Atención de Urgencia Interoperable
0.1.1 - draft Chile flag

Atención de Urgencia Interoperable - Local Development build (v0.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: EncounterUrg - Detailed Descriptions

Page standards status: Draft Maturity Level: 0

Definitions for the EncounterUrg resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Encounter
Invariantsacompanante-slice: Si la extensión Acompanante es 'true', entonces el participante Acompanante debe estar presente. (extension('https://interoperabilidad.minsal.cl/fhir/ig/urgencia/StructureDefinition/Acompanante').value.single() = true implies participant.type.coding.exists(system = 'http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code = 'ESC'))
motivo-consulta: Si el estado del encuentro es distinto de 'arrived', entonces el motivo de la consulta debe estar presente. (reasonCode.exists() or status = 'arrived')
categorizacion: Si el encuentro tiene el estado 'triaged', entonces el participante Categorizador debe estar presente. (status = 'triaged' implies participant.exists(type.coding.exists(system = 'https://interoperabilidad.minsal.cl/fhir/ig/urgencia/CodeSystem/TipoParticipanteUrgencia' and code = 'triage')))
2. Encounter.extension
Control1..?
SlicingThis element introduces a set of slices on Encounter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Encounter.extension:Acompanante
    Slice NameAcompanante
    Definition

    Extensión empleada para indicar si el paciente acude con acompañante a la atención de urgencia.

    ShortIndica si el paciente acude con acompañante
    Control1..1
    TypeExtension(Acompañante) (Extension Type: boolean)
    Must Supporttrue
    6. Encounter.extension:LeyPrevisional
    Slice NameLeyPrevisional
    Definition

    Extensión empleada para indicar la ley previsional que financia la atención de urgencia.

    ShortLey previsional que financia la atención de urgencia
    Control0..1
    TypeExtension(Ley Previsional) (Extension Type: CodeableConcept)
    Must Supporttrue
    8. Encounter.identifier
    ShortIdentificador del encuentro de urgencia
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..1
    10. Encounter.identifier.value
    Definition

    Identificador de la consulta de urgencia. Este debe estar compuesto por Código DEIS de establecimiento - Id único del evento asignado por el establecimiento

    ShortValor del identificador, compuesto por Código DEIS de establecimiento - Id único del evento asignado por el establecimiento
    Comments

    El valor del identificador debe ser único por evento de urgencia

    Control1..?
    Must Supporttrue
    12. Encounter.statusHistory
    Control1..?
    SlicingThis element introduces a set of slices on Encounter.statusHistory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ status
    • 14. Encounter.statusHistory:Admision
      Slice NameAdmision
      ShortEstado de admisión de la atención de urgencia
      Control1..1
      Must Supporttrue
      16. Encounter.statusHistory:Admision.status
      Must Supporttrue
      Pattern Valuearrived
      18. Encounter.statusHistory:Admision.period
      Must Supporttrue
      20. Encounter.statusHistory:Admision.period.start
      Definition

      Corresponde al día, mes, año y hora en que se realiza la admisión. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.

      ShortFecha y hora de admisión
      Control1..?
      Must Supporttrue
      22. Encounter.statusHistory:Categorizacion
      Slice NameCategorizacion
      ShortEstado de categorización de la atención de urgencia
      Control0..1
      Must Supporttrue
      24. Encounter.statusHistory:Categorizacion.status
      Must Supporttrue
      Pattern Valuetriaged
      26. Encounter.statusHistory:Categorizacion.period
      Must Supporttrue
      28. Encounter.statusHistory:Categorizacion.period.start
      Definition

      Corresponde al día, mes, año y hora en que se realiza la categorización. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.

      ShortFecha y hora de categorización
      Control1..?
      Must Supporttrue
      30. Encounter.statusHistory:Atencion
      Slice NameAtencion
      ShortEstado de atención de la atención de urgencia
      Control0..1
      Must Supporttrue
      32. Encounter.statusHistory:Atencion.status
      Must Supporttrue
      Pattern Valuein-progress
      34. Encounter.statusHistory:Atencion.period
      Must Supporttrue
      36. Encounter.statusHistory:Atencion.period.start
      Definition

      Corresponde al registro del tiempo en que se inicia el proceso de atención de urgencia, se considera como inicio el primer registro en sistema conducente a diagnosticar y reestablecer el estado de salud del usuario posterior al proceso de categorización.

      ShortFecha y hora de inicio de atención de urgencia
      Control1..?
      Must Supporttrue
      38. Encounter.statusHistory:Egreso
      Slice NameEgreso
      ShortEstado de egreso de la atención de urgencia
      Control0..1
      Must Supporttrue
      40. Encounter.statusHistory:Egreso.status
      Must Supporttrue
      Pattern Valuefinished
      42. Encounter.statusHistory:Egreso.period
      Must Supporttrue
      44. Encounter.statusHistory:Egreso.period.start
      Definition

      Corresponde al día, el mes y la hora en que luego de cumplir con la completitud de los datos requeridos y el registro por parte del equipo de salud de las intervenciones realizadas, el médico u odontólogo, cierra el dato de urgencia.

      ShortFecha y hora de egreso
      Control1..?
      Must Supporttrue
      46. Encounter.statusHistory:Egreso.period.end
      Definition

      Corresponde al día, el mes y la hora en que luego de cumplir con termino de atención de urgencia y el cierre del dato de urgencia, el usuario egresa efectivamente de la unidad de urgencia.

      ShortFecha y hora de egreso efectivo
      Must Supporttrue
      48. Encounter.class
      ShortTipo de encuentro de urgencia
      Pattern Value{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "EMER"
      }
      50. Encounter.priority
      ShortCategorización de prioridad de atención de urgencia
      Control1..?
      BindingThe codes SHALL be taken from Categorización Urgencia
      (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/categorizacion-urgencia)
      Must Supporttrue
      52. Encounter.priority.coding
      Control1..1
      Must Supporttrue
      54. Encounter.priority.coding.system
      Definition

      Sistema de categorización de la prioridad de atención de urgencia

      ShortSistema de categorización de la prioridad de atención de urgencia
      Control1..?
      Must Supporttrue
      56. Encounter.priority.coding.code
      Definition

      Código de categorización de la prioridad de atención de urgencia

      ShortCódigo de categorización de la prioridad
      Control1..?
      Must Supporttrue
      58. Encounter.priority.coding.display
      Definition

      Definición de la categorización de la prioridad de atención de urgencia

      ShortDefinición de la categorización de la prioridad
      Must Supporttrue
      60. Encounter.subject
      Definition

      Paciente que recibe atención de urgencia

      ShortPaciente
      Control1..?
      TypeReference(Paciente Urgencia)
      62. Encounter.participant
      Control1..?
      SlicingThis element introduces a set of slices on Encounter.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ type
      • 64. Encounter.participant.type
        BindingThe codes SHALL be taken from Tipo Participante Encuentro Urgencia
        (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/TipoParticipanteEncuentroUrgencia)
        66. Encounter.participant:Acompanante
        Slice NameAcompanante
        Definition

        Acompañante del paciente que recibe atención de urgencia

        ShortAcompañante del paciente
        Control0..1
        Must Supporttrue
        68. Encounter.participant:Acompanante.type
        Control1..1
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/participant-type",
            "version" : "4.0.1",
            "code" : "emergency"
          }]
        }
        70. Encounter.participant:Acompanante.individual
        ShortReferencia al acompañante del paciente
        TypeReference(Acompañante Urgencia)
        72. Encounter.participant:Admisionista
        Slice NameAdmisionista
        Definition

        Corresponde al personal administrativo que realiza la admisión de urgencia

        ShortPersonal administrativo que realiza la admisión de urgencia
        Control1..1
        Must Supporttrue
        74. Encounter.participant:Admisionista.type
        Control1..1
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "ADM"
          }]
        }
        76. Encounter.participant:Admisionista.period
        Control1..?
        Must Supporttrue
        78. Encounter.participant:Admisionista.period.start
        ShortFecha y hora de admisión
        Control1..?
        Must Supporttrue
        80. Encounter.participant:Admisionista.individual
        TypeReference(Prestador Administrativo)
        82. Encounter.participant:Categorizador
        Slice NameCategorizador
        Definition

        Profesional que categoriza al paciente en un servicio de urgencia

        ShortProfesional que categoriza al paciente
        Control0..*
        Must Supporttrue
        84. Encounter.participant:Categorizador.type
        Control1..1
        Pattern Value{
          "coding" : [{
            "system" : "https://interoperabilidad.minsal.cl/fhir/ig/urgencia/CodeSystem/TipoParticipanteUrgencia",
            "code" : "triage"
          }]
        }
        86. Encounter.participant:Categorizador.period
        Control1..?
        Must Supporttrue
        88. Encounter.participant:Categorizador.period.start
        ShortFecha y hora de categorización
        Control1..?
        Must Supporttrue
        90. Encounter.participant:Categorizador.individual
        ShortReferencia al profesional que categoriza
        TypeReference(Prestador Profesional)
        92. Encounter.participant:Atendedor
        Slice NameAtendedor
        Definition

        Profesional que atiende al paciente en un servicio de urgencia

        ShortProfesional que atiende al paciente
        Control0..*
        Must Supporttrue
        94. Encounter.participant:Atendedor.type
        Control1..1
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "ATND"
          }]
        }
        96. Encounter.participant:Atendedor.period
        Control1..?
        Must Supporttrue
        98. Encounter.participant:Atendedor.period.start
        ShortFecha y hora de atención
        Control1..?
        Must Supporttrue
        100. Encounter.participant:Atendedor.individual
        ShortReferencia al profesional que atiende
        TypeReference(Prestador Profesional)
        102. Encounter.participant:AtendedorSecundario
        Slice NameAtendedorSecundario
        Definition

        Profesional que atiende al paciente en un servicio de urgencia pero no es el principal

        ShortProfesional que atiende al paciente pero no es el principal
        Control0..*
        Must Supporttrue
        104. Encounter.participant:AtendedorSecundario.type
        Control1..1
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "SPRF"
          }]
        }
        106. Encounter.participant:AtendedorSecundario.period
        Control1..?
        Must Supporttrue
        108. Encounter.participant:AtendedorSecundario.period.start
        ShortFecha y hora de atención
        Control1..?
        Must Supporttrue
        110. Encounter.participant:AtendedorSecundario.individual
        ShortReferencia al profesional que atiende
        TypeReference(Prestador Profesional)
        112. Encounter.participant:Especialista
        Slice NameEspecialista
        Definition

        Profesional especialista que atiende al paciente en un servicio de urgencia

        ShortProfesional especialista que atiende al paciente
        Control0..*
        Must Supporttrue
        114. Encounter.participant:Especialista.type
        Control1..1
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "CON"
          }]
        }
        116. Encounter.participant:Especialista.period
        Control1..?
        Must Supporttrue
        118. Encounter.participant:Especialista.period.start
        ShortFecha y hora de atención
        Control1..?
        Must Supporttrue
        120. Encounter.participant:Especialista.individual
        ShortReferencia al profesional especialista que atiende
        TypeReference(Prestador Profesional)
        122. Encounter.participant:Egresador
        Slice NameEgresador
        Definition

        Es la individualización del médico u odontólogo tratante del usuario, a cargo del proceso de atención. Solo en atenciones de Servicios de Urgencia Rural (SUR), en que no se cuente con personal médico ni odontológico, será el otro profesional o el TENS, quien cierre la atención y otorgue el alta.

        ShortProfesional que autoriza el egresa del paciente
        Control0..1
        Must Supporttrue
        124. Encounter.participant:Egresador.type
        Control1..1
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "DIS"
          }]
        }
        126. Encounter.participant:Egresador.period
        Control1..?
        Must Supporttrue
        128. Encounter.participant:Egresador.period.start
        ShortFecha y hora que se registra la decisión de egreso
        Control1..?
        Must Supporttrue
        130. Encounter.participant:Egresador.individual
        ShortReferencia al profesional que autoriza el egreso
        TypeReference(Prestador Profesional)
        132. Encounter.period
        Control1..?
        134. Encounter.period.start
        Definition

        Corresponde al día, mes, año y hora en que se realiza la admisión. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.

        ShortFecha y hora de que se realiza la admisión de urgencia
        Control1..?
        136. Encounter.period.end
        Definition

        Corresponde al día, el mes y la hora en que luego de cumplir con la completitud de los datos requeridos y el registro por parte del equipo de salud de las intervenciones realizadas, el médico u odontólogo, cierra el dato de urgencia.

