Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS
1.0.0 - CI Build BR

!!Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: BRConjuntoMinimoDados - Detailed Descriptions

Page standards status: Informative Maturity Level: 1

Definitions for the BRConjuntoMinimoDados-1.1 resource profile.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Composition
Definição

Documento que representa o Conjunto Mínimo de Dados.


A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

CurtoConjunto Mínimo de DadosA set of resources composed into a single coherent clinical statement with clinical attestation
Comentários

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

Controlo0..*
É modificadorfalse
Deve apoiartrue
Resumofalse
Nomes alternativosContato Assistencial, CMD, Minimum Health Data Set, Minimum Basic Health Data Set, MHDS, MBHDS, Atendimento, Internação
Invariantesdom-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())
2. Composition.implicitRules
Definição

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.

CurtoA set of rules under which this content was created
Comentários

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.

Controlo0..1
Tipouri
É modificadortrue porque 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
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Composition.modifierExtension
Definição

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).

CurtoExtensions that cannot be ignored
Comentários

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.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumofalse
Requisitos

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.

Nomes alternativosextensions, user content
Invariantesele-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())
6. Composition.identifier
Definição

A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

CurtoVersion-independent identifier for the Composition
Comentários

Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo0..01
TipoIdentifier
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Composition.status
Definição

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Curtofinal | entered-in-errorpreliminary | final | amended | entered-in-error
Comentários

If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

Controlo1..1
VínculoOs códigos DEVERÃO ser retirados de Estado do Documentohttp://hl7.org/fhir/ValueSet/composition-status|4.0.1
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoDocumento-1.0)

Estado do Documento


The workflow/clinical status of the composition.

Tipocode
É modificadortrue porque This element is labelled 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
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiartrue
Resumotrue
Requisitos

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Composition.type
Definição

Especifica o tipo de documento que está sendo enviado na composição.


Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

CurtoTipo de DocumentoKind of composition (LOINC if possible)
Comentários

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Controlo1..1
VínculoOs códigos DEVERÃO ser retirados de Tipo de Documentohttp://hl7.org/fhir/ValueSet/doc-typecodes
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumento-1.0)

Tipo de Documento


Type of a composition.

TipoCodeableConcept
É modificadorfalse
Deve apoiartrue
Resumotrue
Requisitos

Key metadata element describing the composition, used in searching/filtering.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Composition.type.coding
Definição

A reference to a code defined by a terminology system.

CurtoCode defined by a terminology system
Comentários

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.

Controlo10..1*
TipoCoding
É modificadorfalse
Deve apoiartrue
Resumotrue
Requisitos

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

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Composition.type.coding.system
Definição

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

CurtoIdentity of the terminology system
Comentários

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.

Controlo10..1
Tipouri
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Composition.type.coding.code
Definição

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).

CurtoSymbol in syntax defined by the system
Controlo10..1
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Need to refer to a particular code in the system.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Composition.type.coding.display
Definição

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

CurtoRepresentation defined by the system
Controlo0..01
Tipostring
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Composition.type.coding.userSelected
Definição

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

CurtoIf this coding was chosen directly by the user
Comentários

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.

Controlo0..01
Tipoboolean
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Composition.type.text
Definição

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.

CurtoPlain text representation of the concept
Comentários

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

Controlo0..01
Tipostring
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Composition.category
Definição

Classifica os contatos assistenciais de acordo com as especificidades do modo, local e duração do atendimento. Referência: https://rts.saude.gov.br/#/modalidade-assistencial


A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

CurtoModalidade AssistencialCategorization of Composition
Comentários

This is a metadata field from XDS/MHD.

Controlo10..1*
VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Modalidade Assistencialhttp://hl7.org/fhir/ValueSet/document-classcodes
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0)

Modalidade Assistencial


High-level kind of a clinical document at a macro level.

TipoCodeableConcept
É modificadorfalse
Deve apoiartrue
Resumotrue
Requisitos

Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Composition.category.coding
Definição

A reference to a code defined by a terminology system.

CurtoCode defined by a terminology system
Comentários

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.

Controlo10..1*
TipoCoding
É modificadorfalse
Deve apoiartrue
Resumotrue
Requisitos

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

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Composition.category.coding.system
Definição

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

CurtoIdentity of the terminology system
Comentários

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.

Controlo10..1
Tipouri
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Composition.category.coding.code
Definição

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).

CurtoSymbol in syntax defined by the system
Controlo10..1
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Need to refer to a particular code in the system.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Composition.category.coding.display
Definição

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

CurtoRepresentation defined by the system
Controlo0..01
Tipostring
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Composition.category.coding.userSelected
Definição

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

CurtoIf this coding was chosen directly by the user
Comentários

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.

Controlo0..01
Tipoboolean
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Composition.category.text
Definição

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.

CurtoPlain text representation of the concept
Comentários

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

Controlo0..01
Tipostring
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

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.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Composition.subject
Definição

Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).


Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

CurtoSujeito da ComposiçãoWho and/or what the composition is about
Comentários

Nesta versão, a RNDS suportará somente indivíduos.


For clinical documents, this is usually the patient.

Controlo10..1
TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0, Resource)
É modificadorfalse
Deve apoiartrue
Resumotrue
Requisitos

Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Composition.subject.extension:unidentifiedPatient
Nome da fatiaunidentifiedPatient
Definição

Informações demográficas básicas e justificativa dos indivíduos que não podem ser identificados por razões clínicas ou sociais, conforme legislação brasileira, com finalidade estatística.

CurtoDados do Indivíduo Não Identificado
Controlo0..1
TipoExtension(Informações Complementares de Indivíduos Não Identificados) (Extensão complexa)
É modificadorfalse
Deve apoiartrue
Invariantesele-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. Composition.subject.extension:unidentifiedPatient.extension
Definição

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.

CurtoExtensionAdditional content defined by implementations
Comentários

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.

Controlo30..3*
TipoExtension
É modificadorfalse
Resumofalse
Nomes alternativosextensions, user content
Invariantesele-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())
SlicingEste elemento introduz um conjunto de fatias em Composition.subject.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • value @ url
  • 44. Composition.subject.extension:unidentifiedPatient.extension:gender
    Nome da fatiagender
    Definição

    An Extension

    CurtoExtensionAdditional content defined by implementations
    Controlo10..1*
    TipoExtension
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantesele-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())
    46. Composition.subject.extension:unidentifiedPatient.extension:gender.url
    Definição

    Source of the definition for the extension code - a logical name or a URL.

    Curtoidentifies the meaning of the extension
    Comentários

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Controlo1..1
    Tipouri
    É modificadorfalse
    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
    Resumofalse
    Valor fixogender
    48. Composition.subject.extension:unidentifiedPatient.extension:gender.value[x]
    Definição

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    CurtoValue of extension
    Controlo10..1
    Tipocode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Composition.subject.extension:unidentifiedPatient.extension:birthYear
    Nome da fatiabirthYear
    Definição

    An Extension

    CurtoExtensionAdditional content defined by implementations
    Controlo10..1*
    TipoExtension
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantesele-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. Composition.subject.extension:unidentifiedPatient.extension:birthYear.url
    Definição

    Source of the definition for the extension code - a logical name or a URL.

    Curtoidentifies the meaning of the extension
    Comentários

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Controlo1..1
    Tipouri
    É modificadorfalse
    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
    Resumofalse
    Valor fixobirthYear
    54. Composition.subject.extension:unidentifiedPatient.extension:birthYear.value[x]
    Definição

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    CurtoValue of extension
    Controlo10..1
    Tipodate, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Composition.subject.extension:unidentifiedPatient.extension:reason
    Nome da fatiareason
    Definição

    An Extension

    CurtoExtensionAdditional content defined by implementations
    Controlo10..1*
    TipoExtension
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantesele-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())
    58. Composition.subject.extension:unidentifiedPatient.extension:reason.url
    Definição

    Source of the definition for the extension code - a logical name or a URL.

    Curtoidentifies the meaning of the extension
    Comentários

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Controlo1..1
    Tipouri
    É modificadorfalse
    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
    Resumofalse
    Valor fixoreason
    60. Composition.subject.extension:unidentifiedPatient.extension:reason.value[x]
    Definição

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    CurtoValue of extension
    Controlo10..1
    TipoCodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. Composition.subject.extension:unidentifiedPatient.url
    Definição

    Source of the definition for the extension code - a logical name or a URL.

    Curtoidentifies the meaning of the extension
    Comentários

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Controlo1..1
    Tipouri
    É modificadorfalse
    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
    Resumofalse
    Valor fixohttp://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
    64. Composition.subject.extension:unidentifiedPatient.value[x]
    Definição

    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

    CurtoValue of extension
    Controlo0..01
    TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Composition.subject.reference
    Definição

    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    CurtoLiteral reference, Relative, internal or absolute URL
    Comentários

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Controlo0..01
    Este elemento é afetado pelas seguintes invariantes: ref-1
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. Composition.subject.type
    Definição

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    CurtoType the reference refers to (e.g. "Patient")
    Comentários

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Valor fixoPatient
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. Composition.subject.display
    Definição

    Plain text narrative that identifies the resource in addition to the resource reference.

    CurtoText alternative for the resource
    Comentários

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    72. Composition.encounter
    Definição

    Describes the clinical encounter or type of care this documentation is associated with.

    CurtoContext of the Composition
    Controlo0..01
    TipoReference(Encounter)
    É modificadorfalse
    Resumotrue
    Requisitos

    Provides context for the composition and supports searching.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    74. Composition.date
    Definição

    Data e hora em que o documento foi gerado.


    The composition editing time, when the composition was last logically changed by the author.

    CurtoData/hora de Geração do DocumentoComposition editing time
    Comentários

    The Last Modified Date on the composition may be after the date of the document was attested without being changed.

    Controlo1..1
    TipodateTime
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Deve apoiartrue
    Resumotrue
    Requisitos

    dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.


    dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    76. Composition.author
    Definição

    Identifica a Pessoa Jurídica ou Pessoa Física (profissional liberal) responsável por gerar o documento.


    Identifies who is responsible for the information in the composition, not necessarily who typed it in.

    CurtoReponsável pelo Contato AssistencialWho and/or what authored the composition
    Comentários

    Nesta versão da RNDS somente serão suportadas edições provenientes de Estabelecimentos de Saúde.

    Controlo1..*
    TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0, Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
    É modificadorfalse
    Deve apoiartrue
    Resumotrue
    Requisitos

    Identifies who is responsible for the content.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    78. Composition.author.reference
    Definição

    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    CurtoLiteral reference, Relative, internal or absolute URL
    Comentários

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Controlo0..01
    Este elemento é afetado pelas seguintes invariantes: ref-1
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    80. Composition.author.type
    Definição

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    CurtoType the reference refers to (e.g. "Patient")
    Comentários

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    82. Composition.author.identifier
    Definição

    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    CurtoLogical reference, when literal reference is not known
    Comentários

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo10..1
    TipoIdentifier
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    84. Composition.author.identifier.use
    Definição

    The purpose of this identifier.

    Curtousual | official | temp | secondary | old (If known)
    Comentários

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

    Controlo0..01
    VínculoOs códigos DEVERÃO ser retirados de 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 .

    Tipocode
    É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

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

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    86. Composition.author.identifier.type
    Definição

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

    CurtoDescription of identifier
    Comentários

    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.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
    (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.

    TipoCodeableConcept
    É modificadorfalse
    Resumotrue
    Requisitos

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

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    88. Composition.author.identifier.system
    Definição

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

    CurtoThe namespace for the identifier value
    Comentários

    Identifier.system is always case sensitive.

    Controlo10..1
    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    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.

    Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    90. Composition.author.identifier.value
    Definição

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

    CurtoThe value that is unique
    Comentários

    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.

    Controlo10..1
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Exemplo<br/><b>General</b>:123456
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    92. Composition.author.identifier.period
    Definição

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

    CurtoTime period when id is/was valid for use
    Controlo0..01
    TipoPeriod
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    94. Composition.author.identifier.assigner
    Definição

    Organization that issued/manages the identifier.

    CurtoOrganization that issued id (may be just text)
    Comentários

    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.

    Controlo0..01
    TipoReference(Organization)
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    96. Composition.author.display
    Definição

    Plain text narrative that identifies the resource in addition to the resource reference.

    CurtoText alternative for the resource
    Comentários

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    98. Composition.title
    Definição

    Título do documento em linguagem humana.


    Official human-readable label for the composition.

    CurtoTítulo do documentoHuman Readable name/title
    Comentários

    For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

    Controlo1..1
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Deve apoiartrue
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    100. Composition.confidentiality
    Definição

    The code specifying the level of confidentiality of the Composition.

