Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS
1.0.0-release - STU1
Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS - Compilação de desenvolvimento local (v1.0.0-release) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas
| Official URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRObservacaoDescritiva-1.0 | Version: 1.0.0-release | ||||
| Standards status: Normative | Maturity Level: 1 | Computable Name: BRObservacaoDescritiva | |||
Descrições textuais simples sobre um paciente.
Usos:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
SC | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 1..1 | code | Estado da Observação Vínculo: Estado da Observação (required): Estado da Observação |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Tipo da Observação Vínculo: Tipo de Observação (required): Tipo de Observação Valor fixo: Como mostrado (Annotation comment [Interpretation] Narrative) |
![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 48767-8 | |
![]() ![]() ![]() ![]() |
0..0 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |
![]() ![]() ![]() |
Σ | 1..1 | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Who and/or what the observation is about |
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Valor fixo: Patient |
![]() ![]() |
SΣ | 1..1 | instant | Data/hora da Observação |
![]() ![]() |
SΣC | 0..1 | string | Observação |
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Observation.status | Base | required | Estado da Observação | 📦1.0.0-release | este IG |
| Observation.code | Base | required | Tipo de Observação | 📦1.0.0-release | este IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR |
| Observation.component.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| 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()
|
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
S | 0..* | Observation | Measurements and simple assertions |
![]() ![]() |
0..0 | Business Identifier for observation | ||
![]() ![]() |
0..0 | Fulfills plan, proposal or order | ||
![]() ![]() |
0..0 | Part of referenced event | ||
![]() ![]() |
S | 1..1 | code | Estado da Observação Vínculo: Estado da Observação (required): Estado da Observação |
![]() ![]() |
0..0 | Classification of type of observation | ||
![]() ![]() |
S | 1..1 | CodeableConcept | Tipo da Observação Vínculo: Tipo de Observação (required): Tipo de Observação Valor fixo: Como mostrado (Annotation comment [Interpretation] Narrative) |
![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 48767-8 | |
![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() ![]() |
0..0 | Representation defined by the system | ||
![]() ![]() ![]() ![]() |
0..0 | If this coding was chosen directly by the user | ||
![]() ![]() ![]() |
0..0 | Plain text representation of the concept | ||
![]() ![]() |
S | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Who and/or what the observation is about |
![]() ![]() ![]() |
0..1 | uri | Type the reference refers to (e.g. "Patient") Valor fixo: Patient | |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
0..0 | usual | official | temp | secondary | old (If known) | ||
![]() ![]() ![]() ![]() |
0..0 | Description of identifier | ||
![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value | |
![]() ![]() ![]() ![]() |
1..1 | string | The value that is unique | |
![]() ![]() ![]() ![]() |
0..0 | Time period when id is/was valid for use | ||
![]() ![]() ![]() ![]() |
0..0 | Organization that issued id (may be just text) | ||
![]() ![]() ![]() |
0..0 | Text alternative for the resource | ||
![]() ![]() |
0..0 | What the observation is about, when it is not about the subject of record | ||
![]() ![]() |
0..0 | Healthcare event during which this observation is made | ||
![]() ![]() |
0..0 | Clinically relevant time/time-period for observation | ||
![]() ![]() |
S | 1..1 | instant | Data/hora da Observação |
![]() ![]() |
0..0 | Who is responsible for the observation | ||
![]() ![]() |
S | 0..1 | string | Observação |
![]() ![]() |
0..0 | Why the result is missing | ||
![]() ![]() |
0..0 | High, low, normal, etc. | ||
![]() ![]() |
0..0 | Comments about the observation | ||
![]() ![]() |
0..0 | Observed body part | ||
![]() ![]() |
0..0 | How it was done | ||
![]() ![]() |
0..0 | Specimen used for this observation | ||
![]() ![]() |
0..0 | (Measurement) Device | ||
![]() ![]() |
0..0 | Provides guide for interpretation | ||
![]() ![]() |
0..0 | Related resource that belongs to the Observation group | ||
![]() ![]() |
0..0 | Related measurements the observation is made from | ||
![]() ![]() |
0..0 | Component results | ||
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Observation.status | Base | required | Estado da Observação | 📦1.0.0-release | este IG |
| Observation.code | Base | required | Tipo de Observação | 📦1.0.0-release | este IG |
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
SC | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 | ||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
?!SΣ | 1..1 | code | Estado da Observação Vínculo: Estado da Observação (required): Estado da Observação | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Tipo da Observação Vínculo: Tipo de Observação (required): Tipo de Observação Valor fixo: Como mostrado (Annotation comment [Interpretation] Narrative) | ||||
![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 48767-8 | |||||
![]() ![]() ![]() ![]() |
