Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
measurementOrigin		0..1	CodeableConcept	Origem da Medição Corpórea URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida Binding: Origem de Medição (required): Origem da Medição Corpórea
usedClothes		0..1	CodeableConcept	Roupas Usadas na Medição URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao Binding: Roupas Usadas na Medição (required): Roupas Usadas na Medição Corpórea
identifier		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	final | entered-in-error Binding: Estado da Observação (required): Código do Estado da Observação.
category		0..0
code		1..1	CodeableConcept	Tipo de Observação Binding: Tipo de Observação (required): Código do Tipo de Observação.
coding		0..1	Coding	Code defined by a terminology system
subject		0..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Who and/or what the observation is about
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
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
focus		0..0
encounter		0..0
effective[x]		0..1	Timing	Clinically relevant time/time-period for observation
code		0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Frequência de Uso da Substância (required): Frequência do uso de substância nos últimos 3 meses
issued		0..0
performer		0..0
value[x]		0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueDateTime			dateTime
dataAbsentReason		0..0
interpretation		0..0
note		0..1	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: Local de Aferição (required): Local de Aferição
method		0..1	CodeableConcept	How it was done Binding: Posição do Indivíduo (required): Posição em relação à gravidade.
coding		0..1	Coding	Code defined by a terminology system
specimen		0..0
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..0
component		0..1	BackboneElement	Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	BREstadoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoObservacao-1.0 from this IG
Observation.code	required	BRTipoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoObservacao-1.0 from this IG
Observation.effective[x].code	required	BRFrequenciaUsoSubstancia http://www.saude.gov.br/fhir/r4/ValueSet/BRFrequenciaUsoSubstancia from this IG
Observation.bodySite	required	BRLocalAfericao (a valid code from Local de Aferição) http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAfericao-1.0 from this IG
Observation.method	required	BRPosicaoIndividuo http://www.saude.gov.br/fhir/r4/ValueSet/BRPosicaoIndividuo from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
measurementOrigin		0..1	CodeableConcept	Origem da Medição Corpórea URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida Binding: Origem de Medição (required): Origem da Medição Corpórea
usedClothes		0..1	CodeableConcept	Roupas Usadas na Medição URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao Binding: Roupas Usadas na Medição (required): Roupas Usadas na Medição Corpórea
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	final | entered-in-error Binding: Estado da Observação (required): Código do Estado da Observação.
code	Σ	1..1	CodeableConcept	Tipo de Observação Binding: Tipo de Observação (required): Código do Tipo de Observação.
coding	Σ	0..1	Coding	Code defined by a terminology system
subject	Σ	0..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Who and/or what the observation is about
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"
effective[x]	Σ	0..1	Timing	Clinically relevant time/time-period for observation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Frequência de Uso da Substância (required): Frequência do uso de substância nos últimos 3 meses
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueDateTime			dateTime
note		0..1	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: Local de Aferição (required): Local de Aferição
method		0..1	CodeableConcept	How it was done Binding: Posição do Indivíduo (required): Posição em relação à gravidade.
coding	Σ	0..1	Coding	Code defined by a terminology system
component	Σ	0..1	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	BREstadoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoObservacao-1.0 from this IG
Observation.code	required	BRTipoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoObservacao-1.0 from this IG
Observation.effective[x].code	required	BRFrequenciaUsoSubstancia http://www.saude.gov.br/fhir/r4/ValueSet/BRFrequenciaUsoSubstancia from this IG
Observation.bodySite	required	BRLocalAfericao (a valid code from Local de Aferição) http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAfericao-1.0 from this IG
Observation.method	required	BRPosicaoIndividuo http://www.saude.gov.br/fhir/r4/ValueSet/BRPosicaoIndividuo from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
measurementOrigin		0..1	CodeableConcept	Origem da Medição Corpórea URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida Binding: Origem de Medição (required): Origem da Medição Corpórea
usedClothes		0..1	CodeableConcept	Roupas Usadas na Medição URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao Binding: Roupas Usadas na Medição (required): Roupas Usadas na Medição Corpórea
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	final | entered-in-error Binding: Estado da Observação (required): Código do Estado da Observação.
code	Σ	1..1	CodeableConcept	Tipo de Observação Binding: Tipo de Observação (required): Código do Tipo de Observação.
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..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Who and/or what the observation is about
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
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..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
effective[x]	Σ	0..1	Timing	Clinically relevant time/time-period for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Frequência de Uso da Substância (required): Frequência do uso de substância nos últimos 3 meses
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueDateTime			dateTime
note		0..1	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: Local de Aferição (required): Local de Aferição
method		0..1	CodeableConcept	How it was done Binding: Posição do Indivíduo (required): Posição em relação à gravidade.
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..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
component	Σ	0..1	BackboneElement	Component results
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
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	BREstadoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoObservacao-1.0 from this IG
Observation.code	required	BRTipoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoObservacao-1.0 from this IG
Observation.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.effective[x].repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Observation.effective[x].repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Observation.effective[x].repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Observation.effective[x].repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Observation.effective[x].code	required	BRFrequenciaUsoSubstancia http://www.saude.gov.br/fhir/r4/ValueSet/BRFrequenciaUsoSubstancia from this IG
Observation.bodySite	required	BRLocalAfericao (a valid code from Local de Aferição) http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAfericao-1.0 from this IG
Observation.method	required	BRPosicaoIndividuo http://www.saude.gov.br/fhir/r4/ValueSet/BRPosicaoIndividuo from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tim-1	error	Observation.effective[x].repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Observation.effective[x].repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Observation.effective[x].repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Observation.effective[x].repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Observation.effective[x].repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Observation.effective[x].repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Observation.effective[x].repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Observation.effective[x].repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Observation.effective[x].repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Summary

Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 4 elements
Prohibited: 21 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)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0

Maturity: 1

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
measurementOrigin		0..1	CodeableConcept	Origem da Medição Corpórea URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida Binding: Origem de Medição (required): Origem da Medição Corpórea
usedClothes		0..1	CodeableConcept	Roupas Usadas na Medição URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao Binding: Roupas Usadas na Medição (required): Roupas Usadas na Medição Corpórea
identifier		0..0
basedOn		0..0
partOf		0..0
status		1..1	code	final | entered-in-error Binding: Estado da Observação (required): Código do Estado da Observação.
category		0..0
code		1..1	CodeableConcept	Tipo de Observação Binding: Tipo de Observação (required): Código do Tipo de Observação.
coding		0..1	Coding	Code defined by a terminology system
subject		0..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Who and/or what the observation is about
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
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
focus		0..0
encounter		0..0
effective[x]		0..1	Timing	Clinically relevant time/time-period for observation
code		0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Frequência de Uso da Substância (required): Frequência do uso de substância nos últimos 3 meses
issued		0..0
performer		0..0
value[x]		0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueDateTime			dateTime
dataAbsentReason		0..0
interpretation		0..0
note		0..1	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: Local de Aferição (required): Local de Aferição
method		0..1	CodeableConcept	How it was done Binding: Posição do Indivíduo (required): Posição em relação à gravidade.
coding		0..1	Coding	Code defined by a terminology system
specimen		0..0
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..0
component		0..1	BackboneElement	Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	BREstadoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoObservacao-1.0 from this IG
Observation.code	required	BRTipoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoObservacao-1.0 from this IG
Observation.effective[x].code	required	BRFrequenciaUsoSubstancia http://www.saude.gov.br/fhir/r4/ValueSet/BRFrequenciaUsoSubstancia from this IG
Observation.bodySite	required	BRLocalAfericao (a valid code from Local de Aferição) http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAfericao-1.0 from this IG
Observation.method	required	BRPosicaoIndividuo http://www.saude.gov.br/fhir/r4/ValueSet/BRPosicaoIndividuo from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
measurementOrigin		0..1	CodeableConcept	Origem da Medição Corpórea URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida Binding: Origem de Medição (required): Origem da Medição Corpórea
usedClothes		0..1	CodeableConcept	Roupas Usadas na Medição URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao Binding: Roupas Usadas na Medição (required): Roupas Usadas na Medição Corpórea
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	final | entered-in-error Binding: Estado da Observação (required): Código do Estado da Observação.
code	Σ	1..1	CodeableConcept	Tipo de Observação Binding: Tipo de Observação (required): Código do Tipo de Observação.
coding	Σ	0..1	Coding	Code defined by a terminology system
subject	Σ	0..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Who and/or what the observation is about
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"
effective[x]	Σ	0..1	Timing	Clinically relevant time/time-period for observation
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Frequência de Uso da Substância (required): Frequência do uso de substância nos últimos 3 meses
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueDateTime			dateTime
note		0..1	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: Local de Aferição (required): Local de Aferição
method		0..1	CodeableConcept	How it was done Binding: Posição do Indivíduo (required): Posição em relação à gravidade.
coding	Σ	0..1	Coding	Code defined by a terminology system
component	Σ	0..1	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	BREstadoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoObservacao-1.0 from this IG
Observation.code	required	BRTipoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoObservacao-1.0 from this IG