        ShortFecha y hora de que se cierra el dato de urgencia
        138. Encounter.reasonCode
        ShortMotivo de la atención de urgencia
        Control0..1
        140. Encounter.reasonCode.text
        ShortTexto libre del motivo de la atención de urgencia indicado por el paciente
        Control1..?
        Must Supporttrue
        142. Encounter.diagnosis
        SlicingThis element introduces a set of slices on Encounter.diagnosis. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ use
        • 144. Encounter.diagnosis:HipotesisDiagnostica
          Slice NameHipotesisDiagnostica
          Definition

          Hipótesis diagnóstica del paciente en el contexto de atención de urgencia

          ShortHipótesis diagnóstica
          Control0..*
          Must Supporttrue
          146. Encounter.diagnosis:HipotesisDiagnostica.condition
          Definition

          Referencia a la hipótesis diagnóstica del paciente en el contexto de atención de urgencia

          ShortReferencia a la hipótesis diagnóstica
          TypeReference(Condition Diagnostico)
          Must Supporttrue
          148. Encounter.diagnosis:HipotesisDiagnostica.use
          Control1..?
          Must Supporttrue
          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
              "code" : "AD"
            }]
          }
          150. Encounter.diagnosis:HipotesisDiagnostica.rank
          ShortSi es la hipótesis diagnóstica principal se debe registrar el valor 1.
          Must Supporttrue
          152. Encounter.diagnosis:Comorbilidades
          Slice NameComorbilidades
          Definition

          Comorbilidades del paciente en el contexto de atención de urgencia

          ShortComorbilidades
          Control0..*
          Must Supporttrue
          154. Encounter.diagnosis:Comorbilidades.condition
          Definition

          Referencia a la comorbilidad del paciente en el contexto de atención de urgencia

          ShortReferencia a la comorbilidad
          TypeReference(Condition Diagnostico)
          Must Supporttrue
          156. Encounter.diagnosis:Comorbilidades.use
          Control1..?
          Must Supporttrue
          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
              "code" : "CM"
            }]
          }
          158. Encounter.diagnosis:DiagnosticoEgreso
          Slice NameDiagnosticoEgreso
          Definition

          Diagnóstico de egreso del paciente en el contexto de atención de urgencia

          ShortDiagnóstico de egreso
          Control0..1
          Must Supporttrue
          160. Encounter.diagnosis:DiagnosticoEgreso.condition
          Definition

          Referencia al diagnóstico de egreso del paciente en el contexto de atención de urgencia

          ShortReferencia al diagnóstico de egreso
          TypeReference(Condition Diagnostico)
          Must Supporttrue
          162. Encounter.diagnosis:DiagnosticoEgreso.use
          Control1..?
          Must Supporttrue
          Pattern Value{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
              "code" : "DD"
            }]
          }
          164. Encounter.hospitalization
          ShortInformación de admisión y egreso de la atención de urgencia
          166. Encounter.hospitalization.extension
          Control2..?
          SlicingThis element introduces a set of slices on Encounter.hospitalization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 168. Encounter.hospitalization.extension:MedioDeLlegada
            Slice NameMedioDeLlegada
            Definition

            Extensión empleada para indicar el medio de llegada del paciente al servicio de urgencia. Este dato es capturado durante la admisión de urgencia.

            ShortMedio de llegada del paciente al servicio de urgencia
            Control1..1
            TypeExtension(Medio de Llegada) (Extension Type: CodeableConcept)
            Must Supporttrue
            170. Encounter.hospitalization.extension:ConsultaPorAccidente
            Slice NameConsultaPorAccidente
            Definition

            Extensión que registra si la atención de urgencia se debe a un accidente. Este dato es capturado durante la admisión de urgencia.

            ShortConsulta por accidente
            Control1..1
            TypeExtension(Consulta por Accidente) (Extension Type: boolean)
            Must Supporttrue
            172. Encounter.hospitalization.admitSource
            Definition

            Lugar físico desde donde proviene el paciente cuando concurre a la atención de urgencia. Este dato es capturado durante la admisión de urgencia.

            ShortLugar físico desde donde proviene el paciente cuando concurre a la atención de urgencia
            Control1..?
            BindingThe codes SHALL be taken from Procedencia
            (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/Procedencia)
            Must Supporttrue
            174. Encounter.hospitalization.dischargeDisposition
            Definition

            Corresponde a la decisión del médico u odontólogo del destino que debe seguir el usuario en virtud de su evaluación y situación clínica antes de cerrar el proceso de urgencia.

            ShortTipo de egreso de la atención de urgencia
            BindingThe codes SHALL be taken from Tipo Egreso
            (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/tipo-egreso)
            Must Supporttrue
            176. Encounter.hospitalization.dischargeDisposition.extension:IndicacionHospitalizacion
            Slice NameIndicacionHospitalizacion
            Definition

            Extensión que registra la indicación de hospitalización en el contexto de un encuentro de atención de urgencia.

            ShortIndicación de hospitalización
            Control0..1
            TypeExtension(Indicación Hospitalización) (Complex Extension)
            Must Supporttrue
            178. Encounter.hospitalization.dischargeDisposition.extension:IndicacionAlta
            Slice NameIndicacionAlta
            Definition

            Extensión que registra la indicación de alta en el contexto de un encuentro de atención de urgencia.

            ShortIndicación de alta
            Control0..1
            TypeExtension(Indicación Alta) (Complex Extension)
            Must Supporttrue
            180. Encounter.hospitalization.dischargeDisposition.extension:IndicacionDerivacion
            Slice NameIndicacionDerivacion
            Definition

            Extensión que registra la indicación de derivación a otro centro asistencial en el contexto de un encuentro de atención de urgencia.

            ShortIndicación de derivación a otro centro asistencial
            Control0..1
            TypeExtension(Indicación Derivación) (Complex Extension)
            Must Supporttrue
            182. Encounter.hospitalization.dischargeDisposition.extension:Abandono
            Slice NameAbandono
            Definition

            Usuarios que, habiendo iniciado el proceso de atención de urgencia, y habiéndose generado un DAU, no terminaron el proceso, en cualquiera de sus etapas.

            ShortTipo de abandono
            Control0..1
            TypeExtension(Abandono) (Extension Type: Coding)
            Must Supporttrue
            184. Encounter.hospitalization.dischargeDisposition.extension:Fallecido
            Slice NameFallecido
            Definition

            Extensión que registra la información de un paciente fallecido en el contexto de un encuentro de atención de urgencia.

            ShortFallecido
            Control0..1
            TypeExtension(Fallecido) (Complex Extension)
            Must Supporttrue
            186. Encounter.serviceProvider
            Definition

            Establecimiento de salud donde se realiza la atención de urgencia

            ShortEstablecimiento de salud
            Control1..?
            TypeReference(Establecimiento Urgencia)

            Guidance on how to interpret the contents of this table can be found here

            0. Encounter
            Definition

            An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

            ShortAn interaction during which services are provided to the patient
            Control0..*
            Is Modifierfalse
            Summaryfalse
            Alternate NamesVisit
            Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
            dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
            dom-6: A resource should have narrative for robust management (text.`div`.exists())
            acompanante-slice: Si la extensión Acompanante es 'true', entonces el participante Acompanante debe estar presente. (extension('https://interoperabilidad.minsal.cl/fhir/ig/urgencia/StructureDefinition/Acompanante').value.single() = true implies participant.type.coding.exists(system = 'http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code = 'ESC'))
            motivo-consulta: Si el estado del encuentro es distinto de 'arrived', entonces el motivo de la consulta debe estar presente. (reasonCode.exists() or status = 'arrived')
            categorizacion: Si el encuentro tiene el estado 'triaged', entonces el participante Categorizador debe estar presente. (status = 'triaged' implies participant.exists(type.coding.exists(system = 'https://interoperabilidad.minsal.cl/fhir/ig/urgencia/CodeSystem/TipoParticipanteUrgencia' and code = 'triage')))
            2. Encounter.implicitRules
            Definition

            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

            ShortA set of rules under which this content was created
            Comments

            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

            Control0..1
            Typeuri
            Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            4. Encounter.extension
            Definition

            An Extension


            May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortExtensionAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control10..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Encounter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 6. Encounter.extension:Acompanante
              Slice NameAcompanante
              Definition

              Extensión empleada para indicar si el paciente acude con acompañante a la atención de urgencia.

              ShortIndica si el paciente acude con acompañante
              Control1..1
              This element is affected by the following invariants: ele-1
              TypeExtension(Acompañante) (Extension Type: boolean)
              Is Modifierfalse
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              8. Encounter.extension:LeyPrevisional
              Slice NameLeyPrevisional
              Definition

              Extensión empleada para indicar la ley previsional que financia la atención de urgencia.

              ShortLey previsional que financia la atención de urgencia
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(Ley Previsional) (Extension Type: CodeableConcept)
              Is Modifierfalse
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              10. Encounter.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Summaryfalse
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              12. Encounter.identifier
              Definition

              Es el número de identificación del encuentro realizado


              Identifier(s) by which this encounter is known.

              ShortIdentificador del encuentro de urgenciaIdentifier(s) by which this encounter is known
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control10..1*
              TypeIdentifier
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              14. Encounter.identifier.use
              Definition

              The purpose of this identifier.

              Shortusual | official | temp | secondary | old (If known)
              Comments

              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

              Identifies the purpose for this identifier, if known .

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              16. Encounter.identifier.value
              Definition

              Identificador de la consulta de urgencia. Este debe estar compuesto por Código DEIS de establecimiento - Id único del evento asignado por el establecimiento


              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

              ShortValor del identificador, compuesto por Código DEIS de establecimiento - Id único del evento asignado por el establecimientoThe value that is unique
              Comments

              El valor del identificador debe ser único por evento de urgencia


              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Example<br/><b>General</b>:123456
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              18. Encounter.status
              Definition

              Determina el estado del encuentro remoto conforme a los códigos definidos por el estándar


              planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

              Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelledplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
              Comments

              Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).

              Control1..1
              BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
              (required to http://hl7.org/fhir/ValueSet/encounter-status)

              Códigos requeridos por FHIR


              Current state of the encounter.

              Typecode
              Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. Encounter.statusHistory
              Definition

              The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

              ShortList of past encounter statuses
              Comments

              The current status is always found in the current version of the resource, not the status history.

              Control10..*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Encounter.statusHistory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ status
              • 22. Encounter.statusHistory.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                24. Encounter.statusHistory.status
                Definition

                planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                Control1..1
                BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
                (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                Current state of the encounter.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                26. Encounter.statusHistory.period
                Definition

                The time that the episode was in the specified status.

                ShortThe time that the episode was in the specified status
                Control1..1
                TypePeriod
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                28. Encounter.statusHistory:Admision
                Slice NameAdmision
                Definition

                The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                ShortEstado de admisión de la atención de urgenciaList of past encounter statuses
                Comments

                The current status is always found in the current version of the resource, not the status history.

                Control10..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                30. Encounter.statusHistory:Admision.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                32. Encounter.statusHistory:Admision.status
                Definition

                planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                Control1..1
                BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
                (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                Current state of the encounter.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Pattern Valuearrived
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                34. Encounter.statusHistory:Admision.period
                Definition

                The time that the episode was in the specified status.

                ShortThe time that the episode was in the specified status
                Control1..1
                TypePeriod
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                36. Encounter.statusHistory:Admision.period.start
                Definition

                Corresponde al día, mes, año y hora en que se realiza la admisión. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.


                The start of the period. The boundary is inclusive.

                ShortFecha y hora de admisiónStarting time with inclusive boundary
                Comments

                If the low element is missing, the meaning is that the low boundary is not known.

                Control10..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                38. Encounter.statusHistory:Categorizacion
                Slice NameCategorizacion
                Definition

                The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                ShortEstado de categorización de la atención de urgenciaList of past encounter statuses
                Comments

                The current status is always found in the current version of the resource, not the status history.

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                40. Encounter.statusHistory:Categorizacion.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                42. Encounter.statusHistory:Categorizacion.status
                Definition

                planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                Control1..1
                BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
                (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                Current state of the encounter.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Pattern Valuetriaged
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                44. Encounter.statusHistory:Categorizacion.period
                Definition

                The time that the episode was in the specified status.

                ShortThe time that the episode was in the specified status
                Control1..1
                TypePeriod
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                46. Encounter.statusHistory:Categorizacion.period.start
                Definition

                Corresponde al día, mes, año y hora en que se realiza la categorización. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.


                The start of the period. The boundary is inclusive.

                ShortFecha y hora de categorizaciónStarting time with inclusive boundary
                Comments

                If the low element is missing, the meaning is that the low boundary is not known.

                Control10..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                48. Encounter.statusHistory:Atencion
                Slice NameAtencion
                Definition

                The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                ShortEstado de atención de la atención de urgenciaList of past encounter statuses
                Comments

                The current status is always found in the current version of the resource, not the status history.

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                50. Encounter.statusHistory:Atencion.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                52. Encounter.statusHistory:Atencion.status
                Definition

                planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                Control1..1
                BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
                (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                Current state of the encounter.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Pattern Valuein-progress
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                54. Encounter.statusHistory:Atencion.period
                Definition

                The time that the episode was in the specified status.