0..0 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Version of the system - if relevant | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
![]() ![]() |
SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Who and/or what the observation is about | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Valor fixo: Patient | ||||
![]() ![]() ![]() |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient | ||||
![]() ![]() ![]() ![]() |
Σ | 1..1 | string | The value that is unique Exemplo General: 123456 | ||||
![]() ![]() |
SΣ | 1..1 | instant | Data/hora da Observação | ||||
![]() ![]() |
SΣC | 0..1 | string | Observação | ||||
Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Observation.status | Base | required | Estado da Observação | 📦1.0.0-release | este IG |
| Observation.code | Base | required | Tipo de Observação | 📦1.0.0-release | este IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | a norma FHIR |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | a norma FHIR |
| Observation.component.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | a norma FHIR |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| 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()
|
Resumo
Obrigatório: 5 elementos(2 aninhado obrigatoriamente elementos)
Deve ser suportado: 5 elementos
Fixo: 2 elementos
Proibido: 27 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Maturidade: 1
Key Elements View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
SC | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 1..1 | code | Estado da Observação Vínculo: Estado da Observação (required): Estado da Observação |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Tipo da Observação Vínculo: Tipo de Observação (required): Tipo de Observação Valor fixo: Como mostrado (Annotation comment [Interpretation] Narrative) |
![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 48767-8 | |
![]() ![]() ![]() ![]() |
0..0 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |
![]() ![]() ![]() |
Σ | 1..1 | Coding | Code defined by a terminology system |
![]() ![]() ![]() ![]() |
Σ | 1..1 | uri | Identity of the terminology system |
![]() ![]() ![]() ![]() |
Σ | 1..1 | code | Symbol in syntax defined by the system |
![]() ![]() |
SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Who and/or what the observation is about |
![]() ![]() ![]() |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Valor fixo: Patient |
![]() ![]() |
SΣ | 1..1 | instant | Data/hora da Observação |
![]() ![]() |
SΣC | 0..1 | string | Observação |
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Observation.status | Base | required | Estado da Observação | 📦1.0.0-release | este IG |
| Observation.code | Base | required | Tipo de Observação | 📦1.0.0-release | este IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR |
| Observation.component.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| 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()
|
Differential View
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
S | 0..* | Observation | Measurements and simple assertions |
![]() ![]() |
0..0 | Business Identifier for observation | ||
![]() ![]() |
0..0 | Fulfills plan, proposal or order | ||
![]() ![]() |
0..0 | Part of referenced event | ||
![]() ![]() |
S | 1..1 | code | Estado da Observação Vínculo: Estado da Observação (required): Estado da Observação |
![]() ![]() |
0..0 | Classification of type of observation | ||
![]() ![]() |
S | 1..1 | CodeableConcept | Tipo da Observação Vínculo: Tipo de Observação (required): Tipo de Observação Valor fixo: Como mostrado (Annotation comment [Interpretation] Narrative) |
![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Valor fixo: (complexo) | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Valor fixo: 48767-8 | |
![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system | |
![]() ![]() ![]() ![]() |
0..0 | Representation defined by the system | ||
![]() ![]() ![]() ![]() |
0..0 | If this coding was chosen directly by the user | ||
![]() ![]() ![]() |
0..0 | Plain text representation of the concept | ||
![]() ![]() |
S | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Who and/or what the observation is about |
![]() ![]() ![]() |
0..1 | uri | Type the reference refers to (e.g. "Patient") Valor fixo: Patient | |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
0..0 | usual | official | temp | secondary | old (If known) | ||
![]() ![]() ![]() ![]() |
0..0 | Description of identifier | ||
![]() ![]() ![]() ![]() |
1..1 | uri | The namespace for the identifier value | |
![]() ![]() ![]() ![]() |
1..1 | string | The value that is unique | |
![]() ![]() ![]() ![]() |
0..0 | Time period when id is/was valid for use | ||
![]() ![]() ![]() ![]() |
0..0 | Organization that issued id (may be just text) | ||
![]() ![]() ![]() |
0..0 | Text alternative for the resource | ||
![]() ![]() |
0..0 | What the observation is about, when it is not about the subject of record | ||
![]() ![]() |
0..0 | Healthcare event during which this observation is made | ||
![]() ![]() |
0..0 | Clinically relevant time/time-period for observation | ||
![]() ![]() |
S | 1..1 | instant | Data/hora da Observação |
![]() ![]() |
0..0 | Who is responsible for the observation | ||
![]() ![]() |
S | 0..1 | string | Observação |
![]() ![]() |
0..0 | Why the result is missing | ||
![]() ![]() |
0..0 | High, low, normal, etc. | ||
