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

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Resource Profile: Profile: Encounter Medical Consultation CO

FHIR Encounter (Consultation) colombian Core profile, defined by HL7 CO.

Standardize the recording and exchange of data on outpatient health care encounters. [ES: Estandarizar el registro e intercambo de datos de encuentros de atención ambulatoria (consulta) en salud.]

Usage:

• Refer to this Resource Profile: Profile: Allergy or Intolerance CO, Profile: Condition CO and Profile: Procedure CO
• Examples for this Resource Profile: Encounter/47b7e0b5-25cc-43d3-a3a8-ee34ff1687fe

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	Health Care Encounter.
Slices for identifier		1..3	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:id
identifier:InvoiceIdentifier	S	0..1	Identifier	Invoice Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: InvoiceIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Invoices
value		1..1	string	The value that is unique
identifier:AuthorizationIdentifier	S	0..1	Identifier	Authorization Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: AuthorizationIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/EncounterAuthorization
value		1..1	string	The value that is unique
identifier:EncounterIdentifier	S	1..1	Identifier	Encounter Identifier (admission)
id		1..1	string	Unique id for inter-element referencing Fixed Value: EncounterIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system		1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Encounters
value		1..1	string	The value that is unique
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		0..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display		0..1	string	Representation defined by the system Fixed Value: ambulatory
type	S	1..1	CodeableConcept	Specific type of encounter Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterPurpose
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
serviceType	S	1..1	CodeableConcept	Specific type of service (CUPS) Binding: http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/CUPS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject	S	1..1	Reference(Profile: Patient CO)	The patient present at the encounter
period	S	1..1	Period	The start and end time of the encounter
start		1..1	dateTime	Start time date
end		1..1	dateTime	End time date
reasonCode	S	1..1	CodeableConcept	Coded reason the encounter takes place (external cause) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterReason
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Slices for diagnosis	S	1..4	BackboneElement	The list of diagnosis relevant to this encounter Slice: Unordered, Open by value:rank
diagnosis:MainDiagnosis	S	1..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8319008
display		1..1	string	Representation defined by the system Fixed Value: diagnóstico primario
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 1
diagnosis:Comobility-1	S	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display		1..1	string	Representation defined by the system Fixed Value: comorbilidades
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 2
diagnosis:Comobility-2	S	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-2
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display		1..1	string	Representation defined by the system Fixed Value: comorbilidades
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 3
diagnosis:Comobility-3	S	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-3
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display		1..1	string	Representation defined by the system Fixed Value: comorbilidades
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 4
location		0..1	BackboneElement	List of locations where the patient has been
location		1..1	Reference(Profile: Care Delivery Location CO)	Location the encounter takes place
serviceProvider		0..1	Reference(Profile: Care Delivery Organization CO)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes
Encounter.serviceType	required	http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes
Encounter.reasonCode	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes
Encounter.diagnosis:MainDiagnosis.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-1.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-2.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-3.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	Health Care Encounter.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..3	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:id
identifier:InvoiceIdentifier	SΣ	0..1	Identifier	Invoice Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: InvoiceIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Invoices
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:AuthorizationIdentifier	SΣ	0..1	Identifier	Authorization Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: AuthorizationIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/EncounterAuthorization
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:EncounterIdentifier	SΣ	1..1	Identifier	Encounter Identifier (admission)
id		1..1	string	Unique id for inter-element referencing Fixed Value: EncounterIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Encounters
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display	Σ	0..1	string	Representation defined by the system Fixed Value: ambulatory
type	SΣ	1..1	CodeableConcept	Specific type of encounter Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes (required)
serviceType	SΣ	1..1	CodeableConcept	Specific type of service (CUPS) Binding: http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes (required)
subject	SΣ	1..1	Reference(Profile: Patient CO)	The patient present at the encounter
period	S	1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	Start time date
end	ΣC	1..1	dateTime	End time date
reasonCode	SΣ	1..1	CodeableConcept	Coded reason the encounter takes place (external cause) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes (required)
Slices for diagnosis	SΣ	1..4	BackboneElement	The list of diagnosis relevant to this encounter Slice: Unordered, Open by value:rank
diagnosis:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
