Guia de Implementação do Registro de Imunobiológico Administrado (RIA) da RNDS
0.1.0 - STU1 BR

!!Guia de Implementação do Registro de Imunobiológico Administrado (RIA) da RNDS - Compilação de desenvolvimento local (v0.1.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: BRImunobiologicoAdministrado - Detailed Descriptions

Page standards status: Informative Maturity Level: 1

Definitions for the BRImunobiologicoAdministrado-3.0 resource profile.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Immunization
Definição

Representa o imunobiológico administrado em rotina.

CurtoImunobiológico Administrado
Deve apoiartrue
Nomes alternativosVacinação, Vacina Administrada
2. Immunization.extension
Controlo2..3
4. Immunization.extension:grupoAtendimento
Nome da fatiagrupoAtendimento
Definição

Identifica a classificação do grupo de atendimento dos indivíduos para a vacinação.

Controlo1..1
TipoExtension(Grupo de Atendimento) (Tipo de extensão: CodeableConcept)
6. Immunization.extension:condicaoMaternal
Nome da fatiacondicaoMaternal
Controlo1..?
TipoExtension(Condição Maternal) (Tipo de extensão: CodeableConcept)
Deve apoiartrue
8. Immunization.extension:contatoHanseniase
Nome da fatiacontatoHanseniase
Definição

Identifica se um indivíduo possui contato próximo de pacientes que vivem com Hanseníase. Para registro do campo contato hanseníase, deverão ser utilizados as opções TRUE (T) e FALSE (F) - Verdadeiro ou Falso. Regra negocial: O campo deve ser obrigatório quando o imunobiológico for vacina Bacilo Calmette-Guérim (BCG) de code 15

Controlo0..1
TipoExtension(Contato Hanseníase) (Tipo de extensão: boolean)
10. Immunization.identifier
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo0..0
12. Immunization.status
CurtoEstado da Administração do Imunobiológico
VínculoOs códigos DEVERÃO ser retirados de Estado do Evento
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoEvento-1.0)

Estado do Evento

Deve apoiartrue
Valor fixocompleted
14. Immunization.statusReason
Controlo0..0
16. Immunization.vaccineCode
Definição

Identifica o nome do imunobiológico administrado no indivíduo.

CurtoImunobiológico
VínculoOs códigos DEVERÃO ser retirados de Imunobiológico
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRImunobiologico-1.0)

Imunobiológico

Deve apoiartrue
18. Immunization.vaccineCode.coding
Controlo1..1
20. Immunization.vaccineCode.coding.system
Controlo1..?
22. Immunization.vaccineCode.coding.code
Controlo1..?
24. Immunization.vaccineCode.coding.display
Controlo0..0
26. Immunization.vaccineCode.coding.userSelected
Controlo0..0
28. Immunization.vaccineCode.text
Controlo0..0
30. Immunization.patient
Definição

Indivíduo que recebeu o imunobiológico.

CurtoIndivíduo
TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)
Deve apoiartrue
32. Immunization.patient.identifier
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
34. Immunization.patient.identifier.use
Controlo0..0
36. Immunization.patient.identifier.type
Controlo0..0
38. Immunization.patient.identifier.system
Controlo1..?
40. Immunization.patient.identifier.value
Controlo1..?
42. Immunization.patient.identifier.period
Controlo0..0
44. Immunization.patient.identifier.assigner
Controlo0..0
46. Immunization.patient.display
Controlo0..0
48. Immunization.encounter
Controlo0..0
50. Immunization.occurrence[x]
Definição

Data em que o imunobiológico foi administrado. O padrão da data deve seguir a ISO8601. Regra negocial: A data não pode ser maior que o dia vigente.

CurtoData da Administração do Imunobiológico
TipodateTime, string
[x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiartrue
52. Immunization.recorded
Controlo0..0
54. Immunization.primarySource
Definição

Indica se o registro é de fonte própria (true) ou se é derivado de uma fonte externa (false).

CurtoIndicação da fonte do registro
56. Immunization.reportOrigin
Definição

Referencia a origem deste registro de fonte externa.

CurtoRegistro de Origem
VínculoOs códigos DEVERÃO ser retirados de Registro de Origem
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRRegistroOrigem)

Registro de Origem

58. Immunization.location
Definição

Identifica se o registro da administração da vacina, realizado por transcrição de caderneta, foi realizado no Brasil ou em outro País.

CurtoIndicação do país de origem do registro da vacina
60. Immunization.location.reference
Controlo0..0
62. Immunization.location.type
Controlo0..0
64. Immunization.location.identifier
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo1..?
66. Immunization.location.identifier.use
Controlo0..0
68. Immunization.location.identifier.type
Controlo0..0
70. Immunization.location.identifier.system
CurtoPaís de origem do registro da vacina
Controlo1..?
Valor fixohttp://www.saude.gov.br/fhir/r4/CodeSystem/BRPais
72. Immunization.location.identifier.value
CurtoPaís de origem do registro da vacina
Controlo1..?
VínculoOs códigos DEVERÃO ser retirados de País
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRPais-1.0)

Códigos para representação de países

74. Immunization.location.identifier.period
Controlo0..0
76. Immunization.location.identifier.assigner
Controlo0..0
78. Immunization.location.display
Controlo0..0
80. Immunization.manufacturer
Definição

Identifica o laboratório fabricante do imunobiológico administrado no indivíduo. Regra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.

CurtoFabricante
Deve apoiartrue
82. Immunization.manufacturer.reference
Controlo0..0
84. Immunization.manufacturer.type
Controlo0..0
86. Immunization.manufacturer.identifier
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo1..?
Deve apoiartrue
88. Immunization.manufacturer.identifier.use
Controlo0..0
90. Immunization.manufacturer.identifier.type
Controlo0..0
Deve apoiarfalse
100. Immunization.manufacturer.identifier.system
Definição

URL que define o system BRFabricantePNI como referência para esse elemento.

CurtoFabricante PNI
Controlo1..?
Deve apoiartrue
Valor fixohttp://www.saude.gov.br/fhir/r4/CodeSystem/BRFabricantePNI
102. Immunization.manufacturer.identifier.value
CurtoFabricante do imunobiológico.
Controlo1..?
VínculoOs códigos DEVERÃO ser retirados de Fabricante do Imunobiológico
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRFabricanteImunobiologico-1.0)

O código do fabricante do imunobiológico.

Deve apoiartrue
104. Immunization.manufacturer.identifier.period
Controlo0..0
106. Immunization.manufacturer.identifier.assigner
Controlo0..0
108. Immunization.manufacturer.display
CurtoNome do fabricante
Controlo0..0
110. Immunization.lotNumber
Definição

Identifica o lote do imunobiológico de acordo com o fabricante. O lote é fundamental para identificação de características do imunobiológico. É uma informação presente na embalagem do produto ou, algumas vezes, na caderneta de vacinação. Regra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.

CurtoLote
Deve apoiartrue
112. Immunization.expirationDate
Definição

Data de expiração do imunobiológico

CurtoData de expiração do imunobiológico
114. Immunization.site
Definição

Identifica a localização anatômica em que o imunobiológico foi aplicado.

CurtoLocal de Aplicação
Controlo1..?
VínculoOs códigos DEVERÃO ser retirados de Local de Aplicação
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAplicacao-1.0)

Local de Aplicação

Deve apoiartrue
116. Immunization.site.coding
Controlo1..1
118. Immunization.site.coding.system
Controlo1..?
120. Immunization.site.coding.code
Controlo1..?
122. Immunization.site.coding.display
Controlo0..0
124. Immunization.site.coding.userSelected
Controlo0..0
126. Immunization.site.text
Controlo0..0
128. Immunization.route
Definição

Identifica a via com que o imunobiológico administrado entra em contato com o organismo.

CurtoVia de Administração
Controlo1..?
VínculoOs códigos DEVERÃO ser retirados de Via de Administração do Imunobiológico
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0)

Via de Administração

Deve apoiartrue
130. Immunization.route.coding
Controlo1..1
132. Immunization.route.coding.system
Controlo1..?
134. Immunization.route.coding.code
Controlo1..?
136. Immunization.route.coding.display
Controlo0..0
138. Immunization.route.coding.userSelected
Controlo0..0
140. Immunization.route.text
Controlo0..0
142. Immunization.doseQuantity
Controlo0..0
144. Immunization.performer
Definição

Informações sobre o profissional que administrou o imunobiológico.

CurtoProfissional Executante
Controlo1..1
Deve apoiartrue
146. Immunization.performer.function
Definição

Identifica a especialidade do profissional que prescreveu a administração do imunobiológico por meio do Código Brasileiro de Ocupações (CBO). Regra negocial: Quando a estratégia de vacinação for Especial, o campo deve ser obrigatório.

CurtoEspecialidade do profissional prescritor
Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de Classificação Brasileira de Ocupações (CBO)
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0)
148. Immunization.performer.function.coding
Controlo1..1
150. Immunization.performer.function.coding.system
Controlo1..?
152. Immunization.performer.function.coding.code
Controlo1..?
154. Immunization.performer.function.coding.display
Controlo0..0
156. Immunization.performer.function.coding.userSelected
Controlo0..0
158. Immunization.performer.function.text
Controlo0..0
160. Immunization.performer.actor
Definição

Identifica o número do Cadastro Nacional de Saúde (CNS) do profissional de saúde que realizou o atendimento ou transcrição. Deverá ser utilizado para a identificação, o Cartão Nacional de Saúde (CNS) do profissional.

CurtoIdentificador do profissional
TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)
Deve apoiartrue
162. Immunization.performer.actor.reference
Controlo1..?
164. Immunization.performer.actor.type
Controlo0..0
166. Immunization.performer.actor.identifier
NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo0..0
168. Immunization.performer.actor.display
Controlo0..0
170. Immunization.note
Controlo0..0
172. Immunization.reasonCode
Controlo0..0
174. Immunization.reasonReference
Definição

Identifica o código da Classificação Internacional de Doenças (CID) do motivo da indicação para administração do imunobiológico.

Regra negocial: Quando a estratégia de vacinação for "Especial", o campo deve ser obrigatório.

CurtoMotivo de Indicação
Controlo0..1
TipoReference(CID10 Avaliado)
176. Immunization.isSubpotent
Controlo0..0
178. Immunization.subpotentReason
Controlo0..0
180. Immunization.education
Controlo0..0
182. Immunization.programEligibility
Controlo0..0
184. Immunization.fundingSource
Controlo0..0
186. Immunization.reaction
Controlo0..0
188. Immunization.protocolApplied
Controlo1..1
Deve apoiartrue
190. Immunization.protocolApplied.extension
Controlo1..2
192. Immunization.protocolApplied.extension:strategy
Nome da fatiastrategy
Definição

Identifica a estratégia de vacinação adotada, conforme estabelecidos pelo Programa Nacional de Imunização (PNI) e disponibilizado nos CodeSystems da Rede Nacional de Dados em Saúde (RNDS).

Controlo1..1
TipoExtension(Estratégia de Vacinação) (Tipo de extensão: CodeableConcept)
Deve apoiartrue
194. Immunization.protocolApplied.extension:pesquisaClinica
Nome da fatiapesquisaClinica
Definição

Dados do Estudo Clínico para o desenvolvimento do imunobiológico administrado.

CurtoPesquisa Clínica
Controlo0..1
TipoExtension(Estratégia de Vacinação Pesquisa) (Extensão complexa)
196. Immunization.protocolApplied.extension:pesquisaClinica.extension
Controlo0..3
198. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA
Nome da fatianumeroProtocoloEstudoANVISA
Definição

Número do protocolo do estudo clínico na ANVISA: identifica o número do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas.

CurtoANVISA Protocolo Estudo
200. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo
Nome da fatianumeroVersaoProtocoloEstudo
Definição

Número da versão do protocolo do estudo na ANVISA: identifica o número da versão do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas.

CurtoANVISA Protocolo Versão
202. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa
Nome da fatianumeroRegistroVacinaAnvisa
Definição

Número do registro sanitário da vacina na ANVISA. Este registro pode ser emergencial ou definitivo. Identifica o número do registro sanitário da vacina registrado na Agência Nacional de Vigilância Sanitária.

CurtoANVISA Num Registro
204. Immunization.protocolApplied.series
Controlo0..0
206. Immunization.protocolApplied.authority
Controlo0..0
208. Immunization.protocolApplied.targetDisease
Controlo0..0
210. Immunization.protocolApplied.doseNumber[x]
Definição

Identifica o registro da dose da vacina administrada no indivíduo.

CurtoDose
VínculoOs códigos DEVERÃO ser retirados de Dose do Imunobiológico
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRDose-1.0)

Dose do Imunobiológico

Tipostring, positiveInt
[x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiartrue
212. Immunization.protocolApplied.seriesDoses[x]
Controlo0..0

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Immunization
Definição

Representa o imunobiológico administrado em rotina.


Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.

CurtoImunobiológico AdministradoImmunization event information
Controlo0..*
É modificadorfalse
Deve apoiartrue
Resumofalse
Nomes alternativosVacinação, Vacina Administrada
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. Immunization.implicitRules
Definição

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.

CurtoA 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()))
4. Immunization.extension
Definição

An Extension


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.

CurtoExtensionAdditional 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.

Controlo20..3*
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())
SlicingEste elemento introduz um conjunto de fatias em Immunization.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • value @ url
  • 6. Immunization.extension:grupoAtendimento
    Nome da fatiagrupoAtendimento
    Definição

    Identifica a classificação do grupo de atendimento dos indivíduos para a vacinação.

    CurtoGrupo de Atendimento
    Controlo1..1
    Este elemento é afetado pelas seguintes invariantes: ele-1
    TipoExtension(Grupo de Atendimento) (Tipo de extensão: CodeableConcept)
    É modificadorfalse
    Deve apoiarfalse
    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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Immunization.extension:condicaoMaternal
    Nome da fatiacondicaoMaternal
    Definição

    Indicação da condição maternal da pessoa vacinada (Nenhuma, Gestante, Puérpera). O campo é de preenchimento obrigatório para indivíduos em idade fértil, independente do sexo.

    CurtoCondição maternal
    Controlo1..1
    Este elemento é afetado pelas seguintes invariantes: ele-1
    TipoExtension(Condição Maternal) (Tipo de extensão: CodeableConcept)
    É modificadorfalse
    Deve apoiartrue
    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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Immunization.extension:contatoHanseniase
    Nome da fatiacontatoHanseniase
    Definição

    Identifica se um indivíduo possui contato próximo de pacientes que vivem com Hanseníase. Para registro do campo contato hanseníase, deverão ser utilizados as opções TRUE (T) e FALSE (F) - Verdadeiro ou Falso. Regra negocial: O campo deve ser obrigatório quando o imunobiológico for vacina Bacilo Calmette-Guérim (BCG) de code 15

    CurtoContato Hanseníase
    Controlo0..1
    Este elemento é afetado pelas seguintes invariantes: ele-1
    TipoExtension(Contato Hanseníase) (Tipo de extensão: boolean)
    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())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Immunization.modifierExtension
    Definição

    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).

    CurtoExtensions 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())
    14. Immunization.identifier
    Definição

    A unique identifier assigned to this immunization record.

    CurtoBusiness identifier
    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo0..0*
    TipoIdentifier
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. Immunization.status
    Definição

    Indicates the current status of the immunization event.

    CurtoEstado da Administração do Imunobiológicocompleted | entered-in-error | not-done
    Comentários

    Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

    Controlo1..1
    VínculoOs códigos DEVERÃO ser retirados de Estado do Eventohttp://hl7.org/fhir/ValueSet/immunization-status|4.0.1
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoEvento-1.0)

    Estado do Evento


    A set of codes indicating the current status of an Immunization.

    Tipocode
    É modificadortrue porque This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Deve apoiartrue
    Resumotrue
    Valor fixocompleted
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. Immunization.statusReason
    Definição

    Indicates the reason the immunization event was not performed.

    CurtoReason not done
    Comentários

    This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here.

    Controlo0..01
    VínculoPara exemplos de códigos, ver ImmunizationStatusReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-status-reason
    (example to http://hl7.org/fhir/ValueSet/immunization-status-reason)

    The reason why a vaccine was not administered.

    TipoCodeableConcept
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Immunization.vaccineCode
    Definição

    Identifica o nome do imunobiológico administrado no indivíduo.


    Vaccine that was administered or was to be administered.

    CurtoImunobiológicoVaccine product administered
    Controlo1..1
    VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Imunobiológicohttp://hl7.org/fhir/ValueSet/vaccine-code
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRImunobiologico-1.0)

    Imunobiológico


    The code for vaccine product administered.

    TipoCodeableConcept
    É modificadorfalse
    Deve apoiartrue
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Immunization.vaccineCode.coding
    Definição

    A reference to a code defined by a terminology system.

    CurtoCode defined by a terminology system
    Comentários

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Controlo10..1*
    TipoCoding
    É modificadorfalse
    Resumotrue
    Requisitos

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Immunization.vaccineCode.coding.system
    Definição

    The identification of the code system that defines the meaning of the symbol in the code.

    CurtoIdentity of the terminology system
    Comentários

    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

    Controlo10..1
    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be unambiguous about the source of the definition of the symbol.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Immunization.vaccineCode.coding.code
    Definição

    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    CurtoSymbol in syntax defined by the system
    Controlo10..1
    Tipocode
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to refer to a particular code in the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Immunization.vaccineCode.coding.display
    Definição

    A representation of the meaning of the code in the system, following the rules of the system.

    CurtoRepresentation defined by the system
    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Immunization.vaccineCode.coding.userSelected
    Definição

    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

    CurtoIf this coding was chosen directly by the user
    Comentários

    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

    Controlo0..01
    Tipoboolean
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    CurtoPlain text representation of the concept
    Comentários

    Very often the text is the same as a displayName of one of the codings.

    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

    Indivíduo que recebeu o imunobiológico.


    The patient who either received or did not receive the immunization.

    CurtoIndivíduoWho was immunized
    Controlo1..1
    TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0, Patient)
    É modificadorfalse
    Deve apoiartrue
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Immunization.patient.display
    Definição

    Plain text narrative that identifies the resource in addition to the resource reference.

    CurtoText alternative for the resource
    Comentários

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Controlo0..01
    Tipostring
    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()))
    38. Immunization.encounter
    Definição

    The visit or admission or other contact between patient and health care provider the immunization was performed as part of.

    CurtoEncounter immunization was part of
    Controlo0..01
    TipoReference(Encounter)
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Immunization.occurrence[x]
    Definição

    Data em que o imunobiológico foi administrado. O padrão da data deve seguir a ISO8601. Regra negocial: A data não pode ser maior que o dia vigente.


    Date vaccine administered or was to be administered.

    CurtoData da Administração do ImunobiológicoVaccine administration date
    Comentários

    When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.

    Controlo1..1
    TipodateTime, string
    [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Deve apoiartrue
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Immunization.recorded
    Definição

    The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.

    CurtoWhen the immunization was first captured in the subject's record
    Controlo0..01
    TipodateTime
    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()))
    44. Immunization.primarySource
    Definição

    Indica se o registro é de fonte própria (true) ou se é derivado de uma fonte externa (false).


    An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.

    CurtoIndicação da fonte do registroIndicates context the data was recorded in
    Comentários

    Reflects the “reliability” of the content.

    Controlo0..1
    Tipoboolean
    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()))
    46. Immunization.reportOrigin
    Definição

    Referencia a origem deste registro de fonte externa.


    The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.

    CurtoRegistro de OrigemIndicates the source of a secondarily reported record
    Comentários

    Should not be populated if primarySource = True, not required even if primarySource = False.

    Controlo0..1
    VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Registro de Origemhttp://hl7.org/fhir/ValueSet/immunization-origin
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRRegistroOrigem)

    Registro de Origem


    The source of the data for a record which is not from a primary source.

    TipoCodeableConcept
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. Immunization.location
    Definição

    Identifica se o registro da administração da vacina, realizado por transcrição de caderneta, foi realizado no Brasil ou em outro País.


    The service delivery location where the vaccine administration occurred.

    CurtoIndicação do país de origem do registro da vacinaWhere immunization occurred
    Controlo0..1
    TipoReference(Location)
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Immunization.location.reference
    Definição

    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    CurtoLiteral reference, Relative, internal or absolute URL
    Comentários

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Controlo0..01
    Este elemento é afetado pelas seguintes invariantes: ref-1
    Tipostring
    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()))
    52. Immunization.location.type
    Definição

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    CurtoType the reference refers to (e.g. "Patient")
    Comentários

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Tipouri
    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()))
    54. Immunization.location.identifier
    Definição

    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    CurtoLogical reference, when literal reference is not known
    Comentários

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo10..1
    TipoIdentifier
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Immunization.location.identifier.use
    Definição

    The purpose of this identifier.

    Curtousual | official | temp | secondary | old (If known)
    Comentários

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Controlo0..01
    VínculoOs códigos DEVERÃO ser retirados de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    Identifies the purpose for this identifier, if known .

    Tipocode
    É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. Immunization.location.identifier.type
    Definição

    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

    CurtoDescription of identifier
    Comentários

    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

    TipoCodeableConcept
    É modificadorfalse
    Resumotrue
    Requisitos

    Allows users to make use of identifiers when the identifier system is not known.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. Immunization.location.identifier.system
    Definição

    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    CurtoPaís de origem do registro da vacinaThe namespace for the identifier value
    Comentários

    Identifier.system is always case sensitive.

    Controlo10..1
    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    Valor fixohttp://www.saude.gov.br/fhir/r4/CodeSystem/BRPais
    Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. Immunization.location.identifier.value
    Definição

    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    CurtoPaís de origem do registro da vacinaThe value that is unique
    Comentários

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Controlo10..1
    VínculoOs códigos DEVERÃO ser retirados de Para códigos, ver País
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRPais-1.0)

    Códigos para representação de países

    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Exemplo<br/><b>General</b>:123456
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. Immunization.location.identifier.period
    Definição

    Time period during which identifier is/was valid for use.

    CurtoTime period when id is/was valid for use
    Controlo0..01
    TipoPeriod
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Immunization.location.identifier.assigner
    Definição

    Organization that issued/manages the identifier.

    CurtoOrganization that issued id (may be just text)
    Comentários

    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

    Controlo0..01
    TipoReference(Organization)
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. Immunization.location.display
    Definição

    Plain text narrative that identifies the resource in addition to the resource reference.

    CurtoText alternative for the resource
    Comentários

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Controlo0..01
    Tipostring
    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()))
    70. Immunization.manufacturer
    Definição

    Identifica o laboratório fabricante do imunobiológico administrado no indivíduo. Regra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.


    Name of vaccine manufacturer.

    CurtoFabricanteVaccine manufacturer
    Controlo0..1
    TipoReference(Organization)
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    72. Immunization.manufacturer.reference
    Definição

    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    CurtoLiteral reference, Relative, internal or absolute URL
    Comentários

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Controlo0..01
    Este elemento é afetado pelas seguintes invariantes: ref-1
    Tipostring
    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()))
    74. Immunization.manufacturer.type
    Definição

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    CurtoType the reference refers to (e.g. "Patient")
    Comentários

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Tipouri
    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()))
    76. Immunization.manufacturer.identifier
    Definição

    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    CurtoLogical reference, when literal reference is not known
    Comentários

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo10..1
    TipoIdentifier
    É modificadorfalse
    Deve apoiartrue
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    78. Immunization.manufacturer.identifier.use
    Definição

    The purpose of this identifier.

    Curtousual | official | temp | secondary | old (If known)
    Comentários

    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

    Controlo0..01
    VínculoOs códigos DEVERÃO ser retirados de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

    Identifies the purpose for this identifier, if known .

    Tipocode
    É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    80. Immunization.manufacturer.identifier.type
    Definição

    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

    CurtoDescription of identifier
    Comentários

    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type
    (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

    A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

    TipoCodeableConcept
    É modificadorfalse
    Deve apoiarfalse
    Resumotrue
    Requisitos

    Allows users to make use of identifiers when the identifier system is not known.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    90. Immunization.manufacturer.identifier.system
    Definição

    URL que define o system BRFabricantePNI como referência para esse elemento.


    Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    CurtoFabricante PNIThe namespace for the identifier value
    Comentários

    Identifier.system is always case sensitive.

    Controlo10..1
    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Deve apoiartrue
    Resumotrue
    Requisitos

    There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

    Valor fixohttp://www.saude.gov.br/fhir/r4/CodeSystem/BRFabricantePNI
    Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    92. Immunization.manufacturer.identifier.value
    Definição

    The portion of the identifier typically relevant to the user and which is unique within the context of the system.

    CurtoFabricante do imunobiológico.The value that is unique
    Comentários

    If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

    Controlo10..1
    VínculoOs códigos DEVERÃO ser retirados de Para códigos, ver Fabricante do Imunobiológico
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRFabricanteImunobiologico-1.0)

    O código do fabricante do imunobiológico.

    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Deve apoiartrue
    Resumotrue
    Exemplo<br/><b>General</b>:123456
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    94. Immunization.manufacturer.identifier.period
    Definição

    Time period during which identifier is/was valid for use.

    CurtoTime period when id is/was valid for use
    Controlo0..01
    TipoPeriod
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    96. Immunization.manufacturer.identifier.assigner
    Definição

    Organization that issued/manages the identifier.

    CurtoOrganization that issued id (may be just text)
    Comentários

    The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

    Controlo0..01
    TipoReference(Organization)
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    98. Immunization.manufacturer.display
    Definição

    Plain text narrative that identifies the resource in addition to the resource reference.

    CurtoNome do fabricanteText alternative for the resource
    Comentários

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Controlo0..01
    Tipostring
    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()))
    100. Immunization.lotNumber
    Definição

    Identifica o lote do imunobiológico de acordo com o fabricante. O lote é fundamental para identificação de características do imunobiológico. É uma informação presente na embalagem do produto ou, algumas vezes, na caderneta de vacinação. Regra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.


    Lot number of the vaccine product.

    CurtoLoteVaccine lot number
    Controlo0..1
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Deve apoiartrue
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    102. Immunization.expirationDate
    Definição

    Data de expiração do imunobiológico


    Date vaccine batch expires.

    CurtoData de expiração do imunobiológicoVaccine expiration date
    Controlo0..1
    Tipodate
    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()))
    104. Immunization.site
    Definição

    Identifica a localização anatômica em que o imunobiológico foi aplicado.


    Body site where vaccine was administered.

    CurtoLocal de AplicaçãoBody site vaccine was administered
    Controlo10..1
    VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Local de Aplicaçãohttp://hl7.org/fhir/ValueSet/immunization-site
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAplicacao-1.0)

    Local de Aplicação


    The site at which the vaccine was administered.

    TipoCodeableConcept
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    106. Immunization.site.coding
    Definição

    A reference to a code defined by a terminology system.

    CurtoCode defined by a terminology system
    Comentários

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Controlo10..1*
    TipoCoding
    É modificadorfalse
    Resumotrue
    Requisitos

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    108. Immunization.site.coding.system
    Definição

    The identification of the code system that defines the meaning of the symbol in the code.

    CurtoIdentity of the terminology system
    Comentários

    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

    Controlo10..1
    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be unambiguous about the source of the definition of the symbol.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    110. Immunization.site.coding.code
    Definição

    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    CurtoSymbol in syntax defined by the system
    Controlo10..1
    Tipocode
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to refer to a particular code in the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    112. Immunization.site.coding.display
    Definição

    A representation of the meaning of the code in the system, following the rules of the system.

    CurtoRepresentation defined by the system
    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    114. Immunization.site.coding.userSelected
    Definição

    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

    CurtoIf this coding was chosen directly by the user
    Comentários

    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

    Controlo0..01
    Tipoboolean
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    CurtoPlain text representation of the concept
    Comentários

    Very often the text is the same as a displayName of one of the codings.

    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

    Identifica a via com que o imunobiológico administrado entra em contato com o organismo.


    The path by which the vaccine product is taken into the body.

    CurtoVia de AdministraçãoHow vaccine entered body
    Controlo10..1
    VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Via de Administração do Imunobiológicohttp://hl7.org/fhir/ValueSet/immunization-route
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0)

    Via de Administração


    The route by which the vaccine was administered.

    TipoCodeableConcept
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    120. Immunization.route.coding
    Definição

    A reference to a code defined by a terminology system.

    CurtoCode defined by a terminology system
    Comentários

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Controlo10..1*
    TipoCoding
    É modificadorfalse
    Resumotrue
    Requisitos

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    122. Immunization.route.coding.system
    Definição

    The identification of the code system that defines the meaning of the symbol in the code.

    CurtoIdentity of the terminology system
    Comentários

    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

    Controlo10..1
    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be unambiguous about the source of the definition of the symbol.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    124. Immunization.route.coding.code
    Definição

    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    CurtoSymbol in syntax defined by the system
    Controlo10..1
    Tipocode
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to refer to a particular code in the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    126. Immunization.route.coding.display
    Definição

    A representation of the meaning of the code in the system, following the rules of the system.

    CurtoRepresentation defined by the system
    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    128. Immunization.route.coding.userSelected
    Definição

    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

    CurtoIf this coding was chosen directly by the user
    Comentários

    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

    Controlo0..01
    Tipoboolean
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    CurtoPlain text representation of the concept
    Comentários

    Very often the text is the same as a displayName of one of the codings.

    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

    The quantity of vaccine product that was administered.

    CurtoAmount of vaccine administered
    Controlo0..01
    TipoQuantity(SimpleQuantity)
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    134. Immunization.performer
    Definição

    Informações sobre o profissional que administrou o imunobiológico.


    Indicates who performed the immunization event.

    CurtoProfissional ExecutanteWho performed event
    Controlo10..1*
    TipoBackboneElement
    É modificadorfalse
    Deve apoiartrue
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    136. Immunization.performer.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())
    138. Immunization.performer.function
    Definição

    Identifica a especialidade do profissional que prescreveu a administração do imunobiológico por meio do Código Brasileiro de Ocupações (CBO). Regra negocial: Quando a estratégia de vacinação for Especial, o campo deve ser obrigatório.


    Describes the type of performance (e.g. ordering provider, administering provider, etc.).

    CurtoEspecialidade do profissional prescritorWhat type of performance was done
    Controlo0..1
    VínculoOs códigos DEVERÃO ser retirados de A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Classificação Brasileira de Ocupações (CBO)http://hl7.org/fhir/ValueSet/immunization-function
    (required to http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0)
    TipoCodeableConcept
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    140. Immunization.performer.function.coding
    Definição

    A reference to a code defined by a terminology system.

    CurtoCode defined by a terminology system
    Comentários

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Controlo10..1*
    TipoCoding
    É modificadorfalse
    Resumotrue
    Requisitos

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    142. Immunization.performer.function.coding.system
    Definição

    The identification of the code system that defines the meaning of the symbol in the code.

    CurtoIdentity of the terminology system
    Comentários

    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

    Controlo10..1
    Tipouri
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be unambiguous about the source of the definition of the symbol.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    144. Immunization.performer.function.coding.code
    Definição

    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    CurtoSymbol in syntax defined by the system
    Controlo10..1
    Tipocode
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to refer to a particular code in the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    146. Immunization.performer.function.coding.display
    Definição

    A representation of the meaning of the code in the system, following the rules of the system.

    CurtoRepresentation defined by the system
    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    148. Immunization.performer.function.coding.userSelected
    Definição

    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

    CurtoIf this coding was chosen directly by the user
    Comentários

    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

    Controlo0..01
    Tipoboolean
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    150. Immunization.performer.function.text
    Definição

    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    CurtoPlain text representation of the concept
    Comentários

    Very often the text is the same as a displayName of one of the codings.

    Controlo0..01
    Tipostring
    É modificadorfalse
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Requisitos

    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

    Identifica o número do Cadastro Nacional de Saúde (CNS) do profissional de saúde que realizou o atendimento ou transcrição. Deverá ser utilizado para a identificação, o Cartão Nacional de Saúde (CNS) do profissional.


    The practitioner or organization who performed the action.

    CurtoIdentificador do profissionalIndividual or organization who was performing
    Comentários

    When the individual practitioner who performed the action is known, it is best to send.

    Controlo1..1
    TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0, Practitioner, PractitionerRole, Organization)
    É modificadorfalse
    Deve apoiartrue
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    154. Immunization.performer.actor.reference
    Definição

    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

    CurtoLiteral reference, Relative, internal or absolute URL
    Comentários

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Controlo10..1
    Este elemento é afetado pelas seguintes invariantes: ref-1
    Tipostring
    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()))
    156. Immunization.performer.actor.type
    Definição

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    CurtoType the reference refers to (e.g. "Patient")
    Comentários

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Controlo0..01
    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Tipouri
    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()))
    158. Immunization.performer.actor.identifier
    Definição

    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    CurtoLogical reference, when literal reference is not known
    Comentários

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
    Controlo0..01
    TipoIdentifier
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    160. Immunization.performer.actor.display
    Definição

    Plain text narrative that identifies the resource in addition to the resource reference.

    CurtoText alternative for the resource
    Comentários

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Controlo0..01
    Tipostring
    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()))
    162. Immunization.note
    Definição

    Extra information about the immunization that is not conveyed by the other attributes.

    CurtoAdditional immunization notes
    Controlo0..0*
    TipoAnnotation
    É modificadorfalse
    Resumotrue
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    164. Immunization.reasonCode
    Definição

    Reasons why the vaccine was administered.

    CurtoWhy immunization occurred
    Controlo0..0*
    VínculoPara exemplos de códigos, ver ImmunizationReasonCodeshttp://hl7.org/fhir/ValueSet/immunization-reason
    (example to http://hl7.org/fhir/ValueSet/immunization-reason)

    The reason why a vaccine was administered.

    TipoCodeableConcept
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    166. Immunization.reasonReference
    Definição

    Identifica o código da Classificação Internacional de Doenças (CID) do motivo da indicação para administração do imunobiológico.

    Regra negocial: Quando a estratégia de vacinação for "Especial", o campo deve ser obrigatório.


    Condition, Observation or DiagnosticReport that supports why the immunization was administered.

    CurtoMotivo de IndicaçãoWhy immunization occurred
    Controlo0..1*
    TipoReference(CID10 Avaliado, Condition, Observation, DiagnosticReport)
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    168. Immunization.isSubpotent
    Definição

    Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.

    CurtoDose potency
    Comentários

    Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.

    Controlo0..01
    Tipoboolean
    É modificadortrue porque This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.
    Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
    Resumotrue
    Significado em caso de faltaBy default, a dose should be considered to be potent.
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    170. Immunization.subpotentReason
    Definição

    Reason why a dose is considered to be subpotent.

    CurtoReason for being subpotent
    Controlo0..0*
    VínculoPara exemplos de códigos, ver ImmunizationSubpotentReasonhttp://hl7.org/fhir/ValueSet/immunization-subpotent-reason
    (example to http://hl7.org/fhir/ValueSet/immunization-subpotent-reason)

    The reason why a dose is considered to be subpotent.

    TipoCodeableConcept
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    172. Immunization.education
    Definição

    Educational material presented to the patient (or guardian) at the time of vaccine administration.

    CurtoEducational material presented to patient
    Controlo0..0*
    TipoBackboneElement
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    imm-1: One of documentType or reference SHALL be present (documentType.exists() or reference.exists())
    imm-1: One of documentType or reference SHALL be present (documentType.exists() or reference.exists())
    175. Immunization.programEligibility
    Definição

    Indicates a patient's eligibility for a funding program.

    CurtoPatient eligibility for a vaccination program
    Controlo0..0*
    VínculoPara exemplos de códigos, ver ImmunizationProgramEligibilityhttp://hl7.org/fhir/ValueSet/immunization-program-eligibility
    (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility)

    The patient's eligibility for a vaccation program.

    TipoCodeableConcept
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    177. Immunization.fundingSource
    Definição

    Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).

    CurtoFunding source for the vaccine
    Controlo0..01
    VínculoPara exemplos de códigos, ver ImmunizationFundingSourcehttp://hl7.org/fhir/ValueSet/immunization-funding-source
    (example to http://hl7.org/fhir/ValueSet/immunization-funding-source)

    The source of funding used to purchase the vaccine administered.

    TipoCodeableConcept
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    179. Immunization.reaction
    Definição

    Categorical data indicating that an adverse event is associated in time to an immunization.

    CurtoDetails of a reaction that follows immunization
    Comentários

    A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.

    Controlo0..0*
    TipoBackboneElement
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    182. Immunization.protocolApplied
    Definição

    The protocol (set of recommendations) being followed by the provider who administered the dose.

    CurtoProtocol followed by the provider
    Controlo10..1*
    TipoBackboneElement
    É modificadorfalse
    Deve apoiartrue
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    184. Immunization.protocolApplied.extension
    Definição

    An Extension


    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.

    CurtoExtensionAdditional 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.

    Controlo10..2*
    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())
    SlicingEste elemento introduz um conjunto de fatias em Immunization.protocolApplied.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • value @ url
    • 186. Immunization.protocolApplied.extension:strategy
      Nome da fatiastrategy
      Definição

      Identifica a estratégia de vacinação adotada, conforme estabelecidos pelo Programa Nacional de Imunização (PNI) e disponibilizado nos CodeSystems da Rede Nacional de Dados em Saúde (RNDS).

      CurtoEstratégia de Vacinação
      Controlo1..1
      Este elemento é afetado pelas seguintes invariantes: ele-1
      TipoExtension(Estratégia de Vacinação) (Tipo de extensão: CodeableConcept)
      É modificadorfalse
      Deve apoiartrue
      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())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      188. Immunization.protocolApplied.extension:pesquisaClinica
      Nome da fatiapesquisaClinica
      Definição

      Dados do Estudo Clínico para o desenvolvimento do imunobiológico administrado.

      CurtoPesquisa Clínica
      Controlo0..1
      Este elemento é afetado pelas seguintes invariantes: ele-1
      TipoExtension(Estratégia de Vacinação Pesquisa) (Extensão complexa)
      É modificadorfalse
      Deve apoiarfalse
      Nomes alternativosPesquisa Clínica
      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())
      190. Immunization.protocolApplied.extension:pesquisaClinica.extension
      Definição

      An Extension


      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.

      CurtoExtensionAdditional 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..3*
      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())
      SlicingEste elemento introduz um conjunto de fatias em Immunization.protocolApplied.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • value @ url
      • 192. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA
        Nome da fatianumeroProtocoloEstudoANVISA
        Definição

        Número do protocolo do estudo clínico na ANVISA: identifica o número do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas.

        CurtoANVISA Protocolo EstudoAdditional content defined by implementations
        Controlo0..1*
        TipoExtension
        É modificadorfalse
        Resumofalse
        EtiquetaAnvisa Protocolo Estudo
        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())
        194. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA.url
        Definição

        Source of the definition for the extension code - a logical name or a URL.

        Curtoidentifies the meaning of the extension
        Comentários

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Controlo1..1
        Tipouri
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        Valor fixonumeroProtocoloEstudoANVISA
        196. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA.value[x]
        Definição

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        CurtoValue of extension
        Controlo10..1
        Tipostring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        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()))
        198. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo
        Nome da fatianumeroVersaoProtocoloEstudo
        Definição

        Número da versão do protocolo do estudo na ANVISA: identifica o número da versão do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas.

        CurtoANVISA Protocolo VersãoAdditional content defined by implementations
        Controlo0..1*
        TipoExtension
        É modificadorfalse
        Resumofalse
        EtiquetaAnvisa Protocolo Versão
        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())
        200. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo.url
        Definição

        Source of the definition for the extension code - a logical name or a URL.

        Curtoidentifies the meaning of the extension
        Comentários

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Controlo1..1
        Tipouri
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        Valor fixonumeroVersaoProtocoloEstudo
        202. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo.value[x]
        Definição

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        CurtoValue of extension
        Controlo10..1
        Tipostring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        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()))
        204. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa
        Nome da fatianumeroRegistroVacinaAnvisa
        Definição

        Número do registro sanitário da vacina na ANVISA. Este registro pode ser emergencial ou definitivo. Identifica o número do registro sanitário da vacina registrado na Agência Nacional de Vigilância Sanitária.

        CurtoANVISA Num RegistroAdditional content defined by implementations
        Controlo0..1*
        TipoExtension
        É modificadorfalse
        Resumofalse
        EtiquetaAnvisa Num Registro
        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())
        206. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa.url
        Definição

        Source of the definition for the extension code - a logical name or a URL.

        Curtoidentifies the meaning of the extension
        Comentários

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Controlo1..1
        Tipouri
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        Valor fixonumeroRegistroVacinaAnvisa
        208. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa.value[x]
        Definição

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        CurtoValue of extension
        Controlo10..1
        Tipostring, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        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()))
        210. Immunization.protocolApplied.extension:pesquisaClinica.url
        Definição

        Source of the definition for the extension code - a logical name or a URL.

        Curtoidentifies the meaning of the extension
        Comentários

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Controlo1..1
        Tipouri
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        Valor fixohttp://www.saude.gov.br/fhir/r4/StructureDefinition/BREstrategiaVacinacaoPesquisa-1.0
        212. Immunization.protocolApplied.extension:pesquisaClinica.value[x]
        Definição

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        CurtoValue of extension
        Controlo0..01
        TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        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()))
        214. Immunization.protocolApplied.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())
        216. Immunization.protocolApplied.series
        Definição

        One possible path to achieve presumed immunity against a disease - within the context of an authority.

        CurtoName of vaccine series
        Controlo0..01
        Tipostring
        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()))
        218. Immunization.protocolApplied.authority
        Definição

        Indicates the authority who published the protocol (e.g. ACIP) that is being followed.

        CurtoWho is responsible for publishing the recommendations
        Controlo0..01
        TipoReference(Organization)
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        220. Immunization.protocolApplied.targetDisease
        Definição

        The vaccine preventable disease the dose is being administered against.

        CurtoVaccine preventatable disease being targetted
        Controlo0..0*
        VínculoPara exemplos de códigos, ver ImmunizationTargetDiseaseCodeshttp://hl7.org/fhir/ValueSet/immunization-target-disease
        (example to http://hl7.org/fhir/ValueSet/immunization-target-disease)

        The vaccine preventable disease the dose is being administered for.

        TipoCodeableConcept
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        222. Immunization.protocolApplied.doseNumber[x]
        Definição

        Identifica o registro da dose da vacina administrada no indivíduo.


        Nominal position in a series.

        CurtoDoseDose number within series
        Comentários

        The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).

        Controlo1..1
        VínculoOs códigos DEVERÃO ser retirados de Para códigos, ver Dose do Imunobiológico
        (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRDose-1.0)

        Dose do Imunobiológico

        Tipostring, positiveInt
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Deve apoiartrue
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        224. Immunization.protocolApplied.seriesDoses[x]
        Definição

        The recommended number of doses to achieve immunity.

        CurtoRecommended number of doses for immunity
        Comentários

        The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).

        Controlo0..01
        TipoEscolha de: positiveInt, string
        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()))

        Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

        0. Immunization
        Definição

        Representa o imunobiológico administrado em rotina.

        CurtoImunobiológico Administrado
        Controlo0..*
        É modificadorfalse
        Deve apoiartrue
        Resumofalse
        Nomes alternativosVacinação, Vacina Administrada
        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. Immunization.id
        Definição

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

        CurtoLogical 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
        Tipoid
        É modificadorfalse
        Resumotrue
        4. Immunization.meta
        Definição

        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.

        CurtoMetadata 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. Immunization.implicitRules
        Definição

        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.

        CurtoA 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. Immunization.language
        Definição

        The base language in which the resource is written.

        CurtoLanguage 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 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. Immunization.text
        Definição

        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.

        CurtoText 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. Immunization.contained
        Definição

        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.

        CurtoContained, 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. Immunization.extension
        Definição

        An Extension

        CurtoExtension
        Controlo2..3
        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())
        SlicingEste elemento introduz um conjunto de fatias em Immunization.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
        • value @ url
        • 16. Immunization.extension:grupoAtendimento
          Nome da fatiagrupoAtendimento
          Definição

          Identifica a classificação do grupo de atendimento dos indivíduos para a vacinação.

          CurtoGrupo de Atendimento
          Controlo1..1
          Este elemento é afetado pelas seguintes invariantes: ele-1
          TipoExtension(Grupo de Atendimento) (Tipo de extensão: CodeableConcept)
          É modificadorfalse
          Deve apoiarfalse
          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. Immunization.extension:condicaoMaternal
          Nome da fatiacondicaoMaternal
          Definição

          Indicação da condição maternal da pessoa vacinada (Nenhuma, Gestante, Puérpera). O campo é de preenchimento obrigatório para indivíduos em idade fértil, independente do sexo.

          CurtoCondição maternal
          Controlo1..1
          Este elemento é afetado pelas seguintes invariantes: ele-1
          TipoExtension(Condição Maternal) (Tipo de extensão: CodeableConcept)
          É modificadorfalse
          Deve apoiartrue
          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())
          20. Immunization.extension:contatoHanseniase
          Nome da fatiacontatoHanseniase
          Definição

          Identifica se um indivíduo possui contato próximo de pacientes que vivem com Hanseníase. Para registro do campo contato hanseníase, deverão ser utilizados as opções TRUE (T) e FALSE (F) - Verdadeiro ou Falso. Regra negocial: O campo deve ser obrigatório quando o imunobiológico for vacina Bacilo Calmette-Guérim (BCG) de code 15

          CurtoContato Hanseníase
          Controlo0..1
          Este elemento é afetado pelas seguintes invariantes: ele-1
          TipoExtension(Contato Hanseníase) (Tipo de extensão: boolean)
          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())
          22. Immunization.modifierExtension
          Definição

          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).

          CurtoExtensions 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())
          24. Immunization.identifier
          Definição

          A unique identifier assigned to this immunization record.

          CurtoBusiness identifier
          NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
          Controlo0..0
          TipoIdentifier
          É modificadorfalse
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          26. Immunization.status
          Definição

          Indicates the current status of the immunization event.

          CurtoEstado da Administração do Imunobiológico
          Comentários

          Will generally be set to show that the immunization has been completed or not done. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

          Controlo1..1
          VínculoOs códigos DEVERÃO ser retirados de Estado do Evento
          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoEvento-1.0)

          Estado do Evento

          Tipocode
          É modificadortrue porque This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Deve apoiartrue
          Resumotrue
          Valor fixocompleted
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          28. Immunization.statusReason
          Definição

          Indicates the reason the immunization event was not performed.

          CurtoReason not done
          Comentários

          This is generally only used for the status of "not-done". The reason for performing the immunization event is captured in reasonCode, not here.

          Controlo0..0
          VínculoPara exemplos de códigos, ver ImmunizationStatusReasonCodes
          (example to http://hl7.org/fhir/ValueSet/immunization-status-reason)

          The reason why a vaccine was not administered.

          TipoCodeableConcept
          É modificadorfalse
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. Immunization.vaccineCode
          Definição

          Identifica o nome do imunobiológico administrado no indivíduo.

          CurtoImunobiológico
          Controlo1..1
          VínculoOs códigos DEVERÃO ser retirados de Imunobiológico
          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRImunobiologico-1.0)

          Imunobiológico

          TipoCodeableConcept
          É modificadorfalse
          Deve apoiartrue
          Resumotrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. Immunization.vaccineCode.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
          34. Immunization.vaccineCode.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())
          SlicingEste elemento introduz um conjunto de fatias em Immunization.vaccineCode.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
          • value @ url
          • 36. Immunization.vaccineCode.coding
            Definição

            A reference to a code defined by a terminology system.

            CurtoCode defined by a terminology system
            Comentários

            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

            Controlo1..1
            TipoCoding
            É modificadorfalse
            Resumotrue
            Requisitos

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            38. Immunization.vaccineCode.coding.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
            40. Immunization.vaccineCode.coding.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())
            SlicingEste elemento introduz um conjunto de fatias em Immunization.vaccineCode.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
            • value @ url
            • 42. Immunization.vaccineCode.coding.system
              Definição

              The identification of the code system that defines the meaning of the symbol in the code.

              CurtoIdentity of the terminology system
              Comentários

              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

              Controlo1..1
              Tipouri
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              Need to be unambiguous about the source of the definition of the symbol.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Immunization.vaccineCode.coding.version
              Definição

              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

              CurtoVersion of the system - if relevant
              Comentários

              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

              NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
              Controlo0..1
              Tipostring
              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()))
              46. Immunization.vaccineCode.coding.code
              Definição

              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

              CurtoSymbol in syntax defined by the system
              Controlo1..1
              Tipocode
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              Need to refer to a particular code in the system.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              48. Immunization.vaccineCode.coding.display
              Definição

              A representation of the meaning of the code in the system, following the rules of the system.

              CurtoRepresentation defined by the system
              Controlo0..0
              Tipostring
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              50. Immunization.vaccineCode.coding.userSelected
              Definição

              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

              CurtoIf this coding was chosen directly by the user
              Comentários

              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

              Controlo0..0
              Tipoboolean
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

              CurtoPlain text representation of the concept
              Comentários

              Very often the text is the same as a displayName of one of the codings.

              Controlo0..0
              Tipostring
              É modificadorfalse
              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
              Resumotrue
              Requisitos

              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

              Indivíduo que recebeu o imunobiológico.

              CurtoIndivíduo
              Controlo1..1
              TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0)
              É modificadorfalse
              Deve apoiartrue
              Resumotrue
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. Immunization.patient.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
              58. Immunization.patient.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())
              SlicingEste elemento introduz um conjunto de fatias em Immunization.patient.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
              • value @ url
              • 60. Immunization.patient.reference
                Definição

                A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                CurtoLiteral reference, Relative, internal or absolute URL
                Comentários

                Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                Controlo0..1
                Este elemento é afetado pelas seguintes invariantes: ref-1
                Tipostring
                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()))
                62. Immunization.patient.type
                Definição

                The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                CurtoType the reference refers to (e.g. "Patient")
                Comentários

                This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                Controlo0..1
                VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                Aa resource (or, for logical models, the URI of the logical model).

                Tipouri
                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()))
                64. Immunization.patient.identifier
                Definição

                An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                CurtoLogical reference, when literal reference is not known
                Comentários

                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                Controlo0..1
                TipoIdentifier
                É modificadorfalse
                Resumotrue
                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. Immunization.patient.identifier.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
                68. Immunization.patient.identifier.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())
                SlicingEste elemento introduz um conjunto de fatias em Immunization.patient.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                • value @ url
                • 70. Immunization.patient.identifier.use
                  Definição

                  The purpose of this identifier.

                  Curtousual | official | temp | secondary | old (If known)
                  Comentários

                  Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                  Controlo0..0
                  VínculoOs códigos DEVERÃO ser retirados de IdentifierUse
                  (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                  Identifies the purpose for this identifier, if known .

                  Tipocode
                  É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Requisitos

                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  72. Immunization.patient.identifier.type
                  Definição

                  A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                  CurtoDescription of identifier
                  Comentários

                  This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                  Controlo0..0
                  VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes
                  (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                  A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                  TipoCodeableConcept
                  É modificadorfalse
                  Resumotrue
                  Requisitos

                  Allows users to make use of identifiers when the identifier system is not known.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  74. Immunization.patient.identifier.system
                  Definição

                  Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                  CurtoThe namespace for the identifier value
                  Comentários

                  Identifier.system is always case sensitive.

                  Controlo1..1
                  Tipouri
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Requisitos

                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                  Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. Immunization.patient.identifier.value
                  Definição

                  The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                  CurtoThe value that is unique
                  Comentários

                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                  Controlo1..1
                  Tipostring
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Resumotrue
                  Exemplo<br/><b>General</b>:123456
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  78. Immunization.patient.identifier.period
                  Definição

                  Time period during which identifier is/was valid for use.

                  CurtoTime period when id is/was valid for use
                  Controlo0..0
                  TipoPeriod
                  É modificadorfalse
                  Resumotrue
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  80. Immunization.patient.identifier.assigner
                  Definição

                  Organization that issued/manages the identifier.

                  CurtoOrganization that issued id (may be just text)
                  Comentários

                  The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                  Controlo0..0
                  TipoReference(Organization)
                  É modificadorfalse
                  Resumotrue
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  82. Immunization.patient.display
                  Definição

                  Plain text narrative that identifies the resource in addition to the resource reference.

                  CurtoText alternative for the resource
                  Comentários

                  This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                  Controlo0..0
                  Tipostring
                  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()))
                  84. Immunization.encounter
                  Definição

                  The visit or admission or other contact between patient and health care provider the immunization was performed as part of.

                  CurtoEncounter immunization was part of
                  Controlo0..0
                  TipoReference(Encounter)
                  É modificadorfalse
                  Resumofalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  86. Immunization.occurrence[x]
                  Definição

                  Data em que o imunobiológico foi administrado. O padrão da data deve seguir a ISO8601. Regra negocial: A data não pode ser maior que o dia vigente.

                  CurtoData da Administração do Imunobiológico
                  Comentários

                  When immunizations are given a specific date and time should always be known. When immunizations are patient reported, a specific date might not be known. Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.

                  Controlo1..1
                  TipodateTime
                  [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                  É modificadorfalse
                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                  Deve apoiartrue
                  Resumotrue
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  88. Immunization.recorded
                  Definição

                  The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.

                  CurtoWhen the immunization was first captured in the subject's record
                  Controlo0..0
                  TipodateTime
                  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()))
                  90. Immunization.primarySource
                  Definição

                  Indica se o registro é de fonte própria (true) ou se é derivado de uma fonte externa (false).

                  CurtoIndicação da fonte do registro
                  Comentários

                  Reflects the “reliability” of the content.

                  Controlo0..1
                  Tipoboolean
                  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()))
                  92. Immunization.reportOrigin
                  Definição

                  Referencia a origem deste registro de fonte externa.

                  CurtoRegistro de Origem
                  Comentários

                  Should not be populated if primarySource = True, not required even if primarySource = False.

                  Controlo0..1
                  VínculoOs códigos DEVERÃO ser retirados de Registro de Origem
                  (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRRegistroOrigem)

                  Registro de Origem

                  TipoCodeableConcept
                  É modificadorfalse
                  Resumofalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  94. Immunization.location
                  Definição

                  Identifica se o registro da administração da vacina, realizado por transcrição de caderneta, foi realizado no Brasil ou em outro País.

                  CurtoIndicação do país de origem do registro da vacina
                  Controlo0..1
                  TipoReference(Location)
                  É modificadorfalse
                  Resumofalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  96. Immunization.location.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
                  98. Immunization.location.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())
                  SlicingEste elemento introduz um conjunto de fatias em Immunization.location.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                  • value @ url
                  • 100. Immunization.location.reference
                    Definição

                    A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                    CurtoLiteral reference, Relative, internal or absolute URL
                    Comentários

                    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                    Controlo0..0
                    Este elemento é afetado pelas seguintes invariantes: ref-1
                    Tipostring
                    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()))
                    102. Immunization.location.type
                    Definição

                    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                    CurtoType the reference refers to (e.g. "Patient")
                    Comentários

                    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                    Controlo0..0
                    VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                    Aa resource (or, for logical models, the URI of the logical model).

                    Tipouri
                    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()))
                    104. Immunization.location.identifier
                    Definição

                    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                    CurtoLogical reference, when literal reference is not known
                    Comentários

                    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                    NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                    Controlo1..1
                    TipoIdentifier
                    É modificadorfalse
                    Resumotrue
                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    106. Immunization.location.identifier.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
                    108. Immunization.location.identifier.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())
                    SlicingEste elemento introduz um conjunto de fatias em Immunization.location.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                    • value @ url
                    • 110. Immunization.location.identifier.use
                      Definição

                      The purpose of this identifier.

                      Curtousual | official | temp | secondary | old (If known)
                      Comentários

                      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                      Controlo0..0
                      VínculoOs códigos DEVERÃO ser retirados de IdentifierUse
                      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                      Identifies the purpose for this identifier, if known .

                      Tipocode
                      É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Requisitos

                      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      112. Immunization.location.identifier.type
                      Definição

                      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                      CurtoDescription of identifier
                      Comentários

                      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                      Controlo0..0
                      VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes
                      (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                      TipoCodeableConcept
                      É modificadorfalse
                      Resumotrue
                      Requisitos

                      Allows users to make use of identifiers when the identifier system is not known.

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      114. Immunization.location.identifier.system
                      Definição

                      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                      CurtoPaís de origem do registro da vacina
                      Comentários

                      Identifier.system is always case sensitive.

                      Controlo1..1
                      Tipouri
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Requisitos

                      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                      Valor fixohttp://www.saude.gov.br/fhir/r4/CodeSystem/BRPais
                      Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      116. Immunization.location.identifier.value
                      Definição

                      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                      CurtoPaís de origem do registro da vacina
                      Comentários

                      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                      Controlo1..1
                      VínculoOs códigos DEVERÃO ser retirados de País
                      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRPais-1.0)

                      Códigos para representação de países

                      Tipostring
                      É modificadorfalse
                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                      Resumotrue
                      Exemplo<br/><b>General</b>:123456
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      118. Immunization.location.identifier.period
                      Definição

                      Time period during which identifier is/was valid for use.

                      CurtoTime period when id is/was valid for use
                      Controlo0..0
                      TipoPeriod
                      É modificadorfalse
                      Resumotrue
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      120. Immunization.location.identifier.assigner
                      Definição

                      Organization that issued/manages the identifier.

                      CurtoOrganization that issued id (may be just text)
                      Comentários

                      The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                      Controlo0..0
                      TipoReference(Organization)
                      É modificadorfalse
                      Resumotrue
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      122. Immunization.location.display
                      Definição

                      Plain text narrative that identifies the resource in addition to the resource reference.

                      CurtoText alternative for the resource
                      Comentários

                      This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                      Controlo0..0
                      Tipostring
                      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()))
                      124. Immunization.manufacturer
                      Definição

                      Identifica o laboratório fabricante do imunobiológico administrado no indivíduo. Regra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.

                      CurtoFabricante
                      Controlo0..1
                      TipoReference(Organization)
                      É modificadorfalse
                      Deve apoiartrue
                      Resumofalse
                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      126. Immunization.manufacturer.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
                      128. Immunization.manufacturer.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())
                      SlicingEste elemento introduz um conjunto de fatias em Immunization.manufacturer.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                      • value @ url
                      • 130. Immunization.manufacturer.reference
                        Definição

                        A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                        CurtoLiteral reference, Relative, internal or absolute URL
                        Comentários

                        Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                        Controlo0..0
                        Este elemento é afetado pelas seguintes invariantes: ref-1
                        Tipostring
                        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()))
                        132. Immunization.manufacturer.type
                        Definição

                        The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                        The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                        CurtoType the reference refers to (e.g. "Patient")
                        Comentários

                        This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                        Controlo0..0
                        VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                        (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                        Aa resource (or, for logical models, the URI of the logical model).

                        Tipouri
                        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()))
                        134. Immunization.manufacturer.identifier
                        Definição

                        An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                        CurtoLogical reference, when literal reference is not known
                        Comentários

                        When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                        When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                        Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                        Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                        Controlo1..1
                        TipoIdentifier
                        É modificadorfalse
                        Deve apoiartrue
                        Resumotrue
                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        136. Immunization.manufacturer.identifier.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
                        138. Immunization.manufacturer.identifier.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())
                        SlicingEste elemento introduz um conjunto de fatias em Immunization.manufacturer.identifier.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                        • value @ url
                        • 140. Immunization.manufacturer.identifier.use
                          Definição

                          The purpose of this identifier.

                          Curtousual | official | temp | secondary | old (If known)
                          Comentários

                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                          Controlo0..0
                          VínculoOs códigos DEVERÃO ser retirados de IdentifierUse
                          (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                          Identifies the purpose for this identifier, if known .

                          Tipocode
                          É modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Resumotrue
                          Requisitos

                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          142. Immunization.manufacturer.identifier.type
                          Definição

                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                          CurtoDescription of identifier
                          Comentários

                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                          Controlo0..0
                          VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes
                          (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                          A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                          TipoCodeableConcept
                          É modificadorfalse
                          Deve apoiarfalse
                          Resumotrue
                          Requisitos

                          Allows users to make use of identifiers when the identifier system is not known.

                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          155. Immunization.manufacturer.identifier.system
                          Definição

                          URL que define o system BRFabricantePNI como referência para esse elemento.

                          CurtoFabricante PNI
                          Comentários

                          Identifier.system is always case sensitive.

                          Controlo1..1
                          Tipouri
                          É modificadorfalse
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Deve apoiartrue
                          Resumotrue
                          Requisitos

                          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                          Valor fixohttp://www.saude.gov.br/fhir/r4/CodeSystem/BRFabricantePNI
                          Exemplo<br/><b>General</b>:http://www.acme.com/identifiers/patient
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          157. Immunization.manufacturer.identifier.value
                          Definição

                          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                          CurtoFabricante do imunobiológico.
                          Comentários

                          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                          Controlo1..1
                          VínculoOs códigos DEVERÃO ser retirados de Fabricante do Imunobiológico
                          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRFabricanteImunobiologico-1.0)

                          O código do fabricante do imunobiológico.

                          Tipostring
                          É modificadorfalse
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Deve apoiartrue
                          Resumotrue
                          Exemplo<br/><b>General</b>:123456
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          159. Immunization.manufacturer.identifier.period
                          Definição

                          Time period during which identifier is/was valid for use.

                          CurtoTime period when id is/was valid for use
                          Controlo0..0
                          TipoPeriod
                          É modificadorfalse
                          Resumotrue
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          161. Immunization.manufacturer.identifier.assigner
                          Definição

                          Organization that issued/manages the identifier.

                          CurtoOrganization that issued id (may be just text)
                          Comentários

                          The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                          Controlo0..0
                          TipoReference(Organization)
                          É modificadorfalse
                          Resumotrue
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          163. Immunization.manufacturer.display
                          Definição

                          Plain text narrative that identifies the resource in addition to the resource reference.

                          CurtoNome do fabricante
                          Comentários

                          This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                          Controlo0..0
                          Tipostring
                          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()))
                          165. Immunization.lotNumber
                          Definição

                          Identifica o lote do imunobiológico de acordo com o fabricante. O lote é fundamental para identificação de características do imunobiológico. É uma informação presente na embalagem do produto ou, algumas vezes, na caderneta de vacinação. Regra negocial: Para registro de transcrição de caderneta de vacinação, este campo é opcional.

                          CurtoLote
                          Controlo0..1
                          Tipostring
                          É modificadorfalse
                          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                          Deve apoiartrue
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          167. Immunization.expirationDate
                          Definição

                          Data de expiração do imunobiológico

                          CurtoData de expiração do imunobiológico
                          Controlo0..1
                          Tipodate
                          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()))
                          169. Immunization.site
                          Definição

                          Identifica a localização anatômica em que o imunobiológico foi aplicado.

                          CurtoLocal de Aplicação
                          Controlo1..1
                          VínculoOs códigos DEVERÃO ser retirados de Local de Aplicação
                          (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRLocalAplicacao-1.0)

                          Local de Aplicação

                          TipoCodeableConcept
                          É modificadorfalse
                          Deve apoiartrue
                          Resumofalse
                          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          171. Immunization.site.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
                          173. Immunization.site.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())
                          SlicingEste elemento introduz um conjunto de fatias em Immunization.site.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                          • value @ url
                          • 175. Immunization.site.coding
                            Definição

                            A reference to a code defined by a terminology system.

                            CurtoCode defined by a terminology system
                            Comentários

                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                            Controlo1..1
                            TipoCoding
                            É modificadorfalse
                            Resumotrue
                            Requisitos

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            177. Immunization.site.coding.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
                            179. Immunization.site.coding.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())
                            SlicingEste elemento introduz um conjunto de fatias em Immunization.site.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                            • value @ url
                            • 181. Immunization.site.coding.system
                              Definição

                              The identification of the code system that defines the meaning of the symbol in the code.

                              CurtoIdentity of the terminology system
                              Comentários

                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                              Controlo1..1
                              Tipouri
                              É modificadorfalse
                              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                              Resumotrue
                              Requisitos

                              Need to be unambiguous about the source of the definition of the symbol.

                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              183. Immunization.site.coding.version
                              Definição

                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                              CurtoVersion of the system - if relevant
                              Comentários

                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                              NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
                              Controlo0..1
                              Tipostring
                              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()))
                              185. Immunization.site.coding.code
                              Definição

                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                              CurtoSymbol in syntax defined by the system
                              Controlo1..1
                              Tipocode
                              É modificadorfalse
                              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                              Resumotrue
                              Requisitos

                              Need to refer to a particular code in the system.

                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              187. Immunization.site.coding.display
                              Definição

                              A representation of the meaning of the code in the system, following the rules of the system.

                              CurtoRepresentation defined by the system
                              Controlo0..0
                              Tipostring
                              É modificadorfalse
                              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                              Resumotrue
                              Requisitos

                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              189. Immunization.site.coding.userSelected
                              Definição

                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                              CurtoIf this coding was chosen directly by the user
                              Comentários

                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                              Controlo0..0
                              Tipoboolean
                              É modificadorfalse
                              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                              Resumotrue
                              Requisitos

                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                              CurtoPlain text representation of the concept
                              Comentários

                              Very often the text is the same as a displayName of one of the codings.

                              Controlo0..0
                              Tipostring
                              É modificadorfalse
                              Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                              Resumotrue
                              Requisitos

                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

                              Identifica a via com que o imunobiológico administrado entra em contato com o organismo.

                              CurtoVia de Administração
                              Controlo1..1
                              VínculoOs códigos DEVERÃO ser retirados de Via de Administração do Imunobiológico
                              (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0)

                              Via de Administração

                              TipoCodeableConcept
                              É modificadorfalse
                              Deve apoiartrue
                              Resumofalse
                              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              195. Immunization.route.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
                              197. Immunization.route.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())
                              SlicingEste elemento introduz um conjunto de fatias em Immunization.route.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                              • value @ url
                              • 199. Immunization.route.coding
                                Definição

                                A reference to a code defined by a terminology system.

                                CurtoCode defined by a terminology system
                                Comentários

                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                Controlo1..1
                                TipoCoding
                                É modificadorfalse
                                Resumotrue
                                Requisitos

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                201. Immunization.route.coding.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
                                203. Immunization.route.coding.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())
                                SlicingEste elemento introduz um conjunto de fatias em Immunization.route.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                • value @ url
                                • 205. Immunization.route.coding.system
                                  Definição

                                  The identification of the code system that defines the meaning of the symbol in the code.

                                  CurtoIdentity of the terminology system
                                  Comentários

                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                  Controlo1..1
                                  Tipouri
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Requisitos

                                  Need to be unambiguous about the source of the definition of the symbol.

                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  207. Immunization.route.coding.version
                                  Definição

                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                  CurtoVersion of the system - if relevant
                                  Comentários

                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                  NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
                                  Controlo0..1
                                  Tipostring
                                  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()))
                                  209. Immunization.route.coding.code
                                  Definição

                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                  CurtoSymbol in syntax defined by the system
                                  Controlo1..1
                                  Tipocode
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Requisitos

                                  Need to refer to a particular code in the system.

                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  211. Immunization.route.coding.display
                                  Definição

                                  A representation of the meaning of the code in the system, following the rules of the system.

                                  CurtoRepresentation defined by the system
                                  Controlo0..0
                                  Tipostring
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Requisitos

                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  213. Immunization.route.coding.userSelected
                                  Definição

                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                  CurtoIf this coding was chosen directly by the user
                                  Comentários

                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                  Controlo0..0
                                  Tipoboolean
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Requisitos

                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

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

                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                  CurtoPlain text representation of the concept
                                  Comentários

                                  Very often the text is the same as a displayName of one of the codings.

                                  Controlo0..0
                                  Tipostring
                                  É modificadorfalse
                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                  Resumotrue
                                  Requisitos

                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

                                  The quantity of vaccine product that was administered.

                                  CurtoAmount of vaccine administered
                                  Controlo0..0
                                  TipoQuantity(SimpleQuantity)
                                  É modificadorfalse
                                  Resumofalse
                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  219. Immunization.performer
                                  Definição

                                  Informações sobre o profissional que administrou o imunobiológico.

                                  CurtoProfissional Executante
                                  Controlo1..1
                                  TipoBackboneElement
                                  É modificadorfalse
                                  Deve apoiartrue
                                  Resumotrue
                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  221. Immunization.performer.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
                                  223. Immunization.performer.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())
                                  225. Immunization.performer.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())
                                  227. Immunization.performer.function
                                  Definição

                                  Identifica a especialidade do profissional que prescreveu a administração do imunobiológico por meio do Código Brasileiro de Ocupações (CBO). Regra negocial: Quando a estratégia de vacinação for Especial, o campo deve ser obrigatório.

                                  CurtoEspecialidade do profissional prescritor
                                  Controlo0..1
                                  VínculoOs códigos DEVERÃO ser retirados de Classificação Brasileira de Ocupações (CBO)
                                  (required to http://www.saude.gov.br/fhir/r4/ValueSet/BROcupacao-1.0)
                                  TipoCodeableConcept
                                  É modificadorfalse
                                  Resumotrue
                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  229. Immunization.performer.function.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
                                  231. Immunization.performer.function.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())
                                  SlicingEste elemento introduz um conjunto de fatias em Immunization.performer.function.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                  • value @ url
                                  • 233. Immunization.performer.function.coding
                                    Definição

                                    A reference to a code defined by a terminology system.

                                    CurtoCode defined by a terminology system
                                    Comentários

                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                    Controlo1..1
                                    TipoCoding
                                    É modificadorfalse
                                    Resumotrue
                                    Requisitos

                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    235. Immunization.performer.function.coding.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
                                    237. Immunization.performer.function.coding.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())
                                    SlicingEste elemento introduz um conjunto de fatias em Immunization.performer.function.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                    • value @ url
                                    • 239. Immunization.performer.function.coding.system
                                      Definição

                                      The identification of the code system that defines the meaning of the symbol in the code.

                                      CurtoIdentity of the terminology system
                                      Comentários

                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                      Controlo1..1
                                      Tipouri
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Requisitos

                                      Need to be unambiguous about the source of the definition of the symbol.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      241. Immunization.performer.function.coding.version
                                      Definição

                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                      CurtoVersion of the system - if relevant
                                      Comentários

                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                      NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
                                      Controlo0..1
                                      Tipostring
                                      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()))
                                      243. Immunization.performer.function.coding.code
                                      Definição

                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                      CurtoSymbol in syntax defined by the system
                                      Controlo1..1
                                      Tipocode
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Requisitos

                                      Need to refer to a particular code in the system.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      245. Immunization.performer.function.coding.display
                                      Definição

                                      A representation of the meaning of the code in the system, following the rules of the system.

                                      CurtoRepresentation defined by the system
                                      Controlo0..0
                                      Tipostring
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Requisitos

                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      247. Immunization.performer.function.coding.userSelected
                                      Definição

                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                      CurtoIf this coding was chosen directly by the user
                                      Comentários

                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                      Controlo0..0
                                      Tipoboolean
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Requisitos

                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      249. Immunization.performer.function.text
                                      Definição

                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                      CurtoPlain text representation of the concept
                                      Comentários

                                      Very often the text is the same as a displayName of one of the codings.

                                      Controlo0..0
                                      Tipostring
                                      É modificadorfalse
                                      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                      Resumotrue
                                      Requisitos

                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

                                      Identifica o número do Cadastro Nacional de Saúde (CNS) do profissional de saúde que realizou o atendimento ou transcrição. Deverá ser utilizado para a identificação, o Cartão Nacional de Saúde (CNS) do profissional.

                                      CurtoIdentificador do profissional
                                      Comentários

                                      When the individual practitioner who performed the action is known, it is best to send.

                                      Controlo1..1
                                      TipoReference(http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0)
                                      É modificadorfalse
                                      Deve apoiartrue
                                      Resumotrue
                                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      253. Immunization.performer.actor.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
                                      255. Immunization.performer.actor.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())
                                      SlicingEste elemento introduz um conjunto de fatias em Immunization.performer.actor.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                      • value @ url
                                      • 257. Immunization.performer.actor.reference
                                        Definição

                                        A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                        CurtoLiteral reference, Relative, internal or absolute URL
                                        Comentários

                                        Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                        Controlo1..1
                                        Este elemento é afetado pelas seguintes invariantes: ref-1
                                        Tipostring
                                        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()))
                                        259. Immunization.performer.actor.type
                                        Definição

                                        The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                        The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                        CurtoType the reference refers to (e.g. "Patient")
                                        Comentários

                                        This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                        Controlo0..0
                                        VínculoA menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType
                                        (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                                        Aa resource (or, for logical models, the URI of the logical model).

                                        Tipouri
                                        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()))
                                        261. Immunization.performer.actor.identifier
                                        Definição

                                        An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                        CurtoLogical reference, when literal reference is not known
                                        Comentários

                                        When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                        When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                        Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                        Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                        NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
                                        Controlo0..0
                                        TipoIdentifier
                                        É modificadorfalse
                                        Resumotrue
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        263. Immunization.performer.actor.display
                                        Definição

                                        Plain text narrative that identifies the resource in addition to the resource reference.

                                        CurtoText alternative for the resource
                                        Comentários

                                        This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                        Controlo0..0
                                        Tipostring
                                        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()))
                                        265. Immunization.note
                                        Definição

                                        Extra information about the immunization that is not conveyed by the other attributes.

                                        CurtoAdditional immunization notes
                                        Controlo0..0
                                        TipoAnnotation
                                        É modificadorfalse
                                        Resumotrue
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        267. Immunization.reasonCode
                                        Definição

                                        Reasons why the vaccine was administered.

                                        CurtoWhy immunization occurred
                                        Controlo0..0
                                        VínculoPara exemplos de códigos, ver ImmunizationReasonCodes
                                        (example to http://hl7.org/fhir/ValueSet/immunization-reason)

                                        The reason why a vaccine was administered.

                                        TipoCodeableConcept
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        269. Immunization.reasonReference
                                        Definição

                                        Identifica o código da Classificação Internacional de Doenças (CID) do motivo da indicação para administração do imunobiológico.

                                        Regra negocial: Quando a estratégia de vacinação for "Especial", o campo deve ser obrigatório.

                                        CurtoMotivo de Indicação
                                        Controlo0..1
                                        TipoReference(CID10 Avaliado)
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        271. Immunization.isSubpotent
                                        Definição

                                        Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.

                                        CurtoDose potency
                                        Comentários

                                        Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.

                                        Controlo0..0
                                        Tipoboolean
                                        É modificadortrue porque This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.
                                        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                        Resumotrue
                                        Significado em caso de faltaBy default, a dose should be considered to be potent.
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        273. Immunization.subpotentReason
                                        Definição

                                        Reason why a dose is considered to be subpotent.

                                        CurtoReason for being subpotent
                                        Controlo0..0
                                        VínculoPara exemplos de códigos, ver ImmunizationSubpotentReason
                                        (example to http://hl7.org/fhir/ValueSet/immunization-subpotent-reason)

                                        The reason why a dose is considered to be subpotent.

                                        TipoCodeableConcept
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        275. Immunization.education
                                        Definição

                                        Educational material presented to the patient (or guardian) at the time of vaccine administration.

                                        CurtoEducational material presented to patient
                                        Controlo0..0
                                        TipoBackboneElement
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        imm-1: One of documentType or reference SHALL be present (documentType.exists() or reference.exists())
                                        284. Immunization.programEligibility
                                        Definição

                                        Indicates a patient's eligibility for a funding program.

                                        CurtoPatient eligibility for a vaccination program
                                        Controlo0..0
                                        VínculoPara exemplos de códigos, ver ImmunizationProgramEligibility
                                        (example to http://hl7.org/fhir/ValueSet/immunization-program-eligibility)

                                        The patient's eligibility for a vaccation program.

                                        TipoCodeableConcept
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        286. Immunization.fundingSource
                                        Definição

                                        Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).

                                        CurtoFunding source for the vaccine
                                        Controlo0..0
                                        VínculoPara exemplos de códigos, ver ImmunizationFundingSource
                                        (example to http://hl7.org/fhir/ValueSet/immunization-funding-source)

                                        The source of funding used to purchase the vaccine administered.

                                        TipoCodeableConcept
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        288. Immunization.reaction
                                        Definição

                                        Categorical data indicating that an adverse event is associated in time to an immunization.

                                        CurtoDetails of a reaction that follows immunization
                                        Comentários

                                        A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.

                                        Controlo0..0
                                        TipoBackboneElement
                                        É modificadorfalse
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        296. Immunization.protocolApplied
                                        Definição

                                        The protocol (set of recommendations) being followed by the provider who administered the dose.

                                        CurtoProtocol followed by the provider
                                        Controlo1..1
                                        TipoBackboneElement
                                        É modificadorfalse
                                        Deve apoiartrue
                                        Resumofalse
                                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        298. Immunization.protocolApplied.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
                                        300. Immunization.protocolApplied.extension
                                        Definição

                                        An Extension

                                        CurtoExtension
                                        Controlo1..2
                                        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())
                                        SlicingEste elemento introduz um conjunto de fatias em Immunization.protocolApplied.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                        • value @ url
                                        • 302. Immunization.protocolApplied.extension:strategy
                                          Nome da fatiastrategy
                                          Definição

                                          Identifica a estratégia de vacinação adotada, conforme estabelecidos pelo Programa Nacional de Imunização (PNI) e disponibilizado nos CodeSystems da Rede Nacional de Dados em Saúde (RNDS).

                                          CurtoEstratégia de Vacinação
                                          Controlo1..1
                                          Este elemento é afetado pelas seguintes invariantes: ele-1
                                          TipoExtension(Estratégia de Vacinação) (Tipo de extensão: CodeableConcept)
                                          É modificadorfalse
                                          Deve apoiartrue
                                          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())
                                          304. Immunization.protocolApplied.extension:pesquisaClinica
                                          Nome da fatiapesquisaClinica
                                          Definição

                                          Dados do Estudo Clínico para o desenvolvimento do imunobiológico administrado.

                                          CurtoPesquisa Clínica
                                          Controlo0..1
                                          Este elemento é afetado pelas seguintes invariantes: ele-1
                                          TipoExtension(Estratégia de Vacinação Pesquisa) (Extensão complexa)
                                          É modificadorfalse
                                          Deve apoiarfalse
                                          Nomes alternativosPesquisa Clínica
                                          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())
                                          306. Immunization.protocolApplied.extension:pesquisaClinica.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
                                          308. Immunization.protocolApplied.extension:pesquisaClinica.extension
                                          Definição

                                          An Extension

                                          CurtoExtension
                                          Controlo0..3
                                          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())
                                          SlicingEste elemento introduz um conjunto de fatias em Immunization.protocolApplied.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                          • value @ url
                                          • 310. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA
                                            Nome da fatianumeroProtocoloEstudoANVISA
                                            Definição

                                            Número do protocolo do estudo clínico na ANVISA: identifica o número do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas.

                                            CurtoANVISA Protocolo Estudo
                                            Controlo0..1
                                            TipoExtension
                                            É modificadorfalse
                                            Resumofalse
                                            EtiquetaAnvisa Protocolo Estudo
                                            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())
                                            312. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA.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
                                            314. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA.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())
                                            SlicingEste elemento introduz um conjunto de fatias em Immunization.protocolApplied.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                            • value @ url
                                            • 316. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA.url
                                              Definição

                                              Source of the definition for the extension code - a logical name or a URL.

                                              Curtoidentifies the meaning of the extension
                                              Comentários

                                              The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                              Controlo1..1
                                              Tipouri
                                              É modificadorfalse
                                              Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                              Resumofalse
                                              Valor fixonumeroProtocoloEstudoANVISA
                                              318. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroProtocoloEstudoANVISA.value[x]
                                              Definição

                                              Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                              CurtoValue of extension
                                              Controlo1..1
                                              Tipostring
                                              [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                                              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()))
                                              320. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo
                                              Nome da fatianumeroVersaoProtocoloEstudo
                                              Definição

                                              Número da versão do protocolo do estudo na ANVISA: identifica o número da versão do protocolo do estudo clínico autorizado pela Agência Nacional de Vigilância Sanitária para administração de vacinas.

                                              CurtoANVISA Protocolo Versão
                                              Controlo0..1
                                              TipoExtension
                                              É modificadorfalse
                                              Resumofalse
                                              EtiquetaAnvisa Protocolo Versão
                                              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())
                                              322. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo.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
                                              324. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo.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())
                                              SlicingEste elemento introduz um conjunto de fatias em Immunization.protocolApplied.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                              • value @ url
                                              • 326. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo.url
                                                Definição

                                                Source of the definition for the extension code - a logical name or a URL.

                                                Curtoidentifies the meaning of the extension
                                                Comentários

                                                The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                Controlo1..1
                                                Tipouri
                                                É modificadorfalse
                                                Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                                Resumofalse
                                                Valor fixonumeroVersaoProtocoloEstudo
                                                328. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroVersaoProtocoloEstudo.value[x]
                                                Definição

                                                Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                CurtoValue of extension
                                                Controlo1..1
                                                Tipostring
                                                [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                                                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()))
                                                330. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa
                                                Nome da fatianumeroRegistroVacinaAnvisa
                                                Definição

                                                Número do registro sanitário da vacina na ANVISA. Este registro pode ser emergencial ou definitivo. Identifica o número do registro sanitário da vacina registrado na Agência Nacional de Vigilância Sanitária.

                                                CurtoANVISA Num Registro
                                                Controlo0..1
                                                TipoExtension
                                                É modificadorfalse
                                                Resumofalse
                                                EtiquetaAnvisa Num Registro
                                                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())
                                                332. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa.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
                                                334. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa.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())
                                                SlicingEste elemento introduz um conjunto de fatias em Immunization.protocolApplied.extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
                                                • value @ url
                                                • 336. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa.url
                                                  Definição

                                                  Source of the definition for the extension code - a logical name or a URL.

                                                  Curtoidentifies the meaning of the extension
                                                  Comentários

                                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                  Controlo1..1
                                                  Tipouri
                                                  É modificadorfalse
                                                  Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                                  Resumofalse
                                                  Valor fixonumeroRegistroVacinaAnvisa
                                                  338. Immunization.protocolApplied.extension:pesquisaClinica.extension:numeroRegistroVacinaAnvisa.value[x]
                                                  Definição

                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                  CurtoValue of extension
                                                  Controlo1..1
                                                  Tipostring
                                                  [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                                                  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()))
                                                  340. Immunization.protocolApplied.extension:pesquisaClinica.url
                                                  Definição

                                                  Source of the definition for the extension code - a logical name or a URL.

                                                  Curtoidentifies the meaning of the extension
                                                  Comentários

                                                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                                                  Controlo1..1
                                                  Tipouri
                                                  É modificadorfalse
                                                  Formato XMLNo formato XML, esta propriedade é representada como um atributo.
                                                  Resumofalse
                                                  Valor fixohttp://www.saude.gov.br/fhir/r4/StructureDefinition/BREstrategiaVacinacaoPesquisa-1.0
                                                  342. Immunization.protocolApplied.extension:pesquisaClinica.value[x]
                                                  Definição

                                                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                                                  CurtoValue of extension
                                                  Controlo0..0
                                                  TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                  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()))
                                                  344. Immunization.protocolApplied.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())
                                                  346. Immunization.protocolApplied.series
                                                  Definição

                                                  One possible path to achieve presumed immunity against a disease - within the context of an authority.

                                                  CurtoName of vaccine series
                                                  Controlo0..0
                                                  Tipostring
                                                  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()))
                                                  348. Immunization.protocolApplied.authority
                                                  Definição

                                                  Indicates the authority who published the protocol (e.g. ACIP) that is being followed.

                                                  CurtoWho is responsible for publishing the recommendations
                                                  Controlo0..0
                                                  TipoReference(Organization)
                                                  É modificadorfalse
                                                  Resumofalse
                                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  350. Immunization.protocolApplied.targetDisease
                                                  Definição

                                                  The vaccine preventable disease the dose is being administered against.

                                                  CurtoVaccine preventatable disease being targetted
                                                  Controlo0..0
                                                  VínculoPara exemplos de códigos, ver ImmunizationTargetDiseaseCodes
                                                  (example to http://hl7.org/fhir/ValueSet/immunization-target-disease)

                                                  The vaccine preventable disease the dose is being administered for.

                                                  TipoCodeableConcept
                                                  É modificadorfalse
                                                  Resumofalse
                                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  352. Immunization.protocolApplied.doseNumber[x]
                                                  Definição

                                                  Identifica o registro da dose da vacina administrada no indivíduo.

                                                  CurtoDose
                                                  Comentários

                                                  The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).

                                                  Controlo1..1
                                                  VínculoOs códigos DEVERÃO ser retirados de Dose do Imunobiológico
                                                  (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRDose-1.0)

                                                  Dose do Imunobiológico

                                                  Tipostring
                                                  [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
                                                  É modificadorfalse
                                                  Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
                                                  Deve apoiartrue
                                                  Resumofalse
                                                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  354. Immunization.protocolApplied.seriesDoses[x]
                                                  Definição

                                                  The recommended number of doses to achieve immunity.

                                                  CurtoRecommended number of doses for immunity
                                                  Comentários

                                                  The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).

                                                  Controlo0..0
                                                  TipoEscolha de: positiveInt, string
                                                  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()))