattern: https://hlf.cl/fhir/ig/hackaton/CodeSystem/ClaseAtencionCS
code		1..1	code	Código de clase de atención en este caso siempre Hospitalizada Required Pattern: 1
display		1..1	string	Glosa que describe el código Required Pattern: Hospitalizada
subject		1..1	Reference(Patient)	Paciente al que se le realiza la atencion
actualPeriod	S	1..1	Period	Período en el cual el/la Paciente fue hospitalizado/a
start		1..1	dateTime	Día/Hora en el cual se realizó la hospitalización. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
end		0..1	dateTime	Día/Hora en el cual se cerró el episodio. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Encounter.class	required	ClaseAtencionVS (a valid code from Códigos para clase de Atención)

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: completed
class	SΣ	1..1	CodeableConcept	Clasificación del encuentro Binding: Códigos para tipos de atención (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	uri de la terminología Required Pattern: https://hlf.cl/fhir/ig/hackaton/CodeSystem/ClaseAtencionCS
code	ΣC	1..1	code	Código de clase de atención en este caso siempre Hospitalizada Required Pattern: 1
display	ΣC	1..1	string	Glosa que describe el código Required Pattern: Hospitalizada
subject	Σ	1..1	Reference(Patient)	Paciente al que se le realiza la atencion
actualPeriod	S	1..1	Period	Período en el cual el/la Paciente fue hospitalizado/a
start	ΣC	1..1	dateTime	Día/Hora en el cual se realizó la hospitalización. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
end	ΣC	0..1	dateTime	Día/Hora en el cual se cerró el episodio. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.status	required	Pattern: completed
Encounter.class	required	ClaseAtencionVS (a valid code from Códigos para clase de Atención)

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	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: AllLanguages (required): IETF language tag for a human language
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: completed
class	SΣ	1..1	CodeableConcept	Clasificación del encuentro Binding: Códigos para tipos de atención (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	uri de la terminología Required Pattern: https://hlf.cl/fhir/ig/hackaton/CodeSystem/ClaseAtencionCS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código de clase de atención en este caso siempre Hospitalizada Required Pattern: 1
display	ΣC	1..1	string	Glosa que describe el código Required Pattern: Hospitalizada
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
type	Σ	0..*	CodeableConcept	Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	Σ	1..1	Reference(Patient)	Paciente al que se le realiza la atencion
subjectStatus		0..1	CodeableConcept	The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request that initiated this encounter
careTeam		0..*	Reference(CareTeam)	The group(s) that are allocated to participate in this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
participant	ΣC	0..*	BackboneElement	List of participants involved in the encounter
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	ΣC	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
actor	ΣC	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)	The individual, device, or service participating in the encounter
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
actualPeriod	S	1..1	Period	Período en el cual el/la Paciente fue hospitalizado/a
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Día/Hora en el cual se realizó la hospitalización. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
end	ΣC	0..1	dateTime	Día/Hora en el cual se cerró el episodio. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter
plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter
length		0..1	Duration	Actual quantity of time the encounter lasted (less time absent)
reason	Σ	0..*	BackboneElement	The list of medical reasons that are expected to be addressed during the episode of care
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
use	Σ	0..*	CodeableConcept	What the reason value should be used for/as Binding: EncounterReasonUse (example)
value	Σ	0..*	CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)	Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
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	0..*	CodeableReference(Condition)	The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example)
use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission		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	Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
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.
form		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.language	required	AllLanguages
Encounter.status	required	Pattern: completed
Encounter.class	required	ClaseAtencionVS (a valid code from Códigos para clase de Atención)
Encounter.priority	example	ActPriority
Encounter.type	example	EncounterType
Encounter.serviceType	example	ServiceType
Encounter.subjectStatus	example	EncounterSubjectStatus
Encounter.participant.type	extensible	ParticipantType
Encounter.reason.use	example	EncounterReasonUse
Encounter.reason.value	preferred	EncounterReasonCodes
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes
Encounter.diagnosis.use	preferred	EncounterDiagnosisUse
Encounter.dietPreference	example	EncounterDiet
Encounter.specialArrangement	preferred	SpecialArrangements
Encounter.specialCourtesy	preferred	SpecialCourtesy
Encounter.admission.admitSource	preferred	AdmitSource
Encounter.admission.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.admission.dischargeDisposition	example	DischargeDisposition
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.form	example	LocationForm