                ShortThe time that the episode was in the specified status
                Control1..1
                TypePeriod
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                56. Encounter.statusHistory:Atencion.period.start
                Definition

                Corresponde al registro del tiempo en que se inicia el proceso de atención de urgencia, se considera como inicio el primer registro en sistema conducente a diagnosticar y reestablecer el estado de salud del usuario posterior al proceso de categorización.


                The start of the period. The boundary is inclusive.

                ShortFecha y hora de inicio de atención de urgenciaStarting time with inclusive boundary
                Comments

                If the low element is missing, the meaning is that the low boundary is not known.

                Control10..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. Encounter.statusHistory:Egreso
                Slice NameEgreso
                Definition

                The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                ShortEstado de egreso de la atención de urgenciaList of past encounter statuses
                Comments

                The current status is always found in the current version of the resource, not the status history.

                Control0..1*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. Encounter.statusHistory:Egreso.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                62. Encounter.statusHistory:Egreso.status
                Definition

                planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                Control1..1
                BindingThe codes SHALL be taken from EncounterStatushttp://hl7.org/fhir/ValueSet/encounter-status|4.0.1
                (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                Current state of the encounter.

                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summaryfalse
                Pattern Valuefinished
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. Encounter.statusHistory:Egreso.period
                Definition

                The time that the episode was in the specified status.

                ShortThe time that the episode was in the specified status
                Control1..1
                TypePeriod
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. Encounter.statusHistory:Egreso.period.start
                Definition

                Corresponde al día, el mes y la hora en que luego de cumplir con la completitud de los datos requeridos y el registro por parte del equipo de salud de las intervenciones realizadas, el médico u odontólogo, cierra el dato de urgencia.


                The start of the period. The boundary is inclusive.

                ShortFecha y hora de egresoStarting time with inclusive boundary
                Comments

                If the low element is missing, the meaning is that the low boundary is not known.

                Control10..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. Encounter.statusHistory:Egreso.period.end
                Definition

                Corresponde al día, el mes y la hora en que luego de cumplir con termino de atención de urgencia y el cierre del dato de urgencia, el usuario egresa efectivamente de la unidad de urgencia.


                The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                ShortFecha y hora de egreso efectivoEnd time with inclusive boundary, if not ongoing
                Comments

                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                Control0..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. Encounter.class
                Definition

                Clasificación del encuentro con el paciente


                Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.

                ShortTipo de encuentro de urgenciaClassification of patient encounter
                Control1..1
                BindingUnless not suitable, these codes SHALL be taken from v3 Code System ActCodehttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode
                (extensible to http://terminology.hl7.org/ValueSet/v3-ActCode)
                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Pattern Value{
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                  "code" : "EMER"
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. Encounter.type
                Definition

                Específica el tipo de encuentro


                Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).

                ShortTipo específico de EncuentroSpecific type of encounter
                Comments

                Since there are many ways to further classify encounters, this element is 0..*.

                Control0..*
                BindingFor example codes, see Tipos de Encuentrohttp://hl7.org/fhir/ValueSet/encounter-type
                (example to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. Encounter.serviceType
                Definition

                Categorización del servicio que se va a prestar en el encuentro (por ejemplo, servicio de Ginecología)


                Broad categorization of the service that is to be provided (e.g. cardiology).

                ShortTipo de servicio que se realiza en el EncuentroSpecific type of service
                Control0..1
                BindingFor example codes, see Tipos de Servicios Remotoshttp://hl7.org/fhir/ValueSet/service-type
                (example to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                76. Encounter.priority
                Definition

                Indicates the urgency of the encounter.

                ShortCategorización de prioridad de atención de urgenciaIndicates the urgency of the encounter
                Control10..1
                BindingThe codes SHALL be taken from For example codes, see Categorización Urgenciahttp://terminology.hl7.org/ValueSet/v3-ActPriority
                (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/categorizacion-urgencia)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. Encounter.priority.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. Encounter.priority.coding.system
                Definition

                Sistema de categorización de la prioridad de atención de urgencia


                The identification of the code system that defines the meaning of the symbol in the code.

                ShortSistema de categorización de la prioridad de atención de urgenciaIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                82. Encounter.priority.coding.code
                Definition

                Código de categorización de la prioridad de atención de urgencia


                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortCódigo de categorización de la prioridadSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                84. Encounter.priority.coding.display
                Definition

                Definición de la categorización de la prioridad de atención de urgencia


                A representation of the meaning of the code in the system, following the rules of the system.

                ShortDefinición de la categorización de la prioridadRepresentation defined by the system
                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                86. Encounter.subject
                Definition

                Paciente que recibe atención de urgencia


                The patient or group present at the encounter.

                ShortPacienteThe patient or group present at the encounter
                Comments

                While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).

                Control10..1
                TypeReference(Paciente Urgencia, Patient, Group)
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Alternate Namespatient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                88. Encounter.participant
                Definition

                The list of people responsible for providing the service.

                ShortParticipantes involucrados en el encuentro sin considerar al pacienteList of participants involved in the encounter
                Control10..*
                TypeBackboneElement
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Encounter.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ type
                • 90. Encounter.participant.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  92. Encounter.participant.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control0..*
                  BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo Participante Encuentro Urgenciahttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/TipoParticipanteEncuentroUrgencia)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  94. Encounter.participant.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al participantePersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(CL Prestador, CL RolClinico, RelatedPerson, Practitioner, PractitionerRole)
                  Is Modifierfalse
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  96. Encounter.participant:Acompanante
                  Slice NameAcompanante
                  Definition

                  Acompañante del paciente que recibe atención de urgencia


                  The list of people responsible for providing the service.

                  ShortAcompañante del pacienteList of participants involved in the encounter
                  Control0..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  98. Encounter.participant:Acompanante.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  100. Encounter.participant:Acompanante.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control10..1*
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://terminology.hl7.org/CodeSystem/participant-type",
                      "version" : "4.0.1",
                      "code" : "emergency"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  102. Encounter.participant:Acompanante.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al acompañante del pacientePersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(Acompañante Urgencia, Practitioner, PractitionerRole, RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  104. Encounter.participant:Admisionista
                  Slice NameAdmisionista
                  Definition

                  Corresponde al personal administrativo que realiza la admisión de urgencia


                  The list of people responsible for providing the service.

                  ShortPersonal administrativo que realiza la admisión de urgenciaList of participants involved in the encounter
                  Control10..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  106. Encounter.participant:Admisionista.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  108. Encounter.participant:Admisionista.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control10..1*
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "ADM"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  110. Encounter.participant:Admisionista.period
                  Definition

                  The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                  ShortPeriod of time during the encounter that the participant participated
                  Control10..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  112. Encounter.participant:Admisionista.period.start
                  Definition

                  The start of the period. The boundary is inclusive.

                  ShortFecha y hora de admisiónStarting time with inclusive boundary
                  Comments

                  If the low element is missing, the meaning is that the low boundary is not known.

                  Control10..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  114. Encounter.participant:Admisionista.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al participantePersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(Prestador Administrativo, Practitioner, PractitionerRole, RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  116. Encounter.participant:Categorizador
                  Slice NameCategorizador
                  Definition

                  Profesional que categoriza al paciente en un servicio de urgencia


                  The list of people responsible for providing the service.

                  ShortProfesional que categoriza al pacienteList of participants involved in the encounter
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  118. Encounter.participant:Categorizador.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  120. Encounter.participant:Categorizador.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control10..1*
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "https://interoperabilidad.minsal.cl/fhir/ig/urgencia/CodeSystem/TipoParticipanteUrgencia",
                      "code" : "triage"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  122. Encounter.participant:Categorizador.period
                  Definition

                  The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                  ShortPeriod of time during the encounter that the participant participated
                  Control10..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  124. Encounter.participant:Categorizador.period.start
                  Definition

                  The start of the period. The boundary is inclusive.

                  ShortFecha y hora de categorizaciónStarting time with inclusive boundary
                  Comments

                  If the low element is missing, the meaning is that the low boundary is not known.

                  Control10..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  126. Encounter.participant:Categorizador.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al profesional que categorizaPersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(Prestador Profesional, Practitioner, PractitionerRole, RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  128. Encounter.participant:Atendedor
                  Slice NameAtendedor
                  Definition

                  Profesional que atiende al paciente en un servicio de urgencia


                  The list of people responsible for providing the service.

                  ShortProfesional que atiende al pacienteList of participants involved in the encounter
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  130. Encounter.participant:Atendedor.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  132. Encounter.participant:Atendedor.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control10..1*
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "ATND"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  134. Encounter.participant:Atendedor.period
                  Definition

                  The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                  ShortPeriod of time during the encounter that the participant participated
                  Control10..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  136. Encounter.participant:Atendedor.period.start
                  Definition

                  The start of the period. The boundary is inclusive.

                  ShortFecha y hora de atenciónStarting time with inclusive boundary
                  Comments

                  If the low element is missing, the meaning is that the low boundary is not known.

                  Control10..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  138. Encounter.participant:Atendedor.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al profesional que atiendePersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(Prestador Profesional, Practitioner, PractitionerRole, RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  140. Encounter.participant:AtendedorSecundario
                  Slice NameAtendedorSecundario
                  Definition

                  Profesional que atiende al paciente en un servicio de urgencia pero no es el principal


                  The list of people responsible for providing the service.

                  ShortProfesional que atiende al paciente pero no es el principalList of participants involved in the encounter
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  142. Encounter.participant:AtendedorSecundario.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  144. Encounter.participant:AtendedorSecundario.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control10..1*
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "SPRF"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  146. Encounter.participant:AtendedorSecundario.period
                  Definition

                  The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                  ShortPeriod of time during the encounter that the participant participated
                  Control10..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  148. Encounter.participant:AtendedorSecundario.period.start
                  Definition

                  The start of the period. The boundary is inclusive.

                  ShortFecha y hora de atenciónStarting time with inclusive boundary
                  Comments

                  If the low element is missing, the meaning is that the low boundary is not known.

                  Control10..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  150. Encounter.participant:AtendedorSecundario.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al profesional que atiendePersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(Prestador Profesional, Practitioner, PractitionerRole, RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  152. Encounter.participant:Especialista
                  Slice NameEspecialista
                  Definition

                  Profesional especialista que atiende al paciente en un servicio de urgencia


                  The list of people responsible for providing the service.

                  ShortProfesional especialista que atiende al pacienteList of participants involved in the encounter
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  154. Encounter.participant:Especialista.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  156. Encounter.participant:Especialista.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control10..1*
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "CON"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  158. Encounter.participant:Especialista.period
                  Definition

                  The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                  ShortPeriod of time during the encounter that the participant participated
                  Control10..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  160. Encounter.participant:Especialista.period.start
                  Definition

                  The start of the period. The boundary is inclusive.

                  ShortFecha y hora de atenciónStarting time with inclusive boundary
                  Comments

                  If the low element is missing, the meaning is that the low boundary is not known.

                  Control10..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  162. Encounter.participant:Especialista.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al profesional especialista que atiendePersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(Prestador Profesional, Practitioner, PractitionerRole, RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  164. Encounter.participant:Egresador
                  Slice NameEgresador
                  Definition

                  Es la individualización del médico u odontólogo tratante del usuario, a cargo del proceso de atención. Solo en atenciones de Servicios de Urgencia Rural (SUR), en que no se cuente con personal médico ni odontológico, será el otro profesional o el TENS, quien cierre la atención y otorgue el alta.


                  The list of people responsible for providing the service.

                  ShortProfesional que autoriza el egresa del pacienteList of participants involved in the encounter
                  Control0..1*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  166. Encounter.participant:Egresador.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  168. Encounter.participant:Egresador.type
                  Definition

                  Role of participant in encounter.

                  ShortRol del participante en el encuentroRole of participant in encounter
                  Comments

                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                  Control10..1*
                  BindingUnless not suitable, these codes SHALL be taken from ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-type
                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Pattern Value{
                    "coding" : [{
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "DIS"
                    }]
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  170. Encounter.participant:Egresador.period
                  Definition

                  The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                  ShortPeriod of time during the encounter that the participant participated
                  Control10..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  172. Encounter.participant:Egresador.period.start
                  Definition

                  The start of the period. The boundary is inclusive.

                  ShortFecha y hora que se registra la decisión de egresoStarting time with inclusive boundary
                  Comments

                  If the low element is missing, the meaning is that the low boundary is not known.

                  Control10..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  174. Encounter.participant:Egresador.individual
                  Definition

                  Persons involved in the encounter other than the patient.

                  ShortReferencia al profesional que autoriza el egresoPersons involved in the encounter other than the patient
                  Control10..1
                  TypeReference(Prestador Profesional, Practitioner, PractitionerRole, RelatedPerson)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  176. Encounter.appointment
                  Definition

                  Cita o agendamiento médico, la cual es resultado de un encuentro


                  The appointment that scheduled this encounter.