    CurtoAs defined by affinity domain
    Comentários

    The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

    Controlo0..01
    VínculoOs códigos DEVERÃO ser retirados de v3.ConfidentialityClassification (2014-03-26)http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
    (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

    Codes specifying the level of confidentiality of the composition.

    Tipocode
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    102. Composition.attester
    Definição

    A participant who has attested to the accuracy of the composition/document.

    CurtoAttests to accuracy of composition
    Comentários

    Only list each attester once.

    Controlo0..0*
    TipoBackboneElement
    É modificadorfalse
    Resumofalse
    Requisitos

    Identifies responsibility for the accuracy of the composition content.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    106. Composition.custodian
    Definição

    Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

    CurtoOrganization which maintains the composition
    Comentários

    This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

    Controlo0..01
    TipoReference(Organization)
    É modificadorfalse
    Resumotrue
    Requisitos

    Identifies where to go to find the current version, where to report issues, etc.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    108. Composition.relatesTo
    Definição

    Indica uma relação entre esse documento e outro documento (ou composição) existente.


    Relationships that this composition has with other compositions or documents that already exist.

    CurtoRelação a Outros DocumentosRelationships to other compositions/documents
    Comentários

    A document is a version specific composition.

    Controlo0..1*
    TipoBackboneElement
    É modificadorfalse
    Resumofalse
    Requisitos

    Este elemento deve ser utilizado exclusivamente para indicar que este documento substitui (replaces) outro documento / composição; ou seja, é utilizado para cancelar o anterior e passar a considerar este no seu lugar. Este documento receberá um ID próprio; o documento anterior continuará disponível na RNDS e poderá ser recuperado integralmente por referência direta ao seu ID, garantindo a rastreabilidade do processo, mas não estará diretamente disponível na timeline do cidadão.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    110. Composition.relatesTo.modifierExtension
    Definição

    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).

    CurtoExtensions that cannot be ignored even if unrecognized
    Comentários

    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.

    Controlo0..*
    TipoExtension
    É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Resumotrue
    Requisitos

    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.

    Nomes alternativosextensions, user content, modifiers
    Invariantesele-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())
    112. Composition.relatesTo.code
    Definição

    Indica o tipo de relacionamento que este documento tem com o outro documento (composição).


    The type of relationship that this composition has with anther composition or document.

    CurtoTipo de Relacionamentoreplaces | transforms | signs | appends
    Comentários

    If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

    Controlo1..1
    VínculoOs códigos DEVERÃO ser retirados de DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
    (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

    The type of relationship between documents.

    Tipocode
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumofalse
    Requisitos

    O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.

    Valor fixoreplaces
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    114. Composition.relatesTo.target[x]
    Definição

    Referência ao documento anterior que este documento está substituindo.


    The target composition/document of this relationship.

    CurtoDocumento a Ser SubstituídoTarget of the relationship
    Controlo1..1
    TipoReference(Composition), Identifier
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    É modificadorfalse
    Resumofalse
    Requisitos

    O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    116. Composition.relatesTo.target[x].id
    Definição

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

    CurtoUnique id for inter-element referencing
    Controlo0..01
    Tipostring
    É modificadorfalse
    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
    Resumofalse
    118. Composition.relatesTo.target[x].reference
    Definição

    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    CurtoLiteral reference, Relative, internal or absolute URL
    Comentários

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Controlo10..1
    Este elemento é afetado pelas seguintes invariantes: ref-1
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    120. Composition.relatesTo.target[x].type
    Definição

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    CurtoType the reference refers to (e.g. "Patient")
    Comentários

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    122. Composition.relatesTo.target[x].identifier
    Definição

    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    CurtoLogical reference, when literal reference is not known
    Comentários

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo0..01
    TipoIdentifier
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    124. Composition.relatesTo.target[x].display
    Definição

    Plain text narrative that identifies the resource in addition to the resource reference.

    CurtoText alternative for the resource
    Comentários

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    126. Composition.event
    Definição

    The clinical service, such as a colonoscopy or an appendectomy, being documented.

    CurtoThe clinical service(s) being documented
    Comentários

    The event needs to be consistent with the type element, though can provide further information if desired.

    Controlo0..0*
    TipoBackboneElement
    É modificadorfalse
    Resumotrue
    Requisitos

    Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    129. Composition.section
    Definição

    Referencia todas as seções (profiles/resources) contidos neste documento.


    The root of the sections that make up the composition.

    CurtoSeções do documentoComposition is broken into sections
    Controlo10..*
    TipoBackboneElement
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
    SlicingEste elemento introduz um conjunto de fatias em Composition.section. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • profile @ entry.resolve()
    • 131. Composition.section.modifierExtension
      Definição

      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).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      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.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      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.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-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())
      133. Composition.section:informacoesContatoAssistencial
      Nome da fatiainformacoesContatoAssistencial
      Definição

      The root of the sections that make up the composition.

      CurtoInformações do Contato AssistencialComposition is broken into sections
      Controlo10..1*
      TipoBackboneElement
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      135. Composition.section:informacoesContatoAssistencial.modifierExtension
      Definição

      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).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      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.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      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.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-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())
      137. Composition.section:informacoesContatoAssistencial.title
      Definição

      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

      CurtoLabel for section (e.g. for ToC)
      Comentários

      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

      Controlo0..01
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Requisitos

      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

      Nomes alternativosheader, label, caption
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      139. Composition.section:informacoesContatoAssistencial.code
      Definição

      A code identifying the kind of content contained within the section. This must be consistent with the section title.

      CurtoClassification of section (recommended)
      Comentários

      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

      Controlo0..01
      VínculoPara exemplos de códigos, ver DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

      Classification of a section of a composition/document.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Provides computable standardized labels to topics within the document.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      141. Composition.section:informacoesContatoAssistencial.author
      Definição

      Identifies who is responsible for the information in this section, not necessarily who typed it in.

      CurtoWho and/or what authored the section
      Controlo0..0*
      TipoReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
      É modificadorfalse
      Resumofalse
      Requisitos

      Identifies who is responsible for the content.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      143. Composition.section:informacoesContatoAssistencial.focus
      Definição

      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

      CurtoWho/what the section is about, when it is not about the subject of composition
      Comentários

      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

      Controlo0..01
      TipoReference(Resource)
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      145. Composition.section:informacoesContatoAssistencial.text
      Definição

      A human-readable narrative that contains the attested content of the section, 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.

      CurtoText summary of the section, for human interpretation
      Comentários

      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

      Controlo0..01
      Este elemento é afetado pelas seguintes invariantes: cmp-1
      TipoNarrative
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      147. Composition.section:informacoesContatoAssistencial.mode
      Definição

      How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

      Curtoworking | snapshot | changes
      Comentários

      This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

      Controlo0..01
      VínculoOs códigos DEVERÃO ser retirados de ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
      (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

      The processing mode that applies to this section.

      Tipocode
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Requisitos

      Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      149. Composition.section:informacoesContatoAssistencial.orderedBy
      Definição

      Specifies the order applied to the items in the section entries.

      CurtoOrder of section entries
      Comentários

      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

      Controlo0..01
      VínculoOs códigos DEVERÃO ser retirados de ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
      (preferred to http://hl7.org/fhir/ValueSet/list-order)

      What order applies to the items in the entry.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      151. Composition.section:informacoesContatoAssistencial.entry
      Definição

      A reference to the actual resource from which the narrative in the section is derived.

      CurtoA reference to data that supports this section
      Comentários

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Controlo10..1*
      Este elemento é afetado pelas seguintes invariantes: cmp-2
      TipoReference(Contato Assistencial, Resource)
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      153. Composition.section:informacoesContatoAssistencial.entry.reference
      Definição

      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

      CurtoLiteral reference, Relative, internal or absolute URL
      Comentários

      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

      Controlo10..1
      Este elemento é afetado pelas seguintes invariantes: ref-1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      155. Composition.section:informacoesContatoAssistencial.entry.type
      Definição

      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

      CurtoType the reference refers to (e.g. "Patient")
      Comentários

      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

      Controlo0..01
      VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

      Aa resource (or, for logical models, the URI of the logical model).

      Tipouri
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      157. Composition.section:informacoesContatoAssistencial.entry.identifier
      Definição

      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

      CurtoLogical reference, when literal reference is not known
      Comentários

      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..01
      TipoIdentifier
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      159. Composition.section:informacoesContatoAssistencial.entry.display
      Definição

      Plain text narrative that identifies the resource in addition to the resource reference.

      CurtoText alternative for the resource
      Comentários

      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

      Controlo0..01
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      161. Composition.section:informacoesContatoAssistencial.emptyReason
      Definição

      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

      CurtoWhy the section is empty
      Comentários

      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

      Controlo0..01
      Este elemento é afetado pelas seguintes invariantes: cmp-2
      VínculoOs códigos DEVERÃO ser retirados de ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

      If a section is empty, why it is empty.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      163. Composition.section:informacoesContatoAssistencial.section
      Definição

      A nested sub-section within this section.

      CurtoNested Section
      Comentários

      Nested sections are primarily used to help human readers navigate to particular portions of the document.

      Controlo0..0*
      Este elemento é afetado pelas seguintes invariantes: cmp-1
      TipoVerttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      165. Composition.section:problemasDiagnosticosAvaliados
      Nome da fatiaproblemasDiagnosticosAvaliados
      Definição

      The root of the sections that make up the composition.

      CurtoProblema(s)/Diagnóstico(s) Avaliado(s)Composition is broken into sections
      Controlo0..*
      TipoBackboneElement
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      167. Composition.section:problemasDiagnosticosAvaliados.modifierExtension
      Definição

      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).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      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.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      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.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-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())
      169. Composition.section:problemasDiagnosticosAvaliados.title
      Definição

      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

      CurtoLabel for section (e.g. for ToC)
      Comentários

      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

      Controlo0..01
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Requisitos

      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

      Nomes alternativosheader, label, caption
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      171. Composition.section:problemasDiagnosticosAvaliados.code
      Definição

      A code identifying the kind of content contained within the section. This must be consistent with the section title.

      CurtoClassification of section (recommended)
      Comentários

      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

      Controlo0..01
      VínculoPara exemplos de códigos, ver DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

      Classification of a section of a composition/document.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Provides computable standardized labels to topics within the document.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      173. Composition.section:problemasDiagnosticosAvaliados.author
      Definição

      Identifies who is responsible for the information in this section, not necessarily who typed it in.

      CurtoWho and/or what authored the section
      Controlo0..0*
      TipoReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
      É modificadorfalse
      Resumofalse
      Requisitos

      Identifies who is responsible for the content.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      175. Composition.section:problemasDiagnosticosAvaliados.focus
      Definição

      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

      CurtoWho/what the section is about, when it is not about the subject of composition
      Comentários

      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

      Controlo0..01
      TipoReference(Resource)
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      177. Composition.section:problemasDiagnosticosAvaliados.text
      Definição

      A human-readable narrative that contains the attested content of the section, 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.

      CurtoText summary of the section, for human interpretation
      Comentários

      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

      Controlo0..01
      Este elemento é afetado pelas seguintes invariantes: cmp-1
      TipoNarrative
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      179. Composition.section:problemasDiagnosticosAvaliados.mode
      Definição

      How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

      Curtoworking | snapshot | changes
      Comentários

      This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

      Controlo0..01
      VínculoOs códigos DEVERÃO ser retirados de ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
      (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

      The processing mode that applies to this section.

      Tipocode
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Requisitos

      Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      181. Composition.section:problemasDiagnosticosAvaliados.orderedBy
      Definição

      Specifies the order applied to the items in the section entries.

      CurtoOrder of section entries
      Comentários

      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

      Controlo0..01
      VínculoOs códigos DEVERÃO ser retirados de ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
      (preferred to http://hl7.org/fhir/ValueSet/list-order)

      What order applies to the items in the entry.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      183. Composition.section:problemasDiagnosticosAvaliados.entry
      Definição

      A reference to the actual resource from which the narrative in the section is derived.

      CurtoA reference to data that supports this section
      Comentários

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Controlo10..*
      Este elemento é afetado pelas seguintes invariantes: cmp-2
      TipoReference(Problema / Diagnóstico, Resource)
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      185. Composition.section:problemasDiagnosticosAvaliados.entry.reference
      Definição

      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

      CurtoLiteral reference, Relative, internal or absolute URL
      Comentários

      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

      Controlo10..1
      Este elemento é afetado pelas seguintes invariantes: ref-1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Deve apoiartrue
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      187. Composition.section:problemasDiagnosticosAvaliados.entry.type
      Definição

      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

      CurtoType the reference refers to (e.g. "Patient")
      Comentários

      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

      Controlo0..01
      VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

      Aa resource (or, for logical models, the URI of the logical model).

