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: BRContatoAssistencial - Detailed Descriptions

Page standards status: Informative Maturity Level: 1

Definitions for the BRContatoAssistencial-1.0 resource profile.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Encounter
Definição

Atenção à saúde dispensada a um indivíduo em uma modalidade assistencial, de forma ininterrupta e em um mesmo estabelecimento de saúde.


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

CurtoContato AssistencialAn interaction during which services are provided to the patient
Controlo0..*
É modificadorfalse
Deve apoiartrue
Resumofalse
Nomes alternativosVisit, Atendimento, Visita, Internação, Consulta, Atendimento Ambulatorial
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. Encounter.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. Encounter.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. Encounter.identifier
Definição

Identifier(s) by which this encounter is known.

CurtoIdentifier(s) by which this encounter is known
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()))
8. Encounter.status
Definição

Indica o estado que o contato assistencial se encontra quando é informado para a RNDS.


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

Curtofinished | entered-in-errorplanned | arrived | triaged | in-progress | onleave | finished | cancelled +
Comentários

Na RNDS os contatos assistenciais somente são informados após terem sido finalizados, portanto somente a opção finished pode ser utilizada, ou entered-in-error, quando o contato assistencial foi enviado com erro.


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

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

Estado do Contato Assistencial


Current state of the encounter.

Tipocode
É modificadortrue porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
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()))
10. Encounter.statusHistory
Definição

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

CurtoList of past encounter statuses
Comentários

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

Controlo0..0*
TipoBackboneElement
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
15. Encounter.class
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


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

CurtoModalidade AssistencialClassification of patient encounter
Controlo1..1
VínculoOs códigos DEVERÃO ser retirados de A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Modalidade Assistencialhttp://terminology.hl7.org/ValueSet/v3-ActEncounterCode
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0)

Modalidade Assistencial


Classification of the encounter.

TipoCoding
É modificadorfalse
Deve apoiartrue
Resumotrue
EtiquetaModalidade Assistencial
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
17. Encounter.class.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()))
19. Encounter.class.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()))
21. Encounter.class.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()))
23. Encounter.class.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()))
25. Encounter.classHistory
Definição

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

CurtoList of past encounter classes
Controlo0..0*
TipoBackboneElement
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Encounter.type
Definição

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

CurtoSpecific type of encounter
Comentários

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

Controlo0..0*
VínculoPara exemplos de códigos, ver EncounterTypehttp://hl7.org/fhir/ValueSet/encounter-type
(example to http://hl7.org/fhir/ValueSet/encounter-type)

The type of encounter.

TipoCodeableConcept
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Encounter.serviceType
Definição

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

CurtoSpecific type of service
Controlo0..01
VínculoPara exemplos de códigos, ver ServiceTypehttp://hl7.org/fhir/ValueSet/service-type
(example to http://hl7.org/fhir/ValueSet/service-type)

Broad categorization of the service that is to be provided.

TipoCodeableConcept
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Encounter.priority
Definição

Identifica o contato assistencial de acordo com a prioridade de sua realização. Referência: https://rts.saude.gov.br/#/carater-atendimento


Indicates the urgency of the encounter.

CurtoCaráter do AtendimentoIndicates the urgency of the encounter
Controlo10..1
VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Caráter de atendimento do Contato Assistencialhttp://terminology.hl7.org/ValueSet/v3-ActPriority
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0)

Identifica o contato assistencial de acordo com a prioridade de sua realização.


Indicates the urgency of the encounter.

TipoCodeableConcept
É modificadorfalse
Deve apoiartrue
Resumofalse
EtiquetaCaráter do Atendimento
Nomes alternativosCaráter de Atendimento, Caráter da Internação
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Encounter.priority.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
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()))
38. Encounter.priority.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()))
40. Encounter.priority.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()))
42. Encounter.priority.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()))
44. Encounter.priority.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()))
46. Encounter.priority.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()))
48. Encounter.subject
Definição

The patient or group present at the encounter.

CurtoThe patient or group present at the encounter
Comentários

Na primeira versão não será suportado a identificação de grupos.


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

Controlo10..1
TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0, Patient, Group)
É modificadorfalse
Deve apoiartrue
Resumotrue
Nomes alternativospatient
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Encounter.subject.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.

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 Encounter.subject.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • value @ url
  • 52. Encounter.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())
    54. Encounter.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 Encounter.subject.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • value @ url
    • 56. Encounter.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())
      58. Encounter.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
      60. Encounter.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()))
      62. Encounter.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())
      64. Encounter.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
      66. Encounter.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()))
      68. Encounter.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())
      70. Encounter.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
      72. Encounter.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()))
      74. Encounter.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
      76. Encounter.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()))
      78. Encounter.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()))
      80. Encounter.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()))
      82. Encounter.subject.display
      Definição

      Nome do indivíduo ou descrição do sujeito do Contato Assistencial quando não for um indivíduo.


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

      CurtoNome ou descrição do sujeitoText 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()))
      84. Encounter.episodeOfCare
      Definição

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

      CurtoEpisode(s) of care that this encounter should be recorded against
      Controlo0..0*
      TipoReference(EpisodeOfCare)
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      86. Encounter.basedOn
      Definição

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

      CurtoThe ServiceRequest that initiated this encounter
      Controlo0..0*
      TipoReference(ServiceRequest)
      É modificadorfalse
      Resumofalse
      Nomes alternativosincomingReferral
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. Encounter.participant
      Definição

      Identifica o(s) profissional(is) ou indivíduo(s) que teve(tiveram) algum tipo de participação no Contato Assistencial.


      The list of people responsible for providing the service.

      CurtoParticipante(s) do Contato AssistencialList of participants involved in the encounter
      Controlo10..*
      TipoBackboneElement
      É modificadorfalse
      Deve apoiartrue
      Resumotrue
      Nomes alternativosProfissionais do Atendimento, Profissional Responsável pela Alta
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. Encounter.participant.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.

      Controlo10..*
      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 Encounter.participant.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • value @ url
      • 92. Encounter.participant.extension:function
        Nome da fatiafunction
        Definição

        Ocupação do profissional ou indivíduo que participou do contato assistencial.

        CurtoOcupação
        Controlo1..1
        Este elemento é afetado pelas seguintes invariantes: ele-1
        TipoExtension(Ocupação) (Tipo de extensão: CodeableConcept)
        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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        94. Encounter.participant.extension:team
        Nome da fatiateam
        Definição

        Identifica a equipe de saúde responsável pelo Contato Assistencial utilizando o Identificador Nacional de Equipes.

        CurtoEquipe
        Controlo0..1
        Este elemento é afetado pelas seguintes invariantes: ele-1
        TipoExtension(Identificador Nacional de Equipe) (Tipo de extensão: integer)
        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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        96. Encounter.participant.extension:isResponsable
        Nome da fatiaisResponsable
        Definição

        Representa se o profissional foi responsável pelo atendimento registrado.

        CurtoResponsável pelo Atendimento
        Controlo0..1
        Este elemento é afetado pelas seguintes invariantes: ele-1
        TipoExtension(Responsável pelo Atendimento) (Tipo de extensão: Escolha de: boolean, Coding)
        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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        98. Encounter.participant.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())
        100. Encounter.participant.type
        Definição

        Responsabilidade que o profissional ou indivíduo teve durante o Contato Assistencial.


        Role of participant in encounter.

        CurtoTipo de ParticipaçãoRole of participant in encounter
        Comentários

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

        Controlo10..1*
        VínculoOs códigos DEVERÃO ser retirados de A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Reponsabilidade no Contato Assistencialhttp://hl7.org/fhir/ValueSet/encounter-participant-type
        (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0)

        Responsabilidade no Contato Assistencial


        Role of participant in encounter.

        TipoCodeableConcept
        É modificadorfalse
        Deve apoiartrue
        Resumotrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        102. Encounter.participant.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()))
        104. Encounter.participant.period
        Definição

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

        CurtoPeriod of time during the encounter that the participant participated
        Controlo0..01
        TipoPeriod
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        106. Encounter.participant.individual
        Definição

        Identifica o profissional ou indivíduo teve alguma participação no Contato Assistencial.


        Persons involved in the encounter other than the patient.

        CurtoParticipantePersons involved in the encounter other than the patient
        Controlo10..1
        TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0, http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0, Practitioner, PractitionerRole, RelatedPerson)
        É modificadorfalse
        Deve apoiartrue
        Tipos de suporte obrigatórioNão há regras de suporte obrigatório sobre a escolha de tipos/perfis
        Resumotrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        108. Encounter.participant.individual.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()))
        110. Encounter.participant.individual.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()))
        112. Encounter.participant.individual.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()))
        114. Encounter.participant.individual.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()))
        116. Encounter.participant.individual.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()))
        118. Encounter.participant.individual.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()))
        120. Encounter.participant.individual.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()))
        122. Encounter.participant.individual.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()))
        124. Encounter.participant.individual.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()))
        126. Encounter.participant.individual.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()))
        128. Encounter.appointment
        Definição

        The appointment that scheduled this encounter.

        CurtoThe appointment that scheduled this encounter
        Controlo0..0*
        TipoReference(Appointment)
        É modificadorfalse
        Resumotrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        130. Encounter.period
        Definição

        Data ou data/hora de adminissão e desfecho do Contato Assistencial.


        The start and end time of the encounter.

        CurtoInício e Término do Contato AssistencialThe start and end time of the encounter
        Comentários

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

        Controlo10..1
        TipoPeriod
        É modificadorfalse
        Deve apoiartrue
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        132. Encounter.period.start
        Definição

        Competência (mês/ano), data ou data e hora do início do Contato Assistencial.


        The start of the period. The boundary is inclusive.

        CurtoMomento da AdmissãoStarting time with inclusive boundary
        Comentários

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

        Controlo10..1
        Este elemento é afetado pelas seguintes invariantes: per-1
        TipodateTime
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Deve apoiartrue
        Resumotrue
        Nomes alternativosData da Admissão, Data e Hora do Atendimento, Data e Hora da Admissão
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        134. Encounter.period.end
        Definição

        Competência (mês/ano), data ou data e hora do término do Contato Assistencial.


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

        CurtoMomento do DesfechoEnd time with inclusive boundary, if not ongoing
        Comentários

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

        Controlo10..1
        Este elemento é afetado pelas seguintes invariantes: per-1
        TipodateTime
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Deve apoiartrue
        Resumotrue
        Nomes alternativosData do Desfecho, Data e Hora da Saída da Internação
        Significado em caso de faltaIf the end of the period is missing, it means that the period is ongoing
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        136. Encounter.length
        Definição

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

        CurtoQuantity of time the encounter lasted (less time absent)
        Comentários

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

        Controlo0..01
        TipoDuration
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        138. Encounter.reasonCode
        Definição

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

        CurtoCoded reason the encounter takes place
        Comentários

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

        Controlo0..0*
        VínculoOs códigos DEVERÃO ser retirados de EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reason
        (preferred to http://hl7.org/fhir/ValueSet/encounter-reason)

        Reason why the encounter takes place.