                  ShortReserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)The appointment that scheduled this encounter
                  Control0..1*
                  TypeReference(Appointment)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  178. Encounter.period
                  Definition

                  La hora de inicio y finalización del encuentro


                  The start and end time of the encounter.

                  ShortLa hora de inicio y finalización del encuentroThe start and end time of the encounter
                  Comments

                  If not (yet) known, the end of the Period may be omitted.

                  Control10..1
                  TypePeriod
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  180. Encounter.period.start
                  Definition

                  Corresponde al día, mes, año y hora en que se realiza la admisión. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.


                  The start of the period. The boundary is inclusive.

                  ShortFecha y hora de que se realiza la admisión de urgenciaStarting time with inclusive boundary
                  Comments

                  If the low element is missing, the meaning is that the low boundary is not known.

                  Control10..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  182. Encounter.period.end
                  Definition

                  Corresponde al día, el mes y la hora en que luego de cumplir con la completitud de los datos requeridos y el registro por parte del equipo de salud de las intervenciones realizadas, el médico u odontólogo, cierra el dato de urgencia.


                  The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                  ShortFecha y hora de que se cierra el dato de urgenciaEnd time with inclusive boundary, if not ongoing
                  Comments

                  The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                  Control0..1
                  This element is affected by the following invariants: per-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  184. Encounter.length
                  Definition

                  Cantidad de tiempo que duró el encuentro (menos tiempo ausente)


                  Quantity of time the encounter lasted. This excludes the time during leaves of absence.

                  ShortCantidad de tiempo que duró el encuentro (menos tiempo ausente)Quantity of time the encounter lasted (less time absent)
                  Comments

                  May differ from the time the Encounter.period lasted because of leave of absence.

                  Control0..1
                  TypeDuration
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  186. Encounter.reasonCode
                  Definition

                  Razón codificada por la que tiene lugar el Encuentro


                  Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.

                  ShortMotivo de la atención de urgenciaCoded reason the encounter takes place
                  Comments

                  For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                  Control0..1*
                  BindingThe codes SHOULD be taken from EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason
                  (preferred to http://hl7.org/fhir/ValueSet/encounter-reason)

                  Reason why the encounter takes place.

                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Alternate NamesIndication, Admission diagnosis
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  188. Encounter.reasonCode.text
                  Definition

                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                  ShortTexto libre del motivo de la atención de urgencia indicado por el pacientePlain text representation of the concept
                  Comments

                  Very often the text is the same as a displayName of one of the codings.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  190. Encounter.diagnosis
                  Definition

                  Diagnóstico relevante para este encuentro


                  The list of diagnosis relevant to this encounter.

                  ShortDiagnóstico relevante para este encuentroThe list of diagnosis relevant to this encounter
                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Encounter.diagnosis. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ use
                  • 192. Encounter.diagnosis.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    194. Encounter.diagnosis.condition
                    Definition

                    Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

                    ShortEl diagnóstico o procedimiento relevante para el encuentroThe diagnosis or procedure relevant to the encounter
                    Comments

                    For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                    Control1..1
                    TypeReference(CL Condición-Diagnóstico, Condition, Procedure)
                    Is Modifierfalse
                    Summarytrue
                    Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    196. Encounter.diagnosis:HipotesisDiagnostica
                    Slice NameHipotesisDiagnostica
                    Definition

                    Hipótesis diagnóstica del paciente en el contexto de atención de urgencia


                    The list of diagnosis relevant to this encounter.

                    ShortHipótesis diagnósticaThe list of diagnosis relevant to this encounter
                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    198. Encounter.diagnosis:HipotesisDiagnostica.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    200. Encounter.diagnosis:HipotesisDiagnostica.condition
                    Definition

                    Referencia a la hipótesis diagnóstica del paciente en el contexto de atención de urgencia


                    Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

                    ShortReferencia a la hipótesis diagnósticaThe diagnosis or procedure relevant to the encounter
                    Comments

                    For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                    Control1..1
                    TypeReference(Condition Diagnostico, Condition, Procedure)
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    202. Encounter.diagnosis:HipotesisDiagnostica.use
                    Definition

                    Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                    ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                    Control10..1
                    BindingThe codes SHOULD be taken from DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
                    (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                    The type of diagnosis this condition represents.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Pattern Value{
                      "coding" : [{
                        "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code" : "AD"
                      }]
                    }
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    204. Encounter.diagnosis:HipotesisDiagnostica.rank
                    Definition

                    Ranking of the diagnosis (for each role type).

                    ShortSi es la hipótesis diagnóstica principal se debe registrar el valor 1.Ranking of the diagnosis (for each role type)
                    Control0..1
                    TypepositiveInt
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    206. Encounter.diagnosis:Comorbilidades
                    Slice NameComorbilidades
                    Definition

                    Comorbilidades del paciente en el contexto de atención de urgencia


                    The list of diagnosis relevant to this encounter.

                    ShortComorbilidadesThe list of diagnosis relevant to this encounter
                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    208. Encounter.diagnosis:Comorbilidades.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    210. Encounter.diagnosis:Comorbilidades.condition
                    Definition

                    Referencia a la comorbilidad del paciente en el contexto de atención de urgencia


                    Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

                    ShortReferencia a la comorbilidadThe diagnosis or procedure relevant to the encounter
                    Comments

                    For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                    Control1..1
                    TypeReference(Condition Diagnostico, Condition, Procedure)
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    212. Encounter.diagnosis:Comorbilidades.use
                    Definition

                    Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                    ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                    Control10..1
                    BindingThe codes SHOULD be taken from DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
                    (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                    The type of diagnosis this condition represents.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Pattern Value{
                      "coding" : [{
                        "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code" : "CM"
                      }]
                    }
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    214. Encounter.diagnosis:DiagnosticoEgreso
                    Slice NameDiagnosticoEgreso
                    Definition

                    Diagnóstico de egreso del paciente en el contexto de atención de urgencia


                    The list of diagnosis relevant to this encounter.

                    ShortDiagnóstico de egresoThe list of diagnosis relevant to this encounter
                    Control0..1*
                    TypeBackboneElement
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    216. Encounter.diagnosis:DiagnosticoEgreso.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    218. Encounter.diagnosis:DiagnosticoEgreso.condition
                    Definition

                    Referencia al diagnóstico de egreso del paciente en el contexto de atención de urgencia


                    Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

                    ShortReferencia al diagnóstico de egresoThe diagnosis or procedure relevant to the encounter
                    Comments

                    For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                    Control1..1
                    TypeReference(Condition Diagnostico, Condition, Procedure)
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    220. Encounter.diagnosis:DiagnosticoEgreso.use
                    Definition

                    Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                    ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                    Control10..1
                    BindingThe codes SHOULD be taken from DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
                    (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                    The type of diagnosis this condition represents.

                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Pattern Value{
                      "coding" : [{
                        "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                        "code" : "DD"
                      }]
                    }
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    222. Encounter.hospitalization
                    Definition

                    Details about the admission to a healthcare service.

                    ShortInformación de admisión y egreso de la atención de urgenciaDetails about the admission to a healthcare service
                    Comments

                    An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.

                    The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.

                    Control0..1
                    TypeBackboneElement
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    224. Encounter.hospitalization.extension
                    Definition

                    An Extension


                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortExtensionAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control20..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Encounter.hospitalization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 226. Encounter.hospitalization.extension:MedioDeLlegada
                      Slice NameMedioDeLlegada
                      Definition

                      Extensión empleada para indicar el medio de llegada del paciente al servicio de urgencia. Este dato es capturado durante la admisión de urgencia.

                      ShortMedio de llegada del paciente al servicio de urgencia
                      Control1..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(Medio de Llegada) (Extension Type: CodeableConcept)
                      Is Modifierfalse
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      228. Encounter.hospitalization.extension:ConsultaPorAccidente
                      Slice NameConsultaPorAccidente
                      Definition

                      Extensión que registra si la atención de urgencia se debe a un accidente. Este dato es capturado durante la admisión de urgencia.

                      ShortConsulta por accidente
                      Control1..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(Consulta por Accidente) (Extension Type: boolean)
                      Is Modifierfalse
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      230. Encounter.hospitalization.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      232. Encounter.hospitalization.admitSource
                      Definition

                      Lugar físico desde donde proviene el paciente cuando concurre a la atención de urgencia. Este dato es capturado durante la admisión de urgencia.


                      From where patient was admitted (physician referral, transfer).

                      ShortLugar físico desde donde proviene el paciente cuando concurre a la atención de urgenciaFrom where patient was admitted (physician referral, transfer)
                      Control10..1
                      BindingThe codes SHALL be taken from The codes SHOULD be taken from Procedenciahttp://hl7.org/fhir/ValueSet/encounter-admit-source
                      (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/Procedencia)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      234. Encounter.hospitalization.dischargeDisposition
                      Definition

                      Corresponde a la decisión del médico u odontólogo del destino que debe seguir el usuario en virtud de su evaluación y situación clínica antes de cerrar el proceso de urgencia.


                      Category or kind of location after discharge.

                      ShortTipo de egreso de la atención de urgenciaCategory or kind of location after discharge
                      Control0..1
                      BindingThe codes SHALL be taken from For example codes, see Tipo Egresohttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
                      (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/tipo-egreso)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      236. Encounter.hospitalization.dischargeDisposition.extension:IndicacionHospitalizacion
                      Slice NameIndicacionHospitalizacion
                      Definition

                      Extensión que registra la indicación de hospitalización en el contexto de un encuentro de atención de urgencia.

                      ShortIndicación de hospitalización
                      Control0..1
                      TypeExtension(Indicación Hospitalización) (Complex Extension)
                      Is Modifierfalse
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      238. Encounter.hospitalization.dischargeDisposition.extension:IndicacionAlta
                      Slice NameIndicacionAlta
                      Definition

                      Extensión que registra la indicación de alta en el contexto de un encuentro de atención de urgencia.

                      ShortIndicación de alta
                      Control0..1
                      TypeExtension(Indicación Alta) (Complex Extension)
                      Is Modifierfalse
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      240. Encounter.hospitalization.dischargeDisposition.extension:IndicacionDerivacion
                      Slice NameIndicacionDerivacion
                      Definition

                      Extensión que registra la indicación de derivación a otro centro asistencial en el contexto de un encuentro de atención de urgencia.

                      ShortIndicación de derivación a otro centro asistencial
                      Control0..1
                      TypeExtension(Indicación Derivación) (Complex Extension)
                      Is Modifierfalse
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      242. Encounter.hospitalization.dischargeDisposition.extension:Abandono
                      Slice NameAbandono
                      Definition

                      Usuarios que, habiendo iniciado el proceso de atención de urgencia, y habiéndose generado un DAU, no terminaron el proceso, en cualquiera de sus etapas.

                      ShortTipo de abandono
                      Control0..1
                      TypeExtension(Abandono) (Extension Type: Coding)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      244. Encounter.hospitalization.dischargeDisposition.extension:Fallecido
                      Slice NameFallecido
                      Definition

                      Extensión que registra la información de un paciente fallecido en el contexto de un encuentro de atención de urgencia.

                      ShortFallecido
                      Control0..1
                      TypeExtension(Fallecido) (Complex Extension)
                      Is Modifierfalse
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      246. Encounter.serviceProvider
                      Definition

                      Establecimiento de salud donde se realiza la atención de urgencia


                      The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation. Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.

                      ShortEstablecimiento de saludThe organization (facility) responsible for this encounter
                      Control10..1
                      TypeReference(Establecimiento Urgencia, Organization)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                      Guidance on how to interpret the contents of this table can be found here

                      0. Encounter
                      Definition

                      An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

                      ShortAn interaction during which services are provided to the patient
                      Control0..*
                      Is Modifierfalse
                      Summaryfalse
                      Alternate NamesVisit
                      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                      dom-6: A resource should have narrative for robust management (text.`div`.exists())
                      acompanante-slice: Si la extensión Acompanante es 'true', entonces el participante Acompanante debe estar presente. (extension('https://interoperabilidad.minsal.cl/fhir/ig/urgencia/StructureDefinition/Acompanante').value.single() = true implies participant.type.coding.exists(system = 'http://terminology.hl7.org/CodeSystem/v3-ParticipationType' and code = 'ESC'))
                      motivo-consulta: Si el estado del encuentro es distinto de 'arrived', entonces el motivo de la consulta debe estar presente. (reasonCode.exists() or status = 'arrived')
                      categorizacion: Si el encuentro tiene el estado 'triaged', entonces el participante Categorizador debe estar presente. (status = 'triaged' implies participant.exists(type.coding.exists(system = 'https://interoperabilidad.minsal.cl/fhir/ig/urgencia/CodeSystem/TipoParticipanteUrgencia' and code = 'triage')))
                      2. Encounter.id
                      Definition

                      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                      ShortLogical id of this artifact
                      Comments

                      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                      Control0..1
                      Typeid
                      Is Modifierfalse
                      Summarytrue
                      4. Encounter.meta
                      Definition

                      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                      ShortMetadata about the resource
                      Control0..1
                      TypeMeta
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      6. Encounter.implicitRules
                      Definition

                      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                      ShortA set of rules under which this content was created
                      Comments

                      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                      Control0..1
                      Typeuri
                      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      8. Encounter.language
                      Definition

                      The base language in which the resource is written.