      Tipouri
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      189. Composition.section:problemasDiagnosticosAvaliados.entry.identifier
      Definição

      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

      CurtoLogical reference, when literal reference is not known
      Comentários

      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..01
      TipoIdentifier
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      191. Composition.section:problemasDiagnosticosAvaliados.entry.display
      Definição

      Plain text narrative that identifies the resource in addition to the resource reference.

      CurtoText alternative for the resource
      Comentários

      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

      Controlo0..01
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      193. Composition.section:problemasDiagnosticosAvaliados.emptyReason
      Definição

      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

      CurtoMotivo da Seção VaziaWhy the section is empty
      Comentários

      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

      Controlo0..01
      Este elemento é afetado pelas seguintes invariantes: cmp-2
      VínculoOs códigos DEVERÃO ser retirados de ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

      If a section is empty, why it is empty.

      TipoCodeableConcept
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Requisitos

      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      201. Composition.section:problemasDiagnosticosAvaliados.section
      Definição

      A nested sub-section within this section.

      CurtoNested Section
      Comentários

      Nested sections are primarily used to help human readers navigate to particular portions of the document.

      Controlo0..0*
      Este elemento é afetado pelas seguintes invariantes: cmp-1
      TipoVerttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      203. Composition.section:procedimentosRealizados
      Nome da fatiaprocedimentosRealizados
      Definição

      The root of the sections that make up the composition.

      CurtoProcedimento(s) Realizado(s)Composition is broken into sections
      Controlo0..*
      TipoBackboneElement
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      205. Composition.section:procedimentosRealizados.modifierExtension
      Definição

      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).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      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.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      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.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-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())
      207. Composition.section:procedimentosRealizados.title
      Definição

      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

      CurtoLabel for section (e.g. for ToC)
      Comentários

      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

      Controlo0..01
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Requisitos

      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

      Nomes alternativosheader, label, caption
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      209. Composition.section:procedimentosRealizados.code
      Definição

      A code identifying the kind of content contained within the section. This must be consistent with the section title.

      CurtoClassification of section (recommended)
      Comentários

      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

      Controlo0..01
      VínculoPara exemplos de códigos, ver DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes
      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

      Classification of a section of a composition/document.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Provides computable standardized labels to topics within the document.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      211. Composition.section:procedimentosRealizados.author
      Definição

      Identifies who is responsible for the information in this section, not necessarily who typed it in.

      CurtoWho and/or what authored the section
      Controlo0..0*
      TipoReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
      É modificadorfalse
      Resumofalse
      Requisitos

      Identifies who is responsible for the content.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      213. Composition.section:procedimentosRealizados.focus
      Definição

      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

      CurtoWho/what the section is about, when it is not about the subject of composition
      Comentários

      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

      Controlo0..01
      TipoReference(Resource)
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      215. Composition.section:procedimentosRealizados.text
      Definição

      A human-readable narrative that contains the attested content of the section, 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.

      CurtoText summary of the section, for human interpretation
      Comentários

      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

      Controlo0..01
      Este elemento é afetado pelas seguintes invariantes: cmp-1
      TipoNarrative
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      217. Composition.section:procedimentosRealizados.mode
      Definição

      How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

      Curtoworking | snapshot | changes
      Comentários

      This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

      Controlo0..01
      VínculoOs códigos DEVERÃO ser retirados de ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1
      (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

      The processing mode that applies to this section.

      Tipocode
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Requisitos

      Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      219. Composition.section:procedimentosRealizados.orderedBy
      Definição

      Specifies the order applied to the items in the section entries.

      CurtoOrder of section entries
      Comentários

      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

      Controlo0..01
      VínculoOs códigos DEVERÃO ser retirados de ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order
      (preferred to http://hl7.org/fhir/ValueSet/list-order)

      What order applies to the items in the entry.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      221. Composition.section:procedimentosRealizados.entry
      Definição

      A reference to the actual resource from which the narrative in the section is derived.

      CurtoA reference to data that supports this section
      Comentários

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Controlo10..*
      Este elemento é afetado pelas seguintes invariantes: cmp-2
      TipoReference(Procedimento Realizado, Resource)
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      223. Composition.section:procedimentosRealizados.entry.reference
      Definição

      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

      CurtoLiteral reference, Relative, internal or absolute URL
      Comentários

      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

      Controlo10..1
      Este elemento é afetado pelas seguintes invariantes: ref-1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      225. Composition.section:procedimentosRealizados.entry.type
      Definição

      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

      CurtoType the reference refers to (e.g. "Patient")
      Comentários

      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

      Controlo0..01
      VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

      Aa resource (or, for logical models, the URI of the logical model).

      Tipouri
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      227. Composition.section:procedimentosRealizados.entry.identifier
      Definição

      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

      CurtoLogical reference, when literal reference is not known
      Comentários

      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..01
      TipoIdentifier
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      229. Composition.section:procedimentosRealizados.entry.display
      Definição

      Plain text narrative that identifies the resource in addition to the resource reference.

      CurtoText alternative for the resource
      Comentários

      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

      Controlo0..01
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      231. Composition.section:procedimentosRealizados.emptyReason
      Definição

      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

      CurtoWhy the section is empty
      Comentários

      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

      Controlo0..01
      Este elemento é afetado pelas seguintes invariantes: cmp-2
      VínculoOs códigos DEVERÃO ser retirados de ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason
      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

      If a section is empty, why it is empty.

      TipoCodeableConcept
      É modificadorfalse
      Resumofalse
      Requisitos

      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      233. Composition.section:procedimentosRealizados.section
      Definição

      A nested sub-section within this section.

      CurtoNested Section
      Comentários

      Nested sections are primarily used to help human readers navigate to particular portions of the document.

      Controlo0..0*
      Este elemento é afetado pelas seguintes invariantes: cmp-1
      TipoVerttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

      0. Composition
      Definição

      Documento que representa o Conjunto Mínimo de Dados.

      CurtoConjunto Mínimo de Dados
      Deve apoiartrue
      Nomes alternativosContato Assistencial, CMD, Minimum Health Data Set, Minimum Basic Health Data Set, MHDS, MBHDS, Atendimento, Internação
      2. Composition.identifier
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..0
      4. Composition.status
      Curtofinal | entered-in-error
      VínculoOs códigos DEVERÃO ser retirados de Estado do Documento
      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoDocumento-1.0)

      Estado do Documento

      Deve apoiartrue
      6. Composition.type
      Definição

      Especifica o tipo de documento que está sendo enviado na composição.

      CurtoTipo de Documento
      VínculoOs códigos DEVERÃO ser retirados de Tipo de Documento
      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumento-1.0)

      Tipo de Documento

      Deve apoiartrue
      8. Composition.type.coding
      Controlo1..1
      Deve apoiartrue
      10. Composition.type.coding.system
      Controlo1..?
      12. Composition.type.coding.code
      Controlo1..?
      14. Composition.type.coding.display
      Controlo0..0
      16. Composition.type.coding.userSelected
      Controlo0..0
      18. Composition.type.text
      Controlo0..0
      20. Composition.category
      Definição

      Classifica os contatos assistenciais de acordo com as especificidades do modo, local e duração do atendimento. Referência: https://rts.saude.gov.br/#/modalidade-assistencial

      CurtoModalidade Assistencial
      Controlo1..1
      VínculoOs códigos DEVERÃO ser retirados de Modalidade Assistencial
      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0)

      Modalidade Assistencial

      Deve apoiartrue
      22. Composition.category.coding
      Controlo1..1
      Deve apoiartrue
      24. Composition.category.coding.system
      Controlo1..?
      26. Composition.category.coding.code
      Controlo1..?
      28. Composition.category.coding.display
      Controlo0..0
      30. Composition.category.coding.userSelected
      Controlo0..0
      32. Composition.category.text
      Controlo0..0
      34. Composition.subject
      Definição

      Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).

      CurtoSujeito da Composição
      Comentários

      Nesta versão, a RNDS suportará somente indivíduos.

      Controlo1..?
      TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)
      Deve apoiartrue
      36. Composition.subject.extension:unidentifiedPatient
      Nome da fatiaunidentifiedPatient
      CurtoDados do Indivíduo Não Identificado
      TipoExtension(Informações Complementares de Indivíduos Não Identificados) (Extensão complexa)
      Deve apoiartrue
      38. Composition.subject.extension:unidentifiedPatient.extension
      Controlo3..?
      40. Composition.subject.extension:unidentifiedPatient.extension:gender
      Nome da fatiagender
      Deve apoiartrue
      42. Composition.subject.extension:unidentifiedPatient.extension:birthYear
      Nome da fatiabirthYear
      Deve apoiartrue
      44. Composition.subject.extension:unidentifiedPatient.extension:reason
      Nome da fatiareason
      Deve apoiartrue
      46. Composition.subject.reference
      Controlo0..0
      48. Composition.subject.type
      Controlo0..0
      Valor fixoPatient
      50. Composition.subject.identifier
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      52. Composition.subject.identifier.use
      Controlo0..0
      54. Composition.subject.identifier.type
      Controlo0..0
      56. Composition.subject.identifier.system
      Controlo1..?
      58. Composition.subject.identifier.value
      Controlo1..?
      60. Composition.subject.identifier.period
      Controlo0..0
      62. Composition.subject.identifier.assigner
      Controlo0..0
      64. Composition.subject.display
      Controlo0..0
      66. Composition.encounter
      Controlo0..0
      68. Composition.date
      Definição

      Data e hora em que o documento foi gerado.

      CurtoData/hora de Geração do Documento
      Deve apoiartrue
      70. Composition.author
      Definição

      Identifica a Pessoa Jurídica ou Pessoa Física (profissional liberal) responsável por gerar o documento.

      CurtoReponsável pelo Contato Assistencial
      Comentários

      Nesta versão da RNDS somente serão suportadas edições provenientes de Estabelecimentos de Saúde.

      TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)
      Deve apoiartrue
      72. Composition.author.reference
      Controlo0..0
      74. Composition.author.type
      Controlo0..0
      76. Composition.author.identifier
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo1..?
      78. Composition.author.identifier.use
      Controlo0..0
      80. Composition.author.identifier.type
      Controlo0..0
      82. Composition.author.identifier.system
      Controlo1..?
      84. Composition.author.identifier.value
      Controlo1..?
      86. Composition.author.identifier.period
      Controlo0..0
      88. Composition.author.identifier.assigner
      Controlo0..0
      90. Composition.author.display
      Controlo0..0
      92. Composition.title
      Definição

      Título do documento em linguagem humana.

      CurtoTítulo do documento
      Deve apoiartrue
      94. Composition.confidentiality
      Controlo0..0
      96. Composition.attester
      Controlo0..0
      98. Composition.custodian
      Controlo0..0
      100. Composition.relatesTo
      Definição

      Indica uma relação entre esse documento e outro documento (ou composição) existente.

      CurtoRelação a Outros Documentos
      Controlo0..1
      Requisitos

      Este elemento deve ser utilizado exclusivamente para indicar que este documento substitui (replaces) outro documento / composição; ou seja, é utilizado para cancelar o anterior e passar a considerar este no seu lugar. Este documento receberá um ID próprio; o documento anterior continuará disponível na RNDS e poderá ser recuperado integralmente por referência direta ao seu ID, garantindo a rastreabilidade do processo, mas não estará diretamente disponível na timeline do cidadão.

      102. Composition.relatesTo.code
      Definição

      Indica o tipo de relacionamento que este documento tem com o outro documento (composição).

      CurtoTipo de Relacionamento
      Requisitos

      O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.

      Valor fixoreplaces
      104. Composition.relatesTo.target[x]
      Definição

      Referência ao documento anterior que este documento está substituindo.

      CurtoDocumento a Ser Substituído
      TipoReference, Identifier
      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
      Requisitos

      O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.

      106. Composition.relatesTo.target[x].id
      Controlo0..0
      108. Composition.relatesTo.target[x].reference
      Controlo1..?
      110. Composition.relatesTo.target[x].type
      Controlo0..0
      112. Composition.relatesTo.target[x].identifier
      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
      Controlo0..0
      114. Composition.relatesTo.target[x].display
      Controlo0..0
      116. Composition.event
      Controlo0..0
      118. Composition.section
      Definição

      Referencia todas as seções (profiles/resources) contidos neste documento.