        TipoCodeableConcept
        É modificadorfalse
        Resumotrue
        Nomes alternativosIndication, Admission diagnosis
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        140. Encounter.reasonReference
        Definição

        Motivação para o Contato Assistencial acontecer.


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

        CurtoMotivo do AtendimentoReason the encounter takes place (reference)
        Comentários

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

        Controlo0..1*
        TipoReference(Observação Descritiva, Condition, Procedure, Observation, ImmunizationRecommendation)
        É modificadorfalse
        Deve apoiartrue
        Resumotrue
        Nomes alternativosIndication, Admission diagnosis, Motivo do Contato Assistencial, Diangóstico Principal, Motivo da Admissão
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        142. Encounter.reasonReference.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()))
        144. Encounter.reasonReference.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()))
        146. Encounter.reasonReference.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()))
        148. Encounter.reasonReference.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()))
        150. Encounter.diagnosis
        Definição

        Referência a diagnóstico(s) secundário(s) avaliado(s), outro(s) problema(s) avaliado(s) e/ou procedimento(s) realizado(s) durante o contato assistencial.


        The list of diagnosis relevant to this encounter.

        CurtoDiagnósticos Secundários, Outros Problemas e ProcedimentosThe list of diagnosis relevant to this encounter
        Controlo10..*
        TipoBackboneElement
        É modificadorfalse
        Resumotrue
        Nomes alternativosProblemas/Diagnósticos Avaliados, Procedimento Executado, Procedimento Realizado
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingEste elemento introduz um conjunto de fatias em Encounter.diagnosis. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
        • profile @ condition.resolve()
        • 152. Encounter.diagnosis.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())
          154. Encounter.diagnosis.condition
          Definição

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

          CurtoThe diagnosis or procedure relevant to the encounter
          Comentários

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

          Controlo1..1
          TipoReference(Condition, Procedure)
          É modificadorfalse
          Resumotrue
          Nomes alternativosAdmission diagnosis, discharge diagnosis, indication
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          156. Encounter.diagnosis:problemAndDiagnosis
          Nome da fatiaproblemAndDiagnosis
          Definição

          Informações sobre a condição de saúde, lesão, deficiência ou qualquer outra questão que afete o bem-estar físico, mental ou social de um indivíduo identificadas em um contato assistencial. (adaptado do conceito de Problema/Diagnóstico do Clinical Knowledge Manager/OpenEHR) Devem ser listados os problemas/diangnósticos avaliados durante um contato. Diagnóstico secundário é(são) a(s) condição(ões) que coexiste(m) no momento da admissão, que se desenvolve(m) durante o contato assistencial ou que afeta(m) a atenção recebida e/ou a duração do contato assistencial. (adaptado do conceito disposto no Art. 3º da Portaria SAS/MS nº 1.324, de 27 de novembro de 2014)


          The list of diagnosis relevant to this encounter.

          CurtoDiagnósticos/Problemas AvaliadosThe list of diagnosis relevant to this encounter
          Controlo0..*
          TipoBackboneElement
          É modificadorfalse
          Deve apoiartrue
          Resumotrue
          Nomes alternativosDiagnóstico Secundário
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          158. Encounter.diagnosis:problemAndDiagnosis.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())
          160. Encounter.diagnosis:problemAndDiagnosis.condition
          Definição

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

          CurtoThe diagnosis or procedure relevant to the encounter
          Comentários

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

          Controlo1..1
          TipoReference(Problema / Diagnóstico, Condition, Procedure)
          É modificadorfalse
          Deve apoiartrue
          Resumotrue
          Nomes alternativosAdmission diagnosis, discharge diagnosis, indication
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          162. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
          164. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
          166. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
          168. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
          170. Encounter.diagnosis:problemAndDiagnosis.use
          Definição

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

          CurtoRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
          Controlo0..1
          VínculoOs códigos DEVERÃO ser retirados de Classificação do papel de um problema e diagnósticohttp://hl7.org/fhir/ValueSet/diagnosis-role
          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRPapelProblemaDiagnostico)

          Papel de um problema/diagnóstico.


          The type of diagnosis this condition represents.

          TipoCodeableConcept
          É modificadorfalse
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          172. Encounter.diagnosis:problemAndDiagnosis.use.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
          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()))
          174. Encounter.diagnosis:problemAndDiagnosis.use.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()))
          176. Encounter.diagnosis:problemAndDiagnosis.use.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()))
          178. Encounter.diagnosis:problemAndDiagnosis.use.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()))
          180. Encounter.diagnosis:problemAndDiagnosis.use.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()))
          182. Encounter.diagnosis:problemAndDiagnosis.rank
          Definição

          Ranking of the diagnosis (for each role type).

          CurtoDiagnostico principal ou secundárioRanking of the diagnosis (for each role type)
          Controlo0..1
          TipopositiveInt
          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()))
          184. Encounter.diagnosis:procedure
          Nome da fatiaprocedure
          Definição

          Ação(ões) e/ou serviço(s) de saúde realizado(s) no/para o indivíduo.


          The list of diagnosis relevant to this encounter.

          CurtoProcedimento(s) Realizado(s)The list of diagnosis relevant to this encounter
          Controlo10..*
          TipoBackboneElement
          É modificadorfalse
          Deve apoiartrue
          Resumotrue
          Nomes alternativosProcedimento Executado
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          186. Encounter.diagnosis:procedure.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())
          188. Encounter.diagnosis:procedure.condition
          Definição

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

          CurtoThe diagnosis or procedure relevant to the encounter
          Comentários

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

          Controlo1..1
          TipoReference(Procedimento Realizado, Condition, Procedure)
          É modificadorfalse
          Deve apoiartrue
          Resumotrue
          Nomes alternativosAdmission diagnosis, discharge diagnosis, indication
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          190. Encounter.diagnosis:procedure.condition.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.

          Controlo10..*
          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 Encounter.diagnosis.condition.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
          • value @ url
          • 192. Encounter.diagnosis:procedure.condition.extension:financier
            Nome da fatiafinancier
            Definição

            Agente, instituição ou entidade responsável por custear as ações e serviços de saúde.

            CurtoFinanciamento
            Controlo1..1
            TipoExtension(Financiamento) (Tipo de extensão: CodeableConcept)
            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())
            194. Encounter.diagnosis:procedure.condition.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()))
            196. Encounter.diagnosis:procedure.condition.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()))
            198. Encounter.diagnosis:procedure.condition.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()))
            200. Encounter.diagnosis:procedure.use
            Definição

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

            CurtoRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
            Controlo0..01
            VínculoOs códigos DEVERÃO ser retirados de DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role
            (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

            The type of diagnosis this condition represents.

            TipoCodeableConcept
            É modificadorfalse
            Resumofalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            202. Encounter.diagnosis:procedure.rank
            Definição

            Ranking of the diagnosis (for each role type).

            CurtoRanking of the diagnosis (for each role type)
            Controlo0..01
            TipopositiveInt
            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()))
            204. Encounter.account
            Definição

            The set of accounts that may be used for billing for this Encounter.

            CurtoThe set of accounts that may be used for billing for this Encounter
            Comentários

            The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.

            Controlo0..0*
            TipoReference(Account)
            É modificadorfalse
            Resumofalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            206. Encounter.hospitalization
            Definição

            Details about the admission to a healthcare service.

            CurtoDetails about the admission to a healthcare service
            Comentários

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

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

            Controlo10..1
            TipoBackboneElement
            É modificadorfalse
            Deve apoiartrue
            Resumofalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            208. Encounter.hospitalization.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.

            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 Encounter.hospitalization.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
            • value @ url
            • 210. Encounter.hospitalization.extension:otherInformations
              Nome da fatiaotherInformations
              Definição

              Representa quaisquer outras informações descritivas relacionadas aos dados de desfecho do atendimento registrado.

              CurtoOutras Informações
              Controlo0..1
              Este elemento é afetado pelas seguintes invariantes: ele-1
              TipoExtension(Outras Informações) (Tipo de extensão: Annotation)
              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())
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              212. Encounter.hospitalization.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())
              214. Encounter.hospitalization.preAdmissionIdentifier
              Definição

              Pre-admission identifier.

              CurtoPre-admission identifier
              Controlo0..01
              TipoIdentifier
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              216. Encounter.hospitalization.origin
              Definição

              The location/organization from which the patient came before admission.

              CurtoThe location/organization from which the patient came before admission
              Controlo0..01
              TipoReference(Location, Organization)
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              218. Encounter.hospitalization.admitSource
              Definição

              Identifica o serviço que encaminhou o indivíduo ou a sua iniciativa/de seu responsável na busca pelo acesso ao serviço de saúde.


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

              CurtoProcedênciaFrom where patient was admitted (physician referral, transfer)
              Controlo10..1
              VínculoOs códigos DEVERÃO ser retirados de Procedência do Contato Assistencialhttp://hl7.org/fhir/ValueSet/encounter-admit-source
              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0)

              Procedência


              From where the patient was admitted.

              TipoCodeableConcept
              É modificadorfalse
              Deve apoiartrue
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              220. Encounter.hospitalization.admitSource.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
              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()))
              222. Encounter.hospitalization.admitSource.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()))
              224. Encounter.hospitalization.admitSource.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()))
              226. Encounter.hospitalization.admitSource.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()))
              228. Encounter.hospitalization.admitSource.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()))
              230. Encounter.hospitalization.admitSource.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()))
              232. Encounter.hospitalization.reAdmission
              Definição

              Whether this hospitalization is a readmission and why if known.

              CurtoThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
              Controlo0..01
              VínculoPara exemplos de códigos, ver hl7VS-re-admissionIndicatorhttp://terminology.hl7.org/ValueSet/v2-0092
              (example to http://terminology.hl7.org/ValueSet/v2-0092)

              The reason for re-admission of this hospitalization encounter.

              TipoCodeableConcept
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              234. Encounter.hospitalization.dietPreference
              Definição

              Diet preferences reported by the patient.

              CurtoDiet preferences reported by the patient
              Comentários

              For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).

              Controlo0..0*
              VínculoPara exemplos de códigos, ver Diethttp://hl7.org/fhir/ValueSet/encounter-diet
              (example to http://hl7.org/fhir/ValueSet/encounter-diet)

              Medical, cultural or ethical food preferences to help with catering requirements.

