Name	Flags	Card.	Type	Description & Constraints
Encounter	S	0..*	Encounter	Contato Assistencial
identifier		0..0
status	S	1..1	code	finished | entered-in-error Binding: Estado do Contato Assistencial (required): Estado do Contato Assistencial
statusHistory		0..0
class	S	1..1	Coding	Modalidade Assistencial Binding: Modalidade Assistencial (required): Modalidade Assistencial
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
classHistory		0..0
type		0..0
serviceType		0..0
priority	S	1..1	CodeableConcept	Caráter do Atendimento Binding: Caráter de atendimento do Contato Assistencial (required): Identifica o contato assistencial de acordo com a prioridade de sua realização.
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
subject	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	The patient or group present at the encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
extension:birthYear	S	1..1	Extension	Extension
extension:reason	S	1..1	Extension	Extension
reference		0..0
type		0..0
identifier
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
episodeOfCare		0..0
basedOn		0..0
participant	S	1..*	BackboneElement	Participante(s) do Contato Assistencial
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
function	S	1..1	CodeableConcept	Ocupação URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROcupacao-1.0 Binding: Classificação Brasileira de Ocupações - CBO (required): Ocupação
team	S	0..1	integer	Equipe URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIdentificacaoEquipe-1.0
isResponsable		0..1	boolean, Coding	Responsável pelo Atendimento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRResponsavelAtendimento
type	S	1..1	CodeableConcept	Tipo de Participação Binding: Reponsabilidade no Contato Assistencial (required): Responsabilidade no Contato Assistencial
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
period		0..0
individual	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)	Participante
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
appointment		0..0
period	S	1..1	Period	Início e Término do Contato Assistencial
start	S	1..1	dateTime	Momento da Admissão
end	S	1..1	dateTime	Momento do Desfecho
length		0..0
reasonCode		0..0
reasonReference	S	0..1	Reference(Observação Descritiva)	Motivo do Atendimento
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
Slices for diagnosis		1..*	BackboneElement	Diagnósticos Secundários, Outros Problemas e Procedimentos Slice: Unordered, Open by profile:condition.resolve()
diagnosis:problemAndDiagnosis	S	0..*	BackboneElement	Diagnósticos/Problemas Avaliados
condition	S	1..1	Reference(Problema / Diagnóstico)	The diagnosis or procedure relevant to the encounter
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: Classificação do papel de um problema e diagnóstico (required): Papel de um problema/diagnóstico.
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
text		0..0
rank		0..1	positiveInt	Diagnostico principal ou secundário
diagnosis:procedure	S	1..*	BackboneElement	Procedimento(s) Realizado(s)
condition	S	1..1	Reference(Procedimento Realizado)	The diagnosis or procedure relevant to the encounter
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
financier	S	1..1	CodeableConcept	Financiamento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRFinanciamento-1.0 Binding: Financiamento do procedimento realizado (required): Financiamento
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..0
display		0..0
use		0..0
rank		0..0
account		0..0
hospitalization	S	1..1	BackboneElement	Details about the admission to a healthcare service
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
otherInformations		0..1	Annotation	Outras Informações URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROutrasInformacoes
preAdmissionIdentifier		0..0
origin		0..0
admitSource	S	1..1	CodeableConcept	Procedência Binding: Procedência do Contato Assistencial (required): Procedência
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
reAdmission		0..0
dietPreference		0..0
specialCourtesy		0..0
specialArrangement		0..0
destination		0..0
dischargeDisposition	S	1..1	CodeableConcept	Motivo de Desfecho Binding: Motivo do desfecho do Contato assistencial (required): Motivo do Desfecho
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
location	S	0..1	BackboneElement	Local de Atendimento
location	S	1..1	Reference(Local de Atendimento)	Location the encounter takes place
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
status		0..0
physicalType		0..0
period		0..0
serviceProvider	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)	Estabelecimento de Saúde do Contato Assistencial
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
partOf	S	0..1	Reference(Contato Assistencial)	Contato Assistencial anterior
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.status	required	BREstadoContatoAssistencial http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoContatoAssistencial-1.0 from this IG
Encounter.class	required	BRModalidadeAssistencial (a valid code from Modalidade Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0 from this IG
Encounter.priority	required	BRCaraterAtendimento (a valid code from Caráter de Atendimento) http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0 from this IG
Encounter.participant.type	required	BRResponsabilidadeParticipante (a valid code from Reponsabilidade no Contato Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 from this IG
Encounter.diagnosis:problemAndDiagnosis.use	required	BRPapelProblemaDiagnostico http://www.saude.gov.br/fhir/r4/ValueSet/BRPapelProblemaDiagnostico from this IG
Encounter.hospitalization.admitSource	required	BRProcedencia (a valid code from Procedência) http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 from this IG
Encounter.hospitalization.dischargeDisposition	required	BRMotivoDesfecho (a valid code from Motivo do Desfecho) http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 from this IG

Name	Flags	Card.	Type	Description & Constraints
Encounter	S	0..*	Encounter	Contato Assistencial
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	finished | entered-in-error Binding: Estado do Contato Assistencial (required): Estado do Contato Assistencial
class	SΣ	1..1	Coding	Modalidade Assistencial Binding: Modalidade Assistencial (required): Modalidade Assistencial
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
priority	S	1..1	CodeableConcept	Caráter do Atendimento Binding: Caráter de atendimento do Contato Assistencial (required): Identifica o contato assistencial de acordo com a prioridade de sua realização.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	The patient or group present at the encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
url		1..1	uri	"gender"
value[x]		1..1	code	Value of extension
extension:birthYear	S	1..1	Extension	Extension
url		1..1	uri	"birthYear"
value[x]		1..1	date	Value of extension
extension:reason	S	1..1	Extension	Extension
url		1..1	uri	"reason"
value[x]		1..1	CodeableConcept	Value of extension
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
participant	SΣ	1..*	BackboneElement	Participante(s) do Contato Assistencial
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
function	S	1..1	CodeableConcept	Ocupação URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROcupacao-1.0 Binding: Classificação Brasileira de Ocupações - CBO (required): Ocupação
team	S	0..1	integer	Equipe URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIdentificacaoEquipe-1.0
isResponsable		0..1	boolean, Coding	Responsável pelo Atendimento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRResponsavelAtendimento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Tipo de Participação Binding: Reponsabilidade no Contato Assistencial (required): Responsabilidade no Contato Assistencial
individual	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)	Participante
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	S	1..1	Period	Início e Término do Contato Assistencial
start	SΣC	1..1	dateTime	Momento da Admissão
end	SΣC	1..1	dateTime	Momento do Desfecho
reasonReference	SΣ	0..1	Reference(Observação Descritiva)	Motivo do Atendimento
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for diagnosis	Σ	1..*	BackboneElement	Diagnósticos Secundários, Outros Problemas e Procedimentos Slice: Unordered, Open by profile:condition.resolve()
diagnosis:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
diagnosis:problemAndDiagnosis	SΣ	0..*	BackboneElement	Diagnósticos/Problemas Avaliados
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Problema / Diagnóstico)	The diagnosis or procedure relevant to the encounter
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: Classificação do papel de um problema e diagnóstico (required): Papel de um problema/diagnóstico.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
rank		0..1	positiveInt	Diagnostico principal ou secundário
diagnosis:procedure	SΣ	1..*	BackboneElement	Procedimento(s) Realizado(s)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Procedimento Realizado)	The diagnosis or procedure relevant to the encounter
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
financier	S	1..1	CodeableConcept	Financiamento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRFinanciamento-1.0 Binding: Financiamento do procedimento realizado (required): Financiamento
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
hospitalization	S	1..1	BackboneElement	Details about the admission to a healthcare service
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
otherInformations		0..1	Annotation	Outras Informações URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROutrasInformacoes
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
admitSource	S	1..1	CodeableConcept	Procedência Binding: Procedência do Contato Assistencial (required): Procedência
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
dischargeDisposition	S	1..1	CodeableConcept	Motivo de Desfecho Binding: Motivo do desfecho do Contato assistencial (required): Motivo do Desfecho
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
location	S	0..1	BackboneElement	Local de Atendimento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Local de Atendimento)	Location the encounter takes place
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
serviceProvider	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)	Estabelecimento de Saúde do Contato Assistencial
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
partOf	S	0..1	Reference(Contato Assistencial)	Contato Assistencial anterior
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.status	required	BREstadoContatoAssistencial http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoContatoAssistencial-1.0 from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	BRModalidadeAssistencial (a valid code from Modalidade Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0 from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priority	required	BRCaraterAtendimento (a valid code from Caráter de Atendimento) http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0 from this IG
Encounter.participant.type	required	BRResponsabilidadeParticipante (a valid code from Reponsabilidade no Contato Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 from this IG
Encounter.diagnosis:problemAndDiagnosis.use	required	BRPapelProblemaDiagnostico http://www.saude.gov.br/fhir/r4/ValueSet/BRPapelProblemaDiagnostico from this IG
Encounter.hospitalization.admitSource	required	BRProcedencia (a valid code from Procedência) http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 from this IG
Encounter.hospitalization.dischargeDisposition	required	BRMotivoDesfecho (a valid code from Motivo do Desfecho) http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 from this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Encounter	S	0..*	Encounter	Contato Assistencial
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	finished | entered-in-error Binding: Estado do Contato Assistencial (required): Estado do Contato Assistencial
class	SΣ	1..1	Coding	Modalidade Assistencial Binding: Modalidade Assistencial (required): Modalidade Assistencial
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
priority	S	1..1	CodeableConcept	Caráter do Atendimento Binding: Caráter de atendimento do Contato Assistencial (required): Identifica o contato assistencial de acordo com a prioridade de sua realização.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	The patient or group present at the encounter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
id		0..1	string	Unique id for inter-element referencing
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"gender"
value[x]		1..1	code	Value of extension
extension:birthYear	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"birthYear"
value[x]		1..1	date	Value of extension
extension:reason	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reason"
value[x]		1..1	CodeableConcept	Value of extension
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
participant	SΣ	1..*	BackboneElement	Participante(s) do Contato Assistencial
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
function	S	1..1	CodeableConcept	Ocupação URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROcupacao-1.0 Binding: Classificação Brasileira de Ocupações - CBO (required): Ocupação
team	S	0..1	integer	Equipe URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIdentificacaoEquipe-1.0
isResponsable		0..1	boolean, Coding	Responsável pelo Atendimento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRResponsavelAtendimento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	Tipo de Participação Binding: Reponsabilidade no Contato Assistencial (required): Responsabilidade no Contato Assistencial
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
individual	SΣ	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)	Participante
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	S	1..1	Period	Início e Término do Contato Assistencial
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Momento da Admissão
end	SΣC	1..1	dateTime	Momento do Desfecho
reasonReference	SΣ	0..1	Reference(Observação Descritiva)	Motivo do Atendimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for diagnosis	Σ	1..*	BackboneElement	Diagnósticos Secundários, Outros Problemas e Procedimentos Slice: Unordered, Open by profile:condition.resolve()
diagnosis:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(Condition | Procedure)	The diagnosis or procedure relevant to the encounter
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank		0..1	positiveInt	Ranking of the diagnosis (for each role type)
diagnosis:problemAndDiagnosis	SΣ	0..*	BackboneElement	Diagnósticos/Problemas Avaliados
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Problema / Diagnóstico)	The diagnosis or procedure relevant to the encounter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: Classificação do papel de um problema e diagnóstico (required): Papel de um problema/diagnóstico.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
rank		0..1	positiveInt	Diagnostico principal ou secundário
diagnosis:procedure	SΣ	1..*	BackboneElement	Procedimento(s) Realizado(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(Procedimento Realizado)	The diagnosis or procedure relevant to the encounter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
financier	S	1..1	CodeableConcept	Financiamento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRFinanciamento-1.0 Binding: Financiamento do procedimento realizado (required): Financiamento
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
hospitalization	S	1..1	BackboneElement	Details about the admission to a healthcare service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
otherInformations		0..1	Annotation	Outras Informações URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROutrasInformacoes
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
admitSource	S	1..1	CodeableConcept	Procedência Binding: Procedência do Contato Assistencial (required): Procedência
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
dischargeDisposition	S	1..1	CodeableConcept	Motivo de Desfecho Binding: Motivo do desfecho do Contato assistencial (required): Motivo do Desfecho
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
location	S	0..1	BackboneElement	Local de Atendimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
location	S	1..1	Reference(Local de Atendimento)	Location the encounter takes place
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
serviceProvider	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)	Estabelecimento de Saúde do Contato Assistencial
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
partOf	S	0..1	Reference(Contato Assistencial)	Contato Assistencial anterior
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Encounter.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Encounter.status	required	BREstadoContatoAssistencial http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoContatoAssistencial-1.0 from this IG
Encounter.statusHistory.status	required	EncounterStatus http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 from the FHIR Standard
Encounter.class	required	BRModalidadeAssistencial (a valid code from Modalidade Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0 from this IG
Encounter.classHistory.class	extensible	ActEncounterCode http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.priority	required	BRCaraterAtendimento (a valid code from Caráter de Atendimento) http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0 from this IG
Encounter.participant.type	required	BRResponsabilidadeParticipante (a valid code from Reponsabilidade no Contato Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 from this IG
Encounter.diagnosis.use	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard
Encounter.diagnosis:problemAndDiagnosis.use	required	BRPapelProblemaDiagnostico http://www.saude.gov.br/fhir/r4/ValueSet/BRPapelProblemaDiagnostico from this IG
Encounter.diagnosis:procedure.condition.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Encounter.hospitalization.admitSource	required	BRProcedencia (a valid code from Procedência) http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 from this IG
Encounter.hospitalization.dischargeDisposition	required	BRMotivoDesfecho (a valid code from Motivo do Desfecho) http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 from this IG

Constraints

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

Summary

Mandatory: 36 elements (14 nested mandatory elements)
Must-Support: 29 elements
Fixed Value: 1 element
Prohibited: 75 elements

Structures

This structure refers to these other structures:

• unable to summarise profile http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0 (no profile found)
• unable to summarise profile http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0 (no profile found)
• unable to summarise profile http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0 (no profile found)
• Observação Descritiva (http://www.saude.gov.br/fhir/r4/StructureDefinition/BRObservacaoDescritiva-1.0)
• Problema / Diagnóstico (http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnostico)
• Procedimento Realizado (http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProcedimentoRealizado-1.0)
• Local de Atendimento (http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLocalAtendimento-1.0)
• unable to summarise profile http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0 (no profile found)
• unable to summarise profile http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0 (no profile found)
• Contato Assistencial (http://www.saude.gov.br/fhir/r4/StructureDefinition/BRContatoAssistencial-1.0)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BROcupacao-1.0
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIdentificacaoEquipe-1.0
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRResponsavelAtendimento
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRFinanciamento-1.0
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BROutrasInformacoes

Slices

This structure defines the following Slices:

• The element Encounter.diagnosis is sliced based on the value of profile:condition.resolve()

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints
Encounter	S	0..*	Encounter	Contato Assistencial
identifier		0..0
status	S	1..1	code	finished | entered-in-error Binding: Estado do Contato Assistencial (required): Estado do Contato Assistencial
statusHistory		0..0
class	S	1..1	Coding	Modalidade Assistencial Binding: Modalidade Assistencial (required): Modalidade Assistencial
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
classHistory		0..0
type		0..0
serviceType		0..0
priority	S	1..1	CodeableConcept	Caráter do Atendimento Binding: Caráter de atendimento do Contato Assistencial (required): Identifica o contato assistencial de acordo com a prioridade de sua realização.
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
subject	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	The patient or group present at the encounter
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
unidentifiedPatient	S	0..*	(Complex)	Dados do Indivíduo Não Identificado URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
extension:gender	S	1..1	Extension	Extension
extension:birthYear	S	1..1	Extension	Extension
extension:reason	S	1..1	Extension	Extension
reference		0..0
type		0..0
identifier
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
episodeOfCare		0..0
basedOn		0..0
participant	S	1..*	BackboneElement	Participante(s) do Contato Assistencial
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
function	S	1..1	CodeableConcept	Ocupação URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROcupacao-1.0 Binding: Classificação Brasileira de Ocupações - CBO (required): Ocupação
team	S	0..1	integer	Equipe URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIdentificacaoEquipe-1.0
isResponsable		0..1	boolean, Coding	Responsável pelo Atendimento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRResponsavelAtendimento
type	S	1..1	CodeableConcept	Tipo de Participação Binding: Reponsabilidade no Contato Assistencial (required): Responsabilidade no Contato Assistencial
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
period		0..0
individual	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRLotacaoProfissional-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)	Participante
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
appointment		0..0
period	S	1..1	Period	Início e Término do Contato Assistencial
start	S	1..1	dateTime	Momento da Admissão
end	S	1..1	dateTime	Momento do Desfecho
length		0..0
reasonCode		0..0
reasonReference	S	0..1	Reference(Observação Descritiva)	Motivo do Atendimento
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
Slices for diagnosis		1..*	BackboneElement	Diagnósticos Secundários, Outros Problemas e Procedimentos Slice: Unordered, Open by profile:condition.resolve()
diagnosis:problemAndDiagnosis	S	0..*	BackboneElement	Diagnósticos/Problemas Avaliados
condition	S	1..1	Reference(Problema / Diagnóstico)	The diagnosis or procedure relevant to the encounter
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
use		0..1	CodeableConcept	Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …) Binding: Classificação do papel de um problema e diagnóstico (required): Papel de um problema/diagnóstico.
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
text		0..0
rank		0..1	positiveInt	Diagnostico principal ou secundário
diagnosis:procedure	S	1..*	BackboneElement	Procedimento(s) Realizado(s)
condition	S	1..1	Reference(Procedimento Realizado)	The diagnosis or procedure relevant to the encounter
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
financier	S	1..1	CodeableConcept	Financiamento URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRFinanciamento-1.0 Binding: Financiamento do procedimento realizado (required): Financiamento
reference		1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..0
display		0..0
use		0..0
rank		0..0
account		0..0
hospitalization	S	1..1	BackboneElement	Details about the admission to a healthcare service
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
otherInformations		0..1	Annotation	Outras Informações URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROutrasInformacoes
preAdmissionIdentifier		0..0
origin		0..0
admitSource	S	1..1	CodeableConcept	Procedência Binding: Procedência do Contato Assistencial (required): Procedência
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
reAdmission		0..0
dietPreference		0..0
specialCourtesy		0..0
specialArrangement		0..0
destination		0..0
dischargeDisposition	S	1..1	CodeableConcept	Motivo de Desfecho Binding: Motivo do desfecho do Contato assistencial (required): Motivo do Desfecho
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		0..0
userSelected		0..0
text		0..0
location	S	0..1	BackboneElement	Local de Atendimento
location	S	1..1	Reference(Local de Atendimento)	Location the encounter takes place
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
status		0..0
physicalType		0..0
period		0..0
serviceProvider	S	1..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BREstabelecimentoSaude-1.0 | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0)	Estabelecimento de Saúde do Contato Assistencial
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
partOf	S	0..1	Reference(Contato Assistencial)	Contato Assistencial anterior
reference		1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0
identifier		0..0
display		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Encounter.status	required	BREstadoContatoAssistencial http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoContatoAssistencial-1.0 from this IG
Encounter.class	required	BRModalidadeAssistencial (a valid code from Modalidade Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRModalidadeAssistencial-1.0 from this IG
Encounter.priority	required	BRCaraterAtendimento (a valid code from Caráter de Atendimento) http://www.saude.gov.br/fhir/r4/ValueSet/BRCaraterAtendimento-1.0 from this IG
Encounter.participant.type	required	BRResponsabilidadeParticipante (a valid code from Reponsabilidade no Contato Assistencial) http://www.saude.gov.br/fhir/r4/ValueSet/BRResponsabilidadeParticipante-1.0 from this IG
Encounter.diagnosis:problemAndDiagnosis.use	required	BRPapelProblemaDiagnostico http://www.saude.gov.br/fhir/r4/ValueSet/BRPapelProblemaDiagnostico from this IG
Encounter.hospitalization.admitSource	required	BRProcedencia (a valid code from Procedência) http://www.saude.gov.br/fhir/r4/ValueSet/BRProcedencia-1.0 from this IG
Encounter.hospitalization.dischargeDisposition	required	BRMotivoDesfecho (a valid code from Motivo do Desfecho) http://www.saude.gov.br/fhir/r4/ValueSet/BRMotivoDesfecho-1.0 from this IG