                      ShortLanguage of the resource content
                      Comments

                      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                      Control0..1
                      BindingThe codes SHOULD be taken from CommonLanguages
                      (preferred to http://hl7.org/fhir/ValueSet/languages)

                      A human language.

                      Additional BindingsPurpose
                      AllLanguagesMax Binding
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      10. Encounter.text
                      Definition

                      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                      ShortText summary of the resource, for human interpretation
                      Comments

                      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                      Control0..1
                      TypeNarrative
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesnarrative, html, xhtml, display
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      12. Encounter.contained
                      Definition

                      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                      ShortContained, inline Resources
                      Comments

                      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                      Control0..*
                      TypeResource
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesinline resources, anonymous resources, contained resources
                      14. Encounter.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control1..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Encounter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 16. Encounter.extension:Acompanante
                        Slice NameAcompanante
                        Definition

                        Extensión empleada para indicar si el paciente acude con acompañante a la atención de urgencia.

                        ShortIndica si el paciente acude con acompañante
                        Control1..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(Acompañante) (Extension Type: boolean)
                        Is Modifierfalse
                        Must Supporttrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        18. Encounter.extension:LeyPrevisional
                        Slice NameLeyPrevisional
                        Definition

                        Extensión empleada para indicar la ley previsional que financia la atención de urgencia.

                        ShortLey previsional que financia la atención de urgencia
                        Control0..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(Ley Previsional) (Extension Type: CodeableConcept)
                        Is Modifierfalse
                        Must Supporttrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        20. Encounter.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                        Summaryfalse
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        22. Encounter.identifier
                        Definition

                        Es el número de identificación del encuentro realizado

                        ShortIdentificador del encuentro de urgencia
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control1..1
                        TypeIdentifier
                        Is Modifierfalse
                        Must Supporttrue
                        Summarytrue
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        24. Encounter.identifier.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        26. Encounter.identifier.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Encounter.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 28. Encounter.identifier.use
                          Definition

                          The purpose of this identifier.

                          Shortusual | official | temp | secondary | old (If known)
                          Comments

                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                          Control0..1
                          BindingThe codes SHALL be taken from IdentifierUse
                          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                          Identifies the purpose for this identifier, if known .

                          Typecode
                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          30. Encounter.identifier.type
                          Definition

                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                          ShortDescription of identifier
                          Comments

                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                          Control0..1
                          BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                          TypeCodeableConcept
                          Is Modifierfalse
                          Summarytrue
                          Requirements

                          Allows users to make use of identifiers when the identifier system is not known.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          32. Encounter.identifier.system
                          Definition

                          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                          ShortThe namespace for the identifier value
                          Comments

                          Identifier.system is always case sensitive.

                          Control0..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                          Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          34. Encounter.identifier.value
                          Definition

                          Identificador de la consulta de urgencia. Este debe estar compuesto por Código DEIS de establecimiento - Id único del evento asignado por el establecimiento

                          ShortValor del identificador, compuesto por Código DEIS de establecimiento - Id único del evento asignado por el establecimiento
                          Comments

                          El valor del identificador debe ser único por evento de urgencia

                          Control1..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summarytrue
                          Example<br/><b>General</b>:123456
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          36. Encounter.identifier.period
                          Definition

                          Time period during which identifier is/was valid for use.

                          ShortTime period when id is/was valid for use
                          Control0..1
                          TypePeriod
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          38. Encounter.identifier.assigner
                          Definition

                          Organization that issued/manages the identifier.

                          ShortOrganization that issued id (may be just text)
                          Comments

                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                          Control0..1
                          TypeReference(Organization)
                          Is Modifierfalse
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          40. Encounter.status
                          Definition

                          Determina el estado del encuentro remoto conforme a los códigos definidos por el estándar

                          Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled
                          Comments

                          Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).

                          Control1..1
                          BindingThe codes SHALL be taken from EncounterStatus
                          (required to http://hl7.org/fhir/ValueSet/encounter-status)

                          Códigos requeridos por FHIR

                          Typecode
                          Is Modifiertrue because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summarytrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          42. Encounter.statusHistory
                          Definition

                          The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                          ShortList of past encounter statuses
                          Comments

                          The current status is always found in the current version of the resource, not the status history.

                          Control1..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          SlicingThis element introduces a set of slices on Encounter.statusHistory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ status
                          • 44. Encounter.statusHistory.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            46. Encounter.statusHistory.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            48. Encounter.statusHistory.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            50. Encounter.statusHistory.status
                            Definition

                            planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                            Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                            Control1..1
                            BindingThe codes SHALL be taken from EncounterStatus
                            (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                            Current state of the encounter.

                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            52. Encounter.statusHistory.period
                            Definition

                            The time that the episode was in the specified status.

                            ShortThe time that the episode was in the specified status
                            Control1..1
                            TypePeriod
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            54. Encounter.statusHistory:Admision
                            Slice NameAdmision
                            Definition

                            The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                            ShortEstado de admisión de la atención de urgencia
                            Comments

                            The current status is always found in the current version of the resource, not the status history.

                            Control1..1
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            56. Encounter.statusHistory:Admision.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            58. Encounter.statusHistory:Admision.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            60. Encounter.statusHistory:Admision.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            62. Encounter.statusHistory:Admision.status
                            Definition

                            planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                            Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                            Control1..1
                            BindingThe codes SHALL be taken from EncounterStatus
                            (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                            Current state of the encounter.

                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summaryfalse
                            Pattern Valuearrived
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            64. Encounter.statusHistory:Admision.period
                            Definition

                            The time that the episode was in the specified status.

                            ShortThe time that the episode was in the specified status
                            Control1..1
                            TypePeriod
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            66. Encounter.statusHistory:Admision.period.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            68. Encounter.statusHistory:Admision.period.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Encounter.statusHistory.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 70. Encounter.statusHistory:Admision.period.start
                              Definition

                              Corresponde al día, mes, año y hora en que se realiza la admisión. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.

                              ShortFecha y hora de admisión
                              Comments

                              If the low element is missing, the meaning is that the low boundary is not known.

                              Control1..1
                              This element is affected by the following invariants: per-1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              72. Encounter.statusHistory:Admision.period.end
                              Definition

                              The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                              ShortEnd time with inclusive boundary, if not ongoing
                              Comments

                              The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                              Control0..1
                              This element is affected by the following invariants: per-1
                              TypedateTime
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              74. Encounter.statusHistory:Categorizacion
                              Slice NameCategorizacion
                              Definition

                              The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                              ShortEstado de categorización de la atención de urgencia
                              Comments

                              The current status is always found in the current version of the resource, not the status history.

                              Control0..1
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              76. Encounter.statusHistory:Categorizacion.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              78. Encounter.statusHistory:Categorizacion.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              80. Encounter.statusHistory:Categorizacion.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              82. Encounter.statusHistory:Categorizacion.status
                              Definition

                              planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                              Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                              Control1..1
                              BindingThe codes SHALL be taken from EncounterStatus
                              (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                              Current state of the encounter.

                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Pattern Valuetriaged
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              84. Encounter.statusHistory:Categorizacion.period
                              Definition

                              The time that the episode was in the specified status.

                              ShortThe time that the episode was in the specified status
                              Control1..1
                              TypePeriod
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              86. Encounter.statusHistory:Categorizacion.period.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              88. Encounter.statusHistory:Categorizacion.period.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Encounter.statusHistory.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 90. Encounter.statusHistory:Categorizacion.period.start
                                Definition

                                Corresponde al día, mes, año y hora en que se realiza la categorización. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.

                                ShortFecha y hora de categorización
                                Comments

                                If the low element is missing, the meaning is that the low boundary is not known.

                                Control1..1
                                This element is affected by the following invariants: per-1
                                TypedateTime
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                92. Encounter.statusHistory:Categorizacion.period.end
                                Definition

                                The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                ShortEnd time with inclusive boundary, if not ongoing
                                Comments

                                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                Control0..1
                                This element is affected by the following invariants: per-1
                                TypedateTime
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                94. Encounter.statusHistory:Atencion
                                Slice NameAtencion
                                Definition

                                The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                                ShortEstado de atención de la atención de urgencia
                                Comments

                                The current status is always found in the current version of the resource, not the status history.

                                Control0..1
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                96. Encounter.statusHistory:Atencion.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                98. Encounter.statusHistory:Atencion.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                100. Encounter.statusHistory:Atencion.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                102. Encounter.statusHistory:Atencion.status
                                Definition

                                planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                                Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                                Control1..1
                                BindingThe codes SHALL be taken from EncounterStatus
                                (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                                Current state of the encounter.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summaryfalse
                                Pattern Valuein-progress
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                104. Encounter.statusHistory:Atencion.period
                                Definition

                                The time that the episode was in the specified status.

                                ShortThe time that the episode was in the specified status
                                Control1..1
                                TypePeriod
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                106. Encounter.statusHistory:Atencion.period.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                108. Encounter.statusHistory:Atencion.period.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Encounter.statusHistory.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 110. Encounter.statusHistory:Atencion.period.start
                                  Definition

                                  Corresponde al registro del tiempo en que se inicia el proceso de atención de urgencia, se considera como inicio el primer registro en sistema conducente a diagnosticar y reestablecer el estado de salud del usuario posterior al proceso de categorización.

                                  ShortFecha y hora de inicio de atención de urgencia
                                  Comments

                                  If the low element is missing, the meaning is that the low boundary is not known.

                                  Control1..1
                                  This element is affected by the following invariants: per-1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  112. Encounter.statusHistory:Atencion.period.end
                                  Definition

                                  The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                  ShortEnd time with inclusive boundary, if not ongoing
                                  Comments

                                  The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                  Control0..1
                                  This element is affected by the following invariants: per-1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  114. Encounter.statusHistory:Egreso
                                  Slice NameEgreso
                                  Definition

                                  The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.

                                  ShortEstado de egreso de la atención de urgencia
                                  Comments

                                  The current status is always found in the current version of the resource, not the status history.

                                  Control0..1
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  116. Encounter.statusHistory:Egreso.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  118. Encounter.statusHistory:Egreso.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  120. Encounter.statusHistory:Egreso.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  122. Encounter.statusHistory:Egreso.status
                                  Definition

                                  planned | arrived | triaged | in-progress | onleave | finished | cancelled +.

                                  Shortplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
                                  Control1..1
                                  BindingThe codes SHALL be taken from EncounterStatus
                                  (required to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1)

                                  Current state of the encounter.

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summaryfalse
                                  Pattern Valuefinished
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  124. Encounter.statusHistory:Egreso.period
                                  Definition

                                  The time that the episode was in the specified status.

                                  ShortThe time that the episode was in the specified status
                                  Control1..1
                                  TypePeriod
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  126. Encounter.statusHistory:Egreso.period.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  128. Encounter.statusHistory:Egreso.period.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Encounter.statusHistory.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 130. Encounter.statusHistory:Egreso.period.start
                                    Definition

                                    Corresponde al día, el mes y la hora en que luego de cumplir con la completitud de los datos requeridos y el registro por parte del equipo de salud de las intervenciones realizadas, el médico u odontólogo, cierra el dato de urgencia.

                                    ShortFecha y hora de egreso
                                    Comments

                                    If the low element is missing, the meaning is that the low boundary is not known.

                                    Control1..1
                                    This element is affected by the following invariants: per-1
                                    TypedateTime
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    132. Encounter.statusHistory:Egreso.period.end
                                    Definition

                                    Corresponde al día, el mes y la hora en que luego de cumplir con termino de atención de urgencia y el cierre del dato de urgencia, el usuario egresa efectivamente de la unidad de urgencia.

                                    ShortFecha y hora de egreso efectivo
                                    Comments

                                    The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                    Control0..1
                                    This element is affected by the following invariants: per-1
                                    TypedateTime
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Summarytrue
                                    Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    134. Encounter.class
                                    Definition

                                    Clasificación del encuentro con el paciente

                                    ShortTipo de encuentro de urgencia
                                    Control1..1
                                    BindingUnless not suitable, these codes SHALL be taken from v3 Code System ActCode
                                    (extensible to http://terminology.hl7.org/ValueSet/v3-ActCode)
                                    TypeCoding
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Pattern Value{
                                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                                      "code" : "EMER"
                                    }
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    136. Encounter.classHistory
                                    Definition

                                    The class history permits the tracking of the encounters transitions without needing to go through the resource history. This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.

                                    ShortList of past encounter classes
                                    Control0..*
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    138. Encounter.classHistory.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    140. Encounter.classHistory.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    142. Encounter.classHistory.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    144. Encounter.classHistory.class
                                    Definition

                                    inpatient | outpatient | ambulatory | emergency +.