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
enc-1	error	Encounter.participant	A type must be provided when no explicit actor is specified : actor.exists() or type.exists()
enc-2	error	Encounter.participant	A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 8 elements
Must-Support: 4 elements

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	An interaction during which services are provided to the patient
status	S	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Required Pattern: completed
class	S	1..1	CodeableConcept	Clasificación del encuentro Binding: Códigos para tipos de atención (required)
coding	S	1..1	Coding	Code defined by a terminology system
system		1..1	uri	uri de la terminología Required Pattern: https://hlf.cl/fhir/ig/hackaton/CodeSystem/ClaseAtencionCS
code		1..1	code	Código de clase de atención en este caso siempre Hospitalizada Required Pattern: 1
display		1..1	string	Glosa que describe el código Required Pattern: Hospitalizada
subject		1..1	Reference(Patient)	Paciente al que se le realiza la atencion
actualPeriod	S	1..1	Period	Período en el cual el/la Paciente fue hospitalizado/a
start		1..1	dateTime	Día/Hora en el cual se realizó la hospitalización. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
end		0..1	dateTime	Día/Hora en el cual se cerró el episodio. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Encounter.class	required	ClaseAtencionVS (a valid code from Códigos para clase de Atención)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: completed
class	SΣ	1..1	CodeableConcept	Clasificación del encuentro Binding: Códigos para tipos de atención (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	uri de la terminología Required Pattern: https://hlf.cl/fhir/ig/hackaton/CodeSystem/ClaseAtencionCS
code	ΣC	1..1	code	Código de clase de atención en este caso siempre Hospitalizada Required Pattern: 1
display	ΣC	1..1	string	Glosa que describe el código Required Pattern: Hospitalizada
subject	Σ	1..1	Reference(Patient)	Paciente al que se le realiza la atencion
actualPeriod	S	1..1	Period	Período en el cual el/la Paciente fue hospitalizado/a
start	ΣC	1..1	dateTime	Día/Hora en el cual se realizó la hospitalización. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
end	ΣC	0..1	dateTime	Día/Hora en el cual se cerró el episodio. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.status	required	Pattern: completed
Encounter.class	required	ClaseAtencionVS (a valid code from Códigos para clase de Atención)