      CurtoSeções do documento
      Controlo1..?
      Deve apoiartrue
      SlicingEste elemento introduz um conjunto de fatias em Composition.section. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • profile @ entry.resolve()
      • 120. Composition.section:informacoesContatoAssistencial
        Nome da fatiainformacoesContatoAssistencial
        CurtoInformações do Contato Assistencial
        Controlo1..1
        Deve apoiartrue
        122. Composition.section:informacoesContatoAssistencial.title
        Controlo0..0
        124. Composition.section:informacoesContatoAssistencial.code
        Controlo0..0
        126. Composition.section:informacoesContatoAssistencial.author
        Controlo0..0
        128. Composition.section:informacoesContatoAssistencial.focus
        Controlo0..0
        130. Composition.section:informacoesContatoAssistencial.text
        Controlo0..0
        132. Composition.section:informacoesContatoAssistencial.mode
        Controlo0..0
        134. Composition.section:informacoesContatoAssistencial.orderedBy
        Controlo0..0
        136. Composition.section:informacoesContatoAssistencial.entry
        Controlo1..1
        TipoReference(Contato Assistencial)
        Deve apoiartrue
        138. Composition.section:informacoesContatoAssistencial.entry.reference
        Controlo1..?
        140. Composition.section:informacoesContatoAssistencial.entry.type
        Controlo0..0
        142. Composition.section:informacoesContatoAssistencial.entry.identifier
        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
        Controlo0..0
        144. Composition.section:informacoesContatoAssistencial.entry.display
        Controlo0..0
        146. Composition.section:informacoesContatoAssistencial.emptyReason
        Controlo0..0
        148. Composition.section:informacoesContatoAssistencial.section
        Controlo0..0
        150. Composition.section:problemasDiagnosticosAvaliados
        Nome da fatiaproblemasDiagnosticosAvaliados
        CurtoProblema(s)/Diagnóstico(s) Avaliado(s)
        Deve apoiartrue
        152. Composition.section:problemasDiagnosticosAvaliados.title
        Controlo0..0
        154. Composition.section:problemasDiagnosticosAvaliados.code
        Controlo0..0
        156. Composition.section:problemasDiagnosticosAvaliados.author
        Controlo0..0
        158. Composition.section:problemasDiagnosticosAvaliados.focus
        Controlo0..0
        160. Composition.section:problemasDiagnosticosAvaliados.text
        Controlo0..0
        162. Composition.section:problemasDiagnosticosAvaliados.mode
        Controlo0..0
        164. Composition.section:problemasDiagnosticosAvaliados.orderedBy
        Controlo0..0
        166. Composition.section:problemasDiagnosticosAvaliados.entry
        Controlo1..?
        TipoReference(Problema / Diagnóstico)
        Deve apoiartrue
        168. Composition.section:problemasDiagnosticosAvaliados.entry.reference
        Controlo1..?
        Deve apoiartrue
        170. Composition.section:problemasDiagnosticosAvaliados.entry.type
        Controlo0..0
        172. Composition.section:problemasDiagnosticosAvaliados.entry.identifier
        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
        Controlo0..0
        174. Composition.section:problemasDiagnosticosAvaliados.entry.display
        Controlo0..0
        176. Composition.section:problemasDiagnosticosAvaliados.emptyReason
        CurtoMotivo da Seção Vazia
        Controlo0..0
        Deve apoiartrue
        184. Composition.section:problemasDiagnosticosAvaliados.section
        Controlo0..0
        186. Composition.section:procedimentosRealizados
        Nome da fatiaprocedimentosRealizados
        CurtoProcedimento(s) Realizado(s)
        Deve apoiartrue
        188. Composition.section:procedimentosRealizados.title
        Controlo0..0
        190. Composition.section:procedimentosRealizados.code
        Controlo0..0
        192. Composition.section:procedimentosRealizados.author
        Controlo0..0
        194. Composition.section:procedimentosRealizados.focus
        Controlo0..0
        196. Composition.section:procedimentosRealizados.text
        Controlo0..0
        198. Composition.section:procedimentosRealizados.mode
        Controlo0..0
        200. Composition.section:procedimentosRealizados.orderedBy
        Controlo0..0
        202. Composition.section:procedimentosRealizados.entry
        Controlo1..?
        TipoReference(Procedimento Realizado)
        Deve apoiartrue
        204. Composition.section:procedimentosRealizados.entry.reference
        Controlo1..?
        206. Composition.section:procedimentosRealizados.entry.type
        Controlo0..0
        208. Composition.section:procedimentosRealizados.entry.identifier
        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
        Controlo0..0
        210. Composition.section:procedimentosRealizados.entry.display
        Controlo0..0
        212. Composition.section:procedimentosRealizados.emptyReason
        Controlo0..0
        214. Composition.section:procedimentosRealizados.section
        Controlo0..0

        Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

        0. Composition
        Definição

        Documento que representa o Conjunto Mínimo de Dados.

        CurtoConjunto Mínimo de Dados
        Comentários

        While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

        Controlo0..*
        É modificadorfalse
        Deve apoiartrue
        Resumofalse
        Nomes alternativosContato Assistencial, CMD, Minimum Health Data Set, Minimum Basic Health Data Set, MHDS, MBHDS, Atendimento, Internação
        Invariantesdom-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())
        2. Composition.id
        Definição

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

        CurtoLogical id of this artifact
        Comentários

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

        Controlo0..1
        Tipoid
        É modificadorfalse
        Resumotrue
        4. Composition.meta
        Definição

        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.

        CurtoMetadata about the resource
        Controlo0..1
        TipoMeta
        É modificadorfalse
        Resumotrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        6. Composition.implicitRules
        Definição

        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.

        CurtoA set of rules under which this content was created
        Comentários

        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.

        Controlo0..1
        Tipouri
        É modificadortrue porque 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
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumotrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        8. Composition.language
        Definição

        The base language in which the resource is written.

        CurtoLanguage of the resource content
        Comentários

        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).

        Controlo0..1
        VínculoOs códigos DEVERÃO ser retirados de CommonLanguages
        (preferred to http://hl7.org/fhir/ValueSet/languages)

        A human language.

        Vínculos adicionaisObjetivo
        AllLanguagesVínculo máximo
        Tipocode
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        10. Composition.text
        Definição

        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.

        CurtoText summary of the resource, for human interpretation
        Comentários

        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.

        Controlo0..1
        TipoNarrative
        É modificadorfalse
        Resumofalse
        Nomes alternativosnarrative, html, xhtml, display
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Composition.contained
        Definição

        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.

        CurtoContained, inline Resources
        Comentários

        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.

        Controlo0..*
        TipoResource
        É modificadorfalse
        Resumofalse
        Nomes alternativosinline resources, anonymous resources, contained resources
        14. Composition.extension
        Definição

        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.

        CurtoAdditional content defined by implementations
        Comentários

        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.

        Controlo0..*
        TipoExtension
        É modificadorfalse
        Resumofalse
        Nomes alternativosextensions, user content
        Invariantesele-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())
        16. Composition.modifierExtension
        Definição

        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).

        CurtoExtensions that cannot be ignored
        Comentários

        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.

        Controlo0..*
        TipoExtension
        É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Resumofalse
        Requisitos

        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.

        Nomes alternativosextensions, user content
        Invariantesele-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. Composition.identifier
        Definição

        A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

        CurtoVersion-independent identifier for the Composition
        Comentários

        Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
        Controlo0..0
        TipoIdentifier
        É modificadorfalse
        Resumotrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. Composition.status
        Definição

        The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

        Curtofinal | entered-in-error
        Comentários

        If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

        Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

        Controlo1..1
        VínculoOs códigos DEVERÃO ser retirados de Estado do Documento
        (required to http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoDocumento-1.0)

        Estado do Documento

        Tipocode
        É modificadortrue porque This element is labelled 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
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Deve apoiartrue
        Resumotrue
        Requisitos

        Need to be able to mark interim, amended, or withdrawn compositions or documents.

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. Composition.type
        Definição

        Especifica o tipo de documento que está sendo enviado na composição.

        CurtoTipo de Documento
        Comentários

        For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

        Controlo1..1
        VínculoOs códigos DEVERÃO ser retirados de Tipo de Documento
        (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumento-1.0)

        Tipo de Documento

        TipoCodeableConcept
        É modificadorfalse
        Deve apoiartrue
        Resumotrue
        Requisitos

        Key metadata element describing the composition, used in searching/filtering.

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. Composition.type.id
        Definição

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

        CurtoUnique id for inter-element referencing
        Controlo0..1
        Tipostring
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        26. Composition.type.extension
        Definição

        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.

        CurtoAdditional content defined by implementations
        Comentários

        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.

        Controlo0..*
        TipoExtension
        É modificadorfalse
        Resumofalse
        Nomes alternativosextensions, user content
        Invariantesele-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())
        SlicingEste elemento introduz um conjunto de fatias em Composition.type.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
        • value @ url
        • 28. Composition.type.coding
          Definição

          A reference to a code defined by a terminology system.

          CurtoCode defined by a terminology system
          Comentários

          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.

          Controlo1..1
          TipoCoding
          É modificadorfalse
          Deve apoiartrue
          Resumotrue
          Requisitos

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

          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. Composition.type.coding.id
          Definição

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

          CurtoUnique id for inter-element referencing
          Controlo0..1
          Tipostring
          É modificadorfalse
          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
          Resumofalse
          32. Composition.type.coding.extension
          Definição

          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.

          CurtoAdditional content defined by implementations
          Comentários

          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.

          Controlo0..*
          TipoExtension
          É modificadorfalse
          Resumofalse
          Nomes alternativosextensions, user content
          Invariantesele-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())
          SlicingEste elemento introduz um conjunto de fatias em Composition.type.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
          • value @ url
          • 34. Composition.type.coding.system
            Definição

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

            CurtoIdentity of the terminology system
            Comentários

            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.

            Controlo1..1
            Tipouri
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumotrue
            Requisitos

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

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            36. Composition.type.coding.version
            Definição

            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.

            CurtoVersion of the system - if relevant
            Comentários

            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.

            NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
            Controlo0..1
            Tipostring
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumotrue
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. Composition.type.coding.code
            Definição

            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).

            CurtoSymbol in syntax defined by the system
            Controlo1..1
            Tipocode
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumotrue
            Requisitos

            Need to refer to a particular code in the system.

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            40. Composition.type.coding.display
            Definição

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

            CurtoRepresentation defined by the system
            Controlo0..0
            Tipostring
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumotrue
            Requisitos

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

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. Composition.type.coding.userSelected
            Definição

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

            CurtoIf this coding was chosen directly by the user
            Comentários

            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.

            Controlo0..0
            Tipoboolean
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumotrue
            Requisitos

            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.

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. Composition.type.text
            Definição

            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.

            CurtoPlain text representation of the concept
            Comentários

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

            Controlo0..0
            Tipostring
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumotrue
            Requisitos

            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.

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. Composition.category
            Definição

            Classifica os contatos assistenciais de acordo com as especificidades do modo, local e duração do atendimento. Referência: https://rts.saude.gov.br/#/modalidade-assistencial

            CurtoModalidade Assistencial
            Comentários

            This is a metadata field from XDS/MHD.

            Controlo1..1
            VínculoOs códigos DEVERÃO ser retirados de Modalidade Assistencial
            (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0)

            Modalidade Assistencial

            TipoCodeableConcept
            É modificadorfalse
            Deve apoiartrue
            Resumotrue
            Requisitos

            Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            48. Composition.category.id
            Definição

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

            CurtoUnique id for inter-element referencing
            Controlo0..1
            Tipostring
            É modificadorfalse
            Formato XMLNo formato XML, esta propriedade é representada como um atributo.
            Resumofalse
            50. Composition.category.extension
            Definição

            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.

            CurtoAdditional content defined by implementations
            Comentários

            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.

            Controlo0..*
            TipoExtension
            É modificadorfalse
            Resumofalse
            Nomes alternativosextensions, user content
            Invariantesele-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())
            SlicingEste elemento introduz um conjunto de fatias em Composition.category.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
            • value @ url
            • 52. Composition.category.coding
              Definição

              A reference to a code defined by a terminology system.

              CurtoCode defined by a terminology system
              Comentários

              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.

              Controlo1..1
              TipoCoding
              É modificadorfalse
              Deve apoiartrue
              Resumotrue
              Requisitos

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

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. Composition.category.coding.id
              Definição

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

              CurtoUnique id for inter-element referencing
              Controlo0..1
              Tipostring
              É modificadorfalse
              Formato XMLNo formato XML, esta propriedade é representada como um atributo.
              Resumofalse
              56. Composition.category.coding.extension
              Definição

              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.

              CurtoAdditional content defined by implementations
              Comentários

              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.

              Controlo0..*
              TipoExtension
              É modificadorfalse
              Resumofalse
              Nomes alternativosextensions, user content
              Invariantesele-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())
              SlicingEste elemento introduz um conjunto de fatias em Composition.category.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
              • value @ url
              • 58. Composition.category.coding.system
                Definição

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

                CurtoIdentity of the terminology system
                Comentários

                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.