Observation.effective[x].code	required	BRFrequenciaUsoSubstancia http://www.saude.gov.br/fhir/r4/ValueSet/BRFrequenciaUsoSubstancia from this IG
Observation.bodySite	required	BRLocalAfericao (a valid code from Local de Aferição) http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAfericao-1.0 from this IG
Observation.method	required	BRPosicaoIndividuo http://www.saude.gov.br/fhir/r4/ValueSet/BRPosicaoIndividuo from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
measurementOrigin		0..1	CodeableConcept	Origem da Medição Corpórea URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida Binding: Origem de Medição (required): Origem da Medição Corpórea
usedClothes		0..1	CodeableConcept	Roupas Usadas na Medição URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao Binding: Roupas Usadas na Medição (required): Roupas Usadas na Medição Corpórea
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	final | entered-in-error Binding: Estado da Observação (required): Código do Estado da Observação.
code	Σ	1..1	CodeableConcept	Tipo de Observação Binding: Tipo de Observação (required): Código do Tipo de Observação.
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..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)	Who and/or what the observation is about
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
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..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
effective[x]	Σ	0..1	Timing	Clinically relevant time/time-period for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	Σ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: Frequência de Uso da Substância (required): Frequência do uso de substância nos últimos 3 meses
value[x]	ΣC	0..1		Actual result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueDateTime			dateTime
note		0..1	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: Local de Aferição (required): Local de Aferição
method		0..1	CodeableConcept	How it was done Binding: Posição do Indivíduo (required): Posição em relação à gravidade.
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..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
component	Σ	0..1	BackboneElement	Component results
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
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	BREstadoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoObservacao-1.0 from this IG
Observation.code	required	BRTipoObservacao http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoObservacao-1.0 from this IG
Observation.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Observation.effective[x].repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Observation.effective[x].repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard
Observation.effective[x].repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard
Observation.effective[x].repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard
Observation.effective[x].code	required	BRFrequenciaUsoSubstancia http://www.saude.gov.br/fhir/r4/ValueSet/BRFrequenciaUsoSubstancia from this IG
Observation.bodySite	required	BRLocalAfericao (a valid code from Local de Aferição) http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAfericao-1.0 from this IG
Observation.method	required	BRPosicaoIndividuo http://www.saude.gov.br/fhir/r4/ValueSet/BRPosicaoIndividuo from this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tim-1	error	Observation.effective[x].repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	Observation.effective[x].repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	Observation.effective[x].repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	Observation.effective[x].repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	Observation.effective[x].repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	Observation.effective[x].repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	Observation.effective[x].repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	Observation.effective[x].repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	Observation.effective[x].repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

Summary

Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 4 elements
Prohibited: 21 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)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BROrigemMedida
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRoupasUsadasMedicao
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0

Maturity: 1