![]() ![]() |
0..0 | Comments about the observation | ||
![]() ![]() |
0..0 | Observed body part | ||
![]() ![]() |
0..0 | How it was done | ||
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0..0 | Specimen used for this observation | ||
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0..0 | (Measurement) Device | ||
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0..0 | Provides guide for interpretation | ||
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0..0 | Related resource that belongs to the Observation group | ||
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0..0 | Related measurements the observation is made from | ||
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0..0 | Component results | ||
Documentação para este formato | ||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Observation.status | Base | required | Estado da Observação | 📦1.0.0-release | este IG |
| Observation.code | Base | required | Tipo de Observação | 📦1.0.0-release | este IG |
Snapshot ViewView
| Nome | Bandeiras | Card. | Tipo | Descrição e condicionalismos Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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SC | 0..* | Observation | Measurements and simple assertions Constraints: obs-6, obs-7 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Vínculo: CommonLanguages (preferred): A human language.
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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?!SΣ | 1..1 | code | Estado da Observação Vínculo: Estado da Observação (required): Estado da Observação | ||||
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SΣ | 1..1 | CodeableConcept | Tipo da Observação Vínculo: Tipo de Observação (required): Tipo de Observação Valor fixo: Como mostrado (Annotation comment [Interpretation] Narrative) | ||||
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0..0 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension | Additional content defined by implementations | |||||
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1..1 | Coding | Code defined by a terminology system Valor fixo: (complexo) | |||||
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0..0 | string | Unique id for inter-element referencing | |||||
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0..0 | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Valor fixo: http://loinc.org | |||||
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0..0 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Valor fixo: 48767-8 | |||||
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0..0 | string | Representation defined by the system | |||||
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0..0 | boolean | If this coding was chosen directly by the user | |||||
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0..0 | string | Plain text representation of the concept | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 1..1 | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
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SΣ | 1..1 | Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) | Who and/or what the observation is about | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Valor fixo: Patient | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Fatia: Não ordenado, Aberto por value:url | |||||
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Σ | 1..1 | uri | The namespace for the identifier value Exemplo General: http://www.acme.com/identifiers/patient | ||||
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Σ | 1..1 | string | The value that is unique Exemplo General: 123456 | ||||
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SΣ | 1..1 | instant | Data/hora da Observação | ||||
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SΣC | 0..1 | string | Observação | ||||
Documentação para este formato | ||||||||
| Caminho | Estado | Utilização | Conjunto de valores | Versão | Fonte |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | a norma FHIR |
| Observation.status | Base | required | Estado da Observação | 📦1.0.0-release | este IG |
| Observation.code | Base | required | Tipo de Observação | 📦1.0.0-release | este IG |
| Observation.subject.type | Base | extensible | ResourceType | 📍4.0.1 | a norma FHIR |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | a norma FHIR |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | a norma FHIR |
| Observation.component.code | Base | example | LOINC Codes | 📍4.0.1 | a norma FHIR |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | a norma FHIR |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | a norma FHIR |
| Id | Grau | Caminho(s) | Descrição | Expressão |
| 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()
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| 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()
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| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
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| 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()
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Resumo
Obrigatório: 5 elementos(2 aninhado obrigatoriamente elementos)
Deve ser suportado: 5 elementos
Fixo: 2 elementos
Proibido: 27 elementos
Estruturas
Esta estrutura refere-se a estas outras estruturas:
Maturidade: 1
Other representations of profile: CSV, Excel, Schematron