                Controlo1..1
                Tipouri
                É modificadorfalse
                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                Resumotrue
                Requisitos

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

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. Composition.category.coding.version
                Definição

                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.

                CurtoVersion of the system - if relevant
                Comentários

                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.

                NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
                Controlo0..1
                Tipostring
                É modificadorfalse
                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                Resumotrue
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                62. Composition.category.coding.code
                Definição

                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).

                CurtoSymbol in syntax defined by the system
                Controlo1..1
                Tipocode
                É modificadorfalse
                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                Resumotrue
                Requisitos

                Need to refer to a particular code in the system.

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. Composition.category.coding.display
                Definição

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

                CurtoRepresentation defined by the system
                Controlo0..0
                Tipostring
                É modificadorfalse
                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                Resumotrue
                Requisitos

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

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. Composition.category.coding.userSelected
                Definição

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

                CurtoIf this coding was chosen directly by the user
                Comentários

                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.

                Controlo0..0
                Tipoboolean
                É modificadorfalse
                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                Resumotrue
                Requisitos

                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.

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. Composition.category.text
                Definição

                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.

                CurtoPlain text representation of the concept
                Comentários

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

                Controlo0..0
                Tipostring
                É modificadorfalse
                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                Resumotrue
                Requisitos

                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.

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. Composition.subject
                Definição

                Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).

                CurtoSujeito da Composição
                Comentários

                Nesta versão, a RNDS suportará somente indivíduos.

                Controlo1..1
                TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)
                É modificadorfalse
                Deve apoiartrue
                Resumotrue
                Requisitos

                Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. Composition.subject.id
                Definição

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

                CurtoUnique id for inter-element referencing
                Controlo0..1
                Tipostring
                É modificadorfalse
                Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                Resumofalse
                74. Composition.subject.extension
                Definição

                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.

                CurtoAdditional content defined by implementations
                Comentários

                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.

                Controlo0..*
                TipoExtension
                É modificadorfalse
                Resumofalse
                Nomes alternativosextensions, user content
                Invariantesele-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())
                SlicingEste elemento introduz um conjunto de fatias em Composition.subject.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                • value @ url
                • 76. Composition.subject.extension:unidentifiedPatient
                  Nome da fatiaunidentifiedPatient
                  Definição

                  Informações demográficas básicas e justificativa dos indivíduos que não podem ser identificados por razões clínicas ou sociais, conforme legislação brasileira, com finalidade estatística.

                  CurtoDados do Indivíduo Não Identificado
                  Controlo0..1
                  TipoExtension(Informações Complementares de Indivíduos Não Identificados) (Extensão complexa)
                  É modificadorfalse
                  Deve apoiartrue
                  Invariantesele-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())
                  78. Composition.subject.extension:unidentifiedPatient.id
                  Definição

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

                  CurtoUnique id for inter-element referencing
                  Controlo0..1
                  Tipostring
                  É modificadorfalse
                  Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                  Resumofalse
                  80. Composition.subject.extension:unidentifiedPatient.extension
                  Definição

                  An Extension

                  CurtoExtension
                  Controlo3..3
                  TipoExtension
                  É modificadorfalse
                  Resumofalse
                  Invariantesele-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())
                  SlicingEste elemento introduz um conjunto de fatias em Composition.subject.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                  • value @ url
                  • 82. Composition.subject.extension:unidentifiedPatient.extension:gender
                    Nome da fatiagender
                    Definição

                    An Extension

                    CurtoExtension
                    Controlo1..1
                    TipoExtension
                    É modificadorfalse
                    Deve apoiartrue
                    Resumofalse
                    Invariantesele-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())
                    84. Composition.subject.extension:unidentifiedPatient.extension:gender.id
                    Definição

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

                    CurtoUnique id for inter-element referencing
                    Controlo0..1
                    Tipostring
                    É modificadorfalse
                    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                    Resumofalse
                    86. Composition.subject.extension:unidentifiedPatient.extension:gender.extension
                    Definição

                    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.

                    CurtoAdditional content defined by implementations
                    Comentários

                    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.

                    Controlo0..*
                    TipoExtension
                    É modificadorfalse
                    Resumofalse
                    Nomes alternativosextensions, user content
                    Invariantesele-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())
                    SlicingEste elemento introduz um conjunto de fatias em Composition.subject.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                    • value @ url
                    • 88. Composition.subject.extension:unidentifiedPatient.extension:gender.url
                      Definição

                      Source of the definition for the extension code - a logical name or a URL.

                      Curtoidentifies the meaning of the extension
                      Comentários

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Controlo1..1
                      Tipouri
                      É modificadorfalse
                      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                      Resumofalse
                      Valor fixogender
                      90. Composition.subject.extension:unidentifiedPatient.extension:gender.value[x]
                      Definição

                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                      CurtoValue of extension
                      Controlo1..1
                      Tipocode
                      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumofalse
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      92. Composition.subject.extension:unidentifiedPatient.extension:birthYear
                      Nome da fatiabirthYear
                      Definição

                      An Extension

                      CurtoExtension
                      Controlo1..1
                      TipoExtension
                      É modificadorfalse
                      Deve apoiartrue
                      Resumofalse
                      Invariantesele-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())
                      94. Composition.subject.extension:unidentifiedPatient.extension:birthYear.id
                      Definição

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

                      CurtoUnique id for inter-element referencing
                      Controlo0..1
                      Tipostring
                      É modificadorfalse
                      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                      Resumofalse
                      96. Composition.subject.extension:unidentifiedPatient.extension:birthYear.extension
                      Definição

                      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.

                      CurtoAdditional content defined by implementations
                      Comentários

                      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.

                      Controlo0..*
                      TipoExtension
                      É modificadorfalse
                      Resumofalse
                      Nomes alternativosextensions, user content
                      Invariantesele-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())
                      SlicingEste elemento introduz um conjunto de fatias em Composition.subject.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                      • value @ url
                      • 98. Composition.subject.extension:unidentifiedPatient.extension:birthYear.url
                        Definição

                        Source of the definition for the extension code - a logical name or a URL.

                        Curtoidentifies the meaning of the extension
                        Comentários

                        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                        Controlo1..1
                        Tipouri
                        É modificadorfalse
                        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                        Resumofalse
                        Valor fixobirthYear
                        100. Composition.subject.extension:unidentifiedPatient.extension:birthYear.value[x]
                        Definição

                        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                        CurtoValue of extension
                        Controlo1..1
                        Tipodate
                        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                        É modificadorfalse
                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                        Resumofalse
                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        102. Composition.subject.extension:unidentifiedPatient.extension:reason
                        Nome da fatiareason
                        Definição

                        An Extension

                        CurtoExtension
                        Controlo1..1
                        TipoExtension
                        É modificadorfalse
                        Deve apoiartrue
                        Resumofalse
                        Invariantesele-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())
                        104. Composition.subject.extension:unidentifiedPatient.extension:reason.id
                        Definição

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

                        CurtoUnique id for inter-element referencing
                        Controlo0..1
                        Tipostring
                        É modificadorfalse
                        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                        Resumofalse
                        106. Composition.subject.extension:unidentifiedPatient.extension:reason.extension
                        Definição

                        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.

                        CurtoAdditional content defined by implementations
                        Comentários

                        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.

                        Controlo0..*
                        TipoExtension
                        É modificadorfalse
                        Resumofalse
                        Nomes alternativosextensions, user content
                        Invariantesele-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())
                        SlicingEste elemento introduz um conjunto de fatias em Composition.subject.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                        • value @ url
                        • 108. Composition.subject.extension:unidentifiedPatient.extension:reason.url
                          Definição

                          Source of the definition for the extension code - a logical name or a URL.

                          Curtoidentifies the meaning of the extension
                          Comentários

                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                          Controlo1..1
                          Tipouri
                          É modificadorfalse
                          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                          Resumofalse
                          Valor fixoreason
                          110. Composition.subject.extension:unidentifiedPatient.extension:reason.value[x]
                          Definição

                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                          CurtoValue of extension
                          Controlo1..1
                          TipoCodeableConcept
                          [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                          É modificadorfalse
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          112. Composition.subject.extension:unidentifiedPatient.url
                          Definição

                          Source of the definition for the extension code - a logical name or a URL.

                          Curtoidentifies the meaning of the extension
                          Comentários

                          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                          Controlo1..1
                          Tipouri
                          É modificadorfalse
                          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                          Resumofalse
                          Valor fixohttp://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
                          114. Composition.subject.extension:unidentifiedPatient.value[x]
                          Definição

                          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                          CurtoValue of extension
                          Controlo0..0
                          TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                          É modificadorfalse
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          116. Composition.subject.reference
                          Definição

                          A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                          CurtoLiteral reference, Relative, internal or absolute URL
                          Comentários

                          Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                          Controlo0..0
                          Este elemento é afetado pelas seguintes invariantes: ref-1
                          Tipostring
                          É modificadorfalse
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Resumotrue
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          118. Composition.subject.type
                          Definição

                          The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                          The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                          CurtoType the reference refers to (e.g. "Patient")
                          Comentários

                          This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                          Controlo0..0
                          VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                          (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                          Aa resource (or, for logical models, the URI of the logical model).

                          Tipouri
                          É modificadorfalse
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Resumotrue
                          Valor fixoPatient
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          120. Composition.subject.identifier
                          Definição

                          An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                          CurtoLogical reference, when literal reference is not known
                          Comentários

                          When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                          When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                          Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                          Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                          Controlo0..1
                          TipoIdentifier
                          É modificadorfalse
                          Resumotrue
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          122. Composition.subject.identifier.id
                          Definição

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

                          CurtoUnique id for inter-element referencing
                          Controlo0..1
                          Tipostring
                          É modificadorfalse
                          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                          Resumofalse
                          124. Composition.subject.identifier.extension
                          Definição

                          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.

                          CurtoAdditional content defined by implementations
                          Comentários

                          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.

                          Controlo0..*
                          TipoExtension
                          É modificadorfalse
                          Resumofalse
                          Nomes alternativosextensions, user content
                          Invariantesele-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())
                          SlicingEste elemento introduz um conjunto de fatias em Composition.subject.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                          • value @ url
                          • 126. Composition.subject.identifier.use
                            Definição

                            The purpose of this identifier.

                            Curtousual | official | temp | secondary | old (If known)
                            Comentários

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

                            Controlo0..0
                            VínculoOs códigos DEVERÃO ser retirados de IdentifierUse
                            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                            Identifies the purpose for this identifier, if known .

                            Tipocode
                            É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                            Resumotrue
                            Requisitos

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

                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            128. Composition.subject.identifier.type
                            Definição

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

                            CurtoDescription of identifier
                            Comentários

                            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.

                            Controlo0..0
                            VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de 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.

                            TipoCodeableConcept
                            É modificadorfalse
                            Resumotrue
                            Requisitos

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

                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            130. Composition.subject.identifier.system
                            Definição

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

                            CurtoThe namespace for the identifier value
                            Comentários

                            Identifier.system is always case sensitive.

                            Controlo1..1
                            Tipouri
                            É modificadorfalse
                            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                            Resumotrue
                            Requisitos

                            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.

                            Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            132. Composition.subject.identifier.value
                            Definição

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

                            CurtoThe value that is unique
                            Comentários

                            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.

                            Controlo1..1
                            Tipostring
                            É modificadorfalse
                            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                            Resumotrue
                            Exemplo<br/><b>General</b>:123456
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            134. Composition.subject.identifier.period
                            Definição

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

                            CurtoTime period when id is/was valid for use
                            Controlo0..0
                            TipoPeriod
                            É modificadorfalse
                            Resumotrue
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            136. Composition.subject.identifier.assigner
                            Definição

                            Organization that issued/manages the identifier.

                            CurtoOrganization that issued id (may be just text)
                            Comentários

                            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.

                            Controlo0..0
                            TipoReference(Organization)
                            É modificadorfalse
                            Resumotrue
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            138. Composition.subject.display
                            Definição

                            Plain text narrative that identifies the resource in addition to the resource reference.

                            CurtoText alternative for the resource
                            Comentários

                            This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                            Controlo0..0
                            Tipostring
                            É modificadorfalse
                            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                            Resumotrue
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            140. Composition.encounter
                            Definição

                            Describes the clinical encounter or type of care this documentation is associated with.

                            CurtoContext of the Composition
                            Controlo0..0
                            TipoReference(Encounter)
                            É modificadorfalse
                            Resumotrue
                            Requisitos

                            Provides context for the composition and supports searching.

                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            142. Composition.date
                            Definição

                            Data e hora em que o documento foi gerado.

                            CurtoData/hora de Geração do Documento
                            Comentários

                            The Last Modified Date on the composition may be after the date of the document was attested without being changed.