                                    Shortinpatient | outpatient | ambulatory | emergency +
                                    Control1..1
                                    BindingUnless not suitable, these codes SHALL be taken from ActEncounterCode
                                    (extensible to http://terminology.hl7.org/ValueSet/v3-ActEncounterCode)

                                    Classification of the encounter.

                                    TypeCoding
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    146. Encounter.classHistory.period
                                    Definition

                                    The time that the episode was in the specified class.

                                    ShortThe time that the episode was in the specified class
                                    Control1..1
                                    TypePeriod
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    148. Encounter.type
                                    Definition

                                    Específica el tipo de encuentro

                                    ShortTipo específico de Encuentro
                                    Comments

                                    Since there are many ways to further classify encounters, this element is 0..*.

                                    Control0..*
                                    BindingFor example codes, see Tipos de Encuentro
                                    (example to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposEncuentroCL)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    150. Encounter.serviceType
                                    Definition

                                    Categorización del servicio que se va a prestar en el encuentro (por ejemplo, servicio de Ginecología)

                                    ShortTipo de servicio que se realiza en el Encuentro
                                    Control0..1
                                    BindingFor example codes, see Tipos de Servicios Remotos
                                    (example to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposServicio)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    152. Encounter.priority
                                    Definition

                                    Indicates the urgency of the encounter.

                                    ShortCategorización de prioridad de atención de urgencia
                                    Control1..1
                                    BindingThe codes SHALL be taken from Categorización Urgencia
                                    (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/categorizacion-urgencia)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    154. Encounter.priority.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    156. Encounter.priority.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Encounter.priority.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 158. Encounter.priority.coding
                                      Definition

                                      A reference to a code defined by a terminology system.

                                      ShortCode defined by a terminology system
                                      Comments

                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                      Control1..1
                                      TypeCoding
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summarytrue
                                      Requirements

                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      160. Encounter.priority.coding.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      162. Encounter.priority.coding.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Encounter.priority.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 164. Encounter.priority.coding.system
                                        Definition

                                        Sistema de categorización de la prioridad de atención de urgencia

                                        ShortSistema de categorización de la prioridad de atención de urgencia
                                        Comments

                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                        Control1..1
                                        Typeuri
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Need to be unambiguous about the source of the definition of the symbol.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        166. Encounter.priority.coding.version
                                        Definition

                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                        ShortVersion of the system - if relevant
                                        Comments

                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        168. Encounter.priority.coding.code
                                        Definition

                                        Código de categorización de la prioridad de atención de urgencia

                                        ShortCódigo de categorización de la prioridad
                                        Control1..1
                                        Typecode
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Need to refer to a particular code in the system.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        170. Encounter.priority.coding.display
                                        Definition

                                        Definición de la categorización de la prioridad de atención de urgencia

                                        ShortDefinición de la categorización de la prioridad
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        172. Encounter.priority.coding.userSelected
                                        Definition

                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                        ShortIf this coding was chosen directly by the user
                                        Comments

                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                        Control0..1
                                        Typeboolean
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        174. Encounter.priority.text
                                        Definition

                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                        ShortPlain text representation of the concept
                                        Comments

                                        Very often the text is the same as a displayName of one of the codings.

                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Summarytrue
                                        Requirements

                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        176. Encounter.subject
                                        Definition

                                        Paciente que recibe atención de urgencia

                                        ShortPaciente
                                        Comments

                                        While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).

                                        Control1..1
                                        TypeReference(Paciente Urgencia)
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summarytrue
                                        Alternate Namespatient
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        178. Encounter.episodeOfCare
                                        Definition

                                        Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem. The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).

                                        ShortEpisode(s) of care that this encounter should be recorded against
                                        Control0..*
                                        TypeReference(EpisodeOfCare)
                                        Is Modifierfalse
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        180. Encounter.basedOn
                                        Definition

                                        The request this encounter satisfies (e.g. incoming referral or procedure request).

                                        ShortThe ServiceRequest that initiated this encounter
                                        Control0..*
                                        TypeReference(ServiceRequest)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate NamesincomingReferral
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        182. Encounter.participant
                                        Definition

                                        The list of people responsible for providing the service.

                                        ShortParticipantes involucrados en el encuentro sin considerar al paciente
                                        Control1..*
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on Encounter.participant. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ type
                                        • 184. Encounter.participant.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          186. Encounter.participant.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          188. Encounter.participant.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          190. Encounter.participant.type
                                          Definition

                                          Role of participant in encounter.

                                          ShortRol del participante en el encuentro
                                          Comments

                                          The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                          Control0..*
                                          BindingThe codes SHALL be taken from Tipo Participante Encuentro Urgencia
                                          (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/TipoParticipanteEncuentroUrgencia)
                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          192. Encounter.participant.period
                                          Definition

                                          The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                          ShortPeriod of time during the encounter that the participant participated
                                          Control0..1
                                          TypePeriod
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          194. Encounter.participant.individual
                                          Definition

                                          Persons involved in the encounter other than the patient.

                                          ShortReferencia al participante
                                          Control1..1
                                          TypeReference(CL Prestador, CL RolClinico, RelatedPerson)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Must Support TypesNo must-support rules about the choice of types/profiles
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          196. Encounter.participant:Acompanante
                                          Slice NameAcompanante
                                          Definition

                                          Acompañante del paciente que recibe atención de urgencia

                                          ShortAcompañante del paciente
                                          Control0..1
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          198. Encounter.participant:Acompanante.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          200. Encounter.participant:Acompanante.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          202. Encounter.participant:Acompanante.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          204. Encounter.participant:Acompanante.type
                                          Definition

                                          Role of participant in encounter.

                                          ShortRol del participante en el encuentro
                                          Comments

                                          The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                          Control1..1
                                          BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                          (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Pattern Value{
                                            "coding" : [{
                                              "system" : "http://terminology.hl7.org/CodeSystem/participant-type",
                                              "version" : "4.0.1",
                                              "code" : "emergency"
                                            }]
                                          }
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          206. Encounter.participant:Acompanante.period
                                          Definition

                                          The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                          ShortPeriod of time during the encounter that the participant participated
                                          Control0..1
                                          TypePeriod
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          208. Encounter.participant:Acompanante.individual
                                          Definition

                                          Persons involved in the encounter other than the patient.

                                          ShortReferencia al acompañante del paciente
                                          Control1..1
                                          TypeReference(Acompañante Urgencia)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          210. Encounter.participant:Admisionista
                                          Slice NameAdmisionista
                                          Definition

                                          Corresponde al personal administrativo que realiza la admisión de urgencia

                                          ShortPersonal administrativo que realiza la admisión de urgencia
                                          Control1..1
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          212. Encounter.participant:Admisionista.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          214. Encounter.participant:Admisionista.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          216. Encounter.participant:Admisionista.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          218. Encounter.participant:Admisionista.type
                                          Definition

                                          Role of participant in encounter.

                                          ShortRol del participante en el encuentro
                                          Comments

                                          The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                          Control1..1
                                          BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                          (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Pattern Value{
                                            "coding" : [{
                                              "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                              "code" : "ADM"
                                            }]
                                          }
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          220. Encounter.participant:Admisionista.period
                                          Definition

                                          The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                          ShortPeriod of time during the encounter that the participant participated
                                          Control1..1
                                          TypePeriod
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          222. Encounter.participant:Admisionista.period.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          224. Encounter.participant:Admisionista.period.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Encounter.participant.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 226. Encounter.participant:Admisionista.period.start
                                            Definition

                                            The start of the period. The boundary is inclusive.

                                            ShortFecha y hora de admisión
                                            Comments

                                            If the low element is missing, the meaning is that the low boundary is not known.

                                            Control1..1
                                            This element is affected by the following invariants: per-1
                                            TypedateTime
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            228. Encounter.participant:Admisionista.period.end
                                            Definition

                                            The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                            ShortEnd time with inclusive boundary, if not ongoing
                                            Comments

                                            The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                            Control0..1
                                            This element is affected by the following invariants: per-1
                                            TypedateTime
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            230. Encounter.participant:Admisionista.individual
                                            Definition

                                            Persons involved in the encounter other than the patient.

                                            ShortReferencia al participante
                                            Control1..1
                                            TypeReference(Prestador Administrativo)
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            232. Encounter.participant:Categorizador
                                            Slice NameCategorizador
                                            Definition

                                            Profesional que categoriza al paciente en un servicio de urgencia

                                            ShortProfesional que categoriza al paciente
                                            Control0..*
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            234. Encounter.participant:Categorizador.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            236. Encounter.participant:Categorizador.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            238. Encounter.participant:Categorizador.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            240. Encounter.participant:Categorizador.type
                                            Definition

                                            Role of participant in encounter.

                                            ShortRol del participante en el encuentro
                                            Comments

                                            The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                            Control1..1
                                            BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                            (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Pattern Value{
                                              "coding" : [{
                                                "system" : "https://interoperabilidad.minsal.cl/fhir/ig/urgencia/CodeSystem/TipoParticipanteUrgencia",
                                                "code" : "triage"
                                              }]
                                            }
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            242. Encounter.participant:Categorizador.period
                                            Definition

                                            The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                            ShortPeriod of time during the encounter that the participant participated
                                            Control1..1
                                            TypePeriod
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            244. Encounter.participant:Categorizador.period.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            246. Encounter.participant:Categorizador.period.extension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                            ShortAdditional content defined by implementations
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on Encounter.participant.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 248. Encounter.participant:Categorizador.period.start
                                              Definition

                                              The start of the period. The boundary is inclusive.

                                              ShortFecha y hora de categorización
                                              Comments

                                              If the low element is missing, the meaning is that the low boundary is not known.

                                              Control1..1
                                              This element is affected by the following invariants: per-1
                                              TypedateTime
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              250. Encounter.participant:Categorizador.period.end
                                              Definition

                                              The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                              ShortEnd time with inclusive boundary, if not ongoing
                                              Comments

                                              The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                              Control0..1
                                              This element is affected by the following invariants: per-1
                                              TypedateTime
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              252. Encounter.participant:Categorizador.individual
                                              Definition

                                              Persons involved in the encounter other than the patient.

                                              ShortReferencia al profesional que categoriza
                                              Control1..1
                                              TypeReference(Prestador Profesional)
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              254. Encounter.participant:Atendedor
                                              Slice NameAtendedor
                                              Definition

                                              Profesional que atiende al paciente en un servicio de urgencia

                                              ShortProfesional que atiende al paciente
                                              Control0..*
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              256. Encounter.participant:Atendedor.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              258. Encounter.participant:Atendedor.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              260. Encounter.participant:Atendedor.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              262. Encounter.participant:Atendedor.type
                                              Definition

                                              Role of participant in encounter.

                                              ShortRol del participante en el encuentro
                                              Comments

                                              The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                              Control1..1
                                              BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                              (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summarytrue
                                              Pattern Value{
                                                "coding" : [{
                                                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                                  "code" : "ATND"
                                                }]
                                              }
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              264. Encounter.participant:Atendedor.period
                                              Definition

                                              The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                              ShortPeriod of time during the encounter that the participant participated
                                              Control1..1
                                              TypePeriod
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              266. Encounter.participant:Atendedor.period.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              268. Encounter.participant:Atendedor.period.extension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on Encounter.participant.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 270. Encounter.participant:Atendedor.period.start
                                                Definition

                                                The start of the period. The boundary is inclusive.

                                                ShortFecha y hora de atención
                                                Comments

                                                If the low element is missing, the meaning is that the low boundary is not known.

                                                Control1..1
                                                This element is affected by the following invariants: per-1
                                                TypedateTime
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                272. Encounter.participant:Atendedor.period.end
                                                Definition

                                                The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                                ShortEnd time with inclusive boundary, if not ongoing
                                                Comments

                                                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                Control0..1
                                                This element is affected by the following invariants: per-1
                                                TypedateTime
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Summarytrue
                                                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                274. Encounter.participant:Atendedor.individual
                                                Definition

                                                Persons involved in the encounter other than the patient.

                                                ShortReferencia al profesional que atiende
                                                Control1..1
                                                TypeReference(Prestador Profesional)
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                276. Encounter.participant:AtendedorSecundario
                                                Slice NameAtendedorSecundario
                                                Definition

                                                Profesional que atiende al paciente en un servicio de urgencia pero no es el principal

                                                ShortProfesional que atiende al paciente pero no es el principal
                                                Control0..*
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summarytrue
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                278. Encounter.participant:AtendedorSecundario.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                280. Encounter.participant:AtendedorSecundario.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                282. Encounter.participant:AtendedorSecundario.modifierExtension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                ShortExtensions that cannot be ignored even if unrecognized
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                Summarytrue
                                                Requirements

                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                Alternate Namesextensions, user content, modifiers
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                284. Encounter.participant:AtendedorSecundario.type
                                                Definition

                                                Role of participant in encounter.