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	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: AllLanguages (required): IETF language tag for a human language
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier(s) by which this encounter is known
status	?!SΣ	1..1	code	planned | in-progress | on-hold | discharged | completed | cancelled | discontinued | entered-in-error | unknown Binding: EncounterStatus (required): Current state of the encounter. Required Pattern: completed
class	SΣ	1..1	CodeableConcept	Clasificación del encuentro Binding: Códigos para tipos de atención (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	uri de la terminología Required Pattern: https://hlf.cl/fhir/ig/hackaton/CodeSystem/ClaseAtencionCS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código de clase de atención en este caso siempre Hospitalizada Required Pattern: 1
display	ΣC	1..1	string	Glosa que describe el código Required Pattern: Hospitalizada
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority		0..1	CodeableConcept	Indicates the urgency of the encounter Binding: ActPriority (example): Indicates the urgency of the encounter.
type	Σ	0..*	CodeableConcept	Specific type of encounter (e.g. e-mail consultation, surgical day-care, ...) Binding: EncounterType (example): A specific code indicating type of service provided
serviceType	Σ	0..*	CodeableReference(HealthcareService)	Specific type of service Binding: ServiceType (example): Broad categorization of the service that is to be provided.
subject	Σ	1..1	Reference(Patient)	Paciente al que se le realiza la atencion
subjectStatus		0..1	CodeableConcept	The current status of the subject in relation to the Encounter Binding: EncounterSubjectStatus (example): Current status of the subject within the encounter.
episodeOfCare	Σ	0..*	Reference(EpisodeOfCare)	Episode(s) of care that this encounter should be recorded against
basedOn		0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest)	The request that initiated this encounter
careTeam		0..*	Reference(CareTeam)	The group(s) that are allocated to participate in this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
serviceProvider		0..1	Reference(Organization)	The organization (facility) responsible for this encounter
participant	ΣC	0..*	BackboneElement	List of participants involved in the encounter
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	ΣC	0..*	CodeableConcept	Role of participant in encounter Binding: ParticipantType (extensible): Role of participant in encounter.
period		0..1	Period	Period of time during the encounter that the participant participated
actor	ΣC	0..1	Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)	The individual, device, or service participating in the encounter
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
virtualService		0..*	VirtualServiceDetail	Connection details of a virtual service (e.g. conference call)
actualPeriod	S	1..1	Period	Período en el cual el/la Paciente fue hospitalizado/a
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Día/Hora en el cual se realizó la hospitalización. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
end	ΣC	0..1	dateTime	Día/Hora en el cual se cerró el episodio. Formato YYYY-MM-DD ó YYYY-MM-DDThh:mm:ss+zz:zz
plannedStartDate		0..1	dateTime	The planned start date/time (or admission date) of the encounter
plannedEndDate		0..1	dateTime	The planned end date/time (or discharge date) of the encounter
length		0..1	Duration	Actual quantity of time the encounter lasted (less time absent)
reason	Σ	0..*	BackboneElement	The list of medical reasons that are expected to be addressed during the episode of care
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
use	Σ	0..*	CodeableConcept	What the reason value should be used for/as Binding: EncounterReasonUse (example)
value	Σ	0..*	CodeableReference(Condition | DiagnosticReport | Observation | ImmunizationRecommendation | Procedure)	Reason the encounter takes place (core or reference) Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.
diagnosis	Σ	0..*	BackboneElement	The list of diagnosis relevant to this encounter
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	0..*	CodeableReference(Condition)	The diagnosis relevant to the encounter Binding: ConditionProblemDiagnosisCodes (example)
use		0..*	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this Encounter
dietPreference		0..*	CodeableConcept	Diet preferences reported by the patient Binding: EncounterDiet (example): Medical, cultural or ethical food preferences to help with catering requirements.
specialArrangement		0..*	CodeableConcept	Wheelchair, translator, stretcher, etc Binding: SpecialArrangements (preferred): Special arrangements.
specialCourtesy		0..*	CodeableConcept	Special courtesies (VIP, board member) Binding: SpecialCourtesy (preferred): Special courtesies.
admission		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	Indicates that the patient is being re-admitted Binding: hl7VS-re-admissionIndicator (example): The reason for re-admission of this admission encounter.
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.
form		0..1	CodeableConcept	The physical type of the location (usually the level in the location hierarchy - bed, room, ward, virtual etc.) Binding: LocationForm (example): Physical form of the location.
period		0..1	Period	Time period during which the patient was present at the location
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Encounter.language	required	AllLanguages
Encounter.status	required	Pattern: completed
Encounter.class	required	ClaseAtencionVS (a valid code from Códigos para clase de Atención)
Encounter.priority	example	ActPriority
Encounter.type	example	EncounterType
Encounter.serviceType	example	ServiceType
Encounter.subjectStatus	example	EncounterSubjectStatus
Encounter.participant.type	extensible	ParticipantType
Encounter.reason.use	example	EncounterReasonUse
Encounter.reason.value	preferred	EncounterReasonCodes
Encounter.diagnosis.condition	example	ConditionProblemDiagnosisCodes
Encounter.diagnosis.use	preferred	EncounterDiagnosisUse
Encounter.dietPreference	example	EncounterDiet
Encounter.specialArrangement	preferred	SpecialArrangements
Encounter.specialCourtesy	preferred	SpecialCourtesy
Encounter.admission.admitSource	preferred	AdmitSource
Encounter.admission.reAdmission	example	Hl7VSReAdmissionIndicator
Encounter.admission.dischargeDisposition	example	DischargeDisposition
Encounter.location.status	required	EncounterLocationStatus
Encounter.location.form	example	LocationForm

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
enc-1	error	Encounter.participant	A type must be provided when no explicit actor is specified : actor.exists() or type.exists()
enc-2	error	Encounter.participant	A type cannot be provided for a patient or group participant : actor.exists(resolve() is Patient or resolve() is Group) implies type.exists().not()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Encounter

Summary

Mandatory: 8 elements
Must-Support: 4 elements

Other representations of profile: CSV, Excel, Schematron

Notes: