Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS
0.1.0 - CI Build
Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRCID10Avaliado-1.0 | Version: 0.1.0 | |||
Standards status: Informative | Maturity Level: 1 | Computable Name: BRCID10Avaliado |
Diagnóstico atribuído pelo profissional de saúde ao indivíduo no contato assistencial.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | S | 0..* | Condition | Diagnóstico ou Problema |
identifier | 0..0 | |||
clinicalStatus | S | 0..1 | CodeableConcept | Estado da Resolução Binding: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema |
coding | S | 1..1 | Coding | Code defined by a terminology system |
system | N | 1..1 | uri | Identity of the terminology system |
code | N | 1..1 | code | Symbol in syntax defined by the system |
display | N | 0..0 | ||
userSelected | N | 0..0 | ||
text | N | 0..0 | ||
verificationStatus | 0..0 | |||
category | 0..1 | CodeableConcept | Categoria do diagnóstico Binding: Categoria do Diagnóstico (required): Categoria do diagnóstico | |
severity | 0..0 | |||
code | S | 1..1 | CodeableConcept | Diagnóstico ou Problema Binding: Classificação Internacional de Doenças - Décima Revisão - CID-10 (required): CID-10 |
coding | 1..1 | Coding | Code defined by a terminology system | |
system | N | 1..1 | uri | Identity of the terminology system |
code | N | 1..1 | code | Symbol in syntax defined by the system |
display | N | 0..0 | ||
userSelected | N | 0..0 | ||
text | N | 0..0 | ||
bodySite | 0..0 | |||
subject | S | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
unidentifiedPatient | S | 0..* | (Complex) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:gender | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "gender" | |
extension:birthYear | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "birthYear" | |
extension:reason | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "reason" | |
url | 1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |
reference | N | 0..0 | ||
type | N | 0..0 | ||
identifier | 1..1 | Identifier | Logical reference, when literal reference is not known | |
use | N | 0..0 | ||
type | 0..0 | |||
system | N | 1..1 | uri | The namespace for the identifier value |
value | N | 1..1 | string | The value that is unique |
period | 0..0 | |||
assigner | 0..0 | |||
display | N | 0..0 | ||
encounter | 0..0 | |||
onset[x] | N | 0..1 | dateTime | Data do início do Diagnóstico/Problema |
abatement[x] | N | 0..0 | ||
recordedDate | N | 0..0 | ||
recorder | 0..0 | |||
asserter | 0..0 | |||
stage | 0..0 | |||
evidence | 0..0 | |||
note | S | 0..1 | Annotation | Additional information about the Condition |
author[x] | N | 0..0 | ||
time | N | 0..0 | ||
text | SN | 1..1 | markdown | Nota |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | BREstadoResolucaoDiagnosticoProblemahttp://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0 from this IG | |
Condition.category | required | BRCategoriaDiagnostico (a valid code from Categoria do Diagnóstico)http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaDiagnostico from this IG | |
Condition.code | required | BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)http://www.saude.gov.br/fhir/r4/ValueSet/BRCID10-1.0 from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | SC | 0..* | Condition | Diagnóstico ou Problema con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | Estado da Resolução Binding: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema |
coding | SΣ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
category | 0..1 | CodeableConcept | Categoria do diagnóstico Binding: Categoria do Diagnóstico (required): Categoria do diagnóstico | |
code | SΣ | 1..1 | CodeableConcept | Diagnóstico ou Problema Binding: Classificação Internacional de Doenças - Décima Revisão - CID-10 (required): CID-10 |
coding | Σ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
subject | SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
unidentifiedPatient | S | 0..* | (Complex) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:gender | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "gender" | |
value[x] | 1..1 | code | Value of extension | |
extension:birthYear | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "birthYear" | |
value[x] | 1..1 | date | Value of extension | |
extension:reason | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "reason" | |
value[x] | 1..1 | CodeableConcept | Value of extension | |
url | 1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known |
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
onset[x] | Σ | 0..1 | dateTime | Data do início do Diagnóstico/Problema |
note | S | 0..1 | Annotation | Additional information about the Condition |
text | SΣ | 1..1 | markdown | Nota |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | BREstadoResolucaoDiagnosticoProblemahttp://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0 from this IG | |
Condition.category | required | BRCategoriaDiagnostico (a valid code from Categoria do Diagnóstico)http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaDiagnostico from this IG | |
Condition.code | required | BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)http://www.saude.gov.br/fhir/r4/ValueSet/BRCID10-1.0 from this IG |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | SC | 0..* | Condition | Diagnóstico ou Problema con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | Estado da Resolução Binding: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
category | 0..1 | CodeableConcept | Categoria do diagnóstico Binding: Categoria do Diagnóstico (required): Categoria do diagnóstico | |||||
code | SΣ | 1..1 | CodeableConcept | Diagnóstico ou Problema Binding: Classificação Internacional de Doenças - Décima Revisão - CID-10 (required): CID-10 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
subject | SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
unidentifiedPatient | S | 0..* | (Complex) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
extension:gender | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "gender" | |||||
value[x] | 1..1 | code | Value of extension | |||||
extension:birthYear | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "birthYear" | |||||
value[x] | 1..1 | date | Value of extension | |||||
extension:reason | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "reason" | |||||
value[x] | 1..1 | CodeableConcept | Value of extension | |||||
url | 1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |||||
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
onset[x] | Σ | 0..1 | dateTime | Data do início do Diagnóstico/Problema | ||||
note | S | 0..1 | Annotation | Additional information about the Condition | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
text | SΣ | 1..1 | markdown | Nota | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | BREstadoResolucaoDiagnosticoProblemahttp://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0 from this IG | ||||
Condition.category | required | BRCategoriaDiagnostico (a valid code from Categoria do Diagnóstico)http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaDiagnostico from this IG | ||||
Condition.code | required | BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)http://www.saude.gov.br/fhir/r4/ValueSet/BRCID10-1.0 from this IG | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Condition
Summary
Mandatory: 7 elements(3 nested mandatory elements)
Must-Support: 10 elements
Fixed: 5 elements
Prohibited: 26 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 1
Differential View
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | S | 0..* | Condition | Diagnóstico ou Problema |
identifier | 0..0 | |||
clinicalStatus | S | 0..1 | CodeableConcept | Estado da Resolução Binding: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema |
coding | S | 1..1 | Coding | Code defined by a terminology system |
system | N | 1..1 | uri | Identity of the terminology system |
code | N | 1..1 | code | Symbol in syntax defined by the system |
display | N | 0..0 | ||
userSelected | N | 0..0 | ||
text | N | 0..0 | ||
verificationStatus | 0..0 | |||
category | 0..1 | CodeableConcept | Categoria do diagnóstico Binding: Categoria do Diagnóstico (required): Categoria do diagnóstico | |
severity | 0..0 | |||
code | S | 1..1 | CodeableConcept | Diagnóstico ou Problema Binding: Classificação Internacional de Doenças - Décima Revisão - CID-10 (required): CID-10 |
coding | 1..1 | Coding | Code defined by a terminology system | |
system | N | 1..1 | uri | Identity of the terminology system |
code | N | 1..1 | code | Symbol in syntax defined by the system |
display | N | 0..0 | ||
userSelected | N | 0..0 | ||
text | N | 0..0 | ||
bodySite | 0..0 | |||
subject | S | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
unidentifiedPatient | S | 0..* | (Complex) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:gender | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "gender" | |
extension:birthYear | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "birthYear" | |
extension:reason | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "reason" | |
url | 1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |
reference | N | 0..0 | ||
type | N | 0..0 | ||
identifier | 1..1 | Identifier | Logical reference, when literal reference is not known | |
use | N | 0..0 | ||
type | 0..0 | |||
system | N | 1..1 | uri | The namespace for the identifier value |
value | N | 1..1 | string | The value that is unique |
period | 0..0 | |||
assigner | 0..0 | |||
display | N | 0..0 | ||
encounter | 0..0 | |||
onset[x] | N | 0..1 | dateTime | Data do início do Diagnóstico/Problema |
abatement[x] | N | 0..0 | ||
recordedDate | N | 0..0 | ||
recorder | 0..0 | |||
asserter | 0..0 | |||
stage | 0..0 | |||
evidence | 0..0 | |||
note | S | 0..1 | Annotation | Additional information about the Condition |
author[x] | N | 0..0 | ||
time | N | 0..0 | ||
text | SN | 1..1 | markdown | Nota |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | BREstadoResolucaoDiagnosticoProblemahttp://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0 from this IG | |
Condition.category | required | BRCategoriaDiagnostico (a valid code from Categoria do Diagnóstico)http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaDiagnostico from this IG | |
Condition.code | required | BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)http://www.saude.gov.br/fhir/r4/ValueSet/BRCID10-1.0 from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | SC | 0..* | Condition | Diagnóstico ou Problema con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | Estado da Resolução Binding: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema |
coding | SΣ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
category | 0..1 | CodeableConcept | Categoria do diagnóstico Binding: Categoria do Diagnóstico (required): Categoria do diagnóstico | |
code | SΣ | 1..1 | CodeableConcept | Diagnóstico ou Problema Binding: Classificação Internacional de Doenças - Décima Revisão - CID-10 (required): CID-10 |
coding | Σ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
subject | SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
unidentifiedPatient | S | 0..* | (Complex) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
extension:gender | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "gender" | |
value[x] | 1..1 | code | Value of extension | |
extension:birthYear | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "birthYear" | |
value[x] | 1..1 | date | Value of extension | |
extension:reason | S | 0..1 | Extension | Extension |
url | 1..1 | uri | "reason" | |
value[x] | 1..1 | CodeableConcept | Value of extension | |
url | 1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known |
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
value | Σ | 1..1 | string | The value that is unique Example General: 123456 |
onset[x] | Σ | 0..1 | dateTime | Data do início do Diagnóstico/Problema |
note | S | 0..1 | Annotation | Additional information about the Condition |
text | SΣ | 1..1 | markdown | Nota |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Condition.clinicalStatus | required | BREstadoResolucaoDiagnosticoProblemahttp://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0 from this IG | |
Condition.category | required | BRCategoriaDiagnostico (a valid code from Categoria do Diagnóstico)http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaDiagnostico from this IG | |
Condition.code | required | BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)http://www.saude.gov.br/fhir/r4/ValueSet/BRCID10-1.0 from this IG |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Condition | SC | 0..* | Condition | Diagnóstico ou Problema con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | Estado da Resolução Binding: Estado da Resolução de Diagnóstico ou Problema (required): Estado da Resolução do Diagnóstico/Problema | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
category | 0..1 | CodeableConcept | Categoria do diagnóstico Binding: Categoria do Diagnóstico (required): Categoria do diagnóstico | |||||
code | SΣ | 1..1 | CodeableConcept | Diagnóstico ou Problema Binding: Classificação Internacional de Doenças - Décima Revisão - CID-10 (required): CID-10 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 1..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
subject | SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Indivíduo | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
unidentifiedPatient | S | 0..* | (Complex) | Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
extension:gender | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "gender" | |||||
value[x] | 1..1 | code | Value of extension | |||||
extension:birthYear | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "birthYear" | |||||
value[x] | 1..1 | date | Value of extension | |||||
extension:reason | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
url | 1..1 | uri | "reason" | |||||
value[x] | 1..1 | CodeableConcept | Value of extension | |||||
url | 1..1 | uri | "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0" | |||||
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
onset[x] | Σ | 0..1 | dateTime | Data do início do Diagnóstico/Problema | ||||
note | S | 0..1 | Annotation | Additional information about the Condition | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
text | SΣ | 1..1 | markdown | Nota | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
Condition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Condition.clinicalStatus | required | BREstadoResolucaoDiagnosticoProblemahttp://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0 from this IG | ||||
Condition.category | required | BRCategoriaDiagnostico (a valid code from Categoria do Diagnóstico)http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaDiagnostico from this IG | ||||
Condition.code | required | BRCID10 (a valid code from Classificação Internacional de Doenças - Décima Revisão - CID-10)http://www.saude.gov.br/fhir/r4/ValueSet/BRCID10-1.0 from this IG | ||||
Condition.stage.summary | example | ConditionStagehttp://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard | ||||
Condition.stage.type | example | ConditionStageTypehttp://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard | ||||
Condition.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() | |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() | |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() | |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Condition
Summary
Mandatory: 7 elements(3 nested mandatory elements)
Must-Support: 10 elements
Fixed: 5 elements
Prohibited: 26 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron