Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS
1.0.0-release - STU1 Brazil flag

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

Resource Profile: Registro de Atendimento Clínico (RAC)

Official URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRRegistroAtendimentoClinico Version: 1.0.0-release
Standards status: Normative Maturity Level: 1 Computable Name: BRRegistroAtendimentoClinico

Documento destinado a modelar dados essenciais de uma consulta realizada a um indivíduo no âmbito da atenção básica, especializada ou domiciliar.

Usos:

  • Este Perfil não é utilizado por nenhum perfil neste guia de implementação

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Composition S 0..* BRConjuntoMinimoDados Registro Atendimento Clínico
... 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 final | entered-in-error
Vínculo: Estado do Documento (required): Estado do Documento
.... coding SΣ 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
Valor fixo: RAC
... category SΣ 1..1 CodeableConcept Modalidade Assistencial
Vínculo: Modalidade Assistencial (required): Modalidade Assistencial
.... coding SΣ 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) Sujeito da Composição
.... Fatias para extension Conteúdo/regras para todas as fatias
..... extension:unidentifiedPatient S 0..1 (Complexo) Dados do Indivíduo Não Identificado
URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
...... Fatias para extension 3..3 Extension Extension
Fatia: Não ordenado, Aberto por value:url
...... Fatias para extension Conteúdo/regras para todas as fatias
....... 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"
... date SΣ 1..1 dateTime Data/hora de Geração do Documento
... author SΣ 1..* Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0) Reponsável pelo 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
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... title SΣ 1..1 string Título do documento
... relatesTo 0..1 BackboneElement Relação a Outros Documentos
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code Tipo de Relacionamento
Vínculo: DocumentRelationshipType (required): The type of relationship between documents.
Valor fixo: replaces
.... target[x] 1..1 Reference() Documento a Ser Substituído
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Fatias para section SC 1..* BackboneElement Seções do documento
Fatia: Não ordenado, Aberto por profile:entry.resolve()
Constraints: cmp-1, cmp-2
.... section:Todas as fatias Conteúdo/regras para todas as fatias
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:informacoesContatoAssistencial SC 1..1 BackboneElement Informações do Contato Assistencial
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry SC 1..1 Reference(Contato Assistencial) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:problemasDiagnosticosAvaliados SC 1..* BackboneElement Problema(s)/Diagnóstico(s) Avaliado(s)
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry SC 1..* Reference(Problema / Diagnóstico) A reference to data that supports this section
...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:procedimentosRealizados SC 0..* BackboneElement Procedimento(s) Realizado(s)
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry SC 1..* Reference(Procedimento Realizado) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:observacoes SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..* Reference(Medida Observada) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:alergiaReacaoAdversa SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 0..* Reference(Alergia ou Reação Adversa) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:prescricao SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..1 Reference(Registro de Prescrição de Medicamento) A reference to data that supports this section
.... section:planoCuidados SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..1 Reference(Plano de Cuidados) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:atestadoMedicoOdontologico SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..* Reference(Atestado Digital) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Composition.status Base required Estado do Documento 📦1.0.0-release este IG
Composition.type Base required Tipo de Documento 📦1.0.0-release este IG
Composition.category Base required Modalidade Assistencial 📦1.0.0-release este IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 a norma FHIR
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
cmp-1 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Composition 0..* BRConjuntoMinimoDados Registro Atendimento Clínico
... type
.... coding
..... code 1..1 code Symbol in syntax defined by the system
Valor fixo: RAC
... Fatias para section Conteúdo/regras para todas as fatias
.... section:problemasDiagnosticosAvaliados 1..* BackboneElement Problema(s)/Diagnóstico(s) Avaliado(s)
.... section:observacoes 0..* BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..* Reference(Medida Observada) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:alergiaReacaoAdversa 0..* BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 0..* Reference(Alergia ou Reação Adversa) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:prescricao 0..1 BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..1 Reference(Registro de Prescrição de Medicamento) A reference to data that supports this section
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier
....... use 0..0 usual | official | temp | secondary | old (If known)
....... type 0..0 Description of identifier
....... system 1..1 uri The namespace for the identifier value
....... value 1..1 string The value that is unique
....... period 0..0 Time period when id is/was valid for use
....... assigner 0..0 Organization that issued id (may be just text)
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:planoCuidados 0..1 BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..1 Reference(Plano de Cuidados) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:atestadoMedicoOdontologico 0..* BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..* Reference(Atestado Digital) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section

doco Documentação para este formato
NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Composition S 0..* BRConjuntoMinimoDados Registro Atendimento Clínico
... 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
... text 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
... 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 final | entered-in-error
Vínculo: Estado do Documento (required): Estado do Documento
... type SΣ 1..1 CodeableConcept Tipo de Documento
Vínculo: Tipo de Documento (required): Tipo de Documento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding SΣ 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
Fatia: Não ordenado, Aberto por 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
Valor fixo: RAC
... category SΣ 1..1 CodeableConcept Modalidade Assistencial
Vínculo: Modalidade Assistencial (required): Modalidade Assistencial
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding SΣ 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
Fatia: Não ordenado, Aberto por 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) Sujeito da Composição
.... id 0..1 string Unique id for inter-element referencing
.... Fatias para extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... extension:unidentifiedPatient S 0..1 (Complexo) 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
...... Fatias para extension 3..3 Extension Extension
Fatia: Não ordenado, Aberto por value:url
...... Fatias para extension Conteúdo/regras para todas as fatias
....... 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
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... date SΣ 1..1 dateTime Data/hora de Geração do Documento
... author SΣ 1..* Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0) Reponsável pelo Contato Assistencial
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... title SΣ 1..1 string Título do documento
... relatesTo 0..1 BackboneElement Relação a Outros Documentos
.... 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 1..1 code Tipo de Relacionamento
Vínculo: DocumentRelationshipType (required): The type of relationship between documents.
Valor fixo: replaces
.... target[x] 1..1 Reference() Documento a Ser Substituído
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Fatias para section SC 1..* BackboneElement Seções do documento
Fatia: Não ordenado, Aberto por profile:entry.resolve()
Constraints: cmp-1, cmp-2
.... section:Todas as fatias Conteúdo/regras para todas as fatias
..... 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
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* Ver section (Composition) Nested Section
.... section:informacoesContatoAssistencial SC 1..1 BackboneElement Informações do Contato Assistencial
Constraints: cmp-1, cmp-2
..... 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
..... entry SC 1..1 Reference(Contato Assistencial) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:problemasDiagnosticosAvaliados SC 1..* BackboneElement Problema(s)/Diagnóstico(s) Avaliado(s)
Constraints: cmp-1, cmp-2
..... 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
..... entry SC 1..* Reference(Problema / Diagnóstico) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:procedimentosRealizados SC 0..* BackboneElement Procedimento(s) Realizado(s)
Constraints: cmp-1, cmp-2
..... 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
..... entry SC 1..* Reference(Procedimento Realizado) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:observacoes SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..* Reference(Medida Observada) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:alergiaReacaoAdversa SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 0..* Reference(Alergia ou Reação Adversa) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:prescricao SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..1 Reference(Registro de Prescrição de Medicamento) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... 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
Fatia: Não ordenado, Aberto por value:url
....... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
....... value Σ 1..1 string The value that is unique
Exemplo General: 123456
.... section:planoCuidados SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..1 Reference(Plano de Cuidados) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:atestadoMedicoOdontologico SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..* Reference(Atestado Digital) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Composition.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Composition.status Base required Estado do Documento 📦1.0.0-release este IG
Composition.type Base required Tipo de Documento 📦1.0.0-release este IG
Composition.category Base required Modalidade Assistencial 📦1.0.0-release este IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 a norma FHIR
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 a norma FHIR
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.2
Composition.section.​code Base example Document Section Codes 📍4.0.1 a norma FHIR
Composition.section.​mode Base required ListMode 📍4.0.1 a norma FHIR
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 a norma FHIR
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
cmp-1 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