diagnosis:MainDiagnosis	SΣ	1..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 1
diagnosis:Comobility-1	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 2
diagnosis:Comobility-2	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 3
diagnosis:Comobility-3	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 4
location		0..1	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(Profile: Care Delivery Location CO)	Location the encounter takes place
serviceProvider		0..1	Reference(Profile: Care Delivery Organization CO)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.identifier:InvoiceIdentifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:AuthorizationIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:EncounterIdentifier.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	Fixed Value: AMB http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes
Encounter.serviceType	required	http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes
Encounter.reasonCode	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes
Encounter.diagnosis:MainDiagnosis.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-1.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-2.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-3.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	Health Care Encounter.
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 Bindings Purpose 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
Slices for identifier	Σ	1..3	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:id
identifier:InvoiceIdentifier	SΣ	0..1	Identifier	Invoice Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: InvoiceIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Invoices
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AuthorizationIdentifier	SΣ	0..1	Identifier	Authorization Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: AuthorizationIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/EncounterAuthorization
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:EncounterIdentifier	SΣ	1..1	Identifier	Encounter Identifier (admission)
id		1..1	string	Unique id for inter-element referencing Fixed Value: EncounterIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Encounters
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
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	Classification of patient encounter Binding: ActEncounterCode (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display	Σ	0..1	string	Representation defined by the system Fixed Value: ambulatory
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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	Specific type of encounter Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterPurpose
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
serviceType	SΣ	1..1	CodeableConcept	Specific type of service (CUPS) Binding: http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/CUPS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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.
subject	SΣ	1..1	Reference(Profile: Patient CO)	The patient present at the encounter
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	Σ	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	Σ	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
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	1..1	Period	The start and end time of the encounter
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	ΣC	1..1	dateTime	Start time date
end	ΣC	1..1	dateTime	End time date
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	1..1	CodeableConcept	Coded reason the encounter takes place (external cause) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterReason
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Slices for diagnosis	SΣ	1..4	BackboneElement	The list of diagnosis relevant to this encounter Slice: Unordered, Open by value:rank
diagnosis:All Slices				Content/Rules for all slices
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(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
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)
diagnosis:MainDiagnosis	SΣ	1..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8319008
display	Σ	1..1	string	Representation defined by the system Fixed Value: diagnóstico primario
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 1
diagnosis:Comobility-1	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display	Σ	1..1	string	Representation defined by the system Fixed Value: comorbilidades
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 2
diagnosis:Comobility-2	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-2
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display	Σ	1..1	string	Representation defined by the system Fixed Value: comorbilidades
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 3
diagnosis:Comobility-3	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-3
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display	Σ	1..1	string	Representation defined by the system Fixed Value: comorbilidades
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 4
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..1	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(Profile: Care Delivery Location CO)	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		0..1	Reference(Profile: Care Delivery Organization CO)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.identifier:InvoiceIdentifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:InvoiceIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:AuthorizationIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:AuthorizationIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:EncounterIdentifier.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:EncounterIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	Fixed Value: AMB http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes
Encounter.serviceType	required	http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.diagnosis:MainDiagnosis.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-1.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-2.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-3.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