                                                ShortRol del participante en el encuentro
                                                Comments

                                                The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                                Control1..1
                                                BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                                (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summarytrue
                                                Pattern Value{
                                                  "coding" : [{
                                                    "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                                    "code" : "SPRF"
                                                  }]
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                286. Encounter.participant:AtendedorSecundario.period
                                                Definition

                                                The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                                ShortPeriod of time during the encounter that the participant participated
                                                Control1..1
                                                TypePeriod
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                288. Encounter.participant:AtendedorSecundario.period.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                290. Encounter.participant:AtendedorSecundario.period.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Encounter.participant.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 292. Encounter.participant:AtendedorSecundario.period.start
                                                  Definition

                                                  The start of the period. The boundary is inclusive.

                                                  ShortFecha y hora de atención
                                                  Comments

                                                  If the low element is missing, the meaning is that the low boundary is not known.

                                                  Control1..1
                                                  This element is affected by the following invariants: per-1
                                                  TypedateTime
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  294. Encounter.participant:AtendedorSecundario.period.end
                                                  Definition

                                                  The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                                  ShortEnd time with inclusive boundary, if not ongoing
                                                  Comments

                                                  The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                  Control0..1
                                                  This element is affected by the following invariants: per-1
                                                  TypedateTime
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  296. Encounter.participant:AtendedorSecundario.individual
                                                  Definition

                                                  Persons involved in the encounter other than the patient.

                                                  ShortReferencia al profesional que atiende
                                                  Control1..1
                                                  TypeReference(Prestador Profesional)
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  298. Encounter.participant:Especialista
                                                  Slice NameEspecialista
                                                  Definition

                                                  Profesional especialista que atiende al paciente en un servicio de urgencia

                                                  ShortProfesional especialista que atiende al paciente
                                                  Control0..*
                                                  TypeBackboneElement
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  300. Encounter.participant:Especialista.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  302. Encounter.participant:Especialista.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  304. Encounter.participant:Especialista.modifierExtension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                  Summarytrue
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content, modifiers
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  306. Encounter.participant:Especialista.type
                                                  Definition

                                                  Role of participant in encounter.

                                                  ShortRol del participante en el encuentro
                                                  Comments

                                                  The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                                  Control1..1
                                                  BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                                  (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                                                  TypeCodeableConcept
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Pattern Value{
                                                    "coding" : [{
                                                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                                      "code" : "CON"
                                                    }]
                                                  }
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  308. Encounter.participant:Especialista.period
                                                  Definition

                                                  The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                                  ShortPeriod of time during the encounter that the participant participated
                                                  Control1..1
                                                  TypePeriod
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  310. Encounter.participant:Especialista.period.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  312. Encounter.participant:Especialista.period.extension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Alternate Namesextensions, user content
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Encounter.participant.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 314. Encounter.participant:Especialista.period.start
                                                    Definition

                                                    The start of the period. The boundary is inclusive.

                                                    ShortFecha y hora de atención
                                                    Comments

                                                    If the low element is missing, the meaning is that the low boundary is not known.

                                                    Control1..1
                                                    This element is affected by the following invariants: per-1
                                                    TypedateTime
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    316. Encounter.participant:Especialista.period.end
                                                    Definition

                                                    The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                                    ShortEnd time with inclusive boundary, if not ongoing
                                                    Comments

                                                    The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                    Control0..1
                                                    This element is affected by the following invariants: per-1
                                                    TypedateTime
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    318. Encounter.participant:Especialista.individual
                                                    Definition

                                                    Persons involved in the encounter other than the patient.

                                                    ShortReferencia al profesional especialista que atiende
                                                    Control1..1
                                                    TypeReference(Prestador Profesional)
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    320. Encounter.participant:Egresador
                                                    Slice NameEgresador
                                                    Definition

                                                    Es la individualización del médico u odontólogo tratante del usuario, a cargo del proceso de atención. Solo en atenciones de Servicios de Urgencia Rural (SUR), en que no se cuente con personal médico ni odontológico, será el otro profesional o el TENS, quien cierre la atención y otorgue el alta.

                                                    ShortProfesional que autoriza el egresa del paciente
                                                    Control0..1
                                                    TypeBackboneElement
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    322. Encounter.participant:Egresador.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    324. Encounter.participant:Egresador.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                    ShortAdditional content defined by implementations
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesextensions, user content
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    326. Encounter.participant:Egresador.modifierExtension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                    Summarytrue
                                                    Requirements

                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                    Alternate Namesextensions, user content, modifiers
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    328. Encounter.participant:Egresador.type
                                                    Definition

                                                    Role of participant in encounter.

                                                    ShortRol del participante en el encuentro
                                                    Comments

                                                    The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.

                                                    Control1..1
                                                    BindingUnless not suitable, these codes SHALL be taken from ParticipantType
                                                    (extensible to http://hl7.org/fhir/ValueSet/encounter-participant-type)
                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Pattern Value{
                                                      "coding" : [{
                                                        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                                                        "code" : "DIS"
                                                      }]
                                                    }
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    330. Encounter.participant:Egresador.period
                                                    Definition

                                                    The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.

                                                    ShortPeriod of time during the encounter that the participant participated
                                                    Control1..1
                                                    TypePeriod
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    332. Encounter.participant:Egresador.period.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    334. Encounter.participant:Egresador.period.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                    ShortAdditional content defined by implementations
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Alternate Namesextensions, user content
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on Encounter.participant.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 336. Encounter.participant:Egresador.period.start
                                                      Definition

                                                      The start of the period. The boundary is inclusive.

                                                      ShortFecha y hora que se registra la decisión de egreso
                                                      Comments

                                                      If the low element is missing, the meaning is that the low boundary is not known.

                                                      Control1..1
                                                      This element is affected by the following invariants: per-1
                                                      TypedateTime
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supporttrue
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      338. Encounter.participant:Egresador.period.end
                                                      Definition

                                                      The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                                                      ShortEnd time with inclusive boundary, if not ongoing
                                                      Comments

                                                      The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                      Control0..1
                                                      This element is affected by the following invariants: per-1
                                                      TypedateTime
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      340. Encounter.participant:Egresador.individual
                                                      Definition

                                                      Persons involved in the encounter other than the patient.

                                                      ShortReferencia al profesional que autoriza el egreso
                                                      Control1..1
                                                      TypeReference(Prestador Profesional)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      342. Encounter.appointment
                                                      Definition

                                                      Cita o agendamiento médico, la cual es resultado de un encuentro

                                                      ShortReserva de un evento de atención médica entre paciente(s), profesional(es), persona(s) relacionada(s) y/o dispositivo(s)
                                                      Control0..1
                                                      TypeReference(Appointment)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summarytrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      344. Encounter.period
                                                      Definition

                                                      La hora de inicio y finalización del encuentro

                                                      ShortLa hora de inicio y finalización del encuentro
                                                      Comments

                                                      If not (yet) known, the end of the Period may be omitted.

                                                      Control1..1
                                                      TypePeriod
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      346. Encounter.period.id
                                                      Definition

                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      348. Encounter.period.extension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                      ShortAdditional content defined by implementations
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      SlicingThis element introduces a set of slices on Encounter.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 350. Encounter.period.start
                                                        Definition

                                                        Corresponde al día, mes, año y hora en que se realiza la admisión. Sigue el formato de fecha larga normado en la norma 231 de Estándares de Información de Salud.

                                                        ShortFecha y hora de que se realiza la admisión de urgencia
                                                        Comments

                                                        If the low element is missing, the meaning is that the low boundary is not known.

                                                        Control1..1
                                                        This element is affected by the following invariants: per-1
                                                        TypedateTime
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        352. Encounter.period.end
                                                        Definition

                                                        Corresponde al día, el mes y la hora en que luego de cumplir con la completitud de los datos requeridos y el registro por parte del equipo de salud de las intervenciones realizadas, el médico u odontólogo, cierra el dato de urgencia.

                                                        ShortFecha y hora de que se cierra el dato de urgencia
                                                        Comments

                                                        The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                        Control0..1
                                                        This element is affected by the following invariants: per-1
                                                        TypedateTime
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        354. Encounter.length
                                                        Definition

                                                        Cantidad de tiempo que duró el encuentro (menos tiempo ausente)

                                                        ShortCantidad de tiempo que duró el encuentro (menos tiempo ausente)
                                                        Comments

                                                        May differ from the time the Encounter.period lasted because of leave of absence.

                                                        Control0..1
                                                        TypeDuration
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        356. Encounter.reasonCode
                                                        Definition

                                                        Razón codificada por la que tiene lugar el Encuentro

                                                        ShortMotivo de la atención de urgencia
                                                        Comments

                                                        For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                                                        Control0..1
                                                        BindingThe codes SHOULD be taken from EncounterReasonCodes
                                                        (preferred to http://hl7.org/fhir/ValueSet/encounter-reason)

                                                        Reason why the encounter takes place.

                                                        TypeCodeableConcept
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Alternate NamesIndication, Admission diagnosis
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        358. Encounter.reasonCode.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        360. Encounter.reasonCode.extension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Encounter.reasonCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 362. Encounter.reasonCode.coding
                                                          Definition

                                                          A reference to a code defined by a terminology system.

                                                          ShortCode defined by a terminology system
                                                          Comments

                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                          Control0..*
                                                          TypeCoding
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Requirements

                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          364. Encounter.reasonCode.text
                                                          Definition

                                                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                          ShortTexto libre del motivo de la atención de urgencia indicado por el paciente
                                                          Comments

                                                          Very often the text is the same as a displayName of one of the codings.

                                                          Control1..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Must Supporttrue
                                                          Summarytrue
                                                          Requirements

                                                          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          366. Encounter.reasonReference
                                                          Definition

                                                          Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.

                                                          ShortReason the encounter takes place (reference)
                                                          Comments

                                                          For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                                                          Control0..*
                                                          TypeReference(Condition, Procedure, Observation, ImmunizationRecommendation)
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Alternate NamesIndication, Admission diagnosis
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          368. Encounter.diagnosis
                                                          Definition

                                                          Diagnóstico relevante para este encuentro

                                                          ShortDiagnóstico relevante para este encuentro
                                                          Control0..*
                                                          TypeBackboneElement
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          SlicingThis element introduces a set of slices on Encounter.diagnosis. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ use
                                                          • 370. Encounter.diagnosis.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            372. Encounter.diagnosis.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            374. Encounter.diagnosis.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            376. Encounter.diagnosis.condition
                                                            Definition

                                                            Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

                                                            ShortEl diagnóstico o procedimiento relevante para el encuentro
                                                            Comments

                                                            For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                                                            Control1..1
                                                            TypeReference(CL Condición-Diagnóstico)
                                                            Is Modifierfalse
                                                            Summarytrue
                                                            Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            378. Encounter.diagnosis.use
                                                            Definition

                                                            Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                                                            ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                            Control0..1
                                                            BindingThe codes SHOULD be taken from DiagnosisRole
                                                            (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                                                            The type of diagnosis this condition represents.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            380. Encounter.diagnosis.rank
                                                            Definition

                                                            Ranking of the diagnosis (for each role type).

                                                            ShortRanking of the diagnosis (for each role type)
                                                            Control0..1
                                                            TypepositiveInt
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            382. Encounter.diagnosis:HipotesisDiagnostica
                                                            Slice NameHipotesisDiagnostica
                                                            Definition

                                                            Hipótesis diagnóstica del paciente en el contexto de atención de urgencia

                                                            ShortHipótesis diagnóstica
                                                            Control0..*
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            384. Encounter.diagnosis:HipotesisDiagnostica.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            386. Encounter.diagnosis:HipotesisDiagnostica.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            388. Encounter.diagnosis:HipotesisDiagnostica.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            390. Encounter.diagnosis:HipotesisDiagnostica.condition
                                                            Definition

                                                            Referencia a la hipótesis diagnóstica del paciente en el contexto de atención de urgencia

                                                            ShortReferencia a la hipótesis diagnóstica
                                                            Comments

                                                            For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                                                            Control1..1
                                                            TypeReference(Condition Diagnostico)
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            392. Encounter.diagnosis:HipotesisDiagnostica.use
                                                            Definition

                                                            Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                                                            ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                            Control1..1
                                                            BindingThe codes SHOULD be taken from DiagnosisRole
                                                            (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                                                            The type of diagnosis this condition represents.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Pattern Value{
                                                              "coding" : [{
                                                                "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                                                                "code" : "AD"
                                                              }]
                                                            }
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            394. Encounter.diagnosis:HipotesisDiagnostica.rank
                                                            Definition

                                                            Ranking of the diagnosis (for each role type).

