Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS
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!!Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: BRCoreRelatedPerson - Detailed Descriptions

Page standards status: Informative Maturity Level: 1

Definitions for the br-core-relatedperson resource profile.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. RelatedPerson
Definição

Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

CurtoA person that is related to a patient, but who is not a direct target of care
Controlo0..*
É modificadorfalse
Resumofalse
Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. RelatedPerson.id
Definição

ID lógico deste artefato


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

CurtoID lógico deste artefatoLogical id of this artifact
Comentários

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Controlo0..1
Tipoidstring
É modificadorfalse
Resumotrue
4. RelatedPerson.meta
Definição

Metadados sobre o recurso


The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

CurtoMetadados sobre o recursoMetadata about the resource
Controlo0..1
TipoMeta
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. RelatedPerson.implicitRules
Definição

Um conjunto de regras sob as quais este conteúdo foi criado


A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

CurtoUm conjunto de regras sob as quais este conteúdo foi criadoA set of rules under which this content was created
Comentários

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Controlo0..1
Tipouri
É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. RelatedPerson.language
Definição

Idioma do conteúdo do recurso


The base language in which the resource is written.

CurtoIdioma do conteúdo do recursoLanguage of the resource content
Comentários

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Vínculos adicionaisObjetivo
AllLanguagesVínculo máximo
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. RelatedPerson.text
Definição

Resumo do texto do recurso, para interpretação humana


A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

CurtoResumo do texto do recurso, para interpretação humanaText summary of the resource, for human interpretation
Comentários

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Controlo0..1
TipoNarrative
É modificadorfalse
Resumofalse
Nomes alternativosnarrative, html, xhtml, display
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. RelatedPerson.contained
Definição

Recursos contidos


These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

CurtoRecursos contidosContained, inline Resources
Comentários

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Controlo0..*
TipoResource
É modificadorfalse
Resumofalse
Nomes alternativosinline resources, anonymous resources, contained resources
14. RelatedPerson.extension
Definição

Conteúdo adicional definido por implementações


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CurtoConteúdo adicional definido por implementaçõesAdditional content defined by implementations
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadorfalse
Resumofalse
Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. RelatedPerson.modifierExtension
Definição

Extensões que não podem ser ignoradas


May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CurtoExtensões que não podem ser ignoradasExtensions that cannot be ignored
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumofalse
Requisitos

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. RelatedPerson.identifier
Definição

Identificador Externo


Identifier for a person within a particular scope.

CurtoIdentificador ExternoA human identifier for this person
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo0..*
TipoIdentifier
É modificadorfalse
Resumotrue
Requisitos

People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. RelatedPerson.active
Definição

Se o registro desta pessoa relacionada está em uso ativo


Whether this related person record is in active use.

CurtoSe o registro desta pessoa relacionada está em uso ativoWhether this related person's record is in active use
Comentários

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Controlo0..1
Tipoboolean
É modificadortrue porque This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Need to be able to mark a related person record as not to be used, such as if it was created in error.

Significado em caso de faltaThis resource is generally assumed to be active if no value is provided for the active element
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. RelatedPerson.patient
Definição

O paciente com quem essa pessoa está relacionada


The patient this person is related to.

CurtoO paciente com quem essa pessoa está relacionadaThe patient this person is related to
Controlo1..1
TipoReference(https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient, Patient)
É modificadorfalse
Resumotrue
Requisitos

We need to know which patient this RelatedPerson is related to.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. RelatedPerson.relationship
Definição

A natureza do relacionamento


The nature of the relationship between a patient and the related person.

CurtoA natureza do relacionamentoThe nature of the relationship
Controlo0..*
VínculoOs códigos DEVERÃO ser retirados de PatientRelationshipTypehttp://hl7.org/fhir/ValueSet/relatedperson-relationshiptype
(preferred to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype)

The nature of the relationship between a patient and the related person.

TipoCodeableConcept
É modificadorfalse
Resumotrue
Requisitos

We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. RelatedPerson.name
Definição

Um nome associado à pessoa


A name associated with the person.

CurtoUm nome associado à pessoaA name associated with the person
Controlo0..*
TipoHumanName
É modificadorfalse
Resumotrue
Requisitos

Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. RelatedPerson.telecom
Definição

Um detalhe de contato da pessoa


A contact detail for the person, e.g. a telephone number or an email address.