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

This structure is derived from Encounter

Summary

Mandatory: 18 elements(38 nested mandatory elements)
Must-Support: 15 elements
Fixed: 29 elements

Structures

This structure refers to these other structures:

• Profile: Patient CO (http://co.fhir.guide/core/StructureDefinition/PatientCO)
• Profile: Condition CO (http://co.fhir.guide/core/StructureDefinition/ConditionCO)
• Profile: Care Delivery Location CO (http://co.fhir.guide/core/StructureDefinition/CareDeliveryLocationCO)
• Profile: Care Delivery Organization CO (http://co.fhir.guide/core/StructureDefinition/CareDeliveryOrganizationCO)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.identifier
• The element 1 is sliced based on the value of Encounter.diagnosis

Differential View

This structure is derived from Encounter

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	Health Care Encounter.
Slices for identifier		1..3	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:id
identifier:InvoiceIdentifier	S	0..1	Identifier	Invoice Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: InvoiceIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Invoices
value		1..1	string	The value that is unique
identifier:AuthorizationIdentifier	S	0..1	Identifier	Authorization Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: AuthorizationIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system		1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/EncounterAuthorization
value		1..1	string	The value that is unique
identifier:EncounterIdentifier	S	1..1	Identifier	Encounter Identifier (admission)
id		1..1	string	Unique id for inter-element referencing Fixed Value: EncounterIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system		1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Encounters
value		1..1	string	The value that is unique
status	S	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled +
class	S	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
system		0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		0..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display		0..1	string	Representation defined by the system Fixed Value: ambulatory
type	S	1..1	CodeableConcept	Specific type of encounter Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterPurpose
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
serviceType	S	1..1	CodeableConcept	Specific type of service (CUPS) Binding: http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/CUPS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject	S	1..1	Reference(Profile: Patient CO)	The patient present at the encounter
period	S	1..1	Period	The start and end time of the encounter
start		1..1	dateTime	Start time date
end		1..1	dateTime	End time date
reasonCode	S	1..1	CodeableConcept	Coded reason the encounter takes place (external cause) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterReason
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Slices for diagnosis	S	1..4	BackboneElement	The list of diagnosis relevant to this encounter Slice: Unordered, Open by value:rank
diagnosis:MainDiagnosis	S	1..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8319008
display		1..1	string	Representation defined by the system Fixed Value: diagnóstico primario
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 1
diagnosis:Comobility-1	S	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display		1..1	string	Representation defined by the system Fixed Value: comorbilidades
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 2
diagnosis:Comobility-2	S	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-2
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display		1..1	string	Representation defined by the system Fixed Value: comorbilidades
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 3
diagnosis:Comobility-3	S	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-3
condition		1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display		1..1	string	Representation defined by the system Fixed Value: comorbilidades
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 4
location		0..1	BackboneElement	List of locations where the patient has been
location		1..1	Reference(Profile: Care Delivery Location CO)	Location the encounter takes place
serviceProvider		0..1	Reference(Profile: Care Delivery Organization CO)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes
Encounter.serviceType	required	http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes
Encounter.reasonCode	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes
Encounter.diagnosis:MainDiagnosis.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-1.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-2.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-3.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	Health Care Encounter.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..3	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:id
identifier:InvoiceIdentifier	SΣ	0..1	Identifier	Invoice Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: InvoiceIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Invoices
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:AuthorizationIdentifier	SΣ	0..1	Identifier	Authorization Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: AuthorizationIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/EncounterAuthorization
value	Σ	1..1	string	The value that is unique Example General: 123456
identifier:EncounterIdentifier	SΣ	1..1	Identifier	Encounter Identifier (admission)
id		1..1	string	Unique id for inter-element referencing Fixed Value: EncounterIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Encounters
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
class	SΣ	1..1	Coding	Classification of patient encounter Binding: ActEncounterCode (extensible)
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display	Σ	0..1	string	Representation defined by the system Fixed Value: ambulatory
type	SΣ	1..1	CodeableConcept	Specific type of encounter Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes (required)
serviceType	SΣ	1..1	CodeableConcept	Specific type of service (CUPS) Binding: http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes (required)
subject	SΣ	1..1	Reference(Profile: Patient CO)	The patient present at the encounter
period	S	1..1	Period	The start and end time of the encounter
start	ΣC	1..1	dateTime	Start time date
end	ΣC	1..1	dateTime	End time date
reasonCode	SΣ	1..1	CodeableConcept	Coded reason the encounter takes place (external cause) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes (required)
Slices for diagnosis	SΣ	1..4	BackboneElement	The list of diagnosis relevant to this encounter Slice: Unordered, Open by value:rank
diagnosis:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
diagnosis:MainDiagnosis	SΣ	1..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 1
diagnosis:Comobility-1	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 2
diagnosis:Comobility-2	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 3
diagnosis:Comobility-3	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 4
location		0..1	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(Profile: Care Delivery Location CO)	Location the encounter takes place
serviceProvider		0..1	Reference(Profile: Care Delivery Organization CO)	The organization (facility) responsible for this encounter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.identifier:InvoiceIdentifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:AuthorizationIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:EncounterIdentifier.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	Fixed Value: AMB http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes
Encounter.serviceType	required	http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes
Encounter.reasonCode	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes
Encounter.diagnosis:MainDiagnosis.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-1.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-2.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-3.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Encounter		0..*	Encounter	Health Care Encounter.
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 Bindings Purpose 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
Slices for identifier	Σ	1..3	Identifier	Identifier(s) by which this encounter is known Slice: Unordered, Open by value:id
identifier:InvoiceIdentifier	SΣ	0..1	Identifier	Invoice Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: InvoiceIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Invoices