                            Controlo1..1
                            TipodateTime
                            É modificadorfalse
                            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                            Deve apoiartrue
                            Resumotrue
                            Requisitos

                            dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            144. Composition.author
                            Definição

                            Identifica a Pessoa Jurídica ou Pessoa Física (profissional liberal) responsável por gerar o documento.

                            CurtoReponsável pelo Contato Assistencial
                            Comentários

                            Nesta versão da RNDS somente serão suportadas edições provenientes de Estabelecimentos de Saúde.

                            Controlo1..*
                            TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)
                            É modificadorfalse
                            Deve apoiartrue
                            Resumotrue
                            Requisitos

                            Identifies who is responsible for the content.

                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            146. Composition.author.id
                            Definição

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

                            CurtoUnique id for inter-element referencing
                            Controlo0..1
                            Tipostring
                            É modificadorfalse
                            Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                            Resumofalse
                            148. Composition.author.extension
                            Definição

                            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.

                            CurtoAdditional content defined by implementations
                            Comentários

                            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.

                            Controlo0..*
                            TipoExtension
                            É modificadorfalse
                            Resumofalse
                            Nomes alternativosextensions, user content
                            Invariantesele-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())
                            SlicingEste elemento introduz um conjunto de fatias em Composition.author.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                            • value @ url
                            • 150. Composition.author.reference
                              Definição

                              A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                              CurtoLiteral reference, Relative, internal or absolute URL
                              Comentários

                              Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                              Controlo0..0
                              Este elemento é afetado pelas seguintes invariantes: ref-1
                              Tipostring
                              É modificadorfalse
                              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                              Resumotrue
                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              152. Composition.author.type
                              Definição

                              The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                              The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                              CurtoType the reference refers to (e.g. "Patient")
                              Comentários

                              This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                              Controlo0..0
                              VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                              (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                              Aa resource (or, for logical models, the URI of the logical model).

                              Tipouri
                              É modificadorfalse
                              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                              Resumotrue
                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              154. Composition.author.identifier
                              Definição

                              An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                              CurtoLogical reference, when literal reference is not known
                              Comentários

                              When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                              When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                              Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                              Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                              NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                              Controlo1..1
                              TipoIdentifier
                              É modificadorfalse
                              Resumotrue
                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              156. Composition.author.identifier.id
                              Definição

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

                              CurtoUnique id for inter-element referencing
                              Controlo0..1
                              Tipostring
                              É modificadorfalse
                              Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                              Resumofalse
                              158. Composition.author.identifier.extension
                              Definição

                              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.

                              CurtoAdditional content defined by implementations
                              Comentários

                              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.

                              Controlo0..*
                              TipoExtension
                              É modificadorfalse
                              Resumofalse
                              Nomes alternativosextensions, user content
                              Invariantesele-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())
                              SlicingEste elemento introduz um conjunto de fatias em Composition.author.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                              • value @ url
                              • 160. Composition.author.identifier.use
                                Definição

                                The purpose of this identifier.

                                Curtousual | official | temp | secondary | old (If known)
                                Comentários

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

                                Controlo0..0
                                VínculoOs códigos DEVERÃO ser retirados de IdentifierUse
                                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                Identifies the purpose for this identifier, if known .

                                Tipocode
                                É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Resumotrue
                                Requisitos

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

                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                162. Composition.author.identifier.type
                                Definição

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

                                CurtoDescription of identifier
                                Comentários

                                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.

                                Controlo0..0
                                VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de 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.

                                TipoCodeableConcept
                                É modificadorfalse
                                Resumotrue
                                Requisitos

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

                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                164. Composition.author.identifier.system
                                Definição

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

                                CurtoThe namespace for the identifier value
                                Comentários

                                Identifier.system is always case sensitive.

                                Controlo1..1
                                Tipouri
                                É modificadorfalse
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Resumotrue
                                Requisitos

                                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.

                                Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                166. Composition.author.identifier.value
                                Definição

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

                                CurtoThe value that is unique
                                Comentários

                                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.

                                Controlo1..1
                                Tipostring
                                É modificadorfalse
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Resumotrue
                                Exemplo<br/><b>General</b>:123456
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                168. Composition.author.identifier.period
                                Definição

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

                                CurtoTime period when id is/was valid for use
                                Controlo0..0
                                TipoPeriod
                                É modificadorfalse
                                Resumotrue
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                170. Composition.author.identifier.assigner
                                Definição

                                Organization that issued/manages the identifier.

                                CurtoOrganization that issued id (may be just text)
                                Comentários

                                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.

                                Controlo0..0
                                TipoReference(Organization)
                                É modificadorfalse
                                Resumotrue
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                172. Composition.author.display
                                Definição

                                Plain text narrative that identifies the resource in addition to the resource reference.

                                CurtoText alternative for the resource
                                Comentários

                                This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                Controlo0..0
                                Tipostring
                                É modificadorfalse
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Resumotrue
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                174. Composition.title
                                Definição

                                Título do documento em linguagem humana.

                                CurtoTítulo do documento
                                Comentários

                                For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                                Controlo1..1
                                Tipostring
                                É modificadorfalse
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Deve apoiartrue
                                Resumotrue
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                176. Composition.confidentiality
                                Definição

                                The code specifying the level of confidentiality of the Composition.

                                CurtoAs defined by affinity domain
                                Comentários

                                The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

                                Controlo0..0
                                VínculoOs códigos DEVERÃO ser retirados de v3.ConfidentialityClassification (2014-03-26)
                                (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

                                Codes specifying the level of confidentiality of the composition.

                                Tipocode
                                É modificadorfalse
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Resumotrue
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                178. Composition.attester
                                Definição

                                A participant who has attested to the accuracy of the composition/document.

                                CurtoAttests to accuracy of composition
                                Comentários

                                Only list each attester once.

                                Controlo0..0
                                TipoBackboneElement
                                É modificadorfalse
                                Resumofalse
                                Requisitos

                                Identifies responsibility for the accuracy of the composition content.

                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                186. Composition.custodian
                                Definição

                                Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

                                CurtoOrganization which maintains the composition
                                Comentários

                                This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

                                Controlo0..0
                                TipoReference(Organization)
                                É modificadorfalse
                                Resumotrue
                                Requisitos

                                Identifies where to go to find the current version, where to report issues, etc.

                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                188. Composition.relatesTo
                                Definição

                                Indica uma relação entre esse documento e outro documento (ou composição) existente.

                                CurtoRelação a Outros Documentos
                                Comentários

                                A document is a version specific composition.

                                Controlo0..1
                                TipoBackboneElement
                                É modificadorfalse
                                Resumofalse
                                Requisitos

                                Este elemento deve ser utilizado exclusivamente para indicar que este documento substitui (replaces) outro documento / composição; ou seja, é utilizado para cancelar o anterior e passar a considerar este no seu lugar. Este documento receberá um ID próprio; o documento anterior continuará disponível na RNDS e poderá ser recuperado integralmente por referência direta ao seu ID, garantindo a rastreabilidade do processo, mas não estará diretamente disponível na timeline do cidadão.

                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                190. Composition.relatesTo.id
                                Definição

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

                                CurtoUnique id for inter-element referencing
                                Controlo0..1
                                Tipostring
                                É modificadorfalse
                                Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                Resumofalse
                                192. Composition.relatesTo.extension
                                Definição

                                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.

                                CurtoAdditional content defined by implementations
                                Comentários

                                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.

                                Controlo0..*
                                TipoExtension
                                É modificadorfalse
                                Resumofalse
                                Nomes alternativosextensions, user content
                                Invariantesele-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. Composition.relatesTo.modifierExtension
                                Definição

                                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).

                                CurtoExtensions that cannot be ignored even if unrecognized
                                Comentários

                                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.

                                Controlo0..*
                                TipoExtension
                                É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Resumotrue
                                Requisitos

                                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.

                                Nomes alternativosextensions, user content, modifiers
                                Invariantesele-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())
                                196. Composition.relatesTo.code
                                Definição

                                Indica o tipo de relacionamento que este documento tem com o outro documento (composição).

                                CurtoTipo de Relacionamento
                                Comentários

                                If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

                                Controlo1..1
                                VínculoOs códigos DEVERÃO ser retirados de DocumentRelationshipType
                                (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

                                The type of relationship between documents.

                                Tipocode
                                É modificadorfalse
                                Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                Resumofalse
                                Requisitos

                                O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.

                                Valor fixoreplaces
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                198. Composition.relatesTo.target[x]
                                Definição

                                Referência ao documento anterior que este documento está substituindo.

                                CurtoDocumento a Ser Substituído
                                Controlo1..1
                                TipoReference
                                [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                                É modificadorfalse
                                Resumofalse
                                Requisitos

                                O valor é fixado em replaces, pois a substituição de documentos é a única operação permitida na RNDS.

                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                200. Composition.relatesTo.target[x].id
                                Definição

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

                                CurtoUnique id for inter-element referencing
                                Controlo0..0
                                Tipostring
                                É modificadorfalse
                                Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                Resumofalse
                                202. Composition.relatesTo.target[x].extension
                                Definição

                                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.

                                CurtoAdditional content defined by implementations
                                Comentários

                                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.

                                Controlo0..*
                                TipoExtension
                                É modificadorfalse
                                Resumofalse
                                Nomes alternativosextensions, user content
                                Invariantesele-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())
                                SlicingEste elemento introduz um conjunto de fatias em Composition.relatesTo.target[x].extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                • value @ url
                                • 204. Composition.relatesTo.target[x].reference
                                  Definição

                                  A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                  CurtoLiteral reference, Relative, internal or absolute URL
                                  Comentários

                                  Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                  Controlo1..1
                                  Este elemento é afetado pelas seguintes invariantes: ref-1
                                  Tipostring
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  206. Composition.relatesTo.target[x].type
                                  Definição

                                  The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                  The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                  CurtoType the reference refers to (e.g. "Patient")
                                  Comentários

                                  This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                  Controlo0..0
                                  VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                                  (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                  Aa resource (or, for logical models, the URI of the logical model).

                                  Tipouri
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  208. Composition.relatesTo.target[x].identifier
                                  Definição

                                  An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                  CurtoLogical reference, when literal reference is not known
                                  Comentários

                                  When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                  When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                  Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                  Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                  NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                                  Controlo0..0
                                  TipoIdentifier
                                  É modificadorfalse
                                  Resumotrue
                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  210. Composition.relatesTo.target[x].display
                                  Definição

                                  Plain text narrative that identifies the resource in addition to the resource reference.

                                  CurtoText alternative for the resource
                                  Comentários

                                  This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                  Controlo0..0
                                  Tipostring
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  212. Composition.event
                                  Definição

                                  The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                  CurtoThe clinical service(s) being documented
                                  Comentários

                                  The event needs to be consistent with the type element, though can provide further information if desired.

                                  Controlo0..0
                                  TipoBackboneElement
                                  É modificadorfalse
                                  Resumotrue
                                  Requisitos

                                  Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  220. Composition.section
                                  Definição

                                  Referencia todas as seções (profiles/resources) contidos neste documento.

                                  CurtoSeções do documento
                                  Controlo1..*
                                  TipoBackboneElement
                                  É modificadorfalse
                                  Deve apoiartrue
                                  Resumofalse
                                  Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingEste elemento introduz um conjunto de fatias em Composition.section. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                  • profile @ entry.resolve()
                                  • 222. Composition.section.id
                                    Definição

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

                                    CurtoUnique id for inter-element referencing
                                    Controlo0..1
                                    Tipostring
                                    É modificadorfalse
                                    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                    Resumofalse
                                    224. Composition.section.extension
                                    Definição

                                    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.

                                    CurtoAdditional content defined by implementations
                                    Comentários

                                    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.

                                    Controlo0..*
                                    TipoExtension
                                    É modificadorfalse
                                    Resumofalse
                                    Nomes alternativosextensions, user content
                                    Invariantesele-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())
                                    226. Composition.section.modifierExtension
                                    Definição

                                    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).

                                    CurtoExtensions that cannot be ignored even if unrecognized
                                    Comentários

                                    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.

                                    Controlo0..*
                                    TipoExtension
                                    É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Resumotrue
                                    Requisitos

                                    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.

                                    Nomes alternativosextensions, user content, modifiers
                                    Invariantesele-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())
                                    228. Composition.section.title
                                    Definição

                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                    CurtoLabel for section (e.g. for ToC)
                                    Comentários

                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                    Controlo0..1
                                    Tipostring
                                    É modificadorfalse
                                    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                    Resumofalse
                                    Requisitos

                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                    Nomes alternativosheader, label, caption
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    230. Composition.section.code
                                    Definição

                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                    CurtoClassification of section (recommended)
                                    Comentários

                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                    Controlo0..1
                                    VínculoPara exemplos de códigos, ver DocumentSectionCodes
                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                    Classification of a section of a composition/document.