CurtoUm detalhe de contato da pessoaA contact detail for the person
Comentários

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

Controlo0..*
TipoContactPoint
É modificadorfalse
Resumotrue
Requisitos

People have (primary) ways to contact them in some way such as phone, email.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. RelatedPerson.gender
Definição

masculino | feminino | outro | desconhecido


Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.

Curtomasculino | feminino | outro | desconhecidomale | female | other | unknown
Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
(required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

The gender of a person used for administrative purposes.

Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Needed for identification of the person, in combination with (at least) name and birth date.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. RelatedPerson.birthDate
Definição

A data em que a pessoa relacionada nasceu


The date on which the related person was born.

CurtoA data em que a pessoa relacionada nasceuThe date on which the related person was born
Controlo0..1
Tipodate
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. RelatedPerson.address
Definição

Endereço onde a pessoa relacionada pode ser contatada ou visitada


Address where the related person can be contacted or visited.

CurtoEndereço onde a pessoa relacionada pode ser contatada ou visitadaAddress where the related person can be contacted or visited
Controlo0..*
TipoAddress
É modificadorfalse
Resumotrue
Requisitos

Need to keep track where the related person can be contacted per postal mail or visited.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. RelatedPerson.photo
Definição

Imagem da pessoa


Image of the person.

CurtoImagem da pessoaImage of the person
Controlo0..*
TipoAttachment
É modificadorfalse
Resumofalse
Requisitos

Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. RelatedPerson.period
Definição

Período de tempo em que esta relação é considerada válida


The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.

CurtoPeríodo de tempo em que esta relação é considerada válidaPeriod of time that this relationship is considered valid
Controlo0..1
TipoPeriod
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. RelatedPerson.communication
Definição

Uma linguagem que pode ser usada para se comunicar sobre a saúde do paciente


A language which may be used to communicate with about the patient's health.

CurtoUma linguagem que pode ser usada para se comunicar sobre a saúde do pacienteA language which may be used to communicate with about the patient's health
Comentários

If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Controlo0..*
TipoBackboneElement
É modificadorfalse
Resumofalse
Requisitos

If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. RelatedPerson.communication.modifierExtension
Definição

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CurtoExtensions that cannot be ignored even if unrecognized
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumotrue
Requisitos

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Nomes alternativosextensions, user content, modifiers
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
44. RelatedPerson.communication.language
Definição

A linguagem que pode ser usada para se comunicar com o paciente sobre sua saúde


The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

CurtoA linguagem que pode ser usada para se comunicar com o paciente sobre sua saúdeThe language which can be used to communicate with the patient about his or her health
Comentários

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Controlo1..1
VínculoOs códigos DEVERÃO ser retirados de CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Vínculos adicionaisObjetivo
AllLanguagesVínculo máximo
TipoCodeableConcept
É modificadorfalse
Resumofalse
Requisitos

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. RelatedPerson.communication.preferred
Definição

Language preference indicator


Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

CurtoLanguage preference indicator
Comentários

This language is specifically identified for communicating healthcare information.

Controlo0..1
Tipoboolean
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Requisitos

People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

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

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. RelatedPerson
2. RelatedPerson.id
Definição

ID lógico deste artefato

CurtoID lógico deste artefato
4. RelatedPerson.meta
Definição

Metadados sobre o recurso

CurtoMetadados sobre o recurso
6. RelatedPerson.implicitRules
Definição

Um conjunto de regras sob as quais este conteúdo foi criado

CurtoUm conjunto de regras sob as quais este conteúdo foi criado
8. RelatedPerson.language
Definição

Idioma do conteúdo do recurso

CurtoIdioma do conteúdo do recurso
10. RelatedPerson.text
Definição

Resumo do texto do recurso, para interpretação humana

CurtoResumo do texto do recurso, para interpretação humana
12. RelatedPerson.contained
Definição

Recursos contidos

CurtoRecursos contidos
14. RelatedPerson.extension
Definição

Conteúdo adicional definido por implementações

CurtoConteúdo adicional definido por implementações
16. RelatedPerson.modifierExtension
Definição

Extensões que não podem ser ignoradas

CurtoExtensões que não podem ser ignoradas
18. RelatedPerson.identifier
Definição

Identificador Externo

CurtoIdentificador Externo
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
20. RelatedPerson.active
Definição

Se o registro desta pessoa relacionada está em uso ativo

CurtoSe o registro desta pessoa relacionada está em uso ativo
22. RelatedPerson.patient
Definição

O paciente com quem essa pessoa está relacionada

CurtoO paciente com quem essa pessoa está relacionada
TipoReference(https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient)
24. RelatedPerson.relationship
Definição

A natureza do relacionamento

CurtoA natureza do relacionamento
26. RelatedPerson.name
Definição

Um nome associado à pessoa

CurtoUm nome associado à pessoa
28. RelatedPerson.telecom
Definição

Um detalhe de contato da pessoa

CurtoUm detalhe de contato da pessoa
30. RelatedPerson.gender
Definição

masculino | feminino | outro | desconhecido

Curtomasculino | feminino | outro | desconhecido
32. RelatedPerson.birthDate
Definição

A data em que a pessoa relacionada nasceu

CurtoA data em que a pessoa relacionada nasceu
34. RelatedPerson.address
Definição

Endereço onde a pessoa relacionada pode ser contatada ou visitada

CurtoEndereço onde a pessoa relacionada pode ser contatada ou visitada
36. RelatedPerson.photo
Definição

Imagem da pessoa

CurtoImagem da pessoa
38. RelatedPerson.period
Definição

Período de tempo em que esta relação é considerada válida

CurtoPeríodo de tempo em que esta relação é considerada válida
40. RelatedPerson.communication
Definição

Uma linguagem que pode ser usada para se comunicar sobre a saúde do paciente

CurtoUma linguagem que pode ser usada para se comunicar sobre a saúde do paciente
42. RelatedPerson.communication.language
Definição

A linguagem que pode ser usada para se comunicar com o paciente sobre sua saúde

CurtoA linguagem que pode ser usada para se comunicar com o paciente sobre sua saúde
44. RelatedPerson.communication.preferred
Definição

Language preference indicator

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. RelatedPerson
Definição

Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

CurtoA person that is related to a patient, but who is not a direct target of care
Controlo0..*
É modificadorfalse
Resumofalse
Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. RelatedPerson.id
Definição

ID lógico deste artefato

CurtoID lógico deste artefato
Comentários

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Controlo0..1
Tipoid
É modificadorfalse
Resumotrue
4. RelatedPerson.meta
Definição

Metadados sobre o recurso

CurtoMetadados sobre o recurso
Controlo0..1
TipoMeta
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. RelatedPerson.implicitRules
Definição

Um conjunto de regras sob as quais este conteúdo foi criado

CurtoUm conjunto de regras sob as quais este conteúdo foi criado
Comentários

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Controlo0..1
Tipouri
É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. RelatedPerson.language
Definição

Idioma do conteúdo do recurso

CurtoIdioma do conteúdo do recurso
Comentários

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Vínculos adicionaisObjetivo
AllLanguagesVínculo máximo
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. RelatedPerson.text
Definição

Resumo do texto do recurso, para interpretação humana

CurtoResumo do texto do recurso, para interpretação humana
Comentários

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Controlo0..1
TipoNarrative
É modificadorfalse
Resumofalse
Nomes alternativosnarrative, html, xhtml, display
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. RelatedPerson.contained
Definição

Recursos contidos

CurtoRecursos contidos
Comentários

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Controlo0..*
TipoResource
É modificadorfalse
Resumofalse
Nomes alternativosinline resources, anonymous resources, contained resources
14. RelatedPerson.extension
Definição

Conteúdo adicional definido por implementações

CurtoConteúdo adicional definido por implementações
Controlo0..*
TipoExtension
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. RelatedPerson.modifierExtension
Definição

Extensões que não podem ser ignoradas

CurtoExtensões que não podem ser ignoradas
Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. RelatedPerson.identifier
Definição

Identificador Externo

CurtoIdentificador Externo
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo0..*
TipoIdentifier
É modificadorfalse
Resumotrue
Requisitos

People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. RelatedPerson.active
Definição

Se o registro desta pessoa relacionada está em uso ativo

CurtoSe o registro desta pessoa relacionada está em uso ativo
Comentários

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Controlo0..1
Tipoboolean
É modificadortrue porque This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Need to be able to mark a related person record as not to be used, such as if it was created in error.

Significado em caso de faltaThis resource is generally assumed to be active if no value is provided for the active element
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. RelatedPerson.patient
Definição

O paciente com quem essa pessoa está relacionada

CurtoO paciente com quem essa pessoa está relacionada
Controlo1..1
TipoReference(https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient)
É modificadorfalse
Resumotrue
Requisitos

We need to know which patient this RelatedPerson is related to.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. RelatedPerson.relationship
Definição

A natureza do relacionamento

CurtoA natureza do relacionamento
Controlo0..*
VínculoOs códigos DEVERÃO ser retirados de PatientRelationshipType
(preferred to http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype)

The nature of the relationship between a patient and the related person.

TipoCodeableConcept
É modificadorfalse
Resumotrue
Requisitos

We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. RelatedPerson.name
Definição

Um nome associado à pessoa

CurtoUm nome associado à pessoa
Controlo0..*
TipoHumanName
É modificadorfalse
Resumotrue
Requisitos

Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. RelatedPerson.telecom
Definição

Um detalhe de contato da pessoa

CurtoUm detalhe de contato da pessoa
Comentários

Person may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

Controlo0..*
TipoContactPoint
É modificadorfalse
Resumotrue
Requisitos

People have (primary) ways to contact them in some way such as phone, email.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. RelatedPerson.gender
Definição

masculino | feminino | outro | desconhecido

Curtomasculino | feminino | outro | desconhecido
Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de AdministrativeGender
(required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

The gender of a person used for administrative purposes.

Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Needed for identification of the person, in combination with (at least) name and birth date.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. RelatedPerson.birthDate
Definição

A data em que a pessoa relacionada nasceu

CurtoA data em que a pessoa relacionada nasceu
Controlo0..1
Tipodate
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. RelatedPerson.address
Definição

Endereço onde a pessoa relacionada pode ser contatada ou visitada

CurtoEndereço onde a pessoa relacionada pode ser contatada ou visitada
Controlo0..*
TipoAddress
É modificadorfalse
Resumotrue
Requisitos

Need to keep track where the related person can be contacted per postal mail or visited.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. RelatedPerson.photo
Definição

Imagem da pessoa

CurtoImagem da pessoa
Controlo0..*
TipoAttachment
É modificadorfalse
Resumofalse
Requisitos

Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. RelatedPerson.period
Definição

Período de tempo em que esta relação é considerada válida

CurtoPeríodo de tempo em que esta relação é considerada válida
Controlo0..1
TipoPeriod
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. RelatedPerson.communication
Definição

Uma linguagem que pode ser usada para se comunicar sobre a saúde do paciente

CurtoUma linguagem que pode ser usada para se comunicar sobre a saúde do paciente
Comentários

If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations. If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

Controlo0..*
TipoBackboneElement
É modificadorfalse
Resumofalse
Requisitos

If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. RelatedPerson.communication.id
Definição

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

CurtoUnique id for inter-element referencing
Controlo0..1
Tipostring
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
44. RelatedPerson.communication.extension
Definição

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CurtoAdditional content defined by implementations
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadorfalse
Resumofalse
Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
46. RelatedPerson.communication.modifierExtension
Definição

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CurtoExtensions that cannot be ignored even if unrecognized
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumotrue
Requisitos

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Nomes alternativosextensions, user content, modifiers
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
48. RelatedPerson.communication.language
Definição

A linguagem que pode ser usada para se comunicar com o paciente sobre sua saúde

CurtoA linguagem que pode ser usada para se comunicar com o paciente sobre sua saúde
Comentários

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Controlo1..1
VínculoOs códigos DEVERÃO ser retirados de CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Vínculos adicionaisObjetivo
AllLanguagesVínculo máximo
TipoCodeableConcept
É modificadorfalse
Resumofalse
Requisitos

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. RelatedPerson.communication.preferred
Definição

Language preference indicator

CurtoLanguage preference indicator
Comentários

This language is specifically identified for communicating healthcare information.

Controlo0..1
Tipoboolean
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Requisitos

People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

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