Key Elements View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Composition S 0..* BRConjuntoMinimoDados Registro Atendimento Clínico
... 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 final | entered-in-error
Vínculo: Estado do Documento (required): Estado do Documento
.... coding SΣ 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
Valor fixo: RAC
... category SΣ 1..1 CodeableConcept Modalidade Assistencial
Vínculo: Modalidade Assistencial (required): Modalidade Assistencial
.... coding SΣ 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) Sujeito da Composição
.... Fatias para extension Conteúdo/regras para todas as fatias
..... extension:unidentifiedPatient S 0..1 (Complexo) Dados do Indivíduo Não Identificado
URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0
...... Fatias para extension 3..3 Extension Extension
Fatia: Não ordenado, Aberto por value:url
...... Fatias para extension Conteúdo/regras para todas as fatias
....... 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"
... date SΣ 1..1 dateTime Data/hora de Geração do Documento
... author SΣ 1..* Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0) Reponsável pelo 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
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... title SΣ 1..1 string Título do documento
... relatesTo 0..1 BackboneElement Relação a Outros Documentos
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code Tipo de Relacionamento
Vínculo: DocumentRelationshipType (required): The type of relationship between documents.
Valor fixo: replaces
.... target[x] 1..1 Reference() Documento a Ser Substituído
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Fatias para section SC 1..* BackboneElement Seções do documento
Fatia: Não ordenado, Aberto por profile:entry.resolve()
Constraints: cmp-1, cmp-2
.... section:Todas as fatias Conteúdo/regras para todas as fatias
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... section:informacoesContatoAssistencial SC 1..1 BackboneElement Informações do Contato Assistencial
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry SC 1..1 Reference(Contato Assistencial) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:problemasDiagnosticosAvaliados SC 1..* BackboneElement Problema(s)/Diagnóstico(s) Avaliado(s)
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry SC 1..* Reference(Problema / Diagnóstico) A reference to data that supports this section
...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:procedimentosRealizados SC 0..* BackboneElement Procedimento(s) Realizado(s)
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry SC 1..* Reference(Procedimento Realizado) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:observacoes SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..* Reference(Medida Observada) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:alergiaReacaoAdversa SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 0..* Reference(Alergia ou Reação Adversa) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:prescricao SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..1 Reference(Registro de Prescrição de Medicamento) A reference to data that supports this section
.... section:planoCuidados SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..1 Reference(Plano de Cuidados) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:atestadoMedicoOdontologico SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... entry C 1..* Reference(Atestado Digital) A reference to data that supports this section
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Composition.status Base required Estado do Documento 📦1.0.0-release este IG
Composition.type Base required Tipo de Documento 📦1.0.0-release este IG
Composition.category Base required Modalidade Assistencial 📦1.0.0-release este IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 a norma FHIR
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
cmp-1 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

Differential View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Composition 0..* BRConjuntoMinimoDados Registro Atendimento Clínico
... type
.... coding
..... code 1..1 code Symbol in syntax defined by the system
Valor fixo: RAC
... Fatias para section Conteúdo/regras para todas as fatias
.... section:problemasDiagnosticosAvaliados 1..* BackboneElement Problema(s)/Diagnóstico(s) Avaliado(s)
.... section:observacoes 0..* BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..* Reference(Medida Observada) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:alergiaReacaoAdversa 0..* BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 0..* Reference(Alergia ou Reação Adversa) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:prescricao 0..1 BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..1 Reference(Registro de Prescrição de Medicamento) A reference to data that supports this section
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier
....... use 0..0 usual | official | temp | secondary | old (If known)
....... type 0..0 Description of identifier
....... system 1..1 uri The namespace for the identifier value
....... value 1..1 string The value that is unique
....... period 0..0 Time period when id is/was valid for use
....... assigner 0..0 Organization that issued id (may be just text)
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:planoCuidados 0..1 BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..1 Reference(Plano de Cuidados) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section
.... section:atestadoMedicoOdontologico 0..* BackboneElement Seções do documento
..... title 0..0 Label for section (e.g. for ToC)
..... code 0..0 Classification of section (recommended)
..... author 0..0 Who and/or what authored the section
..... focus 0..0 Who/what the section is about, when it is not about the subject of composition
..... text 0..0 Text summary of the section, for human interpretation
..... mode 0..0 working | snapshot | changes
..... orderedBy 0..0 Order of section entries
..... entry 1..* Reference(Atestado Digital) A reference to data that supports this section
...... reference 1..1 string Literal reference, Relative, internal or absolute URL
...... type 0..0 Type the reference refers to (e.g. "Patient")
...... identifier 0..0 Logical reference, when literal reference is not known
...... display 0..0 Text alternative for the resource
..... emptyReason 0..0 Why the section is empty
..... section 0..0 Nested Section

doco Documentação para este formato

Snapshot ViewView

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. Composition S 0..* BRConjuntoMinimoDados Registro Atendimento Clínico
... 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
... text 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
... 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 final | entered-in-error
Vínculo: Estado do Documento (required): Estado do Documento
... type SΣ 1..1 CodeableConcept Tipo de Documento
Vínculo: Tipo de Documento (required): Tipo de Documento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding SΣ 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
Fatia: Não ordenado, Aberto por 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
Valor fixo: RAC
... category SΣ 1..1 CodeableConcept Modalidade Assistencial
Vínculo: Modalidade Assistencial (required): Modalidade Assistencial
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding SΣ 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
Fatia: Não ordenado, Aberto por 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) Sujeito da Composição
.... id 0..1 string Unique id for inter-element referencing
.... Fatias para extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... extension:unidentifiedPatient S 0..1 (Complexo) 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
...... Fatias para extension 3..3 Extension Extension
Fatia: Não ordenado, Aberto por value:url
...... Fatias para extension Conteúdo/regras para todas as fatias
....... 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
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... date SΣ 1..1 dateTime Data/hora de Geração do Documento
... author SΣ 1..* Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRPessoaJuridicaProfissionalLiberal-1.0) Reponsável pelo Contato Assistencial
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por 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
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... title SΣ 1..1 string Título do documento
... relatesTo 0..1 BackboneElement Relação a Outros Documentos
.... 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 1..1 code Tipo de Relacionamento
Vínculo: DocumentRelationshipType (required): The type of relationship between documents.
Valor fixo: replaces
.... target[x] 1..1 Reference() Documento a Ser Substituído
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Fatias para section SC 1..* BackboneElement Seções do documento
Fatia: Não ordenado, Aberto por profile:entry.resolve()
Constraints: cmp-1, cmp-2
.... section:Todas as fatias Conteúdo/regras para todas as fatias
..... 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
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Vínculo: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Vínculo: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Vínculo: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Vínculo: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* Ver section (Composition) Nested Section
.... section:informacoesContatoAssistencial SC 1..1 BackboneElement Informações do Contato Assistencial
Constraints: cmp-1, cmp-2
..... 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
..... entry SC 1..1 Reference(Contato Assistencial) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:problemasDiagnosticosAvaliados SC 1..* BackboneElement Problema(s)/Diagnóstico(s) Avaliado(s)
Constraints: cmp-1, cmp-2
..... 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
..... entry SC 1..* Reference(Problema / Diagnóstico) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:procedimentosRealizados SC 0..* BackboneElement Procedimento(s) Realizado(s)
Constraints: cmp-1, cmp-2
..... 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
..... entry SC 1..* Reference(Procedimento Realizado) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:observacoes SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..* Reference(Medida Observada) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:alergiaReacaoAdversa SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 0..* Reference(Alergia ou Reação Adversa) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:prescricao SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..1 Reference(Registro de Prescrição de Medicamento) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... 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
Fatia: Não ordenado, Aberto por value:url
....... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
....... value Σ 1..1 string The value that is unique
Exemplo General: 123456
.... section:planoCuidados SC 0..1 BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..1 Reference(Plano de Cuidados) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... section:atestadoMedicoOdontologico SC 0..* BackboneElement Seções do documento
Constraints: cmp-1, cmp-2
..... 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
..... entry C 1..* Reference(Atestado Digital) A reference to data that supports this section
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL

doco Documentação para este formato

Terminologia Ligações

Caminho Estado Utilização Conjunto de valores Versão Fonte
Composition.language Base preferred Common Languages 📍4.0.1 a norma FHIR
Composition.status Base required Estado do Documento 📦1.0.0-release este IG
Composition.type Base required Tipo de Documento 📦1.0.0-release este IG
Composition.category Base required Modalidade Assistencial 📦1.0.0-release este IG
Composition.attester.​mode Base required CompositionAttestationMode 📍4.0.1 a norma FHIR
Composition.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 a norma FHIR
Composition.event.code Base example v3 Code System ActCode 📦3.0.0 THO v7.2
Composition.section.​code Base example Document Section Codes 📍4.0.1 a norma FHIR
Composition.section.​mode Base required ListMode 📍4.0.1 a norma FHIR
Composition.section.​orderedBy Base preferred List Order Codes 📍4.0.1 a norma FHIR
Composition.section.​emptyReason Base preferred List Empty Reasons 📍4.0.1 a norma FHIR

Restrições

Id Grau Caminho(s) Descrição Expressão
cmp-1 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section must contain at least one of text, entries, or sub-sections text.exists() or entry.exists() or section.exists()
cmp-2 error Composition.section, Composition.section:informacoesContatoAssistencial, Composition.section:problemasDiagnosticosAvaliados, Composition.section:procedimentosRealizados, Composition.section:observacoes, Composition.section:alergiaReacaoAdversa, Composition.section:prescricao, Composition.section:planoCuidados, Composition.section:atestadoMedicoOdontologico A section can only have an emptyReason if it is empty emptyReason.empty() or entry.empty()
dom-2 error Composition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Composition 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 Composition 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 Composition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Composition 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()

 

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