              TipoCodeableConcept
              É modificadorfalse
              Resumofalse
              Requisitos

              Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              236. Encounter.hospitalization.specialCourtesy
              Definição

              Special courtesies (VIP, board member).

              CurtoSpecial courtesies (VIP, board member)
              Controlo0..0*
              VínculoOs códigos DEVERÃO ser retirados de SpecialCourtesyhttp://hl7.org/fhir/ValueSet/encounter-special-courtesy
              (preferred to http://hl7.org/fhir/ValueSet/encounter-special-courtesy)

              Special courtesies.

              TipoCodeableConcept
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              238. Encounter.hospitalization.specialArrangement
              Definição

              Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.

              CurtoWheelchair, translator, stretcher, etc.
              Controlo0..0*
              VínculoOs códigos DEVERÃO ser retirados de SpecialArrangementshttp://hl7.org/fhir/ValueSet/encounter-special-arrangements
              (preferred to http://hl7.org/fhir/ValueSet/encounter-special-arrangements)

              Special arrangements.

              TipoCodeableConcept
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              240. Encounter.hospitalization.destination
              Definição

              Location/organization to which the patient is discharged.

              CurtoLocation/organization to which the patient is discharged
              Controlo0..01
              TipoReference(Location, Organization)
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              242. Encounter.hospitalization.dischargeDisposition
              Definição

              Caracteriza o motivo de conclusão total ou parcial do Contato Assistencial.


              Category or kind of location after discharge.

              CurtoMotivo de DesfechoCategory or kind of location after discharge
              Controlo10..1
              VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Motivo do desfecho do Contato assistencialhttp://hl7.org/fhir/ValueSet/encounter-discharge-disposition
              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0)

              Motivo do Desfecho


              Discharge Disposition.

              TipoCodeableConcept
              É modificadorfalse
              Deve apoiartrue
              Resumofalse
              Nomes alternativosDesfecho da Internação
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              244. Encounter.hospitalization.dischargeDisposition.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
              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()))
              246. Encounter.hospitalization.dischargeDisposition.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()))
              248. Encounter.hospitalization.dischargeDisposition.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()))
              250. Encounter.hospitalization.dischargeDisposition.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()))
              252. Encounter.hospitalization.dischargeDisposition.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()))
              254. Encounter.hospitalization.dischargeDisposition.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()))
              256. Encounter.location
              Definição

              Local onde o atendimento aconteceu.


              List of locations where the patient has been during this encounter.

              CurtoLocal de AtendimentoList of locations where the patient has been
              Comentários

              Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".

              Controlo0..1*
              TipoBackboneElement
              É modificadorfalse
              Deve apoiartrue
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              258. Encounter.location.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())
              260. Encounter.location.location
              Definição

              The location where the encounter takes place.

              CurtoLocation the encounter takes place
              Controlo1..1
              TipoReference(Local de Atendimento, Location)
              É modificadorfalse
              Deve apoiartrue
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              262. Encounter.location.location.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()))
              264. Encounter.location.location.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()))
              266. Encounter.location.location.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()))
              268. Encounter.location.location.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()))
              270. Encounter.location.status
              Definição

              The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.

              Curtoplanned | active | reserved | completed
              Comentários

              When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.

              Controlo0..01
              VínculoOs códigos DEVERÃO ser retirados de EncounterLocationStatushttp://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1
              (required to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1)

              The status of the location.

              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()))
              272. Encounter.location.physicalType
              Definição

              This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.

              CurtoThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
              Comentários

              This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.

              There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.

              Controlo0..01
              VínculoPara exemplos de códigos, ver LocationTypehttp://hl7.org/fhir/ValueSet/location-physical-type
              (example to http://hl7.org/fhir/ValueSet/location-physical-type)

              Physical form of the location.

              TipoCodeableConcept
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              274. Encounter.location.period
              Definição

              Time period during which the patient was present at the location.

              CurtoTime period during which the patient was present at the location
              Controlo0..01
              TipoPeriod
              É modificadorfalse
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              276. Encounter.serviceProvider
              Definição

              Identifica pelo número de inscrição no Cadastro Nacional de Estabelecimentos de Saúde o Estabelecimento de Saúde que realizou o Contato Assistencial.


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

              CurtoEstabelecimento de Saúde do Contato AssistencialThe organization (facility) responsible for this encounter
              Controlo10..1
              TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0, http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0, Organization)
              É modificadorfalse
              Deve apoiartrue
              Tipos de suporte obrigatórioNão há regras de suporte obrigatório sobre a escolha de tipos/perfis
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              278. Encounter.serviceProvider.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()))
              280. Encounter.serviceProvider.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()))
              282. Encounter.serviceProvider.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()))
              284. Encounter.serviceProvider.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()))
              286. Encounter.serviceProvider.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()))
              288. Encounter.serviceProvider.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()))
              290. Encounter.serviceProvider.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()))
              292. Encounter.serviceProvider.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()))
              294. Encounter.serviceProvider.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()))
              296. Encounter.serviceProvider.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()))
              298. Encounter.partOf
              Definição

              Permite referenciar outro Contato Assistencial que tenha dado sequência a este, como por exemplo, um indivíduo realiza, em um mesmo Estabelecimento de Saúde, um Contato Assistencial que seja de Modalidade Assistencial Atenção à Urgência/Emergência, e necessite ser internado, dando continuidade em um Contato Assistencial de Atenção Hospitalar. Neste exemplo, este elemento seria utilizado no Contato Assistencial de Atenção Hospitalar, que faria referência ao Contato Assistencial de Atenção à Urgência/Emergência.


              Another Encounter of which this encounter is a part of (administratively or in time).

              CurtoContato Assistencial anteriorAnother Encounter this encounter is part of
              Comentários

              This is also used for associating a child's encounter back to the mother's encounter.

              Refer to the Notes section in the Patient resource for further details.

              Controlo0..1
              TipoReference(Contato Assistencial, Encounter)
              É modificadorfalse
              Deve apoiartrue
              Resumofalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              300. Encounter.partOf.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()))
              302. Encounter.partOf.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()))
              304. Encounter.partOf.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()))
              306. Encounter.partOf.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()))

              Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

              0. Encounter
              Definição

              Atenção à saúde dispensada a um indivíduo em uma modalidade assistencial, de forma ininterrupta e em um mesmo estabelecimento de saúde.

              CurtoContato Assistencial
              Deve apoiartrue
              Nomes alternativosAtendimento, Visita, Internação, Consulta, Atendimento Ambulatorial
              2. Encounter.identifier
              NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
              Controlo0..0
              4. Encounter.status
              Definição

              Indica o estado que o contato assistencial se encontra quando é informado para a RNDS.

              Curtofinished | entered-in-error
              Comentários

              Na RNDS os contatos assistenciais somente são informados após terem sido finalizados, portanto somente a opção finished pode ser utilizada, ou entered-in-error, quando o contato assistencial foi enviado com erro.

              VínculoOs códigos DEVERÃO ser retirados de Estado do Contato Assistencial
              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoContatoAssistencial-1.0)

              Estado do Contato Assistencial

              Deve apoiartrue
              6. Encounter.statusHistory
              Controlo0..0
              8. Encounter.class
              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
              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
              EtiquetaModalidade Assistencial
              10. Encounter.class.system
              Controlo1..?
              12. Encounter.class.code
              Controlo1..?
              14. Encounter.class.display
              Controlo0..0
              16. Encounter.class.userSelected
              Controlo0..0
              18. Encounter.classHistory
              Controlo0..0
              20. Encounter.type
              Controlo0..0
              22. Encounter.serviceType
              Controlo0..0
              24. Encounter.priority
              Definição

              Identifica o contato assistencial de acordo com a prioridade de sua realização. Referência: https://rts.saude.gov.br/#/carater-atendimento

              CurtoCaráter do Atendimento
              Controlo1..?
              VínculoOs códigos DEVERÃO ser retirados de Caráter de atendimento do Contato Assistencial
              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0)

              Identifica o contato assistencial de acordo com a prioridade de sua realização.

              Deve apoiartrue
              EtiquetaCaráter do Atendimento
              Nomes alternativosCaráter de Atendimento, Caráter da Internação
              26. Encounter.priority.coding
              Controlo1..1
              28. Encounter.priority.coding.system
              Controlo1..?
              30. Encounter.priority.coding.code
              Controlo1..?
              32. Encounter.priority.coding.display
              Controlo0..0
              34. Encounter.priority.coding.userSelected
              Controlo0..0
              36. Encounter.priority.text
              Controlo0..0
              38. Encounter.subject
              Comentários

              Na primeira versão não será suportado a identificação de grupos.

              Controlo1..?
              TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)
              Deve apoiartrue
              40. Encounter.subject.extension
              Controlo0..?
              SlicingEste elemento introduz um conjunto de fatias em Encounter.subject.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
              • value @ url
              • 42. Encounter.subject.extension:unidentifiedPatient
                Nome da fatiaunidentifiedPatient
                CurtoDados do Indivíduo Não Identificado
                Controlo0..?
                TipoExtension(Informações Complementares de Indivíduos Não Identificados) (Extensão complexa)
                Deve apoiartrue
                44. Encounter.subject.extension:unidentifiedPatient.extension
                Controlo3..?
                SlicingEste elemento introduz um conjunto de fatias em Encounter.subject.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                • value @ url
                • 46. Encounter.subject.extension:unidentifiedPatient.extension:gender
                  Nome da fatiagender
                  Controlo1..?
                  Deve apoiartrue
                  48. Encounter.subject.extension:unidentifiedPatient.extension:birthYear
                  Nome da fatiabirthYear
                  Controlo1..?
                  Deve apoiartrue
                  50. Encounter.subject.extension:unidentifiedPatient.extension:reason
                  Nome da fatiareason
                  Controlo1..?
                  Deve apoiartrue
                  52. Encounter.subject.reference
                  Controlo0..0
                  54. Encounter.subject.type
                  Controlo0..0
                  Valor fixoPatient
                  56. Encounter.subject.identifier
                  NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                  58. Encounter.subject.identifier.use
                  Controlo0..0
                  60. Encounter.subject.identifier.type
                  Controlo0..0
                  62. Encounter.subject.identifier.system
                  Controlo1..?
                  64. Encounter.subject.identifier.value
                  Controlo1..?
                  66. Encounter.subject.identifier.period
                  Controlo0..0
                  68. Encounter.subject.identifier.assigner
                  Controlo0..0
                  70. Encounter.subject.display
                  Definição

                  Nome do indivíduo ou descrição do sujeito do Contato Assistencial quando não for um indivíduo.

                  CurtoNome ou descrição do sujeito
                  Controlo0..0
                  72. Encounter.episodeOfCare
                  Controlo0..0
                  74. Encounter.basedOn
                  Controlo0..0
                  76. Encounter.participant
                  Definição

                  Identifica o(s) profissional(is) ou indivíduo(s) que teve(tiveram) algum tipo de participação no Contato Assistencial.

                  CurtoParticipante(s) do Contato Assistencial
                  Controlo1..?
                  Deve apoiartrue
                  Nomes alternativosProfissionais do Atendimento, Profissional Responsável pela Alta
                  78. Encounter.participant.extension
                  Controlo1..?
                  SlicingEste elemento introduz um conjunto de fatias em Encounter.participant.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                  • value @ url
                  • 80. Encounter.participant.extension:function
                    Nome da fatiafunction
                    Definição

                    Ocupação do profissional ou indivíduo que participou do contato assistencial.

                    Controlo1..1
                    TipoExtension(Ocupação) (Tipo de extensão: CodeableConcept)
                    Deve apoiartrue
                    82. Encounter.participant.extension:team
                    Nome da fatiateam
                    Definição

                    Identifica a equipe de saúde responsável pelo Contato Assistencial utilizando o Identificador Nacional de Equipes.

                    CurtoEquipe
                    Controlo0..1
                    TipoExtension(Identificador Nacional de Equipe) (Tipo de extensão: integer)
                    Deve apoiartrue
                    84. Encounter.participant.extension:isResponsable
                    Nome da fatiaisResponsable
                    Definição

                    Representa se o profissional foi responsável pelo atendimento registrado.

                    CurtoResponsável pelo Atendimento
                    Controlo0..1
                    TipoExtension(Responsável pelo Atendimento) (Tipo de extensão: Escolha de: boolean, Coding)
                    É modificadorfalse
                    86. Encounter.participant.type
                    Definição

                    Responsabilidade que o profissional ou indivíduo teve durante o Contato Assistencial.

                    CurtoTipo de Participação
                    Controlo1..1
                    VínculoOs códigos DEVERÃO ser retirados de Reponsabilidade no Contato Assistencial
                    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0)

                    Responsabilidade no Contato Assistencial

                    Deve apoiartrue
                    88. Encounter.participant.type.coding
                    90. Encounter.participant.type.coding.system
                    Controlo1..?
                    92. Encounter.participant.type.coding.code
                    Controlo1..?
                    94. Encounter.participant.type.coding.display
                    Controlo0..0
                    96. Encounter.participant.type.coding.userSelected
                    Controlo0..0
                    98. Encounter.participant.type.text
                    Controlo0..0
                    100. Encounter.participant.period
                    Controlo0..0
                    102. Encounter.participant.individual
                    Definição

                    Identifica o profissional ou indivíduo teve alguma participação no Contato Assistencial.

                    CurtoParticipante
                    Controlo1..?
                    TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0, http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)
                    Deve apoiartrue
                    Tipos de suporte obrigatórioNão há regras de suporte obrigatório sobre a escolha de tipos/perfis
                    104. Encounter.participant.individual.reference
                    Controlo0..0
                    106. Encounter.participant.individual.type
                    Controlo0..0
                    108. Encounter.participant.individual.identifier
                    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                    Controlo1..?
                    110. Encounter.participant.individual.identifier.use
                    Controlo0..0
                    112. Encounter.participant.individual.identifier.type
                    Controlo0..0
                    114. Encounter.participant.individual.identifier.system
                    Controlo1..?
                    116. Encounter.participant.individual.identifier.value
                    Controlo1..?
                    118. Encounter.participant.individual.identifier.period
                    Controlo0..0
                    120. Encounter.participant.individual.identifier.assigner
                    Controlo0..0
                    122. Encounter.participant.individual.display
                    Controlo0..0
                    124. Encounter.appointment
                    Controlo0..0
                    126. Encounter.period
                    Definição

                    Data ou data/hora de adminissão e desfecho do Contato Assistencial.

                    CurtoInício e Término do Contato Assistencial
                    Controlo1..?
                    Deve apoiartrue
                    128. Encounter.period.start
                    Definição

                    Competência (mês/ano), data ou data e hora do início do Contato Assistencial.

                    CurtoMomento da Admissão
                    Controlo1..?
                    Deve apoiartrue
                    Nomes alternativosData da Admissão, Data e Hora do Atendimento, Data e Hora da Admissão
                    130. Encounter.period.end
                    Definição

                    Competência (mês/ano), data ou data e hora do término do Contato Assistencial.

                    CurtoMomento do Desfecho
                    Controlo1..?
                    Deve apoiartrue
                    Nomes alternativosData do Desfecho, Data e Hora da Saída da Internação
                    132. Encounter.length
                    Controlo0..0
                    134. Encounter.reasonCode
                    Controlo0..0
                    136. Encounter.reasonReference
                    Definição

                    Motivação para o Contato Assistencial acontecer.

                    CurtoMotivo do Atendimento
                    Controlo0..1
                    TipoReference(Observação Descritiva)
                    Deve apoiartrue
                    Nomes alternativosMotivo do Contato Assistencial, Diangóstico Principal, Motivo da Admissão
                    138. Encounter.reasonReference.reference
                    Controlo1..?
                    140. Encounter.reasonReference.type
                    Controlo0..0
                    142. Encounter.reasonReference.identifier
                    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                    Controlo0..0
                    144. Encounter.reasonReference.display
                    Controlo0..0
                    146. Encounter.diagnosis
                    Definição

                    Referência a diagnóstico(s) secundário(s) avaliado(s), outro(s) problema(s) avaliado(s) e/ou procedimento(s) realizado(s) durante o contato assistencial.

                    CurtoDiagnósticos Secundários, Outros Problemas e Procedimentos
                    Controlo1..?
                    Nomes alternativosProblemas/Diagnósticos Avaliados, Procedimento Executado, Procedimento Realizado
                    SlicingEste elemento introduz um conjunto de fatias em Encounter.diagnosis. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                    • profile @ condition.resolve()
                    • 148. Encounter.diagnosis:problemAndDiagnosis
                      Nome da fatiaproblemAndDiagnosis
                      Definição

                      Informações sobre a condição de saúde, lesão, deficiência ou qualquer outra questão que afete o bem-estar físico, mental ou social de um indivíduo identificadas em um contato assistencial. (adaptado do conceito de Problema/Diagnóstico do Clinical Knowledge Manager/OpenEHR) Devem ser listados os problemas/diangnósticos avaliados durante um contato. Diagnóstico secundário é(são) a(s) condição(ões) que coexiste(m) no momento da admissão, que se desenvolve(m) durante o contato assistencial ou que afeta(m) a atenção recebida e/ou a duração do contato assistencial. (adaptado do conceito disposto no Art. 3º da Portaria SAS/MS nº 1.324, de 27 de novembro de 2014)

                      CurtoDiagnósticos/Problemas Avaliados
                      Deve apoiartrue
                      Nomes alternativosDiagnóstico Secundário
                      150. Encounter.diagnosis:problemAndDiagnosis.condition
                      TipoReference(Problema / Diagnóstico)
                      Deve apoiartrue
                      152. Encounter.diagnosis:problemAndDiagnosis.condition.reference
                      Controlo1..?
                      154. Encounter.diagnosis:problemAndDiagnosis.condition.type
                      Controlo0..0
                      156. Encounter.diagnosis:problemAndDiagnosis.condition.identifier
                      NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                      Controlo0..0
                      158. Encounter.diagnosis:problemAndDiagnosis.condition.display
                      Controlo0..0
                      160. Encounter.diagnosis:problemAndDiagnosis.use
                      VínculoOs códigos DEVERÃO ser retirados de Classificação do papel de um problema e diagnóstico
                      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRPapelProblemaDiagnostico)

                      Papel de um problema/diagnóstico.

                      162. Encounter.diagnosis:problemAndDiagnosis.use.coding
                      Controlo1..1
                      164. Encounter.diagnosis:problemAndDiagnosis.use.coding.system
                      Controlo1..?
                      166. Encounter.diagnosis:problemAndDiagnosis.use.coding.code
                      Controlo1..?
                      168. Encounter.diagnosis:problemAndDiagnosis.use.coding.userSelected
                      Controlo0..0
                      170. Encounter.diagnosis:problemAndDiagnosis.use.text
                      Controlo0..0
                      172. Encounter.diagnosis:problemAndDiagnosis.rank
                      CurtoDiagnostico principal ou secundário
                      174. Encounter.diagnosis:procedure
                      Nome da fatiaprocedure
                      Definição

                      Ação(ões) e/ou serviço(s) de saúde realizado(s) no/para o indivíduo.

                      CurtoProcedimento(s) Realizado(s)
                      Controlo1..?
                      Deve apoiartrue
                      Nomes alternativosProcedimento Executado
                      176. Encounter.diagnosis:procedure.condition
                      TipoReference(Procedimento Realizado)
                      Deve apoiartrue
                      178. Encounter.diagnosis:procedure.condition.extension
                      Controlo1..?
                      SlicingEste elemento introduz um conjunto de fatias em Encounter.diagnosis.condition.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                      • value @ url
                      • 180. Encounter.diagnosis:procedure.condition.extension:financier
                        Nome da fatiafinancier
                        Definição

                        Agente, instituição ou entidade responsável por custear as ações e serviços de saúde.

                        Controlo1..1
                        TipoExtension(Financiamento) (Tipo de extensão: CodeableConcept)
                        Deve apoiartrue
                        182. Encounter.diagnosis:procedure.condition.reference
                        Controlo1..?
                        184. Encounter.diagnosis:procedure.condition.identifier
                        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                        Controlo0..0
                        186. Encounter.diagnosis:procedure.condition.display
                        Controlo0..0
                        188. Encounter.diagnosis:procedure.use
                        Controlo0..0
                        190. Encounter.diagnosis:procedure.rank
                        Controlo0..0
                        192. Encounter.account
                        Controlo0..0
                        194. Encounter.hospitalization
                        Controlo1..?
                        Deve apoiartrue
                        196. Encounter.hospitalization.extension
                        Controlo0..?
                        SlicingEste elemento introduz um conjunto de fatias em Encounter.hospitalization.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                        • value @ url
                        • 198. Encounter.hospitalization.extension:otherInformations
                          Nome da fatiaotherInformations
                          Definição

                          Representa quaisquer outras informações descritivas relacionadas aos dados de desfecho do atendimento registrado.

                          CurtoOutras Informações
                          Controlo0..1
                          TipoExtension(Outras Informações) (Tipo de extensão: Annotation)
                          É modificadorfalse
                          200. Encounter.hospitalization.preAdmissionIdentifier
                          Controlo0..0
                          202. Encounter.hospitalization.origin
                          Controlo0..0
                          204. Encounter.hospitalization.admitSource
                          Definição

                          Identifica o serviço que encaminhou o indivíduo ou a sua iniciativa/de seu responsável na busca pelo acesso ao serviço de saúde.

                          CurtoProcedência
                          Controlo1..?
                          VínculoOs códigos DEVERÃO ser retirados de Procedência do Contato Assistencial
                          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0)

                          Procedência

                          Deve apoiartrue
                          206. Encounter.hospitalization.admitSource.coding
                          Controlo1..1
                          208. Encounter.hospitalization.admitSource.coding.system
                          Controlo1..?
                          210. Encounter.hospitalization.admitSource.coding.code
                          Controlo1..?
                          212. Encounter.hospitalization.admitSource.coding.display
                          Controlo0..0
                          214. Encounter.hospitalization.admitSource.coding.userSelected
                          Controlo0..0
                          216. Encounter.hospitalization.admitSource.text
                          Controlo0..0
                          218. Encounter.hospitalization.reAdmission
                          Controlo0..0
                          220. Encounter.hospitalization.dietPreference
                          Controlo0..0
                          222. Encounter.hospitalization.specialCourtesy
                          Controlo0..0
                          224. Encounter.hospitalization.specialArrangement
                          Controlo0..0
                          226. Encounter.hospitalization.destination
                          Controlo0..0
                          228. Encounter.hospitalization.dischargeDisposition
                          Definição

                          Caracteriza o motivo de conclusão total ou parcial do Contato Assistencial.

                          CurtoMotivo de Desfecho
                          Controlo1..?
                          VínculoOs códigos DEVERÃO ser retirados de Motivo do desfecho do Contato assistencial
                          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0)

                          Motivo do Desfecho

                          Deve apoiartrue
                          Nomes alternativosDesfecho da Internação
                          230. Encounter.hospitalization.dischargeDisposition.coding
                          Controlo1..1
                          232. Encounter.hospitalization.dischargeDisposition.coding.system
                          Controlo1..?
                          234. Encounter.hospitalization.dischargeDisposition.coding.code
                          Controlo1..?
                          236. Encounter.hospitalization.dischargeDisposition.coding.display
                          Controlo0..0
                          238. Encounter.hospitalization.dischargeDisposition.coding.userSelected
                          Controlo0..0
                          240. Encounter.hospitalization.dischargeDisposition.text
                          Controlo0..0
                          242. Encounter.location
                          Definição

                          Local onde o atendimento aconteceu.

                          CurtoLocal de Atendimento
                          Controlo0..1
                          Deve apoiartrue
                          244. Encounter.location.location
                          TipoReference(Local de Atendimento)
                          Deve apoiartrue
                          246. Encounter.location.location.reference
                          Controlo1..?
                          248. Encounter.location.location.type
                          Controlo0..0
                          250. Encounter.location.location.identifier
                          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                          Controlo0..0
                          252. Encounter.location.location.display
                          Controlo0..0
                          254. Encounter.location.status
                          Controlo0..0
                          256. Encounter.location.physicalType
                          Controlo0..0
                          258. Encounter.location.period
                          Controlo0..0
                          260. Encounter.serviceProvider
                          Definição

                          Identifica pelo número de inscrição no Cadastro Nacional de Estabelecimentos de Saúde o Estabelecimento de Saúde que realizou o Contato Assistencial.

                          CurtoEstabelecimento de Saúde do Contato Assistencial
                          Controlo1..?
                          TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0, http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)
                          Deve apoiartrue
                          Tipos de suporte obrigatórioNão há regras de suporte obrigatório sobre a escolha de tipos/perfis
                          262. Encounter.serviceProvider.reference
                          Controlo0..0
                          264. Encounter.serviceProvider.type
                          Controlo0..0
                          266. Encounter.serviceProvider.identifier
                          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                          Controlo1..?
                          268. Encounter.serviceProvider.identifier.use
                          Controlo0..0
                          270. Encounter.serviceProvider.identifier.type
                          Controlo0..0
                          272. Encounter.serviceProvider.identifier.system
                          Controlo1..?
                          274. Encounter.serviceProvider.identifier.value
                          Controlo1..?
                          276. Encounter.serviceProvider.identifier.period
                          Controlo0..0
                          278. Encounter.serviceProvider.identifier.assigner
                          Controlo0..0
                          280. Encounter.serviceProvider.display
                          Controlo0..0
                          282. Encounter.partOf
                          Definição

                          Permite referenciar outro Contato Assistencial que tenha dado sequência a este, como por exemplo, um indivíduo realiza, em um mesmo Estabelecimento de Saúde, um Contato Assistencial que seja de Modalidade Assistencial Atenção à Urgência/Emergência, e necessite ser internado, dando continuidade em um Contato Assistencial de Atenção Hospitalar. Neste exemplo, este elemento seria utilizado no Contato Assistencial de Atenção Hospitalar, que faria referência ao Contato Assistencial de Atenção à Urgência/Emergência.

                          CurtoContato Assistencial anterior
                          TipoReference(Contato Assistencial)
                          Deve apoiartrue
                          284. Encounter.partOf.reference
                          Controlo1..?
                          286. Encounter.partOf.type
                          Controlo0..0
                          288. Encounter.partOf.identifier
                          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                          Controlo0..0
                          290. Encounter.partOf.display
                          Controlo0..0

                          Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

                          0. Encounter
                          Definição

                          Atenção à saúde dispensada a um indivíduo em uma modalidade assistencial, de forma ininterrupta e em um mesmo estabelecimento de saúde.

                          CurtoContato Assistencial
                          Controlo0..*
                          É modificadorfalse
                          Deve apoiartrue
                          Resumofalse
                          Nomes alternativosVisit, Atendimento, Visita, Internação, Consulta, Atendimento Ambulatorial
                          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. Encounter.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. Encounter.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. Encounter.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. Encounter.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. Encounter.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. Encounter.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. Encounter.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. Encounter.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. Encounter.identifier
                          Definição

                          Identifier(s) by which this encounter is known.

                          CurtoIdentifier(s) by which this encounter is known
                          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. Encounter.status
                          Definição

                          Indica o estado que o contato assistencial se encontra quando é informado para a RNDS.

                          Curtofinished | entered-in-error
                          Comentários

                          Na RNDS os contatos assistenciais somente são informados após terem sido finalizados, portanto somente a opção finished pode ser utilizada, ou entered-in-error, quando o contato assistencial foi enviado com erro.

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

                          Estado do Contato Assistencial

                          Tipocode
                          É modificadortrue porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                          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()))
                          22. Encounter.statusHistory
                          Definição

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

                          CurtoList of past encounter statuses
                          Comentários

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

                          Controlo0..0
                          TipoBackboneElement
                          É modificadorfalse
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          29. Encounter.class
                          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

                          TipoCoding
                          É modificadorfalse
                          Deve apoiartrue
                          Resumotrue
                          EtiquetaModalidade Assistencial
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          31. Encounter.class.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
                          33. Encounter.class.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 Encounter.class.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                          • value @ url
                          • 35. Encounter.class.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()))
                            37. Encounter.class.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()))
                            39. Encounter.class.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()))
                            41. Encounter.class.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()))
                            43. Encounter.class.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()))
                            45. Encounter.classHistory
                            Definição

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

                            CurtoList of past encounter classes
                            Controlo0..0
                            TipoBackboneElement
                            É modificadorfalse
                            Resumofalse
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            52. Encounter.type
                            Definição

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

                            CurtoSpecific type of encounter
                            Comentários

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

                            Controlo0..0
                            VínculoPara exemplos de códigos, ver EncounterType
                            (example to http://hl7.org/fhir/ValueSet/encounter-type)

                            The type of encounter.

                            TipoCodeableConcept
                            É modificadorfalse
                            Resumotrue
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            54. Encounter.serviceType
                            Definição

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

                            CurtoSpecific type of service
                            Controlo0..0
                            VínculoPara exemplos de códigos, ver ServiceType
                            (example to http://hl7.org/fhir/ValueSet/service-type)

                            Broad categorization of the service that is to be provided.

                            TipoCodeableConcept
                            É modificadorfalse
                            Resumotrue
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            56. Encounter.priority
                            Definição

                            Identifica o contato assistencial de acordo com a prioridade de sua realização. Referência: https://rts.saude.gov.br/#/carater-atendimento

                            CurtoCaráter do Atendimento
                            Controlo1..1
                            VínculoOs códigos DEVERÃO ser retirados de Caráter de atendimento do Contato Assistencial
                            (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0)

                            Identifica o contato assistencial de acordo com a prioridade de sua realização.

                            TipoCodeableConcept
                            É modificadorfalse
                            Deve apoiartrue
                            Resumofalse
                            EtiquetaCaráter do Atendimento
                            Nomes alternativosCaráter de Atendimento, Caráter da Internação
                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            58. Encounter.priority.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
                            60. Encounter.priority.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 Encounter.priority.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                            • value @ url
                            • 62. Encounter.priority.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
                              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()))
                              64. Encounter.priority.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
                              66. Encounter.priority.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 Encounter.priority.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                              • value @ url
                              • 68. Encounter.priority.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()))
                                70. Encounter.priority.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()))
                                72. Encounter.priority.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()))
                                74. Encounter.priority.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()))
                                76. Encounter.priority.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()))
                                78. Encounter.priority.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()))
                                80. Encounter.subject
                                Definição

                                The patient or group present at the encounter.

                                CurtoThe patient or group present at the encounter
                                Comentários

                                Na primeira versão não será suportado a identificação de grupos.

                                Controlo1..1
                                TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)
                                É modificadorfalse
                                Deve apoiartrue
                                Resumotrue
                                Nomes alternativospatient
                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                82. Encounter.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
                                84. Encounter.subject.extension
                                Definição

                                An Extension

                                CurtoExtension
                                Controlo0..*
                                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 Encounter.subject.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                • value @ url
                                • 86. Encounter.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())
                                  88. Encounter.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
                                  90. Encounter.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 Encounter.subject.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                  • value @ url
                                  • 92. Encounter.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())
                                    94. Encounter.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
                                    96. Encounter.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 Encounter.subject.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                    • value @ url
                                    • 98. Encounter.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
                                      100. Encounter.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()))
                                      102. Encounter.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())
                                      104. Encounter.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
                                      106. Encounter.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 Encounter.subject.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                      • value @ url
                                      • 108. Encounter.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
                                        110. Encounter.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()))
                                        112. Encounter.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())
                                        114. Encounter.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
                                        116. Encounter.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 Encounter.subject.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                        • value @ url
                                        • 118. Encounter.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
                                          120. Encounter.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()))
                                          122. Encounter.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
                                          124. Encounter.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()))
                                          126. Encounter.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()))
                                          128. Encounter.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()))
                                          130. Encounter.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()))
                                          132. Encounter.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
                                          134. Encounter.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 Encounter.subject.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                          • value @ url
                                          • 136. Encounter.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()))
                                            138. Encounter.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()))
                                            140. Encounter.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()))
                                            142. Encounter.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()))
                                            144. Encounter.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()))
                                            146. Encounter.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()))
                                            148. Encounter.subject.display
                                            Definição

                                            Nome do indivíduo ou descrição do sujeito do Contato Assistencial quando não for um indivíduo.

                                            CurtoNome ou descrição do sujeito
                                            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()))
                                            150. Encounter.episodeOfCare
                                            Definição

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

                                            CurtoEpisode(s) of care that this encounter should be recorded against
                                            Controlo0..0
                                            TipoReference(EpisodeOfCare)
                                            É modificadorfalse
                                            Resumotrue
                                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            152. Encounter.basedOn
                                            Definição

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

                                            CurtoThe ServiceRequest that initiated this encounter
                                            Controlo0..0
                                            TipoReference(ServiceRequest)
                                            É modificadorfalse
                                            Resumofalse
                                            Nomes alternativosincomingReferral
                                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            154. Encounter.participant
                                            Definição

                                            Identifica o(s) profissional(is) ou indivíduo(s) que teve(tiveram) algum tipo de participação no Contato Assistencial.

                                            CurtoParticipante(s) do Contato Assistencial
                                            Controlo1..*
                                            TipoBackboneElement
                                            É modificadorfalse
                                            Deve apoiartrue
                                            Resumotrue
                                            Nomes alternativosProfissionais do Atendimento, Profissional Responsável pela Alta
                                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            156. Encounter.participant.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. Encounter.participant.extension
                                            Definição

                                            An Extension

                                            CurtoExtension
                                            Controlo1..*
                                            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 Encounter.participant.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                            • value @ url
                                            • 160. Encounter.participant.extension:function
                                              Nome da fatiafunction
                                              Definição

                                              Ocupação do profissional ou indivíduo que participou do contato assistencial.

                                              CurtoOcupação
                                              Controlo1..1
                                              Este elemento é afetado pelas seguintes invariantes: ele-1
                                              TipoExtension(Ocupação) (Tipo de extensão: CodeableConcept)
                                              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())
                                              162. Encounter.participant.extension:team
                                              Nome da fatiateam
                                              Definição

                                              Identifica a equipe de saúde responsável pelo Contato Assistencial utilizando o Identificador Nacional de Equipes.

                                              CurtoEquipe
                                              Controlo0..1
                                              Este elemento é afetado pelas seguintes invariantes: ele-1
                                              TipoExtension(Identificador Nacional de Equipe) (Tipo de extensão: integer)
                                              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())
                                              164. Encounter.participant.extension:isResponsable
                                              Nome da fatiaisResponsable
                                              Definição

                                              Representa se o profissional foi responsável pelo atendimento registrado.

                                              CurtoResponsável pelo Atendimento
                                              Controlo0..1
                                              Este elemento é afetado pelas seguintes invariantes: ele-1
                                              TipoExtension(Responsável pelo Atendimento) (Tipo de extensão: Escolha de: boolean, Coding)
                                              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())
                                              166. Encounter.participant.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())
                                              168. Encounter.participant.type
                                              Definição

                                              Responsabilidade que o profissional ou indivíduo teve durante o Contato Assistencial.

                                              CurtoTipo de Participação
                                              Comentários

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

                                              Controlo1..1
                                              VínculoOs códigos DEVERÃO ser retirados de Reponsabilidade no Contato Assistencial
                                              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0)

                                              Responsabilidade no Contato Assistencial

                                              TipoCodeableConcept
                                              É modificadorfalse
                                              Deve apoiartrue
                                              Resumotrue
                                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              170. Encounter.participant.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
                                              172. Encounter.participant.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 Encounter.participant.type.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                              • value @ url
                                              • 174. Encounter.participant.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.

                                                Controlo0..*
                                                TipoCoding
                                                É modificadorfalse
                                                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()))
                                                176. Encounter.participant.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
                                                178. Encounter.participant.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 Encounter.participant.type.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                • value @ url
                                                • 180. Encounter.participant.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()))
                                                  182. Encounter.participant.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()))
                                                  184. Encounter.participant.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()))
                                                  186. Encounter.participant.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()))
                                                  188. Encounter.participant.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()))
                                                  190. Encounter.participant.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()))
                                                  192. Encounter.participant.period
                                                  Definição

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

                                                  CurtoPeriod of time during the encounter that the participant participated
                                                  Controlo0..0
                                                  TipoPeriod
                                                  É modificadorfalse
                                                  Resumofalse
                                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  194. Encounter.participant.individual
                                                  Definição

                                                  Identifica o profissional ou indivíduo teve alguma participação no Contato Assistencial.

                                                  CurtoParticipante
                                                  Controlo1..1
                                                  TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0, http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)
                                                  É modificadorfalse
                                                  Deve apoiartrue
                                                  Tipos de suporte obrigatórioNão há regras de suporte obrigatório sobre a escolha de tipos/perfis
                                                  Resumotrue
                                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  196. Encounter.participant.individual.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
                                                  198. Encounter.participant.individual.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 Encounter.participant.individual.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                  • value @ url
                                                  • 200. Encounter.participant.individual.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()))
                                                    202. Encounter.participant.individual.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()))
                                                    204. Encounter.participant.individual.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()))
                                                    206. Encounter.participant.individual.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
                                                    208. Encounter.participant.individual.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 Encounter.participant.individual.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                    • value @ url
                                                    • 210. Encounter.participant.individual.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()))
                                                      212. Encounter.participant.individual.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()))
                                                      214. Encounter.participant.individual.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()))
                                                      216. Encounter.participant.individual.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()))
                                                      218. Encounter.participant.individual.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()))
                                                      220. Encounter.participant.individual.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()))
                                                      222. Encounter.participant.individual.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()))
                                                      224. Encounter.appointment
                                                      Definição

                                                      The appointment that scheduled this encounter.

                                                      CurtoThe appointment that scheduled this encounter
                                                      Controlo0..0
                                                      TipoReference(Appointment)
                                                      É modificadorfalse
                                                      Resumotrue
                                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      226. Encounter.period
                                                      Definição

                                                      Data ou data/hora de adminissão e desfecho do Contato Assistencial.

                                                      CurtoInício e Término do Contato Assistencial
                                                      Comentários

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

                                                      Controlo1..1
                                                      TipoPeriod
                                                      É modificadorfalse
                                                      Deve apoiartrue
                                                      Resumofalse
                                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      228. Encounter.period.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
                                                      230. Encounter.period.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 Encounter.period.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                      • value @ url
                                                      • 232. Encounter.period.start
                                                        Definição

                                                        Competência (mês/ano), data ou data e hora do início do Contato Assistencial.

                                                        CurtoMomento da Admissão
                                                        Comentários

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

                                                        Controlo1..1
                                                        Este elemento é afetado pelas seguintes invariantes: per-1
                                                        TipodateTime
                                                        É modificadorfalse
                                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                                        Deve apoiartrue
                                                        Resumotrue
                                                        Nomes alternativosData da Admissão, Data e Hora do Atendimento, Data e Hora da Admissão
                                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        234. Encounter.period.end
                                                        Definição

                                                        Competência (mês/ano), data ou data e hora do término do Contato Assistencial.

                                                        CurtoMomento do Desfecho
                                                        Comentários

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

                                                        Controlo1..1
                                                        Este elemento é afetado pelas seguintes invariantes: per-1
                                                        TipodateTime
                                                        É modificadorfalse
                                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                                        Deve apoiartrue
                                                        Resumotrue
                                                        Nomes alternativosData do Desfecho, Data e Hora da Saída da Internação
                                                        Significado em caso de faltaIf the end of the period is missing, it means that the period is ongoing
                                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        236. Encounter.length
                                                        Definição

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

                                                        CurtoQuantity of time the encounter lasted (less time absent)
                                                        Comentários

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

                                                        Controlo0..0
                                                        TipoDuration
                                                        É modificadorfalse
                                                        Resumofalse
                                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        238. Encounter.reasonCode
                                                        Definição

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

                                                        CurtoCoded reason the encounter takes place
                                                        Comentários

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

                                                        Controlo0..0
                                                        VínculoOs códigos DEVERÃO ser retirados de EncounterReasonCodes
                                                        (preferred to http://hl7.org/fhir/ValueSet/encounter-reason)

                                                        Reason why the encounter takes place.

                                                        TipoCodeableConcept
                                                        É modificadorfalse
                                                        Resumotrue
                                                        Nomes alternativosIndication, Admission diagnosis
                                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        240. Encounter.reasonReference
                                                        Definição

                                                        Motivação para o Contato Assistencial acontecer.

                                                        CurtoMotivo do Atendimento
                                                        Comentários

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

                                                        Controlo0..1
                                                        TipoReference(Observação Descritiva)
                                                        É modificadorfalse
                                                        Deve apoiartrue
                                                        Resumotrue
                                                        Nomes alternativosIndication, Admission diagnosis, Motivo do Contato Assistencial, Diangóstico Principal, Motivo da Admissão
                                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        242. Encounter.reasonReference.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
                                                        244. Encounter.reasonReference.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 Encounter.reasonReference.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                        • value @ url
                                                        • 246. Encounter.reasonReference.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()))
                                                          248. Encounter.reasonReference.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()))
                                                          250. Encounter.reasonReference.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()))
                                                          252. Encounter.reasonReference.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()))
                                                          254. Encounter.diagnosis
                                                          Definição

                                                          Referência a diagnóstico(s) secundário(s) avaliado(s), outro(s) problema(s) avaliado(s) e/ou procedimento(s) realizado(s) durante o contato assistencial.