                                                            ShortSi es la hipótesis diagnóstica principal se debe registrar el valor 1.
                                                            Control0..1
                                                            TypepositiveInt
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            396. Encounter.diagnosis:Comorbilidades
                                                            Slice NameComorbilidades
                                                            Definition

                                                            Comorbilidades del paciente en el contexto de atención de urgencia

                                                            ShortComorbilidades
                                                            Control0..*
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            398. Encounter.diagnosis:Comorbilidades.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            400. Encounter.diagnosis:Comorbilidades.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            402. Encounter.diagnosis:Comorbilidades.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            404. Encounter.diagnosis:Comorbilidades.condition
                                                            Definition

                                                            Referencia a la comorbilidad del paciente en el contexto de atención de urgencia

                                                            ShortReferencia a la comorbilidad
                                                            Comments

                                                            For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                                                            Control1..1
                                                            TypeReference(Condition Diagnostico)
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            406. Encounter.diagnosis:Comorbilidades.use
                                                            Definition

                                                            Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                                                            ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                            Control1..1
                                                            BindingThe codes SHOULD be taken from DiagnosisRole
                                                            (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                                                            The type of diagnosis this condition represents.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Pattern Value{
                                                              "coding" : [{
                                                                "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                                                                "code" : "CM"
                                                              }]
                                                            }
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            408. Encounter.diagnosis:Comorbilidades.rank
                                                            Definition

                                                            Ranking of the diagnosis (for each role type).

                                                            ShortRanking of the diagnosis (for each role type)
                                                            Control0..1
                                                            TypepositiveInt
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            410. Encounter.diagnosis:DiagnosticoEgreso
                                                            Slice NameDiagnosticoEgreso
                                                            Definition

                                                            Diagnóstico de egreso del paciente en el contexto de atención de urgencia

                                                            ShortDiagnóstico de egreso
                                                            Control0..1
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            412. Encounter.diagnosis:DiagnosticoEgreso.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            414. Encounter.diagnosis:DiagnosticoEgreso.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            416. Encounter.diagnosis:DiagnosticoEgreso.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            418. Encounter.diagnosis:DiagnosticoEgreso.condition
                                                            Definition

                                                            Referencia al diagnóstico de egreso del paciente en el contexto de atención de urgencia

                                                            ShortReferencia al diagnóstico de egreso
                                                            Comments

                                                            For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).

                                                            Control1..1
                                                            TypeReference(Condition Diagnostico)
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Alternate NamesAdmission diagnosis, discharge diagnosis, indication
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            420. Encounter.diagnosis:DiagnosticoEgreso.use
                                                            Definition

                                                            Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).

                                                            ShortRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                            Control1..1
                                                            BindingThe codes SHOULD be taken from DiagnosisRole
                                                            (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                                                            The type of diagnosis this condition represents.

                                                            TypeCodeableConcept
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Pattern Value{
                                                              "coding" : [{
                                                                "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
                                                                "code" : "DD"
                                                              }]
                                                            }
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            422. Encounter.diagnosis:DiagnosticoEgreso.rank
                                                            Definition

                                                            Ranking of the diagnosis (for each role type).

                                                            ShortRanking of the diagnosis (for each role type)
                                                            Control0..1
                                                            TypepositiveInt
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            424. Encounter.account
                                                            Definition

                                                            The set of accounts that may be used for billing for this Encounter.

                                                            ShortThe set of accounts that may be used for billing for this Encounter
                                                            Comments

                                                            The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.

                                                            Control0..*
                                                            TypeReference(Account)
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            426. Encounter.hospitalization
                                                            Definition

                                                            Details about the admission to a healthcare service.

                                                            ShortInformación de admisión y egreso de la atención de urgencia
                                                            Comments

                                                            An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.

                                                            The duration recorded in the period of this encounter covers the entire scope of this hospitalization record.

                                                            Control0..1
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            428. Encounter.hospitalization.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            430. Encounter.hospitalization.extension
                                                            Definition

                                                            An Extension

                                                            ShortExtension
                                                            Control2..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            SlicingThis element introduces a set of slices on Encounter.hospitalization.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 432. Encounter.hospitalization.extension:MedioDeLlegada
                                                              Slice NameMedioDeLlegada
                                                              Definition

                                                              Extensión empleada para indicar el medio de llegada del paciente al servicio de urgencia. Este dato es capturado durante la admisión de urgencia.

                                                              ShortMedio de llegada del paciente al servicio de urgencia
                                                              Control1..1
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension(Medio de Llegada) (Extension Type: CodeableConcept)
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              434. Encounter.hospitalization.extension:ConsultaPorAccidente
                                                              Slice NameConsultaPorAccidente
                                                              Definition

                                                              Extensión que registra si la atención de urgencia se debe a un accidente. Este dato es capturado durante la admisión de urgencia.

                                                              ShortConsulta por accidente
                                                              Control1..1
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension(Consulta por Accidente) (Extension Type: boolean)
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              436. Encounter.hospitalization.modifierExtension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                              Summarytrue
                                                              Requirements

                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                              Alternate Namesextensions, user content, modifiers
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              438. Encounter.hospitalization.preAdmissionIdentifier
                                                              Definition

                                                              Pre-admission identifier.

                                                              ShortPre-admission identifier
                                                              Control0..1
                                                              TypeIdentifier
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              440. Encounter.hospitalization.origin
                                                              Definition

                                                              The location/organization from which the patient came before admission.

                                                              ShortThe location/organization from which the patient came before admission
                                                              Control0..1
                                                              TypeReference(Location, Organization)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              442. Encounter.hospitalization.admitSource
                                                              Definition

                                                              Lugar físico desde donde proviene el paciente cuando concurre a la atención de urgencia. Este dato es capturado durante la admisión de urgencia.

                                                              ShortLugar físico desde donde proviene el paciente cuando concurre a la atención de urgencia
                                                              Control1..1
                                                              BindingThe codes SHALL be taken from Procedencia
                                                              (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/Procedencia)
                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              444. Encounter.hospitalization.reAdmission
                                                              Definition

                                                              Whether this hospitalization is a readmission and why if known.

                                                              ShortThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
                                                              Control0..1
                                                              BindingFor example codes, see hl7VS-re-admissionIndicator
                                                              (example to http://terminology.hl7.org/ValueSet/v2-0092)

                                                              The reason for re-admission of this hospitalization encounter.

                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              446. Encounter.hospitalization.dietPreference
                                                              Definition

                                                              Diet preferences reported by the patient.

                                                              ShortDiet preferences reported by the patient
                                                              Comments

                                                              For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).

                                                              Control0..*
                                                              BindingFor example codes, see Diet
                                                              (example to http://hl7.org/fhir/ValueSet/encounter-diet)

                                                              Medical, cultural or ethical food preferences to help with catering requirements.

                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Requirements

                                                              Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              448. Encounter.hospitalization.specialCourtesy
                                                              Definition

                                                              Special courtesies (VIP, board member).

                                                              ShortSpecial courtesies (VIP, board member)
                                                              Control0..*
                                                              BindingThe codes SHOULD be taken from SpecialCourtesy
                                                              (preferred to http://hl7.org/fhir/ValueSet/encounter-special-courtesy)

                                                              Special courtesies.

                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              450. Encounter.hospitalization.specialArrangement
                                                              Definition

                                                              Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.

                                                              ShortWheelchair, translator, stretcher, etc.
                                                              Control0..*
                                                              BindingThe codes SHOULD be taken from SpecialArrangements
                                                              (preferred to http://hl7.org/fhir/ValueSet/encounter-special-arrangements)

                                                              Special arrangements.

                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              452. Encounter.hospitalization.destination
                                                              Definition

                                                              Location/organization to which the patient is discharged.

                                                              ShortLocation/organization to which the patient is discharged
                                                              Control0..1
                                                              TypeReference(Location, Organization)
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              454. Encounter.hospitalization.dischargeDisposition
                                                              Definition

                                                              Corresponde a la decisión del médico u odontólogo del destino que debe seguir el usuario en virtud de su evaluación y situación clínica antes de cerrar el proceso de urgencia.

                                                              ShortTipo de egreso de la atención de urgencia
                                                              Control0..1
                                                              BindingThe codes SHALL be taken from Tipo Egreso
                                                              (required to https://interoperabilidad.minsal.cl/fhir/ig/urgencia/ValueSet/tipo-egreso)
                                                              TypeCodeableConcept
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              456. Encounter.hospitalization.dischargeDisposition.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              458. Encounter.hospitalization.dischargeDisposition.extension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                              ShortAdditional content defined by implementations
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on Encounter.hospitalization.dischargeDisposition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 460. Encounter.hospitalization.dischargeDisposition.extension:IndicacionHospitalizacion
                                                                Slice NameIndicacionHospitalizacion
                                                                Definition

                                                                Extensión que registra la indicación de hospitalización en el contexto de un encuentro de atención de urgencia.

                                                                ShortIndicación de hospitalización
                                                                Control0..1
                                                                TypeExtension(Indicación Hospitalización) (Complex Extension)
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                462. Encounter.hospitalization.dischargeDisposition.extension:IndicacionAlta
                                                                Slice NameIndicacionAlta
                                                                Definition

                                                                Extensión que registra la indicación de alta en el contexto de un encuentro de atención de urgencia.

                                                                ShortIndicación de alta
                                                                Control0..1
                                                                TypeExtension(Indicación Alta) (Complex Extension)
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                464. Encounter.hospitalization.dischargeDisposition.extension:IndicacionDerivacion
                                                                Slice NameIndicacionDerivacion
                                                                Definition

                                                                Extensión que registra la indicación de derivación a otro centro asistencial en el contexto de un encuentro de atención de urgencia.

                                                                ShortIndicación de derivación a otro centro asistencial
                                                                Control0..1
                                                                TypeExtension(Indicación Derivación) (Complex Extension)
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                466. Encounter.hospitalization.dischargeDisposition.extension:Abandono
                                                                Slice NameAbandono
                                                                Definition

                                                                Usuarios que, habiendo iniciado el proceso de atención de urgencia, y habiéndose generado un DAU, no terminaron el proceso, en cualquiera de sus etapas.

                                                                ShortTipo de abandono
                                                                Control0..1
                                                                TypeExtension(Abandono) (Extension Type: Coding)
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                468. Encounter.hospitalization.dischargeDisposition.extension:Fallecido
                                                                Slice NameFallecido
                                                                Definition

                                                                Extensión que registra la información de un paciente fallecido en el contexto de un encuentro de atención de urgencia.

                                                                ShortFallecido
                                                                Control0..1
                                                                TypeExtension(Fallecido) (Complex Extension)
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                470. Encounter.hospitalization.dischargeDisposition.coding
                                                                Definition

                                                                A reference to a code defined by a terminology system.

                                                                ShortCode defined by a terminology system
                                                                Comments

                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                Control0..*
                                                                TypeCoding
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Requirements

                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                472. Encounter.hospitalization.dischargeDisposition.text
                                                                Definition

                                                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                ShortPlain text representation of the concept
                                                                Comments

                                                                Very often the text is the same as a displayName of one of the codings.

                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                474. Encounter.location
                                                                Definition

                                                                List of locations where the patient has been during this encounter.

                                                                ShortList of locations where the patient has been
                                                                Comments

                                                                Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".

                                                                Control0..*
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                476. Encounter.location.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                478. Encounter.location.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                480. Encounter.location.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                482. Encounter.location.location
                                                                Definition

                                                                The location where the encounter takes place.

                                                                ShortLocation the encounter takes place
                                                                Control1..1
                                                                TypeReference(Location)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                484. Encounter.location.status
                                                                Definition

                                                                The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.

                                                                Shortplanned | active | reserved | completed
                                                                Comments

                                                                When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.

                                                                Control0..1
                                                                BindingThe codes SHALL be taken from EncounterLocationStatus
                                                                (required to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1)

                                                                The status of the location.

                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                486. Encounter.location.physicalType
                                                                Definition

                                                                This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.

                                                                ShortThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
                                                                Comments

                                                                This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.

                                                                There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.

                                                                Control0..1
                                                                BindingFor example codes, see LocationType
                                                                (example to http://hl7.org/fhir/ValueSet/location-physical-type)

                                                                Physical form of the location.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                488. Encounter.location.period
                                                                Definition

                                                                Time period during which the patient was present at the location.

                                                                ShortTime period during which the patient was present at the location
                                                                Control0..1
                                                                TypePeriod
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                490. Encounter.serviceProvider
                                                                Definition

                                                                Establecimiento de salud donde se realiza la atención de urgencia

                                                                ShortEstablecimiento de salud
                                                                Control1..1
                                                                TypeReference(Establecimiento Urgencia)
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                492. Encounter.partOf
                                                                Definition

                                                                Another Encounter of which this encounter is a part of (administratively or in time).

                                                                ShortAnother Encounter this encounter is part of
                                                                Comments

                                                                This is also used for associating a child's encounter back to the mother's encounter.

                                                                Refer to the Notes section in the Patient resource for further details.

                                                                Control0..1
                                                                TypeReference(Encounter)
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))