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:AuthorizationIdentifier	SΣ	0..1	Identifier	Authorization Identifier
id		1..1	string	Unique id for inter-element referencing Fixed Value: AuthorizationIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/EncounterAuthorization
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:EncounterIdentifier	SΣ	1..1	Identifier	Encounter Identifier (admission)
id		1..1	string	Unique id for inter-element referencing Fixed Value: EncounterIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://co.fhir.guide/NamingSystem/Encounters
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | arrived | triaged | in-progress | onleave | finished | cancelled + Binding: EncounterStatus (required): Current state of the encounter.
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	Classification of patient encounter Binding: ActEncounterCode (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: AMB
display	Σ	0..1	string	Representation defined by the system Fixed Value: ambulatory
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
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	Specific type of encounter Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterPurpose
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
serviceType	SΣ	1..1	CodeableConcept	Specific type of service (CUPS) Binding: http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/CUPS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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.
subject	SΣ	1..1	Reference(Profile: Patient CO)	The patient present at the encounter
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	Σ	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	Σ	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
individual	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson)	Persons involved in the encounter other than the patient
appointment	Σ	0..*	Reference(Appointment)	The appointment that scheduled this encounter
period	S	1..1	Period	The start and end time of the encounter
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	ΣC	1..1	dateTime	Start time date
end	ΣC	1..1	dateTime	End time date
length		0..1	Duration	Quantity of time the encounter lasted (less time absent)
reasonCode	SΣ	1..1	CodeableConcept	Coded reason the encounter takes place (external cause) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianEncounterReason
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
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
reasonReference	Σ	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the encounter takes place (reference)
Slices for diagnosis	SΣ	1..4	BackboneElement	The list of diagnosis relevant to this encounter Slice: Unordered, Open by value:rank
diagnosis:All Slices				Content/Rules for all slices
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(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
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)
diagnosis:MainDiagnosis	SΣ	1..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: MainDiagnosis
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 8319008
display	Σ	1..1	string	Representation defined by the system Fixed Value: diagnóstico primario
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 1
diagnosis:Comobility-1	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-1
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display	Σ	1..1	string	Representation defined by the system Fixed Value: comorbilidades
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 2
diagnosis:Comobility-2	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-2
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display	Σ	1..1	string	Representation defined by the system Fixed Value: comorbilidades
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 3
diagnosis:Comobility-3	SΣ	0..1	BackboneElement	The list of diagnosis relevant to this encounter
id		1..1	string	Unique id for inter-element referencing Required Pattern: Comobility-3
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(Profile: Condition CO)	The diagnosis or procedure relevant to the encounter
use		1..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	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	Identity of the terminology system Fixed Value: http://terminology.fhir.guide/co/CodeSystem/ColombianDiagnosisRole
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 398192003
display	Σ	1..1	string	Representation defined by the system Fixed Value: comorbilidades
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
rank		1..1	positiveInt	Ranking of the diagnosis (for each role type) Fixed Value: 4
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..1	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(Profile: Care Delivery Location CO)	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		0..1	Reference(Profile: Care Delivery Organization CO)	The organization (facility) responsible for this encounter
partOf		0..1	Reference(Encounter)	Another Encounter this encounter is part of
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.identifier:InvoiceIdentifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:InvoiceIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:AuthorizationIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:AuthorizationIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.identifier:EncounterIdentifier.use	required	Pattern: usual http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Encounter.identifier:EncounterIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Encounter.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	extensible	Fixed Value: AMB http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.type	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterPurposeCodes
Encounter.serviceType	required	http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes http://terminology.fhir.guide/co/ValueSet/CUPSConsultationCodes
Encounter.priority	example	ActPriority http://terminology.hl7.org/ValueSet/v3-ActPriority
Encounter.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Encounter.reasonCode	required	http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes http://terminology.fhir.guide/co/ValueSet/ColombianEncounterReasonCodes
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.diagnosis:MainDiagnosis.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-1.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-2.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.diagnosis:Comobility-3.use	required	http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes http://terminology.fhir.guide/co/ValueSet/ColombianDiagnosisRoleCodes
Encounter.hospitalization.admitSource	preferred	AdmitSource http://hl7.org/fhir/ValueSet/encounter-admit-source from the FHIR Standard
Encounter.hospitalization.reAdmission	example	Hl7VSReAdmissionIndicator http://terminology.hl7.org/ValueSet/v2-0092
Encounter.hospitalization.dietPreference	example	Diet http://hl7.org/fhir/ValueSet/encounter-diet from the FHIR Standard
Encounter.hospitalization.specialCourtesy	preferred	SpecialCourtesy http://hl7.org/fhir/ValueSet/encounter-special-courtesy from the FHIR Standard
Encounter.hospitalization.specialArrangement	preferred	SpecialArrangements http://hl7.org/fhir/ValueSet/encounter-special-arrangements from the FHIR Standard
Encounter.hospitalization.dischargeDisposition	example	DischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition from the FHIR Standard
Encounter.location.status	required	EncounterLocationStatus http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 from the FHIR Standard
Encounter.location.physicalType	example	LocationType http://hl7.org/fhir/ValueSet/location-physical-type from the FHIR Standard

Constraints

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

This structure is derived from Encounter

Summary

Mandatory: 18 elements(38 nested mandatory elements)
Must-Support: 15 elements
Fixed: 29 elements

Structures

This structure refers to these other structures:

• Profile: Patient CO (http://co.fhir.guide/core/StructureDefinition/PatientCO)
• Profile: Condition CO (http://co.fhir.guide/core/StructureDefinition/ConditionCO)
• Profile: Care Delivery Location CO (http://co.fhir.guide/core/StructureDefinition/CareDeliveryLocationCO)
• Profile: Care Delivery Organization CO (http://co.fhir.guide/core/StructureDefinition/CareDeliveryOrganizationCO)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Encounter.identifier
• The element 1 is sliced based on the value of Encounter.diagnosis