                                    TipoCodeableConcept
                                    É modificadorfalse
                                    Resumofalse
                                    Requisitos

                                    Provides computable standardized labels to topics within the document.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    232. Composition.section.author
                                    Definição

                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                    CurtoWho and/or what authored the section
                                    Controlo0..*
                                    TipoReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                    É modificadorfalse
                                    Resumofalse
                                    Requisitos

                                    Identifies who is responsible for the content.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    234. Composition.section.focus
                                    Definição

                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                    CurtoWho/what the section is about, when it is not about the subject of composition
                                    Comentários

                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                    Controlo0..1
                                    TipoReference(Resource)
                                    É modificadorfalse
                                    Resumofalse
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    236. Composition.section.text
                                    Definição

                                    A human-readable narrative that contains the attested content of the section, 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.

                                    CurtoText summary of the section, for human interpretation
                                    Comentários

                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                    Controlo0..1
                                    Este elemento é afetado pelas seguintes invariantes: cmp-1
                                    TipoNarrative
                                    É modificadorfalse
                                    Resumofalse
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    238. Composition.section.mode
                                    Definição

                                    How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                    Curtoworking | snapshot | changes
                                    Comentários

                                    This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                    Controlo0..1
                                    VínculoOs códigos DEVERÃO ser retirados de ListMode
                                    (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                    The processing mode that applies to this section.

                                    Tipocode
                                    É modificadorfalse
                                    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                    Resumofalse
                                    Requisitos

                                    Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    240. Composition.section.orderedBy
                                    Definição

                                    Specifies the order applied to the items in the section entries.

                                    CurtoOrder of section entries
                                    Comentários

                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                    Controlo0..1
                                    VínculoOs códigos DEVERÃO ser retirados de ListOrderCodes
                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                    What order applies to the items in the entry.

                                    TipoCodeableConcept
                                    É modificadorfalse
                                    Resumofalse
                                    Requisitos

                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    242. Composition.section.entry
                                    Definição

                                    A reference to the actual resource from which the narrative in the section is derived.

                                    CurtoA reference to data that supports this section
                                    Comentários

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Controlo0..*
                                    Este elemento é afetado pelas seguintes invariantes: cmp-2
                                    TipoReference(Resource)
                                    É modificadorfalse
                                    Resumofalse
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    244. Composition.section.emptyReason
                                    Definição

                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                    CurtoWhy the section is empty
                                    Comentários

                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                    Controlo0..1
                                    Este elemento é afetado pelas seguintes invariantes: cmp-2
                                    VínculoOs códigos DEVERÃO ser retirados de ListEmptyReasons
                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                    If a section is empty, why it is empty.

                                    TipoCodeableConcept
                                    É modificadorfalse
                                    Resumofalse
                                    Requisitos

                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    246. Composition.section.section
                                    Definição

                                    A nested sub-section within this section.

                                    CurtoNested Section
                                    Comentários

                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                    Controlo0..*
                                    Este elemento é afetado pelas seguintes invariantes: cmp-1
                                    TipoVerttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                    É modificadorfalse
                                    Resumofalse
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    248. Composition.section:informacoesContatoAssistencial
                                    Nome da fatiainformacoesContatoAssistencial
                                    Definição

                                    The root of the sections that make up the composition.

                                    CurtoInformações do Contato Assistencial
                                    Controlo1..1
                                    TipoBackboneElement
                                    É modificadorfalse
                                    Deve apoiartrue
                                    Resumofalse
                                    Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    250. Composition.section:informacoesContatoAssistencial.id
                                    Definição

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

                                    CurtoUnique id for inter-element referencing
                                    Controlo0..1
                                    Tipostring
                                    É modificadorfalse
                                    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                    Resumofalse
                                    252. Composition.section:informacoesContatoAssistencial.extension
                                    Definição

                                    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.

                                    CurtoAdditional content defined by implementations
                                    Comentários

                                    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.

                                    Controlo0..*
                                    TipoExtension
                                    É modificadorfalse
                                    Resumofalse
                                    Nomes alternativosextensions, user content
                                    Invariantesele-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())
                                    254. Composition.section:informacoesContatoAssistencial.modifierExtension
                                    Definição

                                    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).

                                    CurtoExtensions that cannot be ignored even if unrecognized
                                    Comentários

                                    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.

                                    Controlo0..*
                                    TipoExtension
                                    É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Resumotrue
                                    Requisitos

                                    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.

                                    Nomes alternativosextensions, user content, modifiers
                                    Invariantesele-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())
                                    256. Composition.section:informacoesContatoAssistencial.title
                                    Definição

                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                    CurtoLabel for section (e.g. for ToC)
                                    Comentários

                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                    Controlo0..0
                                    Tipostring
                                    É modificadorfalse
                                    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                    Resumofalse
                                    Requisitos

                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                    Nomes alternativosheader, label, caption
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    258. Composition.section:informacoesContatoAssistencial.code
                                    Definição

                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                    CurtoClassification of section (recommended)
                                    Comentários

                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                    Controlo0..0
                                    VínculoPara exemplos de códigos, ver DocumentSectionCodes
                                    (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                    Classification of a section of a composition/document.

                                    TipoCodeableConcept
                                    É modificadorfalse
                                    Resumofalse
                                    Requisitos

                                    Provides computable standardized labels to topics within the document.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    260. Composition.section:informacoesContatoAssistencial.author
                                    Definição

                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                    CurtoWho and/or what authored the section
                                    Controlo0..0
                                    TipoReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                    É modificadorfalse
                                    Resumofalse
                                    Requisitos

                                    Identifies who is responsible for the content.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    262. Composition.section:informacoesContatoAssistencial.focus
                                    Definição

                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                    CurtoWho/what the section is about, when it is not about the subject of composition
                                    Comentários

                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                    Controlo0..0
                                    TipoReference(Resource)
                                    É modificadorfalse
                                    Resumofalse
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    264. Composition.section:informacoesContatoAssistencial.text
                                    Definição

                                    A human-readable narrative that contains the attested content of the section, 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.

                                    CurtoText summary of the section, for human interpretation
                                    Comentários

                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                    Controlo0..0
                                    Este elemento é afetado pelas seguintes invariantes: cmp-1
                                    TipoNarrative
                                    É modificadorfalse
                                    Resumofalse
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    266. Composition.section:informacoesContatoAssistencial.mode
                                    Definição

                                    How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                    Curtoworking | snapshot | changes
                                    Comentários

                                    This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                    Controlo0..0
                                    VínculoOs códigos DEVERÃO ser retirados de ListMode
                                    (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                    The processing mode that applies to this section.

                                    Tipocode
                                    É modificadorfalse
                                    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                    Resumofalse
                                    Requisitos

                                    Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    268. Composition.section:informacoesContatoAssistencial.orderedBy
                                    Definição

                                    Specifies the order applied to the items in the section entries.

                                    CurtoOrder of section entries
                                    Comentários

                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                    Controlo0..0
                                    VínculoOs códigos DEVERÃO ser retirados de ListOrderCodes
                                    (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                    What order applies to the items in the entry.

                                    TipoCodeableConcept
                                    É modificadorfalse
                                    Resumofalse
                                    Requisitos

                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    270. Composition.section:informacoesContatoAssistencial.entry
                                    Definição

                                    A reference to the actual resource from which the narrative in the section is derived.

                                    CurtoA reference to data that supports this section
                                    Comentários

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Controlo1..1
                                    Este elemento é afetado pelas seguintes invariantes: cmp-2
                                    TipoReference(Contato Assistencial)
                                    É modificadorfalse
                                    Deve apoiartrue
                                    Resumofalse
                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    272. Composition.section:informacoesContatoAssistencial.entry.id
                                    Definição

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

                                    CurtoUnique id for inter-element referencing
                                    Controlo0..1
                                    Tipostring
                                    É modificadorfalse
                                    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                    Resumofalse
                                    274. Composition.section:informacoesContatoAssistencial.entry.extension
                                    Definição

                                    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.

                                    CurtoAdditional content defined by implementations
                                    Comentários

                                    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.

                                    Controlo0..*
                                    TipoExtension
                                    É modificadorfalse
                                    Resumofalse
                                    Nomes alternativosextensions, user content
                                    Invariantesele-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())
                                    SlicingEste elemento introduz um conjunto de fatias em Composition.section.entry.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                    • value @ url
                                    • 276. Composition.section:informacoesContatoAssistencial.entry.reference
                                      Definição

                                      A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                      CurtoLiteral reference, Relative, internal or absolute URL
                                      Comentários

                                      Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                      Controlo1..1
                                      Este elemento é afetado pelas seguintes invariantes: ref-1
                                      Tipostring
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      278. Composition.section:informacoesContatoAssistencial.entry.type
                                      Definição

                                      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                      CurtoType the reference refers to (e.g. "Patient")
                                      Comentários

                                      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                      Controlo0..0
                                      VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                                      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                      Aa resource (or, for logical models, the URI of the logical model).

                                      Tipouri
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      280. Composition.section:informacoesContatoAssistencial.entry.identifier
                                      Definição

                                      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                      CurtoLogical reference, when literal reference is not known
                                      Comentários

                                      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                                      Controlo0..0
                                      TipoIdentifier
                                      É modificadorfalse
                                      Resumotrue
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      282. Composition.section:informacoesContatoAssistencial.entry.display
                                      Definição

                                      Plain text narrative that identifies the resource in addition to the resource reference.

                                      CurtoText alternative for the resource
                                      Comentários

                                      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                      Controlo0..0
                                      Tipostring
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      284. Composition.section:informacoesContatoAssistencial.emptyReason
                                      Definição

                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                      CurtoWhy the section is empty
                                      Comentários

                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                      Controlo0..0
                                      Este elemento é afetado pelas seguintes invariantes: cmp-2
                                      VínculoOs códigos DEVERÃO ser retirados de ListEmptyReasons
                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                      If a section is empty, why it is empty.

                                      TipoCodeableConcept
                                      É modificadorfalse
                                      Resumofalse
                                      Requisitos

                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      286. Composition.section:informacoesContatoAssistencial.section
                                      Definição

                                      A nested sub-section within this section.

                                      CurtoNested Section
                                      Comentários

                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                      Controlo0..0
                                      Este elemento é afetado pelas seguintes invariantes: cmp-1
                                      TipoVerttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                      É modificadorfalse
                                      Resumofalse
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      288. Composition.section:problemasDiagnosticosAvaliados
                                      Nome da fatiaproblemasDiagnosticosAvaliados
                                      Definição

                                      The root of the sections that make up the composition.

                                      CurtoProblema(s)/Diagnóstico(s) Avaliado(s)
                                      Controlo0..*
                                      TipoBackboneElement
                                      É modificadorfalse
                                      Deve apoiartrue
                                      Resumofalse
                                      Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      290. Composition.section:problemasDiagnosticosAvaliados.id
                                      Definição

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

                                      CurtoUnique id for inter-element referencing
                                      Controlo0..1
                                      Tipostring
                                      É modificadorfalse
                                      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                      Resumofalse
                                      292. Composition.section:problemasDiagnosticosAvaliados.extension
                                      Definição

                                      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.

                                      CurtoAdditional content defined by implementations
                                      Comentários

                                      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.

                                      Controlo0..*
                                      TipoExtension
                                      É modificadorfalse
                                      Resumofalse
                                      Nomes alternativosextensions, user content
                                      Invariantesele-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())
                                      294. Composition.section:problemasDiagnosticosAvaliados.modifierExtension
                                      Definição

                                      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).

                                      CurtoExtensions that cannot be ignored even if unrecognized
                                      Comentários

                                      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.

                                      Controlo0..*
                                      TipoExtension
                                      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Resumotrue
                                      Requisitos

                                      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.

                                      Nomes alternativosextensions, user content, modifiers
                                      Invariantesele-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())
                                      296. Composition.section:problemasDiagnosticosAvaliados.title
                                      Definição

                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                      CurtoLabel for section (e.g. for ToC)
                                      Comentários

                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                      Controlo0..0
                                      Tipostring
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumofalse
                                      Requisitos

                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                      Nomes alternativosheader, label, caption
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      298. Composition.section:problemasDiagnosticosAvaliados.code
                                      Definição

                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                      CurtoClassification of section (recommended)
                                      Comentários

                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                      Controlo0..0
                                      VínculoPara exemplos de códigos, ver DocumentSectionCodes
                                      (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                      Classification of a section of a composition/document.

                                      TipoCodeableConcept
                                      É modificadorfalse
                                      Resumofalse
                                      Requisitos

                                      Provides computable standardized labels to topics within the document.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      300. Composition.section:problemasDiagnosticosAvaliados.author
                                      Definição

                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                      CurtoWho and/or what authored the section
                                      Controlo0..0
                                      TipoReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                      É modificadorfalse
                                      Resumofalse
                                      Requisitos

                                      Identifies who is responsible for the content.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      302. Composition.section:problemasDiagnosticosAvaliados.focus
                                      Definição

                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                      CurtoWho/what the section is about, when it is not about the subject of composition
                                      Comentários

                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                      Controlo0..0
                                      TipoReference(Resource)
                                      É modificadorfalse
                                      Resumofalse
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      304. Composition.section:problemasDiagnosticosAvaliados.text
                                      Definição

                                      A human-readable narrative that contains the attested content of the section, 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.

                                      CurtoText summary of the section, for human interpretation
                                      Comentários

                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                      Controlo0..0
                                      Este elemento é afetado pelas seguintes invariantes: cmp-1
                                      TipoNarrative
                                      É modificadorfalse
                                      Resumofalse
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      306. Composition.section:problemasDiagnosticosAvaliados.mode
                                      Definição

                                      How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                      Curtoworking | snapshot | changes
                                      Comentários

                                      This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                      Controlo0..0
                                      VínculoOs códigos DEVERÃO ser retirados de ListMode
                                      (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                      The processing mode that applies to this section.

                                      Tipocode
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumofalse
                                      Requisitos

                                      Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      308. Composition.section:problemasDiagnosticosAvaliados.orderedBy
                                      Definição

                                      Specifies the order applied to the items in the section entries.

                                      CurtoOrder of section entries
                                      Comentários

                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                      Controlo0..0
                                      VínculoOs códigos DEVERÃO ser retirados de ListOrderCodes
                                      (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                      What order applies to the items in the entry.

                                      TipoCodeableConcept
                                      É modificadorfalse
                                      Resumofalse
                                      Requisitos

                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      310. Composition.section:problemasDiagnosticosAvaliados.entry
                                      Definição

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      CurtoA reference to data that supports this section
                                      Comentários

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Controlo1..*
                                      Este elemento é afetado pelas seguintes invariantes: cmp-2
                                      TipoReference(Problema / Diagnóstico)
                                      É modificadorfalse
                                      Deve apoiartrue
                                      Resumofalse
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      312. Composition.section:problemasDiagnosticosAvaliados.entry.id
                                      Definição

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

                                      CurtoUnique id for inter-element referencing
                                      Controlo0..1
                                      Tipostring
                                      É modificadorfalse
                                      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                      Resumofalse
                                      314. Composition.section:problemasDiagnosticosAvaliados.entry.extension
                                      Definição

                                      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.

                                      CurtoAdditional content defined by implementations
                                      Comentários

                                      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.

                                      Controlo0..*
                                      TipoExtension
                                      É modificadorfalse
                                      Resumofalse
                                      Nomes alternativosextensions, user content
                                      Invariantesele-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())
                                      SlicingEste elemento introduz um conjunto de fatias em Composition.section.entry.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                      • value @ url
                                      • 316. Composition.section:problemasDiagnosticosAvaliados.entry.reference
                                        Definição

                                        A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                        CurtoLiteral reference, Relative, internal or absolute URL
                                        Comentários

                                        Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                        Controlo1..1
                                        Este elemento é afetado pelas seguintes invariantes: ref-1
                                        Tipostring
                                        É modificadorfalse
                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                        Deve apoiartrue
                                        Resumotrue
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        318. Composition.section:problemasDiagnosticosAvaliados.entry.type
                                        Definição

                                        The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                        The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                        CurtoType the reference refers to (e.g. "Patient")
                                        Comentários

                                        This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                        Controlo0..0
                                        VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                                        (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                        Aa resource (or, for logical models, the URI of the logical model).

                                        Tipouri
                                        É modificadorfalse
                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                        Resumotrue
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        320. Composition.section:problemasDiagnosticosAvaliados.entry.identifier
                                        Definição

                                        An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                        CurtoLogical reference, when literal reference is not known
                                        Comentários

                                        When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                        When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                        Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                        Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                                        Controlo0..0
                                        TipoIdentifier
                                        É modificadorfalse
                                        Resumotrue
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        322. Composition.section:problemasDiagnosticosAvaliados.entry.display
                                        Definição

                                        Plain text narrative that identifies the resource in addition to the resource reference.

                                        CurtoText alternative for the resource
                                        Comentários

                                        This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                        Controlo0..0
                                        Tipostring
                                        É modificadorfalse
                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                        Resumotrue
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        324. Composition.section:problemasDiagnosticosAvaliados.emptyReason
                                        Definição

                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                        CurtoMotivo da Seção Vazia
                                        Comentários

                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                        Controlo0..0
                                        Este elemento é afetado pelas seguintes invariantes: cmp-2
                                        VínculoOs códigos DEVERÃO ser retirados de ListEmptyReasons
                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                        If a section is empty, why it is empty.

                                        TipoCodeableConcept
                                        É modificadorfalse
                                        Deve apoiartrue
                                        Resumofalse
                                        Requisitos

                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        337. Composition.section:problemasDiagnosticosAvaliados.section
                                        Definição

                                        A nested sub-section within this section.

                                        CurtoNested Section
                                        Comentários

                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                        Controlo0..0
                                        Este elemento é afetado pelas seguintes invariantes: cmp-1
                                        TipoVerttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        339. Composition.section:procedimentosRealizados
                                        Nome da fatiaprocedimentosRealizados
                                        Definição

                                        The root of the sections that make up the composition.

                                        CurtoProcedimento(s) Realizado(s)
                                        Controlo0..*
                                        TipoBackboneElement
                                        É modificadorfalse
                                        Deve apoiartrue
                                        Resumofalse
                                        Invariantescmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        341. Composition.section:procedimentosRealizados.id
                                        Definição

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

                                        CurtoUnique id for inter-element referencing
                                        Controlo0..1
                                        Tipostring
                                        É modificadorfalse
                                        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                        Resumofalse
                                        343. Composition.section:procedimentosRealizados.extension
                                        Definição

                                        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.

                                        CurtoAdditional content defined by implementations
                                        Comentários

                                        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.

                                        Controlo0..*
                                        TipoExtension
                                        É modificadorfalse
                                        Resumofalse
                                        Nomes alternativosextensions, user content
                                        Invariantesele-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())
                                        345. Composition.section:procedimentosRealizados.modifierExtension
                                        Definição

                                        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).

                                        CurtoExtensions that cannot be ignored even if unrecognized
                                        Comentários

                                        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.

                                        Controlo0..*
                                        TipoExtension
                                        É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Resumotrue
                                        Requisitos

                                        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.

                                        Nomes alternativosextensions, user content, modifiers
                                        Invariantesele-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())
                                        347. Composition.section:procedimentosRealizados.title
                                        Definição

                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                        CurtoLabel for section (e.g. for ToC)
                                        Comentários

                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

                                        Controlo0..0
                                        Tipostring
                                        É modificadorfalse
                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                        Resumofalse
                                        Requisitos

                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                        Nomes alternativosheader, label, caption
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        349. Composition.section:procedimentosRealizados.code
                                        Definição

                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                        CurtoClassification of section (recommended)
                                        Comentários

                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                        Controlo0..0
                                        VínculoPara exemplos de códigos, ver DocumentSectionCodes
                                        (example to http://hl7.org/fhir/ValueSet/doc-section-codes)

                                        Classification of a section of a composition/document.

                                        TipoCodeableConcept
                                        É modificadorfalse
                                        Resumofalse
                                        Requisitos

                                        Provides computable standardized labels to topics within the document.

                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        351. Composition.section:procedimentosRealizados.author
                                        Definição

                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                        CurtoWho and/or what authored the section
                                        Controlo0..0
                                        TipoReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                        É modificadorfalse
                                        Resumofalse
                                        Requisitos

                                        Identifies who is responsible for the content.

                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        353. Composition.section:procedimentosRealizados.focus
                                        Definição

                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                        CurtoWho/what the section is about, when it is not about the subject of composition
                                        Comentários

                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                        Controlo0..0
                                        TipoReference(Resource)
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        355. Composition.section:procedimentosRealizados.text
                                        Definição

                                        A human-readable narrative that contains the attested content of the section, 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.

                                        CurtoText summary of the section, for human interpretation
                                        Comentários

                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                        Controlo0..0
                                        Este elemento é afetado pelas seguintes invariantes: cmp-1
                                        TipoNarrative
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        357. Composition.section:procedimentosRealizados.mode
                                        Definição

                                        How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                        Curtoworking | snapshot | changes
                                        Comentários

                                        This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                        Controlo0..0
                                        VínculoOs códigos DEVERÃO ser retirados de ListMode
                                        (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                        The processing mode that applies to this section.

                                        Tipocode
                                        É modificadorfalse
                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                        Resumofalse
                                        Requisitos

                                        Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        359. Composition.section:procedimentosRealizados.orderedBy
                                        Definição

                                        Specifies the order applied to the items in the section entries.

                                        CurtoOrder of section entries
                                        Comentários

                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                        Controlo0..0
                                        VínculoOs códigos DEVERÃO ser retirados de ListOrderCodes
                                        (preferred to http://hl7.org/fhir/ValueSet/list-order)

                                        What order applies to the items in the entry.

                                        TipoCodeableConcept
                                        É modificadorfalse
                                        Resumofalse
                                        Requisitos

                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        361. Composition.section:procedimentosRealizados.entry
                                        Definição

                                        A reference to the actual resource from which the narrative in the section is derived.

                                        CurtoA reference to data that supports this section
                                        Comentários

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Controlo1..*
                                        Este elemento é afetado pelas seguintes invariantes: cmp-2
                                        TipoReference(Procedimento Realizado)
                                        É modificadorfalse
                                        Deve apoiartrue
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        363. Composition.section:procedimentosRealizados.entry.id
                                        Definição

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

                                        CurtoUnique id for inter-element referencing
                                        Controlo0..1
                                        Tipostring
                                        É modificadorfalse
                                        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                        Resumofalse
                                        365. Composition.section:procedimentosRealizados.entry.extension
                                        Definição

                                        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.

                                        CurtoAdditional content defined by implementations
                                        Comentários

                                        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.

                                        Controlo0..*
                                        TipoExtension
                                        É modificadorfalse
                                        Resumofalse
                                        Nomes alternativosextensions, user content
                                        Invariantesele-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())
                                        SlicingEste elemento introduz um conjunto de fatias em Composition.section.entry.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                        • value @ url
                                        • 367. Composition.section:procedimentosRealizados.entry.reference
                                          Definição

                                          A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                          CurtoLiteral reference, Relative, internal or absolute URL
                                          Comentários

                                          Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                          Controlo1..1
                                          Este elemento é afetado pelas seguintes invariantes: ref-1
                                          Tipostring
                                          É modificadorfalse
                                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                          Resumotrue
                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          369. Composition.section:procedimentosRealizados.entry.type
                                          Definição

                                          The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                          The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                          CurtoType the reference refers to (e.g. "Patient")
                                          Comentários

                                          This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                          Controlo0..0
                                          VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                                          (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                          Aa resource (or, for logical models, the URI of the logical model).

                                          Tipouri
                                          É modificadorfalse
                                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                          Resumotrue
                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          371. Composition.section:procedimentosRealizados.entry.identifier
                                          Definição

                                          An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                          CurtoLogical reference, when literal reference is not known
                                          Comentários

                                          When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                          When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                          Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                          Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                                          Controlo0..0
                                          TipoIdentifier
                                          É modificadorfalse
                                          Resumotrue
                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          373. Composition.section:procedimentosRealizados.entry.display
                                          Definição

                                          Plain text narrative that identifies the resource in addition to the resource reference.

                                          CurtoText alternative for the resource
                                          Comentários

                                          This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                          Controlo0..0
                                          Tipostring
                                          É modificadorfalse
                                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                          Resumotrue
                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          375. Composition.section:procedimentosRealizados.emptyReason
                                          Definição

                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                          CurtoWhy the section is empty
                                          Comentários

                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                          Controlo0..0
                                          Este elemento é afetado pelas seguintes invariantes: cmp-2
                                          VínculoOs códigos DEVERÃO ser retirados de ListEmptyReasons
                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason)

                                          If a section is empty, why it is empty.

                                          TipoCodeableConcept
                                          É modificadorfalse
                                          Resumofalse
                                          Requisitos

                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          377. Composition.section:procedimentosRealizados.section
                                          Definição

                                          A nested sub-section within this section.

                                          CurtoNested Section
                                          Comentários

                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                          Controlo0..0
                                          Este elemento é afetado pelas seguintes invariantes: cmp-1
                                          TipoVerttp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                          É modificadorfalse
                                          Resumofalse
                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))