Narrativa gerada: StructureDefinition br-core-relatedperson Nome Bandeiras Card. Tipo Descrição e condicionalismos RelatedPerson RelatedPerson #xD; id 0..1 id ID lógico deste artefato #xD; meta 0..1 Meta Metadados sobre o recurso #xD; implicitRules 0..1 uri Um conjunto de regras sob as quais este conteúdo foi criado #xD; language 0..1 code Idioma do conteúdo do recurso #xD; text 0..1 Narrative Resumo do texto do recurso, para interpretação humana #xD; contained 0..* Resource Recursos contidos #xD; extension 0..* Extension Conteúdo adicional definido por implementações #xD; modifierExtension 0..* Extension Extensões que não podem ser ignoradas #xD; identifier 0..* Identifier Identificador Externo #xD; active 0..1 boolean Se o registro desta pessoa relacionada está em uso ativo #xD; patient 1..1 Reference(https://br-core.saude.gov.br/fhir/StructureDefinition/br-core-patient) O paciente com quem essa pessoa está relacionada #xD; relationship 0..* CodeableConcept A natureza do relacionamento #xD; name 0..* HumanName Um nome associado à pessoa #xD; telecom 0..* ContactPoint Um detalhe de contato da pessoa #xD; gender 0..1 code masculino | feminino | outro | desconhecido #xD; birthDate 0..1 date A data em que a pessoa relacionada nasceu #xD; address 0..* Address Endereço onde a pessoa relacionada pode ser contatada ou visitada #xD; photo 0..* Attachment Imagem da pessoa #xD; period 0..1 Period Período de tempo em que esta relação é considerada válida #xD; communication 0..* BackboneElement Uma linguagem que pode ser usada para se comunicar sobre a saúde do paciente #xD; language 1..1 CodeableConcept A linguagem que pode ser usada para se comunicar com o paciente sobre sua saúde #xD; preferred 0..1 boolean Language preference indicator #xD; Documentação para este formato
O recurso [br-core-relatedperson](https://saude.gov.br/fhir/StructureDefinition/br-core-relatedperson.html) contém as informações sobre uma pessoa envolvida no cuidado de um paciente, mas que não é alvo de cuidados de saúde nem tem responsabilidade formal no processo de cuidado. A pessoa representada pelo recurso [br-core-relatedperson](https://saude.gov.br/fhir/StructureDefinition/br-core-relatedperson.html) normalmente tem um relacionamento profissional pessoal ou não específico de cuidado em saúde com o paciente. O recurso [br-core-relatedperson](https://saude.gov.br/fhir/StructureDefinition/br-core-relatedperson.html) é usado principalmente para atribuição de informações, já que geralmente é uma fonte de informações sobre o paciente. Para manter informações sobre pessoas para fins de contato para um paciente, use um elemento br-core-patien.contact. Alguns indivíduos podem ser representados simultaneamente como um patient.contact e [br-core-relatedperson](https://saude.gov.br/fhir/StructureDefinition/br-core-relatedperson.html). Exemplos de pessoas que podem ser um [br-core-relatedperson](https://saude.gov.br/fhir/StructureDefinition/br-core-relatedperson.html): - Esposa ou marido de um paciente - Parentes ou amigos de um paciente - Um vizinho que leva um paciente para o hospital - O dono ou treinador de um cavalo - Um advogado ou tutor do paciente - Um cão-guia
A person that is related to a patient, but who is not a direct target of care
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.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Um conjunto de regras sob as quais este conteúdo foi criado
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.
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
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).
Resumo do texto do recurso, para interpretação humana
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.
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.
Conteúdo adicional definido por implementações
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
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.
Se o registro desta pessoa relacionada está em uso ativo
This element is labeled as a modifier because it may be used to mark that the resource was created in error.
Need to be able to mark a related person record as not to be used, such as if it was created in error.
This resource is generally assumed to be active if no value is provided for the active element
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
O paciente com quem essa pessoa está relacionada
We need to know which patient this RelatedPerson is related to.
scoper[classCode=PSN|ANM and determinerCode='INSTANCE']/playedRole[classCode='PAT']/id
We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.
The nature of the relationship between a patient and the related person.
Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.
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.
People have (primary) ways to contact them in some way such as phone, email.
masculino | feminino | outro | desconhecido
Needed for identification of the person, in combination with (at least) name and birth date.
The gender of a person used for administrative purposes.
A data em que a pessoa relacionada nasceu
Endereço onde a pessoa relacionada pode ser contatada ou visitada
Need to keep track where the related person can be contacted per postal mail or visited.
Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.
player[classCode='PSN' and determinerCode='INSTANCE']/desc
Período de tempo em que esta relação é considerada válida
Uma linguagem que pode ser usada para se comunicar sobre a saúde do paciente
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.
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.
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Additional content defined by implementations
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.
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.
Extensions that cannot be ignored even if unrecognized
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
A linguagem que pode ser usada para se comunicar com o paciente sobre sua saúde
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.
Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
This language is specifically identified for communicating healthcare information.
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.