                                                          CurtoDiagnósticos Secundários, Outros Problemas e Procedimentos
                                                          Controlo1..*
                                                          TipoBackboneElement
                                                          É modificadorfalse
                                                          Resumotrue
                                                          Nomes alternativosProblemas/Diagnósticos Avaliados, Procedimento Executado, Procedimento Realizado
                                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          SlicingEste elemento introduz um conjunto de fatias em Encounter.diagnosis. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                          • profile @ condition.resolve()
                                                          • 256. Encounter.diagnosis.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
                                                            258. Encounter.diagnosis.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())
                                                            260. Encounter.diagnosis.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())
                                                            262. Encounter.diagnosis.condition
                                                            Definição

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

                                                            CurtoThe diagnosis or procedure relevant to the encounter
                                                            Comentários

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

                                                            Controlo1..1
                                                            TipoReference(Condition, Procedure)
                                                            É modificadorfalse
                                                            Resumotrue
                                                            Nomes alternativosAdmission diagnosis, discharge diagnosis, indication
                                                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            264. Encounter.diagnosis.use
                                                            Definição

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

                                                            CurtoRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                            Controlo0..1
                                                            VínculoOs códigos DEVERÃO ser retirados de DiagnosisRole
                                                            (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                                                            The type of diagnosis this condition represents.

                                                            TipoCodeableConcept
                                                            É modificadorfalse
                                                            Resumofalse
                                                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            266. Encounter.diagnosis.rank
                                                            Definição

                                                            Ranking of the diagnosis (for each role type).

                                                            CurtoRanking of the diagnosis (for each role type)
                                                            Controlo0..1
                                                            TipopositiveInt
                                                            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()))
                                                            268. Encounter.diagnosis:problemAndDiagnosis
                                                            Nome da fatiaproblemAndDiagnosis
                                                            Definição

                                                            Informações sobre a condição de saúde, lesão, deficiência ou qualquer outra questão que afete o bem-estar físico, mental ou social de um indivíduo identificadas em um contato assistencial. (adaptado do conceito de Problema/Diagnóstico do Clinical Knowledge Manager/OpenEHR) Devem ser listados os problemas/diangnósticos avaliados durante um contato. Diagnóstico secundário é(são) a(s) condição(ões) que coexiste(m) no momento da admissão, que se desenvolve(m) durante o contato assistencial ou que afeta(m) a atenção recebida e/ou a duração do contato assistencial. (adaptado do conceito disposto no Art. 3º da Portaria SAS/MS nº 1.324, de 27 de novembro de 2014)

                                                            CurtoDiagnósticos/Problemas Avaliados
                                                            Controlo0..*
                                                            TipoBackboneElement
                                                            É modificadorfalse
                                                            Deve apoiartrue
                                                            Resumotrue
                                                            Nomes alternativosDiagnóstico Secundário
                                                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            270. Encounter.diagnosis:problemAndDiagnosis.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
                                                            272. Encounter.diagnosis:problemAndDiagnosis.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())
                                                            274. Encounter.diagnosis:problemAndDiagnosis.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())
                                                            276. Encounter.diagnosis:problemAndDiagnosis.condition
                                                            Definição

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

                                                            CurtoThe diagnosis or procedure relevant to the encounter
                                                            Comentários

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

                                                            Controlo1..1
                                                            TipoReference(Problema / Diagnóstico)
                                                            É modificadorfalse
                                                            Deve apoiartrue
                                                            Resumotrue
                                                            Nomes alternativosAdmission diagnosis, discharge diagnosis, indication
                                                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            278. Encounter.diagnosis:problemAndDiagnosis.condition.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
                                                            280. Encounter.diagnosis:problemAndDiagnosis.condition.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 Encounter.diagnosis.condition.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                            • value @ url
                                                            • 282. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
                                                              284. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
                                                              286. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
                                                              288. Encounter.diagnosis:problemAndDiagnosis.condition.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()))
                                                              290. Encounter.diagnosis:problemAndDiagnosis.use
                                                              Definição

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

                                                              CurtoRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                              Controlo0..1
                                                              VínculoOs códigos DEVERÃO ser retirados de Classificação do papel de um problema e diagnóstico
                                                              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRPapelProblemaDiagnostico)

                                                              Papel de um problema/diagnóstico.

                                                              TipoCodeableConcept
                                                              É modificadorfalse
                                                              Resumofalse
                                                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              292. Encounter.diagnosis:problemAndDiagnosis.use.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
                                                              294. Encounter.diagnosis:problemAndDiagnosis.use.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 Encounter.diagnosis.use.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                              • value @ url
                                                              • 296. Encounter.diagnosis:problemAndDiagnosis.use.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
                                                                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()))
                                                                298. Encounter.diagnosis:problemAndDiagnosis.use.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
                                                                300. Encounter.diagnosis:problemAndDiagnosis.use.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 Encounter.diagnosis.use.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                • value @ url
                                                                • 302. Encounter.diagnosis:problemAndDiagnosis.use.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()))
                                                                  304. Encounter.diagnosis:problemAndDiagnosis.use.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()))
                                                                  306. Encounter.diagnosis:problemAndDiagnosis.use.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()))
                                                                  308. Encounter.diagnosis:problemAndDiagnosis.use.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..1
                                                                  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()))
                                                                  310. Encounter.diagnosis:problemAndDiagnosis.use.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()))
                                                                  312. Encounter.diagnosis:problemAndDiagnosis.use.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()))
                                                                  314. Encounter.diagnosis:problemAndDiagnosis.rank
                                                                  Definição

                                                                  Ranking of the diagnosis (for each role type).

                                                                  CurtoDiagnostico principal ou secundário
                                                                  Controlo0..1
                                                                  TipopositiveInt
                                                                  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()))
                                                                  316. Encounter.diagnosis:procedure
                                                                  Nome da fatiaprocedure
                                                                  Definição

                                                                  Ação(ões) e/ou serviço(s) de saúde realizado(s) no/para o indivíduo.

                                                                  CurtoProcedimento(s) Realizado(s)
                                                                  Controlo1..*
                                                                  TipoBackboneElement
                                                                  É modificadorfalse
                                                                  Deve apoiartrue
                                                                  Resumotrue
                                                                  Nomes alternativosProcedimento Executado
                                                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  318. Encounter.diagnosis:procedure.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
                                                                  320. Encounter.diagnosis:procedure.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())
                                                                  322. Encounter.diagnosis:procedure.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())
                                                                  324. Encounter.diagnosis:procedure.condition
                                                                  Definição

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

                                                                  CurtoThe diagnosis or procedure relevant to the encounter
                                                                  Comentários

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

                                                                  Controlo1..1
                                                                  TipoReference(Procedimento Realizado)
                                                                  É modificadorfalse
                                                                  Deve apoiartrue
                                                                  Resumotrue
                                                                  Nomes alternativosAdmission diagnosis, discharge diagnosis, indication
                                                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  326. Encounter.diagnosis:procedure.condition.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
                                                                  328. Encounter.diagnosis:procedure.condition.extension
                                                                  Definição

                                                                  An Extension

                                                                  CurtoExtension
                                                                  Controlo1..*
                                                                  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 Encounter.diagnosis.condition.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                  • value @ url
                                                                  • 330. Encounter.diagnosis:procedure.condition.extension:financier
                                                                    Nome da fatiafinancier
                                                                    Definição

                                                                    Agente, instituição ou entidade responsável por custear as ações e serviços de saúde.

                                                                    CurtoFinanciamento
                                                                    Controlo1..1
                                                                    TipoExtension(Financiamento) (Tipo de extensão: CodeableConcept)
                                                                    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())
                                                                    332. Encounter.diagnosis:procedure.condition.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()))
                                                                    334. Encounter.diagnosis:procedure.condition.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..1
                                                                    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()))
                                                                    336. Encounter.diagnosis:procedure.condition.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()))
                                                                    338. Encounter.diagnosis:procedure.condition.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()))
                                                                    340. Encounter.diagnosis:procedure.use
                                                                    Definição

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

                                                                    CurtoRole that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
                                                                    Controlo0..0
                                                                    VínculoOs códigos DEVERÃO ser retirados de DiagnosisRole
                                                                    (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role)

                                                                    The type of diagnosis this condition represents.

                                                                    TipoCodeableConcept
                                                                    É modificadorfalse
                                                                    Resumofalse
                                                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    342. Encounter.diagnosis:procedure.rank
                                                                    Definição

                                                                    Ranking of the diagnosis (for each role type).

                                                                    CurtoRanking of the diagnosis (for each role type)
                                                                    Controlo0..0
                                                                    TipopositiveInt
                                                                    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()))
                                                                    344. Encounter.account
                                                                    Definição

                                                                    The set of accounts that may be used for billing for this Encounter.

                                                                    CurtoThe set of accounts that may be used for billing for this Encounter
                                                                    Comentários

                                                                    The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.

                                                                    Controlo0..0
                                                                    TipoReference(Account)
                                                                    É modificadorfalse
                                                                    Resumofalse
                                                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    346. Encounter.hospitalization
                                                                    Definição

                                                                    Details about the admission to a healthcare service.

                                                                    CurtoDetails about the admission to a healthcare service
                                                                    Comentários

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

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

                                                                    Controlo1..1
                                                                    TipoBackboneElement
                                                                    É modificadorfalse
                                                                    Deve apoiartrue
                                                                    Resumofalse
                                                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    348. Encounter.hospitalization.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
                                                                    350. Encounter.hospitalization.extension
                                                                    Definição

                                                                    An Extension

                                                                    CurtoExtension
                                                                    Controlo0..*
                                                                    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 Encounter.hospitalization.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                    • value @ url
                                                                    • 352. Encounter.hospitalization.extension:otherInformations
                                                                      Nome da fatiaotherInformations
                                                                      Definição

                                                                      Representa quaisquer outras informações descritivas relacionadas aos dados de desfecho do atendimento registrado.

                                                                      CurtoOutras Informações
                                                                      Controlo0..1
                                                                      Este elemento é afetado pelas seguintes invariantes: ele-1
                                                                      TipoExtension(Outras Informações) (Tipo de extensão: Annotation)
                                                                      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())
                                                                      354. Encounter.hospitalization.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())
                                                                      356. Encounter.hospitalization.preAdmissionIdentifier
                                                                      Definição

                                                                      Pre-admission identifier.

                                                                      CurtoPre-admission identifier
                                                                      Controlo0..0
                                                                      TipoIdentifier
                                                                      É modificadorfalse
                                                                      Resumofalse
                                                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      358. Encounter.hospitalization.origin
                                                                      Definição

                                                                      The location/organization from which the patient came before admission.

                                                                      CurtoThe location/organization from which the patient came before admission
                                                                      Controlo0..0
                                                                      TipoReference(Location, Organization)
                                                                      É modificadorfalse
                                                                      Resumofalse
                                                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      360. Encounter.hospitalization.admitSource
                                                                      Definição

                                                                      Identifica o serviço que encaminhou o indivíduo ou a sua iniciativa/de seu responsável na busca pelo acesso ao serviço de saúde.

                                                                      CurtoProcedência
                                                                      Controlo1..1
                                                                      VínculoOs códigos DEVERÃO ser retirados de Procedência do Contato Assistencial
                                                                      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0)

                                                                      Procedência

                                                                      TipoCodeableConcept
                                                                      É modificadorfalse
                                                                      Deve apoiartrue
                                                                      Resumofalse
                                                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      362. Encounter.hospitalization.admitSource.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
                                                                      364. Encounter.hospitalization.admitSource.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 Encounter.hospitalization.admitSource.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                      • value @ url
                                                                      • 366. Encounter.hospitalization.admitSource.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
                                                                        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()))
                                                                        368. Encounter.hospitalization.admitSource.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
                                                                        370. Encounter.hospitalization.admitSource.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 Encounter.hospitalization.admitSource.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                        • value @ url
                                                                        • 372. Encounter.hospitalization.admitSource.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()))
                                                                          374. Encounter.hospitalization.admitSource.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()))
                                                                          376. Encounter.hospitalization.admitSource.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()))
                                                                          378. Encounter.hospitalization.admitSource.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()))
                                                                          380. Encounter.hospitalization.admitSource.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()))
                                                                          382. Encounter.hospitalization.admitSource.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()))
                                                                          384. Encounter.hospitalization.reAdmission
                                                                          Definição

                                                                          Whether this hospitalization is a readmission and why if known.

                                                                          CurtoThe type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
                                                                          Controlo0..0
                                                                          VínculoPara exemplos de códigos, ver hl7VS-re-admissionIndicator
                                                                          (example to http://terminology.hl7.org/ValueSet/v2-0092)

                                                                          The reason for re-admission of this hospitalization encounter.

                                                                          TipoCodeableConcept
                                                                          É modificadorfalse
                                                                          Resumofalse
                                                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          386. Encounter.hospitalization.dietPreference
                                                                          Definição

                                                                          Diet preferences reported by the patient.

                                                                          CurtoDiet preferences reported by the patient
                                                                          Comentários

                                                                          For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).

                                                                          Controlo0..0
                                                                          VínculoPara exemplos de códigos, ver Diet
                                                                          (example to http://hl7.org/fhir/ValueSet/encounter-diet)

                                                                          Medical, cultural or ethical food preferences to help with catering requirements.

                                                                          TipoCodeableConcept
                                                                          É modificadorfalse
                                                                          Resumofalse
                                                                          Requisitos

                                                                          Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.

                                                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          388. Encounter.hospitalization.specialCourtesy
                                                                          Definição

                                                                          Special courtesies (VIP, board member).

                                                                          CurtoSpecial courtesies (VIP, board member)
                                                                          Controlo0..0
                                                                          VínculoOs códigos DEVERÃO ser retirados de SpecialCourtesy
                                                                          (preferred to http://hl7.org/fhir/ValueSet/encounter-special-courtesy)

                                                                          Special courtesies.

                                                                          TipoCodeableConcept
                                                                          É modificadorfalse
                                                                          Resumofalse
                                                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          390. Encounter.hospitalization.specialArrangement
                                                                          Definição

                                                                          Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.

                                                                          CurtoWheelchair, translator, stretcher, etc.
                                                                          Controlo0..0
                                                                          VínculoOs códigos DEVERÃO ser retirados de SpecialArrangements
                                                                          (preferred to http://hl7.org/fhir/ValueSet/encounter-special-arrangements)

                                                                          Special arrangements.

                                                                          TipoCodeableConcept
                                                                          É modificadorfalse
                                                                          Resumofalse
                                                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          392. Encounter.hospitalization.destination
                                                                          Definição

                                                                          Location/organization to which the patient is discharged.

                                                                          CurtoLocation/organization to which the patient is discharged
                                                                          Controlo0..0
                                                                          TipoReference(Location, Organization)
                                                                          É modificadorfalse
                                                                          Resumofalse
                                                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          394. Encounter.hospitalization.dischargeDisposition
                                                                          Definição

                                                                          Caracteriza o motivo de conclusão total ou parcial do Contato Assistencial.

                                                                          CurtoMotivo de Desfecho
                                                                          Controlo1..1
                                                                          VínculoOs códigos DEVERÃO ser retirados de Motivo do desfecho do Contato assistencial
                                                                          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0)

                                                                          Motivo do Desfecho

                                                                          TipoCodeableConcept
                                                                          É modificadorfalse
                                                                          Deve apoiartrue
                                                                          Resumofalse
                                                                          Nomes alternativosDesfecho da Internação
                                                                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          396. Encounter.hospitalization.dischargeDisposition.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
                                                                          398. Encounter.hospitalization.dischargeDisposition.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 Encounter.hospitalization.dischargeDisposition.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                          • value @ url
                                                                          • 400. Encounter.hospitalization.dischargeDisposition.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
                                                                            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()))
                                                                            402. Encounter.hospitalization.dischargeDisposition.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
                                                                            404. Encounter.hospitalization.dischargeDisposition.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 Encounter.hospitalization.dischargeDisposition.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                            • value @ url
                                                                            • 406. Encounter.hospitalization.dischargeDisposition.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()))
                                                                              408. Encounter.hospitalization.dischargeDisposition.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()))
                                                                              410. Encounter.hospitalization.dischargeDisposition.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()))
                                                                              412. Encounter.hospitalization.dischargeDisposition.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()))
                                                                              414. Encounter.hospitalization.dischargeDisposition.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()))
                                                                              416. Encounter.hospitalization.dischargeDisposition.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()))
                                                                              418. Encounter.location
                                                                              Definição

                                                                              Local onde o atendimento aconteceu.

                                                                              CurtoLocal de Atendimento
                                                                              Comentários

                                                                              Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type "kind" such as "client's home" and an encounter.class = "virtual".

                                                                              Controlo0..1
                                                                              TipoBackboneElement
                                                                              É modificadorfalse
                                                                              Deve apoiartrue
                                                                              Resumofalse
                                                                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              420. Encounter.location.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
                                                                              422. Encounter.location.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())
                                                                              424. Encounter.location.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())
                                                                              426. Encounter.location.location
                                                                              Definição

                                                                              The location where the encounter takes place.

                                                                              CurtoLocation the encounter takes place
                                                                              Controlo1..1
                                                                              TipoReference(Local de Atendimento)
                                                                              É modificadorfalse
                                                                              Deve apoiartrue
                                                                              Resumofalse
                                                                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              428. Encounter.location.location.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
                                                                              430. Encounter.location.location.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 Encounter.location.location.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                              • value @ url
                                                                              • 432. Encounter.location.location.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()))
                                                                                434. Encounter.location.location.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()))
                                                                                436. Encounter.location.location.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()))
                                                                                438. Encounter.location.location.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()))
                                                                                440. Encounter.location.status
                                                                                Definição

                                                                                The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.

                                                                                Curtoplanned | active | reserved | completed
                                                                                Comentários

                                                                                When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.

                                                                                Controlo0..0
                                                                                VínculoOs códigos DEVERÃO ser retirados de EncounterLocationStatus
                                                                                (required to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1)

                                                                                The status of the location.

                                                                                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()))
                                                                                442. Encounter.location.physicalType
                                                                                Definição

                                                                                This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.

                                                                                CurtoThe physical type of the location (usually the level in the location hierachy - bed room ward etc.)
                                                                                Comentários

                                                                                This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.

                                                                                There may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.

                                                                                Controlo0..0
                                                                                VínculoPara exemplos de códigos, ver LocationType
                                                                                (example to http://hl7.org/fhir/ValueSet/location-physical-type)

                                                                                Physical form of the location.

                                                                                TipoCodeableConcept
                                                                                É modificadorfalse
                                                                                Resumofalse
                                                                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                444. Encounter.location.period
                                                                                Definição

                                                                                Time period during which the patient was present at the location.

                                                                                CurtoTime period during which the patient was present at the location
                                                                                Controlo0..0
                                                                                TipoPeriod
                                                                                É modificadorfalse
                                                                                Resumofalse
                                                                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                446. Encounter.serviceProvider
                                                                                Definição

                                                                                Identifica pelo número de inscrição no Cadastro Nacional de Estabelecimentos de Saúde o Estabelecimento de Saúde que realizou o Contato Assistencial.

                                                                                CurtoEstabelecimento de Saúde do Contato Assistencial
                                                                                Controlo1..1
                                                                                TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0, http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)
                                                                                É modificadorfalse
                                                                                Deve apoiartrue
                                                                                Tipos de suporte obrigatórioNão há regras de suporte obrigatório sobre a escolha de tipos/perfis
                                                                                Resumofalse
                                                                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                448. Encounter.serviceProvider.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
                                                                                450. Encounter.serviceProvider.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 Encounter.serviceProvider.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                                • value @ url
                                                                                • 452. Encounter.serviceProvider.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()))
                                                                                  454. Encounter.serviceProvider.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()))
                                                                                  456. Encounter.serviceProvider.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()))
                                                                                  458. Encounter.serviceProvider.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
                                                                                  460. Encounter.serviceProvider.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 Encounter.serviceProvider.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                                  • value @ url
                                                                                  • 462. Encounter.serviceProvider.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()))
                                                                                    464. Encounter.serviceProvider.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()))
                                                                                    466. Encounter.serviceProvider.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()))
                                                                                    468. Encounter.serviceProvider.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()))
                                                                                    470. Encounter.serviceProvider.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()))
                                                                                    472. Encounter.serviceProvider.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()))
                                                                                    474. Encounter.serviceProvider.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()))
                                                                                    476. Encounter.partOf
                                                                                    Definição

                                                                                    Permite referenciar outro Contato Assistencial que tenha dado sequência a este, como por exemplo, um indivíduo realiza, em um mesmo Estabelecimento de Saúde, um Contato Assistencial que seja de Modalidade Assistencial Atenção à Urgência/Emergência, e necessite ser internado, dando continuidade em um Contato Assistencial de Atenção Hospitalar. Neste exemplo, este elemento seria utilizado no Contato Assistencial de Atenção Hospitalar, que faria referência ao Contato Assistencial de Atenção à Urgência/Emergência.

                                                                                    CurtoContato Assistencial anterior
                                                                                    Comentários

                                                                                    This is also used for associating a child's encounter back to the mother's encounter.

                                                                                    Refer to the Notes section in the Patient resource for further details.

                                                                                    Controlo0..1
                                                                                    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()))
                                                                                    478. Encounter.partOf.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
                                                                                    480. Encounter.partOf.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 Encounter.partOf.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                                                    • value @ url
                                                                                    • 482. Encounter.partOf.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()))
                                                                                      484. Encounter.partOf.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()))
                                                                                      486. Encounter.partOf.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()))
                                                                                      488. Encounter.partOf.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()))